HESI 799 RN Exit Exam Questions, Answers And Rationales|
Comprehensive Nursing Exit Exam Prep
NursePrepHub
THIS EXAM CONTAINS
HESI 799 RN Exit Exam
Exam Questions, Answers And Rationales
Comprehensive Nursing Exit Exam Prep
, HESI 799 RN Exit Exam Flashcards
Complete Study Guide
Table of Contents
1. Cardiovascular System - Questions 1-10
2. Respiratory System - Questions 11-20
3. Gastrointestinal System - Questions 21-30
4. Neurological System - Questions 31-40
5. Endocrine System - Questions 41-50
6. Genitourinary/Renal System - Questions 51-57
7. Musculoskeletal System - Questions 58-63
8. Integumentary System - Questions 64-67
9. Oncology/Hematology - Questions 68-75
10. Infectious Diseases/Immunology - Questions 76-83
11. Mental Health/Psychiatric Nursing - Questions 84-93
12. Maternal-Newborn/Obstetrics - Questions 94-100
13. Pediatric Nursing - Questions 101-108
14. Medication Administration/Pharmacology - Questions 109-118
15. Nursing Leadership/Management/Delegation - Questions 119-126
16. Legal/Ethical Issues - Questions 127-131
17. Miscellaneous/General Nursing Care - Questions 132-138
1/69
,CARDIOVASCULAR SYSTEM
Question 1
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been taking
the prescribed medication because the drugs make him "feel bad". In explaining
the need for hypertension control, the nurse should stress that an elevated BP
places the client at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
Answer: c. Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is a major risk for uncontrolled
hypertension.
Question 2
During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes
Answer: a. Respiratory apnea of 30 seconds
Rationale: The priority is the client whose alarm indicates respiratory apnea that
should be assessed first.
2/69
, Question 3
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and
S2 heart sounds. To determine if an S3 heart sound is present, what action
should the nurse take first?
a. Slide the stethoscope across the sternum
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
Answer: c. Listen with the bell at the same location
*Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds
such as S3 and S4. The nurse listens at the same site using the diaphragm and
then the bell before moving systematically to the next sites.*
Question 4
The nurse is auscultating a client's heart sounds. Which description should the
nurse use to document this sound? (Please listen to the audio first to select the
option that applies)
a. S1 S2
b. S1 S2 S3
c. Murmur
d. Pericardial friction rub
Answer: c. Murmur
Rationale: A murmur is auscultated as a swishing sound that is associated with
blood turbulence created by heart or valvular defect. S1 S2 S3 is associated with
heart failure.
Question 5
3/69
Comprehensive Nursing Exit Exam Prep
NursePrepHub
THIS EXAM CONTAINS
HESI 799 RN Exit Exam
Exam Questions, Answers And Rationales
Comprehensive Nursing Exit Exam Prep
, HESI 799 RN Exit Exam Flashcards
Complete Study Guide
Table of Contents
1. Cardiovascular System - Questions 1-10
2. Respiratory System - Questions 11-20
3. Gastrointestinal System - Questions 21-30
4. Neurological System - Questions 31-40
5. Endocrine System - Questions 41-50
6. Genitourinary/Renal System - Questions 51-57
7. Musculoskeletal System - Questions 58-63
8. Integumentary System - Questions 64-67
9. Oncology/Hematology - Questions 68-75
10. Infectious Diseases/Immunology - Questions 76-83
11. Mental Health/Psychiatric Nursing - Questions 84-93
12. Maternal-Newborn/Obstetrics - Questions 94-100
13. Pediatric Nursing - Questions 101-108
14. Medication Administration/Pharmacology - Questions 109-118
15. Nursing Leadership/Management/Delegation - Questions 119-126
16. Legal/Ethical Issues - Questions 127-131
17. Miscellaneous/General Nursing Care - Questions 132-138
1/69
,CARDIOVASCULAR SYSTEM
Question 1
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic two weeks later to evaluate his
blood pressure (BP). His BP is 158/106 and he admits that he has not been taking
the prescribed medication because the drugs make him "feel bad". In explaining
the need for hypertension control, the nurse should stress that an elevated BP
places the client at risk for which pathophysiological condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
Answer: c. Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is a major risk for uncontrolled
hypertension.
Question 2
During shift report, the central electrocardiogram (EKG) monitoring system
alarms. Which client alarm should the nurse investigate first?
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes
Answer: a. Respiratory apnea of 30 seconds
Rationale: The priority is the client whose alarm indicates respiratory apnea that
should be assessed first.
2/69
, Question 3
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and
S2 heart sounds. To determine if an S3 heart sound is present, what action
should the nurse take first?
a. Slide the stethoscope across the sternum
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same location
d. Observe the cardiac telemetry monitor
Answer: c. Listen with the bell at the same location
*Rationale: The nurse uses the bell of the stethoscope to hear low-pitched sounds
such as S3 and S4. The nurse listens at the same site using the diaphragm and
then the bell before moving systematically to the next sites.*
Question 4
The nurse is auscultating a client's heart sounds. Which description should the
nurse use to document this sound? (Please listen to the audio first to select the
option that applies)
a. S1 S2
b. S1 S2 S3
c. Murmur
d. Pericardial friction rub
Answer: c. Murmur
Rationale: A murmur is auscultated as a swishing sound that is associated with
blood turbulence created by heart or valvular defect. S1 S2 S3 is associated with
heart failure.
Question 5
3/69
