HESI 799 RN Exit Exam Prediction 2026
1. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six
hours for four days. What assessment is most important for the nurse to complete?
a. Auscultate the client’s bowel sounds
b. Observe for edema around the ankles
c. Measure the client’s capillary glucose level
d. Count the apical and radial pulses simultaneously
Answer: “A - Auscultate the client’s bowel sounds.”
Explanation: “Hydromorphone is a potent opioid analgesic that slows peristalsis and frequently
causes constipation, so it is most important to Auscultate the client’s bowel sounds.”
2. A female client is admitted with end stage pulmonary disease is alert, oriented and
complaining of shortness of breath. The client tells the nurse that she wants “no heroic
measures” taken if she stops breathing and she asks the nurse to document this in her
medical report. What action should the nurse implement?
Answer: “Ask the client to discuss “do not resuscitate” with her healthcare provider.”
3. 98A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has
developed diarrhea. The client has a new prescription to change the feeding to half
strength. What intervention should the nurse implement?
a. Add equal amounts of water and feeding to a feeding bag and infuse at 50 ml/hour
b. Continue the full strength feeding after decreasing the rate of infusion to 25 ml/hour
c. Maintain the present feeding until diarrhea subsides and then begin the next new
prescription
d. Withhold any further feeding until clarifying the prescription with healthcare provides
Answer: “A - Add equal amounts of water and feeding to a feeding bag and infuse at 50
ml/hour”
Reason: “Diluting the formula can help alleviate the diarrhea. Diarrhea can occur as a
complication of enteral tube feeding and can be due to a variety of causes including
hyperosmolar formula.”
4. A female client reports that her hair is becoming coarse and breaking off, that the outer part
of her eyebrows has disappeared and that her eyes are all puffy. Which follow-up question is
best for the nurse to ask?
a. “Is there a history of female baldness in your family?”
1. The nurse notes that a client has been receiving hydromorphone (Dilaudid) every six
hours for four days. What assessment is most important for the nurse to complete?
a. Auscultate the client’s bowel sounds
b. Observe for edema around the ankles
c. Measure the client’s capillary glucose level
d. Count the apical and radial pulses simultaneously
Answer: “A - Auscultate the client’s bowel sounds.”
Explanation: “Hydromorphone is a potent opioid analgesic that slows peristalsis and frequently
causes constipation, so it is most important to Auscultate the client’s bowel sounds.”
2. A female client is admitted with end stage pulmonary disease is alert, oriented and
complaining of shortness of breath. The client tells the nurse that she wants “no heroic
measures” taken if she stops breathing and she asks the nurse to document this in her
medical report. What action should the nurse implement?
Answer: “Ask the client to discuss “do not resuscitate” with her healthcare provider.”
3. 98A client is receiving a full strength continuous enteral tube feeding at 50 ml/hour and has
developed diarrhea. The client has a new prescription to change the feeding to half
strength. What intervention should the nurse implement?
a. Add equal amounts of water and feeding to a feeding bag and infuse at 50 ml/hour
b. Continue the full strength feeding after decreasing the rate of infusion to 25 ml/hour
c. Maintain the present feeding until diarrhea subsides and then begin the next new
prescription
d. Withhold any further feeding until clarifying the prescription with healthcare provides
Answer: “A - Add equal amounts of water and feeding to a feeding bag and infuse at 50
ml/hour”
Reason: “Diluting the formula can help alleviate the diarrhea. Diarrhea can occur as a
complication of enteral tube feeding and can be due to a variety of causes including
hyperosmolar formula.”
4. A female client reports that her hair is becoming coarse and breaking off, that the outer part
of her eyebrows has disappeared and that her eyes are all puffy. Which follow-up question is
best for the nurse to ask?
a. “Is there a history of female baldness in your family?”
