HESI 799 RN Exit EXAM 2026-2027 LATEST UPDATED
VERSION QUESTIONS AND ANSWERS
The public nurse health received funding to initiate primary prevention program in the community. Which
program the best fits the nurse's proposal?
a. Case management and screening for clients with HIV.
b. Regional relocation center for earthquake victims
c. Vitamin supplements for high-risk pregnant women.
d. Lead screening for children in low-income housing.
Vitamin supplements for high-risk pregnant women
Rational: Primary prevention activities focus on health promotions and disease preventions, so vitamin for high-
risk pregnant women provide adequate vitamin and mineral for fetal developmental.
When assessing and adult male who presents as the community health clinic with a history of hypertension, the
nurse note that he has 2+ pitting edema in both ankles. He also has a history of gastroesophageal reflex disease
(GERD) and depression. Which intervention is the most important for the nurse to implement?
a. Arrange to transport the client to the hospital
b. Instruct the client to keep a food journal, including portions size.
c. Review the client's use of over the counter (OTC) medications.
d. Reinforce the importance of keeping the feet elevated.
Review the client's use of over the counter (OTC) medications
Rationale: Sodium is used in several types of OTC medications. Including antacids, which the client may be using to
treat his GERD. Further evaluation is need it to determine the need for hospitalization (A) A food journal (B) may
help over, but dietary modifications are needed now since edema is present. (C) May relieve dependent edema,
but not treat the underlying etiology.
,An older client is admitted to the intensive care unit with severe abdominal pain, abdominal distention, and
absent bowel sound. The client has a history of smoking 2 packs of cigarettes daily for 50 years and is currently
restless and confused. Vital signs are: temperature 96`F, heart rate 122 beats/minute, respiratory rate 36
breaths/minute, mean arterial pressure(MAP) 64 mmHg and central venous pressure (CVP) 7 mmHg. Serum
laboratory findings include: hemoglobin 6.5 grams/dl, platelets 6o, 000, and white blood cell count (WBC)
3,000/mm3. Based on these findings this client is at greatest risk for which pathophysiological condition?
a. Multiple organ dysfunction syndrome (MODS)
b. Disseminated intravascular coagulation (DIC)
c. Chronic obstructive disease.
d. Acquired immunodeficiency syndrome (AIDS)
Multiple organ dysfunction syndrome (MODS)
Rational: MODS are a progressive dysfunction of two or more major organs that requires medical intervention to
maintain homeostasis. This client has evidence of several organ systems that require intervention, such as blood
pressure, hemoglobin, WBC, and respiratory rate. DIC may develop as a result of MODS. The other options are not
correct.
A man expresses concern to the nurse about the care his mother is receiving while hospitalized. He believes that
her care is not based on any ethical standards and ask what type of care he should expect from a public hospital.
What action should the nurse take?
a. Provide the man and his mother with a copy of the Patient's Bill of Rights
b. Explain that the hospital adheres to all national accreditation standards
c. Advise the man to discuss his concerns with his mother's healthcare provider
d. Determine if he would like to review the hospital's manual of approved polices.
Provide the man and his mother with a copy of the Patient's Bill of Rights
,Rationale: The Patient's Bill of Rights is a universally used tool that describes the rights of clients in all healthcare
settings and is essential in ensuring that clients care is provided in an ethical manner. (B) may be perceived as
defensive and does not provide the man with specific information about expected standards of care. Concern
about the quality of care should be addressed by the hospital staff rather than C. All the healthcare agencies are
required to maintain policy and procedure manual for the purpose of standardizing delivery of care within the
agencies, but the policy manual is unlikely to provide useful information for clients or family members.
A client experiencing withdrawal from the benzodiazepines alprazolam (Xanax) is demonstrating severe agitation
and tremors. What is the best initial nursing action?
a. Administer naloxone (Narcan) per PNR protocol
b. Initiate seizure precautions
c. Obtain a serum drug screen
d. Instruct the family about withdrawal symptoms.
Initiate seizure precaution
Rationale: Withdrawal of CNS depressants, such as Xanax, results in rebound over-excitation of the CNS. Since the
client exhibiting tremors, the nurse should anticipate seizure activity and protect the client
The nurse is caring for a client who is taking a macrolide to treat a bacterial infection. Which finding should the
nurse report to the healthcare provider before administering the next dose?
a. Jaundice
b. Nausea
c. Fever
d. Fatigue
Jaundice
, Rationale: Macrolides can cause hepatotoxicity, which is manifested by jaundice and should be reported to the
healthcare provider before further doses of the medication are administered, B is a common side effect of
macrolides. Fever and Fatigue are expected finding when a client has an infection.
A client with Alzheimer's disease (AD) is receiving trazodone (Desyrel), a recently prescribed atypical
antidepressant. The caregiver tells the home health nurse that the client's mood and sleep patterns are improved,
but there is no change in cognitive ability. How should the nurse respond to this information?
a. Explain that it may take several weeks for the medication to be effective
b. Confirm the desired effect of the medication has been achieved.
c. Notify the health care provider than a change may be needed.
d. Evaluate when and how the medication is being administered to the client.
Confirm the desired effect of the medication has been achieved.
Rationale: Trazodone oR Desyrel, an atypical antidepressant, is prescribed for client with AD to improve mood and
sleep.
A client with diabetic peripheral neuropathy has been taking pregabalin (Lyrica) for 4 days. Which finding indicates
to the nurse that the medication is effective?
a. Reduced level of pain
b. Full volume of pedal pulses
c. Granulating tissue in foot ulcer
d. Improved visual acuity.
Reduced level of pain
Rationale: Pregabalin is prescribed to decrease the pain associated with diabetic peripheral neuropathy. A, C and D
are not expected outcomes of this medication's effectiveness.
VERSION QUESTIONS AND ANSWERS
The public nurse health received funding to initiate primary prevention program in the community. Which
program the best fits the nurse's proposal?
a. Case management and screening for clients with HIV.
b. Regional relocation center for earthquake victims
c. Vitamin supplements for high-risk pregnant women.
d. Lead screening for children in low-income housing.
Vitamin supplements for high-risk pregnant women
Rational: Primary prevention activities focus on health promotions and disease preventions, so vitamin for high-
risk pregnant women provide adequate vitamin and mineral for fetal developmental.
When assessing and adult male who presents as the community health clinic with a history of hypertension, the
nurse note that he has 2+ pitting edema in both ankles. He also has a history of gastroesophageal reflex disease
(GERD) and depression. Which intervention is the most important for the nurse to implement?
a. Arrange to transport the client to the hospital
b. Instruct the client to keep a food journal, including portions size.
c. Review the client's use of over the counter (OTC) medications.
d. Reinforce the importance of keeping the feet elevated.
Review the client's use of over the counter (OTC) medications
Rationale: Sodium is used in several types of OTC medications. Including antacids, which the client may be using to
treat his GERD. Further evaluation is need it to determine the need for hospitalization (A) A food journal (B) may
help over, but dietary modifications are needed now since edema is present. (C) May relieve dependent edema,
but not treat the underlying etiology.
,An older client is admitted to the intensive care unit with severe abdominal pain, abdominal distention, and
absent bowel sound. The client has a history of smoking 2 packs of cigarettes daily for 50 years and is currently
restless and confused. Vital signs are: temperature 96`F, heart rate 122 beats/minute, respiratory rate 36
breaths/minute, mean arterial pressure(MAP) 64 mmHg and central venous pressure (CVP) 7 mmHg. Serum
laboratory findings include: hemoglobin 6.5 grams/dl, platelets 6o, 000, and white blood cell count (WBC)
3,000/mm3. Based on these findings this client is at greatest risk for which pathophysiological condition?
a. Multiple organ dysfunction syndrome (MODS)
b. Disseminated intravascular coagulation (DIC)
c. Chronic obstructive disease.
d. Acquired immunodeficiency syndrome (AIDS)
Multiple organ dysfunction syndrome (MODS)
Rational: MODS are a progressive dysfunction of two or more major organs that requires medical intervention to
maintain homeostasis. This client has evidence of several organ systems that require intervention, such as blood
pressure, hemoglobin, WBC, and respiratory rate. DIC may develop as a result of MODS. The other options are not
correct.
A man expresses concern to the nurse about the care his mother is receiving while hospitalized. He believes that
her care is not based on any ethical standards and ask what type of care he should expect from a public hospital.
What action should the nurse take?
a. Provide the man and his mother with a copy of the Patient's Bill of Rights
b. Explain that the hospital adheres to all national accreditation standards
c. Advise the man to discuss his concerns with his mother's healthcare provider
d. Determine if he would like to review the hospital's manual of approved polices.
Provide the man and his mother with a copy of the Patient's Bill of Rights
,Rationale: The Patient's Bill of Rights is a universally used tool that describes the rights of clients in all healthcare
settings and is essential in ensuring that clients care is provided in an ethical manner. (B) may be perceived as
defensive and does not provide the man with specific information about expected standards of care. Concern
about the quality of care should be addressed by the hospital staff rather than C. All the healthcare agencies are
required to maintain policy and procedure manual for the purpose of standardizing delivery of care within the
agencies, but the policy manual is unlikely to provide useful information for clients or family members.
A client experiencing withdrawal from the benzodiazepines alprazolam (Xanax) is demonstrating severe agitation
and tremors. What is the best initial nursing action?
a. Administer naloxone (Narcan) per PNR protocol
b. Initiate seizure precautions
c. Obtain a serum drug screen
d. Instruct the family about withdrawal symptoms.
Initiate seizure precaution
Rationale: Withdrawal of CNS depressants, such as Xanax, results in rebound over-excitation of the CNS. Since the
client exhibiting tremors, the nurse should anticipate seizure activity and protect the client
The nurse is caring for a client who is taking a macrolide to treat a bacterial infection. Which finding should the
nurse report to the healthcare provider before administering the next dose?
a. Jaundice
b. Nausea
c. Fever
d. Fatigue
Jaundice
, Rationale: Macrolides can cause hepatotoxicity, which is manifested by jaundice and should be reported to the
healthcare provider before further doses of the medication are administered, B is a common side effect of
macrolides. Fever and Fatigue are expected finding when a client has an infection.
A client with Alzheimer's disease (AD) is receiving trazodone (Desyrel), a recently prescribed atypical
antidepressant. The caregiver tells the home health nurse that the client's mood and sleep patterns are improved,
but there is no change in cognitive ability. How should the nurse respond to this information?
a. Explain that it may take several weeks for the medication to be effective
b. Confirm the desired effect of the medication has been achieved.
c. Notify the health care provider than a change may be needed.
d. Evaluate when and how the medication is being administered to the client.
Confirm the desired effect of the medication has been achieved.
Rationale: Trazodone oR Desyrel, an atypical antidepressant, is prescribed for client with AD to improve mood and
sleep.
A client with diabetic peripheral neuropathy has been taking pregabalin (Lyrica) for 4 days. Which finding indicates
to the nurse that the medication is effective?
a. Reduced level of pain
b. Full volume of pedal pulses
c. Granulating tissue in foot ulcer
d. Improved visual acuity.
Reduced level of pain
Rationale: Pregabalin is prescribed to decrease the pain associated with diabetic peripheral neuropathy. A, C and D
are not expected outcomes of this medication's effectiveness.
