HESI 799 RN EXIT EXAM 2026 QUESTION BANK
NCLEX PREPARATION MODULE SOLVED ITEMS
AND RESPONSE KEY
◉ Four hours after surgery, a client reports nausea and begins to
vomit. The nurse notes that the client has a scopolamine
transdermal patch applied behind the ear. What action should the
nurse take?
a. Reposition the transdermal patch to the client's trunk.
b. Remove the transdermal patch until the vomiting subsides.
c. Notify the healthcare provider of the vomiting.
d. Explain that this is a side effect of the medication in the patch.
Answer: Notify the healthcare provider of the vomiting.
Rational: transdermal scopolamine is used to prevent nausea and
vomiting from anesthesia and surgery. The nurse should notify the
healthcare provider if the medication is ineffective. The patch should
be applied behind the ear and should remain in place to reduce the
nausea and vomiting. Nausea and vomiting are no side effects of the
medication.
,◉ A client is receiving and oral antibiotic suspension labeled 250
mg/2ml. The healthcare provider prescribes 200mg every 6 hours.
How many ml should the nurse administer at each dose? (Enter
numerical value only. If rounding is required, round to the nearest
tenth)
1.6 Answer: Answer: 1.6
Rational: using the formula D/H x Q
200mg/250 mg x 2ml = 200/250 = 1.6 ml
◉ The nurse identifies an electrolyte imbalance, an elevated pulse
rate, and elevated BP for a client with chronic kidney disease. Which
is the most important action for the nurse to take?
a. Monitor daily sodium intake.
b. Record usual eating patterns.
c. Measure ankle circumference.
d. Auscultate for irregular heart rate. Answer: Auscultate for
irregular heart rate.
Rational: Chronic kidney failure (CKF) is a progressive, irreversible
loss of kidney functions, decreasing glomerular filtration rate (GFR),
and the kidney's inability to excrete metabolic waste products and
water, resulting in fluid overload, elevated pulse, elevated BP and
electrolytes imbalances. The most important action for the nurse to
,implement is to auscultate for irregular heart rate (D) due to the
decreased excretion of potassium by the kidneys. (A, B, and C) are
not as important as monitoring for fatal cardiac dysrhythmias
related to hyperkalemia.
◉ A client with persistent low back pain has received a prescription
for electronic stimulator (TENS) unit. After the nurse applies the
electrodes and turns on the power, the client reports feeling a
tingling sensation. How should the nurse respond?
a. Determine if the sensation feels uncomfortable.
b. Decrease the strength of the electrical signals.
c. Remove electrodes and observe for skin redness.
d. Check the amount of gel coating on the electrodes. Answer:
Determine if the sensation feels uncomfortable.
Rational: electronic stimulators, such as a transelectrical nerve
stimulator (TENS) unit, have been found to be effective in reducing
low back pain by "closing the gate" to pain stimuli. A tingling
sensation should be felt when the power is turned on, and the nurse
should assess whether the sensation is too strong, causing
discomfort or muscle twitching. Decreasing the electrical signal may
be indicated if the sensation is too strong. Other options are not
necessary because the tingling sensation is expected.
, ◉ A female client is extremely anxious after being informed that her
mammogram was abnormal and needs to be repeated. Client is
tearful and tells the nurse her mother died of breast cancer. What
action should the nurse take?
a. Provide the client with information about treatment options for
breast cancer.
b. Reassure the client that the final diagnosis has not been made.
c. Encourage the client to continue expressing her fears and
concerns.
d. Suggest to the client that she seek a second opinion. Answer:
Encourage the client to continue expressing her fears and concerns.
Rational: the nurse should show support for the client by
encouraging her to continue expressing her concerns. A diagnosis
has not yet been made, so it is too early to discuss treatment options.
Other options dismiss the client's feelings or are premature given
that the diagnosis is not yet made.
◉ The charge nurse is planning for the shift and has a registered
nurse (RN) and a practical nurse (PN) on the team. Which client
should the charge nurse assign to the RN?
a. A 64-year-old client who had a total hip replacement the previous
day.
NCLEX PREPARATION MODULE SOLVED ITEMS
AND RESPONSE KEY
◉ Four hours after surgery, a client reports nausea and begins to
vomit. The nurse notes that the client has a scopolamine
transdermal patch applied behind the ear. What action should the
nurse take?
a. Reposition the transdermal patch to the client's trunk.
b. Remove the transdermal patch until the vomiting subsides.
c. Notify the healthcare provider of the vomiting.
d. Explain that this is a side effect of the medication in the patch.
Answer: Notify the healthcare provider of the vomiting.
Rational: transdermal scopolamine is used to prevent nausea and
vomiting from anesthesia and surgery. The nurse should notify the
healthcare provider if the medication is ineffective. The patch should
be applied behind the ear and should remain in place to reduce the
nausea and vomiting. Nausea and vomiting are no side effects of the
medication.
,◉ A client is receiving and oral antibiotic suspension labeled 250
mg/2ml. The healthcare provider prescribes 200mg every 6 hours.
How many ml should the nurse administer at each dose? (Enter
numerical value only. If rounding is required, round to the nearest
tenth)
1.6 Answer: Answer: 1.6
Rational: using the formula D/H x Q
200mg/250 mg x 2ml = 200/250 = 1.6 ml
◉ The nurse identifies an electrolyte imbalance, an elevated pulse
rate, and elevated BP for a client with chronic kidney disease. Which
is the most important action for the nurse to take?
a. Monitor daily sodium intake.
b. Record usual eating patterns.
c. Measure ankle circumference.
d. Auscultate for irregular heart rate. Answer: Auscultate for
irregular heart rate.
Rational: Chronic kidney failure (CKF) is a progressive, irreversible
loss of kidney functions, decreasing glomerular filtration rate (GFR),
and the kidney's inability to excrete metabolic waste products and
water, resulting in fluid overload, elevated pulse, elevated BP and
electrolytes imbalances. The most important action for the nurse to
,implement is to auscultate for irregular heart rate (D) due to the
decreased excretion of potassium by the kidneys. (A, B, and C) are
not as important as monitoring for fatal cardiac dysrhythmias
related to hyperkalemia.
◉ A client with persistent low back pain has received a prescription
for electronic stimulator (TENS) unit. After the nurse applies the
electrodes and turns on the power, the client reports feeling a
tingling sensation. How should the nurse respond?
a. Determine if the sensation feels uncomfortable.
b. Decrease the strength of the electrical signals.
c. Remove electrodes and observe for skin redness.
d. Check the amount of gel coating on the electrodes. Answer:
Determine if the sensation feels uncomfortable.
Rational: electronic stimulators, such as a transelectrical nerve
stimulator (TENS) unit, have been found to be effective in reducing
low back pain by "closing the gate" to pain stimuli. A tingling
sensation should be felt when the power is turned on, and the nurse
should assess whether the sensation is too strong, causing
discomfort or muscle twitching. Decreasing the electrical signal may
be indicated if the sensation is too strong. Other options are not
necessary because the tingling sensation is expected.
, ◉ A female client is extremely anxious after being informed that her
mammogram was abnormal and needs to be repeated. Client is
tearful and tells the nurse her mother died of breast cancer. What
action should the nurse take?
a. Provide the client with information about treatment options for
breast cancer.
b. Reassure the client that the final diagnosis has not been made.
c. Encourage the client to continue expressing her fears and
concerns.
d. Suggest to the client that she seek a second opinion. Answer:
Encourage the client to continue expressing her fears and concerns.
Rational: the nurse should show support for the client by
encouraging her to continue expressing her concerns. A diagnosis
has not yet been made, so it is too early to discuss treatment options.
Other options dismiss the client's feelings or are premature given
that the diagnosis is not yet made.
◉ The charge nurse is planning for the shift and has a registered
nurse (RN) and a practical nurse (PN) on the team. Which client
should the charge nurse assign to the RN?
a. A 64-year-old client who had a total hip replacement the previous
day.
