HESI 799 RN EXIT EXAM 2026
COMPREHENSIVE NURSING REVIEW STUDY
GUIDE COMPLETE QUESTIONS AND ANSWERS
◉ After receiving the first dose of penicillin, the client begins
wheezing and has trouble breathing. The nurse notifies the
healthcare provider immediately and received several prescriptions.
Which medication prescription should the nurse administer first?
a. Epinephrine Injection, USP IV
b. Diphenhydramine IV
c. Albuterol (Ventolin) inhaler
d. Methylprednisolone IV Answer: Epinephrine Injection, USP IV
Rationale: Epinephrine should be administered immediately to open
the airway and raise the blood pressure by vasoconstricting the
blood vessels. All other medications should be administered after
the epinephrine is given.
◉ Two clients ring their call bells simultaneously requesting pain
medication. What action should the nurse implement first?
a. Prepared both client's medication and take to them at once
,b. Determine when each client last received pain medication.
c. Evaluate both client's pain using a standardized pain scale
d. Provide non-pharmacologic pain management interventions.
Answer: Evaluate both client's pain using a standardized pain scale
Rationale: Before administering pain medication, each client' s level
of pain should be evaluated using a standardizing scale to determine
what type and how much pain medication the clients need.
◉ A client receives a new prescription for simvastatin (Zocor) 5 mg
PO daily at bedtime. What action should the nurse take?
a. Provide a bedtime snack to be eaten before taking the medication.
b. Administer the medication as prescribed with a glass of water
c. Contact the prescriber about changing the time of administration.
d. Check the client's blood pressure prior to administering the med.
Answer: Administer the medication as prescribed with a glass of
water
Rationale: Simvastatin (Zocor), a HMG co-enzyme A reductase
inhibitor, interferes with cholesterol synthesis pathway. Zocor can be
taken at any time.
,◉ Which client should the nurse assess frequently because of the
risk for overflow incontinence? A client
a. Who is bedfast, with increased serum BUN and creatinine levels
b. Who is confused and frequently forgets to go to the bathroom
c. With hematuria and decreasing hemoglobin and hematocrit levels
d. Who has a history of frequent urinary tract infections. Answer:
Who is confused and frequently forgets to go to the bathroom
Rationale: Overflow incontinence occurs when the bladder becomes
overly distended, which is common in the confused client (B) who
does not remember to empty his/her bladder.
◉ While monitoring a client during a seizure, which interventions
should the nurse implement? (Select all that apply)
a. Move obstacle away from client
b. Monitor physical movements
c. Insert an oral padded tongue blade
d. Observe for a patent airway
e. Record the duration of the seizure
f. Restrain extremity to avoid seizures Answer: a. Move obstacle
away from client
, b. Monitor physical movements
d. Observe for a patent airway
e. Record the duration of the seizure
Rationale: Moving this away from the client helps prevent to
unnecessary injurie. Observing for the pt airway alert the nurse to
provide airway assistance as soon as the seizure stop D and E
provide the healthcare provider with an accurate description of the
seizure activities. C inserting something on the mouth can obstruct
may cause further airway obstruction and is contraindicated even if
the client is biting the tongue. F may cause further injury and is
contraindicated.
◉ A male client with a long history of alcoholism is admitted
because of mild confusion and fine motor tremors. He reports that
he quit drinking alcohol and stopped smoking cigarettes one month
ago after his brother died of lung cancer. Which intervention is most
important for the nurses to include in the client's plan of care?
a. Determine client's level current blood alcohol level.
b. Observe for changes in level of consciousness.
c. Involve the client's family in healthcare decisions.
d. Provide grief counseling for client and his family. Answer: b.
Observe for changes in level of consciousness.
COMPREHENSIVE NURSING REVIEW STUDY
GUIDE COMPLETE QUESTIONS AND ANSWERS
◉ After receiving the first dose of penicillin, the client begins
wheezing and has trouble breathing. The nurse notifies the
healthcare provider immediately and received several prescriptions.
Which medication prescription should the nurse administer first?
a. Epinephrine Injection, USP IV
b. Diphenhydramine IV
c. Albuterol (Ventolin) inhaler
d. Methylprednisolone IV Answer: Epinephrine Injection, USP IV
Rationale: Epinephrine should be administered immediately to open
the airway and raise the blood pressure by vasoconstricting the
blood vessels. All other medications should be administered after
the epinephrine is given.
◉ Two clients ring their call bells simultaneously requesting pain
medication. What action should the nurse implement first?
a. Prepared both client's medication and take to them at once
,b. Determine when each client last received pain medication.
c. Evaluate both client's pain using a standardized pain scale
d. Provide non-pharmacologic pain management interventions.
Answer: Evaluate both client's pain using a standardized pain scale
Rationale: Before administering pain medication, each client' s level
of pain should be evaluated using a standardizing scale to determine
what type and how much pain medication the clients need.
◉ A client receives a new prescription for simvastatin (Zocor) 5 mg
PO daily at bedtime. What action should the nurse take?
a. Provide a bedtime snack to be eaten before taking the medication.
b. Administer the medication as prescribed with a glass of water
c. Contact the prescriber about changing the time of administration.
d. Check the client's blood pressure prior to administering the med.
Answer: Administer the medication as prescribed with a glass of
water
Rationale: Simvastatin (Zocor), a HMG co-enzyme A reductase
inhibitor, interferes with cholesterol synthesis pathway. Zocor can be
taken at any time.
,◉ Which client should the nurse assess frequently because of the
risk for overflow incontinence? A client
a. Who is bedfast, with increased serum BUN and creatinine levels
b. Who is confused and frequently forgets to go to the bathroom
c. With hematuria and decreasing hemoglobin and hematocrit levels
d. Who has a history of frequent urinary tract infections. Answer:
Who is confused and frequently forgets to go to the bathroom
Rationale: Overflow incontinence occurs when the bladder becomes
overly distended, which is common in the confused client (B) who
does not remember to empty his/her bladder.
◉ While monitoring a client during a seizure, which interventions
should the nurse implement? (Select all that apply)
a. Move obstacle away from client
b. Monitor physical movements
c. Insert an oral padded tongue blade
d. Observe for a patent airway
e. Record the duration of the seizure
f. Restrain extremity to avoid seizures Answer: a. Move obstacle
away from client
, b. Monitor physical movements
d. Observe for a patent airway
e. Record the duration of the seizure
Rationale: Moving this away from the client helps prevent to
unnecessary injurie. Observing for the pt airway alert the nurse to
provide airway assistance as soon as the seizure stop D and E
provide the healthcare provider with an accurate description of the
seizure activities. C inserting something on the mouth can obstruct
may cause further airway obstruction and is contraindicated even if
the client is biting the tongue. F may cause further injury and is
contraindicated.
◉ A male client with a long history of alcoholism is admitted
because of mild confusion and fine motor tremors. He reports that
he quit drinking alcohol and stopped smoking cigarettes one month
ago after his brother died of lung cancer. Which intervention is most
important for the nurses to include in the client's plan of care?
a. Determine client's level current blood alcohol level.
b. Observe for changes in level of consciousness.
c. Involve the client's family in healthcare decisions.
d. Provide grief counseling for client and his family. Answer: b.
Observe for changes in level of consciousness.
