HESI 799 RN Exit Exam, RN EXIT HESI V5 Exam
(Latest 2026 Update) | QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY
GRADED A+|LATEST VERSION!!!
A mother brings her 6-year-old child, who has just stepped on a rusty
nail, to the pediatrician's office. Upon inspection, the nurse notes that
the nail went through the shoe and pierced the bottom of the child's
foot. Which action should the nurse implement first?
a. Cleanse the foot with soap and water and apply an antibiotic
ointment
b. Provide teaching about the need for a tetanus booster within the
next 72 hours.
c. have the mother check the child's temperature q4h for the next 24
hours
d. transfer the child to the emergency department to receive a gamma
globulin injection
Cleanse the foot with soap and water and apply an antibiotic ointment
Rationale: The nurse should cleanse the wound first and implement B
next.
The mother of an adolescent tells the clinic nurse, "My son has
athlete's foot, I have been applying triple antibiotic ointment for two
days, but there has been no improvement." What instruction should
the nurse provide?
a. Antibiotics take two weeks to become effective against infections
such as athlete's foot.
b. Continue using the ointment for a full week, even after the
symptoms disappear.
c. Applying too much ointment can deter its effectiveness. Apply a
thin layer to prevent maceration.
pg. 1
,d. Stop using the ointment and encourage complete drying of the feet
and wearing clean socks.
Stop using the ointment and encourage complete drying of the feet
and wearing clean socks.
Rationale: Athlete's foot (tinea pedi) is a fungal infection that afflicts
the feet and causes scaliness and cracking of the skin between the toes
and on the soles of the feet. The feet should be ventilated, dried well
after bathing, and clean socks should be placed on the feet after
bathing. Antifungal ointments may be prescribed, but antibiotic
ointments are not useful.
A 26-year-old female client is admitted to the hospital for treatment of
a simple goiter, and levothyroxine sodium (Synthroid) is prescribed.
Which symptoms indicate to the nurse that the prescribed dosage is
too high for this client? The client experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
Rationale: An overdose of thyroid preparation generally manifests
symptoms of an agitated state such as tremors, palpitations, shortness
of breath, tachycardia, increased appetite, agitation, sweating and
diarrhea.
A client with a history of heart failure presents to the clinic with a
nausea, vomiting, yellow vision and palpitations. Which finding is
most important for the nurse to assess to the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
pg. 2
,d. Ask the client about exposure to environmental heat.
Obtain a list of medications taken for cardiac history
Rationale: The client is presenting with signs of digitalis toxicity. A
list of medication, which is likely to include digoxin (Lanoxin) for
heart failure, can direct further assessment in validating digitalis
toxicity with serum labels greater than 2 mg/ml that is contributing to
client's presenting clinical picture.
The pathophysiological mechanism are responsible for ascites related
to liver failure? (Select all that apply)
a. Bleeding that results from a decreased production of the body's
clotting factors
b. Fluid shifts from intravascular to interstitial area due to decreased
serum protein
c. Increased hydrostatic pressure in portal circulation increases fluid
shifts into abdomen
d. Increased circulating aldosterone levels that increase sodium and
water retention
e. Decreased absorption of fatty acids in the duodenum leading to
abdominal distention.
b. Fluid shifts from intravascular to interstitial area due to decreased
serum protein
c. Increased hydrostatic pressure in portal circulation increases fluid
shifts into abdomen
d. Increased circulating aldosterone levels that increase sodium and
water retention
Rationale: When liver fail production of albumin is reduced. Since
albumin is the primary serum protein creating intravascular osmotic
pressure, decreased serum protein allows a fluids shift into the
interstitial space. Pressure increases in the portal circulation © when
venous return from the upper GI tract cannot flow freely into
pg. 3
, sclerosed liver, which cause a pressure gradient to further Increase
fluid shifts into the abdomen. A failing liver ineffectively inactivates
steroidal hormones, such as aldosterone resulting in sodium and water
retention.
Following discharge teaching, a male client with duodenal ulcer tells
the nurse the he will drink plenty of dairy products, such as milk, to
help coat and protect his ulcer. What is the best follow-up action by
the nurse?
a. Remind the client that it is also important to switch to decaffeinated
coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to
reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk
and cream.
d. Reinforce this teaching by asking the client to list a dairy food that
he might select.
Review with the client the need to avoid foods that are rich in milk
and cream
Rationale: Diets rich in milk and cream stimulate gastric acid
secretion and should be avoided.
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
pg. 4
(Latest 2026 Update) | QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY
GRADED A+|LATEST VERSION!!!
A mother brings her 6-year-old child, who has just stepped on a rusty
nail, to the pediatrician's office. Upon inspection, the nurse notes that
the nail went through the shoe and pierced the bottom of the child's
foot. Which action should the nurse implement first?
a. Cleanse the foot with soap and water and apply an antibiotic
ointment
b. Provide teaching about the need for a tetanus booster within the
next 72 hours.
c. have the mother check the child's temperature q4h for the next 24
hours
d. transfer the child to the emergency department to receive a gamma
globulin injection
Cleanse the foot with soap and water and apply an antibiotic ointment
Rationale: The nurse should cleanse the wound first and implement B
next.
The mother of an adolescent tells the clinic nurse, "My son has
athlete's foot, I have been applying triple antibiotic ointment for two
days, but there has been no improvement." What instruction should
the nurse provide?
a. Antibiotics take two weeks to become effective against infections
such as athlete's foot.
b. Continue using the ointment for a full week, even after the
symptoms disappear.
c. Applying too much ointment can deter its effectiveness. Apply a
thin layer to prevent maceration.
pg. 1
,d. Stop using the ointment and encourage complete drying of the feet
and wearing clean socks.
Stop using the ointment and encourage complete drying of the feet
and wearing clean socks.
Rationale: Athlete's foot (tinea pedi) is a fungal infection that afflicts
the feet and causes scaliness and cracking of the skin between the toes
and on the soles of the feet. The feet should be ventilated, dried well
after bathing, and clean socks should be placed on the feet after
bathing. Antifungal ointments may be prescribed, but antibiotic
ointments are not useful.
A 26-year-old female client is admitted to the hospital for treatment of
a simple goiter, and levothyroxine sodium (Synthroid) is prescribed.
Which symptoms indicate to the nurse that the prescribed dosage is
too high for this client? The client experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
Rationale: An overdose of thyroid preparation generally manifests
symptoms of an agitated state such as tremors, palpitations, shortness
of breath, tachycardia, increased appetite, agitation, sweating and
diarrhea.
A client with a history of heart failure presents to the clinic with a
nausea, vomiting, yellow vision and palpitations. Which finding is
most important for the nurse to assess to the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
pg. 2
,d. Ask the client about exposure to environmental heat.
Obtain a list of medications taken for cardiac history
Rationale: The client is presenting with signs of digitalis toxicity. A
list of medication, which is likely to include digoxin (Lanoxin) for
heart failure, can direct further assessment in validating digitalis
toxicity with serum labels greater than 2 mg/ml that is contributing to
client's presenting clinical picture.
The pathophysiological mechanism are responsible for ascites related
to liver failure? (Select all that apply)
a. Bleeding that results from a decreased production of the body's
clotting factors
b. Fluid shifts from intravascular to interstitial area due to decreased
serum protein
c. Increased hydrostatic pressure in portal circulation increases fluid
shifts into abdomen
d. Increased circulating aldosterone levels that increase sodium and
water retention
e. Decreased absorption of fatty acids in the duodenum leading to
abdominal distention.
b. Fluid shifts from intravascular to interstitial area due to decreased
serum protein
c. Increased hydrostatic pressure in portal circulation increases fluid
shifts into abdomen
d. Increased circulating aldosterone levels that increase sodium and
water retention
Rationale: When liver fail production of albumin is reduced. Since
albumin is the primary serum protein creating intravascular osmotic
pressure, decreased serum protein allows a fluids shift into the
interstitial space. Pressure increases in the portal circulation © when
venous return from the upper GI tract cannot flow freely into
pg. 3
, sclerosed liver, which cause a pressure gradient to further Increase
fluid shifts into the abdomen. A failing liver ineffectively inactivates
steroidal hormones, such as aldosterone resulting in sodium and water
retention.
Following discharge teaching, a male client with duodenal ulcer tells
the nurse the he will drink plenty of dairy products, such as milk, to
help coat and protect his ulcer. What is the best follow-up action by
the nurse?
a. Remind the client that it is also important to switch to decaffeinated
coffee and tea.
b. Suggest that the client also plan to eat frequent small meals to
reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk
and cream.
d. Reinforce this teaching by asking the client to list a dairy food that
he might select.
Review with the client the need to avoid foods that are rich in milk
and cream
Rationale: Diets rich in milk and cream stimulate gastric acid
secretion and should be avoided.
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
pg. 4
