HESI 799 RN EXIT EXAM ACTUAL PAPER 2026
QUESTIONS SOLUTIONS GRADED A+
◉ A client is discharged with automated peritoneal dialysis (PD) to
be used nightly...which instructions should the nurse include?
a. Wash hands before cleaning exit site
b. Keep the head of the bed flat at night
c. Feel for a thrill and a distal pulse nightly
d. Do not get up if fluid is left in the abdomen Answer: Wash hands
before cleaning exit site
Rationale: meticulous hand hygiene is essential when performing
care for a peritoneal dialysis, infections is a common complication of
peritoneal dialysis.
◉ The charge nurse observes the practical nurse (PN) apply sterile
gloves in preparation for performing a sterile dressing change.
Which action by the PN requires correction by the charge nurse?
a- Opening the package
b- Picking up the second glove
c- Picking up the first glove
,d- Positioning of the table Answer: Picking up the second glove
◉ A young adult who is hit with a baseball bat on the temporal area
of the left skull is conscious when admitted to the ED and is
transferred to the Neurological Unit to be monitored for signs of
closed head injury. Which assessment finding is indicative of a
developing epidural hematoma?
a. Altered consciousness within the first 24 hours after injury.
b. Cushing reflex and cerebral edema after 24 hours
c. Fever, nuchal rigidity and opisthotonos within hours
d. Headache and pupillary changes 48 hours after a head injury
Answer: Altered consciousness within the first 24 hours after injury.
◉ A male client reports to the clinic nurse that he has been feeling
well and is often "dizzy" his blood pressure is elevated. Based on this
findings, this client is at a greatest risk for which pathophysiological
condition?
a. Pulmonary hypertension
b. Left ventricular hypertrophy
c. Renal failure
d. Stroke Answer: Stroke
,◉ The nurse ask the parent to stay during the examination of a male
toddler's genital area. Which intervention should the nurse
implement?
a. Examine the genitalia as the last part of the total exam.
b. Use soothing statements to facilitate cooperation
c. Allow the child to keep underpants on to examine genitalia
d. Work slowly and methodically so not to stress the child Answer:
Examine the genitalia as the last part of the total exam.
Rationale: Examination of a child's genitalia is particularly stressful
to toddles, so this assessment is best left as the last part of the
examination. B are best done by a parent, not the nurse. The genitals
must be completely visualized and sometimes palpates underwear
for a brief period of.
◉ The nurse is changing a client's IV tubing and closes the roller
clamp on the new tubing setup when the bag of solution is _____.
Which action should the nurse take to ensure adequate filling of the
drip chamber?
a. Lower the IV bag to a flat surface
b. Compress the drip chamber
c. Open the roller clamp
, d. Squeeze the bag of IV solution Answer: Compress the drip
chamber
◉ During an Insulin infusion for a client with diabetes mellitus who
is experiencing hyperglycemic hyperosmolar syndrome in addition
to the client's glucose, which laboratory value is most important for
the nurse to monitor?
a. Urine ketones
b. Urine albumin
c. Serum protein
d. Serum potassium Answer: d. Serum potassium
Rationale: Electrolyte shifts are common during correction of
hyperosmolar and hyperglycemic states. Monitor electrolyte levels
at least every 4 hours, or every 2 hours if needed. Monitor serum
sodium and potassium levels closely. If needed, use isotonic and
hypotonic saline solutions to adjust the patient's sodium level.
Despite major potassium loss during diuresis in early HHS stages,
many patients initially present in a hyperkalemic state due to
dehydration. When fluid and insulin therapy begin, the serum
potassium level may drop dramatically.
QUESTIONS SOLUTIONS GRADED A+
◉ A client is discharged with automated peritoneal dialysis (PD) to
be used nightly...which instructions should the nurse include?
a. Wash hands before cleaning exit site
b. Keep the head of the bed flat at night
c. Feel for a thrill and a distal pulse nightly
d. Do not get up if fluid is left in the abdomen Answer: Wash hands
before cleaning exit site
Rationale: meticulous hand hygiene is essential when performing
care for a peritoneal dialysis, infections is a common complication of
peritoneal dialysis.
◉ The charge nurse observes the practical nurse (PN) apply sterile
gloves in preparation for performing a sterile dressing change.
Which action by the PN requires correction by the charge nurse?
a- Opening the package
b- Picking up the second glove
c- Picking up the first glove
,d- Positioning of the table Answer: Picking up the second glove
◉ A young adult who is hit with a baseball bat on the temporal area
of the left skull is conscious when admitted to the ED and is
transferred to the Neurological Unit to be monitored for signs of
closed head injury. Which assessment finding is indicative of a
developing epidural hematoma?
a. Altered consciousness within the first 24 hours after injury.
b. Cushing reflex and cerebral edema after 24 hours
c. Fever, nuchal rigidity and opisthotonos within hours
d. Headache and pupillary changes 48 hours after a head injury
Answer: Altered consciousness within the first 24 hours after injury.
◉ A male client reports to the clinic nurse that he has been feeling
well and is often "dizzy" his blood pressure is elevated. Based on this
findings, this client is at a greatest risk for which pathophysiological
condition?
a. Pulmonary hypertension
b. Left ventricular hypertrophy
c. Renal failure
d. Stroke Answer: Stroke
,◉ The nurse ask the parent to stay during the examination of a male
toddler's genital area. Which intervention should the nurse
implement?
a. Examine the genitalia as the last part of the total exam.
b. Use soothing statements to facilitate cooperation
c. Allow the child to keep underpants on to examine genitalia
d. Work slowly and methodically so not to stress the child Answer:
Examine the genitalia as the last part of the total exam.
Rationale: Examination of a child's genitalia is particularly stressful
to toddles, so this assessment is best left as the last part of the
examination. B are best done by a parent, not the nurse. The genitals
must be completely visualized and sometimes palpates underwear
for a brief period of.
◉ The nurse is changing a client's IV tubing and closes the roller
clamp on the new tubing setup when the bag of solution is _____.
Which action should the nurse take to ensure adequate filling of the
drip chamber?
a. Lower the IV bag to a flat surface
b. Compress the drip chamber
c. Open the roller clamp
, d. Squeeze the bag of IV solution Answer: Compress the drip
chamber
◉ During an Insulin infusion for a client with diabetes mellitus who
is experiencing hyperglycemic hyperosmolar syndrome in addition
to the client's glucose, which laboratory value is most important for
the nurse to monitor?
a. Urine ketones
b. Urine albumin
c. Serum protein
d. Serum potassium Answer: d. Serum potassium
Rationale: Electrolyte shifts are common during correction of
hyperosmolar and hyperglycemic states. Monitor electrolyte levels
at least every 4 hours, or every 2 hours if needed. Monitor serum
sodium and potassium levels closely. If needed, use isotonic and
hypotonic saline solutions to adjust the patient's sodium level.
Despite major potassium loss during diuresis in early HHS stages,
many patients initially present in a hyperkalemic state due to
dehydration. When fluid and insulin therapy begin, the serum
potassium level may drop dramatically.
