HESI EXAM ms ms
Exam Solutionms
HESI 799 RN Exit Exam 2026 A+ GRADE ASSURED COM
ms ms ms ms ms ms ms ms ms
PLETE SOLUTIONS AND VERIFIED ANSWERS (06FBC)
ms ms ms ms ms
QUESTION 1 ms
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) f
ms ms ms ms ms ms ms ms ms ms ms
or the past 12 days. Which assessment finding requires immediate follow-up
ms ms ms ms ms ms ms ms ms ms
a. Describes life without purpose
ms ms ms ms
b. Complains of nausea and loss of appetite
ms ms ms ms ms ms ms
c. States is often fatigued and drowsy
ms ms ms ms ms ms
d. Exhibits an increase in sweating.
ms ms ms ms ms
ANSWER
Describes life without purpose Rationale: Cymbalta is a selective serotonin and norepinephrine reupt
ms ms ms ms ms ms ms ms ms ms ms ms
ake inhibitor that is known to increase the risk of suicidal thinking in adolescents and young adults
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
with major depressive disorder. B, C and D are side effects
ms ms ms ms ms ms ms ms ms ms
QUESTION 2 ms
A client who recently underwent a tracheostomy is being prepared for discharge to ho
ms ms ms ms ms ms ms ms ms ms ms ms ms
me. Which instructions is most important for the nurse to include in the discharge pla
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n?
a. Explain how to use communication tools.
ms ms ms ms ms ms
b. Teach tracheal suctioning techniques
ms ms ms ms
c. Encourage self-care and independence.
ms ms ms ms
d. Demonstrate how to clean tracheostomy site.
ms ms ms ms ms ms
ANSWER
Teach tracheal suctioning techniques Rationale: Suctioning helps to clear secretions and maintain an
ms ms ms ms ms ms ms ms ms ms ms ms ms
open airway, which is critical.
ms ms ms ms
QUESTION 3 ms
During shift report, the central electrocardiogram (EKG) monitoring system alarms. W
ms ms ms ms ms ms ms ms ms ms
hich client alarm should the nurse investigate first?
ms ms ms ms ms ms ms
,a. Respiratory apnea of 30 seconds
ms ms ms ms ms
b. Oxygen saturation rate of 88%
ms ms ms ms ms
c. Eight premature ventricular beats every minute
ms ms ms ms ms ms
d. Disconnected monitor signal for the last 6 minutes.
ms ms ms ms ms ms ms ms
ANSWER
Respiratory apnea of 30 seconds Rationale: The priority is the client whose alarm indicating respirat
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ory apnea that should be assessed first.
ms ms ms ms ms ms
QUESTION 4 ms
During a home visit, the nurse observed an elderly client with diabetes slip and fall.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
What action should the nurse take first?
ms ms ms ms ms ms
a. Give the client 4 ounces of orange juice
ms ms ms ms ms ms ms ms
b. Call 911 to summon emergency assistance
ms ms ms ms ms ms
c. Check the client for lacerations or fractures
ms ms ms ms ms ms ms
d. Asses clients blood sugar level
ms ms ms ms ms
ANSWER
Check the client for lacerations or fractures Rationale: After the client falls, the nurse should immedi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ately assess for the possibility of injuries and provide first aid as needed
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 5 ms
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 hea
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rt sounds. To determine if an S3 heart sound is present, what action should the nurse
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
take first
s ms
a. Side the stethoscope across the sternum.
ms ms ms ms ms ms
b. Move the stethoscope to the mitral site
ms ms ms ms ms ms ms
c. Listen with the bell at the same location
ms ms ms ms ms ms ms ms
d. Observe the cardiac telemetry monitor
ms ms ms ms ms
ANSWER
Listen with the bell at the same location Rationale: The nurse uses the bell of the stethoscope to he
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ar low-
ms
pitched sounds such as S3 and S4. The nurse listens at the same site using the diaphragm the diaph
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ragm and bell before moving systematically to the next sites.
ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
A 66-year-
ms
old woman is retiring and will no longer have a health insurance through her place of
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
employment. Which agency should the client be referred to by the employee health n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
urse for health insurance needs?
ms ms ms ms
a. Woman, Infant, and Children program
ms ms ms ms ms
,b. Medicaid
ms
c. Medicare
ms
d. Consolidated Omnibus Budget Reconciliation Act provision.
ms ms ms ms ms ms
ANSWER
Medicare Rationale: Title XVII of the social security Act of 1965 created Medicare Program to provid
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e medical insurance for person more than 65 years or older, disable or with permeant kidney failur
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e, WIC provides supplemental nutrition to meet the needs of pregnant of breastfeeding woman, infan
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ts and children up to age of 6. Medicaid provides financial assistance to pay for medical services for
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
poor older adults, blind, disable and families with dependent children. COBRA(
s ms ms ms ms ms ms ms ms ms ms
D) health benefit provisions is a limited insurance plan for those who has been laid off or become u
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nemployed.
QUESTION 7 ms
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upse
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t. What snack should the nurse instruct the client to take with the tetracycline?
ms ms ms ms ms ms ms ms ms ms ms ms ms
a. Fruit-flavored yogurt.
ms ms
b. Cheese and crackers.
ms ms ms
c. Cold cereal with skim milk.
ms ms ms ms ms
d. Toasted wheat bread and jelly
ms ms ms ms ms
ANSWER
Toasted wheat bread and jelly Rationale: Dairy products decrease the effect of tetracycline, so the n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
urse instructs the client to eat a snack such as toast, which contains no dairy products and may dec
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rease GI symptoms. ms ms
QUESTION 8 ms
Following a lumbar puncture, a client voices several complaints. What complaint indic
ms ms ms ms ms ms ms ms ms ms ms
ated to the nurse that the client is experiencing a complication?
ms ms ms ms ms ms ms ms ms ms
a. "I am having pain in my lower back when I move my legs"
ms ms ms ms ms ms ms ms ms ms ms ms ms
b. "My throat hurts when I swallow"
ms ms ms ms ms ms
c. "I feel sick to my stomach and am going to throw up"
ms ms ms ms ms ms ms ms ms ms ms ms
d. I have a headache that gets worse when I sit up"
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
"I have a headache that gets worse when I sit up" Rationale: A post-
ms ms ms ms ms ms ms ms ms ms ms ms ms
lumbar puncture headache, ranging from mild to severe, may occur as a result of leakage of cerebro
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
spinal fluid at the puncture site. This complication is usually managed by bedrest, analgesic, and hyd
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ration.
QUESTION 9 ms
, An elderly client seems confused and reports the onset of nausea, dysuria, and urgenc
ms ms ms ms ms ms ms ms ms ms ms ms ms
y with incontinence. Which action should the nurse implement
ms ms ms ms ms ms ms ms
a. Auscultate for renal bruits
ms ms ms ms
b. Obtain a clean catch mid-stream specimen
ms ms ms ms ms ms
c. Use a dipstick to measure for urinary ketone
ms ms ms ms ms ms ms ms
d. Begin to strain the client's urine.
ms ms ms ms ms ms
ANSWER
Obtain a clean catch mid- ms ms ms ms
stream specimen Rationale: This elderly is experiencing symptoms of urinary tract infection. The nur
ms ms ms ms ms ms ms ms ms ms ms ms ms
se should obtain a clean catch mid-stream specimen to determine the causative agent so an anti-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
infective agent can be prescribed. ms ms ms ms
QUESTION 10 ms
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select food
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s that are in keeping with the child's dietary restrictions. Which foods are contraindic
ms ms ms ms ms ms ms ms ms ms ms ms ms
ated for this child? ms ms ms
a. Wheat products
ms ms
b. Foods sweetened with aspartame.
ms ms ms ms
c. High fat foods
ms ms ms
d. High calories foods.
ms ms ms
ANSWER
Foods sweetened with aspartame Rationale: Aspartame should not be consumed by a child with PKU
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
because ut is converted to phenylalanine in the body. Additionally, milk and milk products are cont
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
raindicated for children with PKU. ms ms ms ms
QUESTION 11 ms
Which breakfast selection indicates that the client understands the nurse's instruction
ms ms ms ms ms ms ms ms ms ms
s about the dietary management of osteoporosis?
ms ms ms ms ms ms
a. Egg whites, toast and coffee.
ms ms ms ms ms
b. Bran muffin, mixed fruits, and orange juice.
ms ms ms ms ms ms ms
c. Granola and grapefruit juice
ms ms ms ms
d. Bagel with jelly and skim milk.
ms ms ms ms ms ms
ANSWER
Bagel with jelly and skim milk Rationale: D includes dairy products which contain calcium and does
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
not include any foods that inhibit calcium absorption. The primary dietary implication of osteoporosi
ms ms ms ms ms ms ms ms ms ms ms ms ms
s is the need for increased calcium and reduction in foods that decrease calcium absorption, such as
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
caffeine and excessive fiber.
ms ms ms ms
QUESTION 12 ms
Exam Solutionms
HESI 799 RN Exit Exam 2026 A+ GRADE ASSURED COM
ms ms ms ms ms ms ms ms ms
PLETE SOLUTIONS AND VERIFIED ANSWERS (06FBC)
ms ms ms ms ms
QUESTION 1 ms
An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) f
ms ms ms ms ms ms ms ms ms ms ms
or the past 12 days. Which assessment finding requires immediate follow-up
ms ms ms ms ms ms ms ms ms ms
a. Describes life without purpose
ms ms ms ms
b. Complains of nausea and loss of appetite
ms ms ms ms ms ms ms
c. States is often fatigued and drowsy
ms ms ms ms ms ms
d. Exhibits an increase in sweating.
ms ms ms ms ms
ANSWER
Describes life without purpose Rationale: Cymbalta is a selective serotonin and norepinephrine reupt
ms ms ms ms ms ms ms ms ms ms ms ms
ake inhibitor that is known to increase the risk of suicidal thinking in adolescents and young adults
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
with major depressive disorder. B, C and D are side effects
ms ms ms ms ms ms ms ms ms ms
QUESTION 2 ms
A client who recently underwent a tracheostomy is being prepared for discharge to ho
ms ms ms ms ms ms ms ms ms ms ms ms ms
me. Which instructions is most important for the nurse to include in the discharge pla
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n?
a. Explain how to use communication tools.
ms ms ms ms ms ms
b. Teach tracheal suctioning techniques
ms ms ms ms
c. Encourage self-care and independence.
ms ms ms ms
d. Demonstrate how to clean tracheostomy site.
ms ms ms ms ms ms
ANSWER
Teach tracheal suctioning techniques Rationale: Suctioning helps to clear secretions and maintain an
ms ms ms ms ms ms ms ms ms ms ms ms ms
open airway, which is critical.
ms ms ms ms
QUESTION 3 ms
During shift report, the central electrocardiogram (EKG) monitoring system alarms. W
ms ms ms ms ms ms ms ms ms ms
hich client alarm should the nurse investigate first?
ms ms ms ms ms ms ms
,a. Respiratory apnea of 30 seconds
ms ms ms ms ms
b. Oxygen saturation rate of 88%
ms ms ms ms ms
c. Eight premature ventricular beats every minute
ms ms ms ms ms ms
d. Disconnected monitor signal for the last 6 minutes.
ms ms ms ms ms ms ms ms
ANSWER
Respiratory apnea of 30 seconds Rationale: The priority is the client whose alarm indicating respirat
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ory apnea that should be assessed first.
ms ms ms ms ms ms
QUESTION 4 ms
During a home visit, the nurse observed an elderly client with diabetes slip and fall.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
What action should the nurse take first?
ms ms ms ms ms ms
a. Give the client 4 ounces of orange juice
ms ms ms ms ms ms ms ms
b. Call 911 to summon emergency assistance
ms ms ms ms ms ms
c. Check the client for lacerations or fractures
ms ms ms ms ms ms ms
d. Asses clients blood sugar level
ms ms ms ms ms
ANSWER
Check the client for lacerations or fractures Rationale: After the client falls, the nurse should immedi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ately assess for the possibility of injuries and provide first aid as needed
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 5 ms
After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 hea
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rt sounds. To determine if an S3 heart sound is present, what action should the nurse
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
take first
s ms
a. Side the stethoscope across the sternum.
ms ms ms ms ms ms
b. Move the stethoscope to the mitral site
ms ms ms ms ms ms ms
c. Listen with the bell at the same location
ms ms ms ms ms ms ms ms
d. Observe the cardiac telemetry monitor
ms ms ms ms ms
ANSWER
Listen with the bell at the same location Rationale: The nurse uses the bell of the stethoscope to he
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ar low-
ms
pitched sounds such as S3 and S4. The nurse listens at the same site using the diaphragm the diaph
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ragm and bell before moving systematically to the next sites.
ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
A 66-year-
ms
old woman is retiring and will no longer have a health insurance through her place of
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
employment. Which agency should the client be referred to by the employee health n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
urse for health insurance needs?
ms ms ms ms
a. Woman, Infant, and Children program
ms ms ms ms ms
,b. Medicaid
ms
c. Medicare
ms
d. Consolidated Omnibus Budget Reconciliation Act provision.
ms ms ms ms ms ms
ANSWER
Medicare Rationale: Title XVII of the social security Act of 1965 created Medicare Program to provid
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e medical insurance for person more than 65 years or older, disable or with permeant kidney failur
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
e, WIC provides supplemental nutrition to meet the needs of pregnant of breastfeeding woman, infan
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ts and children up to age of 6. Medicaid provides financial assistance to pay for medical services for
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms m
poor older adults, blind, disable and families with dependent children. COBRA(
s ms ms ms ms ms ms ms ms ms ms
D) health benefit provisions is a limited insurance plan for those who has been laid off or become u
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
nemployed.
QUESTION 7 ms
A client who is taking an oral dose of a tetracycline complains of gastrointestinal upse
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
t. What snack should the nurse instruct the client to take with the tetracycline?
ms ms ms ms ms ms ms ms ms ms ms ms ms
a. Fruit-flavored yogurt.
ms ms
b. Cheese and crackers.
ms ms ms
c. Cold cereal with skim milk.
ms ms ms ms ms
d. Toasted wheat bread and jelly
ms ms ms ms ms
ANSWER
Toasted wheat bread and jelly Rationale: Dairy products decrease the effect of tetracycline, so the n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
urse instructs the client to eat a snack such as toast, which contains no dairy products and may dec
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rease GI symptoms. ms ms
QUESTION 8 ms
Following a lumbar puncture, a client voices several complaints. What complaint indic
ms ms ms ms ms ms ms ms ms ms ms
ated to the nurse that the client is experiencing a complication?
ms ms ms ms ms ms ms ms ms ms
a. "I am having pain in my lower back when I move my legs"
ms ms ms ms ms ms ms ms ms ms ms ms ms
b. "My throat hurts when I swallow"
ms ms ms ms ms ms
c. "I feel sick to my stomach and am going to throw up"
ms ms ms ms ms ms ms ms ms ms ms ms
d. I have a headache that gets worse when I sit up"
ms ms ms ms ms ms ms ms ms ms ms
ANSWER
"I have a headache that gets worse when I sit up" Rationale: A post-
ms ms ms ms ms ms ms ms ms ms ms ms ms
lumbar puncture headache, ranging from mild to severe, may occur as a result of leakage of cerebro
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
spinal fluid at the puncture site. This complication is usually managed by bedrest, analgesic, and hyd
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ration.
QUESTION 9 ms
, An elderly client seems confused and reports the onset of nausea, dysuria, and urgenc
ms ms ms ms ms ms ms ms ms ms ms ms ms
y with incontinence. Which action should the nurse implement
ms ms ms ms ms ms ms ms
a. Auscultate for renal bruits
ms ms ms ms
b. Obtain a clean catch mid-stream specimen
ms ms ms ms ms ms
c. Use a dipstick to measure for urinary ketone
ms ms ms ms ms ms ms ms
d. Begin to strain the client's urine.
ms ms ms ms ms ms
ANSWER
Obtain a clean catch mid- ms ms ms ms
stream specimen Rationale: This elderly is experiencing symptoms of urinary tract infection. The nur
ms ms ms ms ms ms ms ms ms ms ms ms ms
se should obtain a clean catch mid-stream specimen to determine the causative agent so an anti-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
infective agent can be prescribed. ms ms ms ms
QUESTION 10 ms
The nurse is assisting the mother of a child with phenylketonuria (PKU) to select food
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
s that are in keeping with the child's dietary restrictions. Which foods are contraindic
ms ms ms ms ms ms ms ms ms ms ms ms ms
ated for this child? ms ms ms
a. Wheat products
ms ms
b. Foods sweetened with aspartame.
ms ms ms ms
c. High fat foods
ms ms ms
d. High calories foods.
ms ms ms
ANSWER
Foods sweetened with aspartame Rationale: Aspartame should not be consumed by a child with PKU
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
because ut is converted to phenylalanine in the body. Additionally, milk and milk products are cont
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
raindicated for children with PKU. ms ms ms ms
QUESTION 11 ms
Which breakfast selection indicates that the client understands the nurse's instruction
ms ms ms ms ms ms ms ms ms ms
s about the dietary management of osteoporosis?
ms ms ms ms ms ms
a. Egg whites, toast and coffee.
ms ms ms ms ms
b. Bran muffin, mixed fruits, and orange juice.
ms ms ms ms ms ms ms
c. Granola and grapefruit juice
ms ms ms ms
d. Bagel with jelly and skim milk.
ms ms ms ms ms ms
ANSWER
Bagel with jelly and skim milk Rationale: D includes dairy products which contain calcium and does
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
not include any foods that inhibit calcium absorption. The primary dietary implication of osteoporosi
ms ms ms ms ms ms ms ms ms ms ms ms ms
s is the need for increased calcium and reduction in foods that decrease calcium absorption, such as
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
caffeine and excessive fiber.
ms ms ms ms
QUESTION 12 ms
