1|Page
HESI 799 RN EXIT EXAM VERSION 2||
ACCURATE AND FREQUENTLY TESTED
QUESTIONS AND 100% CORRECT ANSWERS
WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS||
SURE PASS!!
When finding a client sitting on the floor, the nurse calls for help from the
unlicensed assistive personnel (UAP). Which task should the nurse ask the UAP to
do?
a- Check for any abrasions or bruises.
b- Help the client to stand.
c- Get a blood pressure cuff.
d- Report the fall to the nurse-manager.
c. Get a blood pressure cuff.
During the initial newborn assessment, the nurse finds that a newborn's heart rate is
irregular. Which intervention should the nurse implement?
a- Notify the pediatrician immediately.
b- Teach the parents about congenital heart defects.
c- Document the finding in the infant's record.
d- Apply oxygen per nasal cannula at 3 L/min.
c. Document the finding in the infant's record
,2|Page
The nurse is making a home visit to a male client who is in the moderate stage of
Alzheimer's diseases. The client's wife is exhausted and tells the nurse that the
family plans to take turns caring for the client in their home, each keeping him for
two weeks at a time. How should the nurse respond?
a. Advise the client's spouse to consider inpatient hospice care as an alternative
b. Suggest that each rotation last one week, rather than two, to prevent caregiver
fatigue
c. Use active listening to allow the client and spouse to express their feelings about
the plan
d. Suggest enrolling the client in adult daycare instead of rotating among family.
b. Suggest enrolling the client in adult daycare instead of rotating among family
Rationale: Suggesting a viable alternative, such as adult daycare provides an option
to allow the spouse respite the least disruption to routines and environment.
Which assessment finding indicates to the nurse a client's readiness for pulmonary
function tests?
a- Expresses an understanding of the procedure.
b- NPO for 6 hrs.
c- No known drug allergies
d- Intravenous access intact.
a. Expresses an understanding of the procedure
,3|Page
A young adult male is admitted to the emergency department with diabetic
ketoacidosis (DKA). His pH is 7.25, HCO3 is 12 mEq/L or 12 mmol/L (SI), and
blood glucose is 310 mg/dl or 17.2 mmol/L (SI). Which action should the nurse
implement?
a- Infuse sodium chloride 0.9% (normal saline)
b- Prepare an emergency dose of glucagon
c- Determine the last time the client ate
d- Check urine for ketone bodies with a dipstick
a. Infuse sodium chloride 0.9% (normal saline)
Rationale DKA an increase in glucose and ketone bodies, result in hyperosmolar
dehydration, so is necessary to restore fluid balance.
The nurse is assessing the thorax and lungs of a client who is having respiratory
difficulty. Which finding is most indicative of respiratory distress?
a- Contractions of the sternocleidomastoid muscle.
b- Respiratory rate of 20 breath/mints
c- Downward movement of diaphragm with inspiration
d- A pulse oximetry reading of SpO2 95%
a. Contractions of the sternocleidomastoid muscle
Rationale: Force inspiration needs to use accessories muscle and rib cage.
, 4|Page
After receiving lactulose, a client with hepatic encephalopathy has several loose
stools. What action should the nurse implement?
a- Send stool specimen to the lab
b- Measure abdominal girth
c- Encourage increased fiber in diet.
d- Monitor mental status.
d. Monitor mental status.
Rationale: Administer lactulose to a patient with hepatic encephalopathy to lower
serum ammonia level, so mental status should be improving.
A client present at the clinic with blepharitis. What instructions should the nurse
provide for home care?
a- Use bilateral eyes patches while sleeping to prevent injury to eyes.
b- Wear sunglasses when out of doors to prevent photophobia
c- Apply warm moist compresses then gently scrub eyelids with diluted baby
shampoo
c. Apply warm moist compresses then gently scrub eyelids with diluted baby
shampoo
Rationale: This condition is an inflammation of the eyelids edges that occurs in
older adults. Is controlled with eyelid care using warm moist compresses followed
by gently scrub eyelids.
HESI 799 RN EXIT EXAM VERSION 2||
ACCURATE AND FREQUENTLY TESTED
QUESTIONS AND 100% CORRECT ANSWERS
WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS||
SURE PASS!!
When finding a client sitting on the floor, the nurse calls for help from the
unlicensed assistive personnel (UAP). Which task should the nurse ask the UAP to
do?
a- Check for any abrasions or bruises.
b- Help the client to stand.
c- Get a blood pressure cuff.
d- Report the fall to the nurse-manager.
c. Get a blood pressure cuff.
During the initial newborn assessment, the nurse finds that a newborn's heart rate is
irregular. Which intervention should the nurse implement?
a- Notify the pediatrician immediately.
b- Teach the parents about congenital heart defects.
c- Document the finding in the infant's record.
d- Apply oxygen per nasal cannula at 3 L/min.
c. Document the finding in the infant's record
,2|Page
The nurse is making a home visit to a male client who is in the moderate stage of
Alzheimer's diseases. The client's wife is exhausted and tells the nurse that the
family plans to take turns caring for the client in their home, each keeping him for
two weeks at a time. How should the nurse respond?
a. Advise the client's spouse to consider inpatient hospice care as an alternative
b. Suggest that each rotation last one week, rather than two, to prevent caregiver
fatigue
c. Use active listening to allow the client and spouse to express their feelings about
the plan
d. Suggest enrolling the client in adult daycare instead of rotating among family.
b. Suggest enrolling the client in adult daycare instead of rotating among family
Rationale: Suggesting a viable alternative, such as adult daycare provides an option
to allow the spouse respite the least disruption to routines and environment.
Which assessment finding indicates to the nurse a client's readiness for pulmonary
function tests?
a- Expresses an understanding of the procedure.
b- NPO for 6 hrs.
c- No known drug allergies
d- Intravenous access intact.
a. Expresses an understanding of the procedure
,3|Page
A young adult male is admitted to the emergency department with diabetic
ketoacidosis (DKA). His pH is 7.25, HCO3 is 12 mEq/L or 12 mmol/L (SI), and
blood glucose is 310 mg/dl or 17.2 mmol/L (SI). Which action should the nurse
implement?
a- Infuse sodium chloride 0.9% (normal saline)
b- Prepare an emergency dose of glucagon
c- Determine the last time the client ate
d- Check urine for ketone bodies with a dipstick
a. Infuse sodium chloride 0.9% (normal saline)
Rationale DKA an increase in glucose and ketone bodies, result in hyperosmolar
dehydration, so is necessary to restore fluid balance.
The nurse is assessing the thorax and lungs of a client who is having respiratory
difficulty. Which finding is most indicative of respiratory distress?
a- Contractions of the sternocleidomastoid muscle.
b- Respiratory rate of 20 breath/mints
c- Downward movement of diaphragm with inspiration
d- A pulse oximetry reading of SpO2 95%
a. Contractions of the sternocleidomastoid muscle
Rationale: Force inspiration needs to use accessories muscle and rib cage.
, 4|Page
After receiving lactulose, a client with hepatic encephalopathy has several loose
stools. What action should the nurse implement?
a- Send stool specimen to the lab
b- Measure abdominal girth
c- Encourage increased fiber in diet.
d- Monitor mental status.
d. Monitor mental status.
Rationale: Administer lactulose to a patient with hepatic encephalopathy to lower
serum ammonia level, so mental status should be improving.
A client present at the clinic with blepharitis. What instructions should the nurse
provide for home care?
a- Use bilateral eyes patches while sleeping to prevent injury to eyes.
b- Wear sunglasses when out of doors to prevent photophobia
c- Apply warm moist compresses then gently scrub eyelids with diluted baby
shampoo
c. Apply warm moist compresses then gently scrub eyelids with diluted baby
shampoo
Rationale: This condition is an inflammation of the eyelids edges that occurs in
older adults. Is controlled with eyelid care using warm moist compresses followed
by gently scrub eyelids.
