HESI 799 RN Exit Exam
2025–2026 | Questions,
Answers & Detailed
Rationales Study Guide
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success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,The nurse observes an unlicensed assistive personnel Instruct the UAP to obtain soft blankets to secure to the side rails instead of
(UAP) positioning a newly admitted client who has a pillows
seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action Rationale: The nurse should instruct the UAP to pad the side rails with soft
should the nurse implement? blankest because the use of pillows could result in suffocation and would need to
be removed at the onset of the seizure. The nurse can delegate paddling the side
rails to the UAP
a. Ensure that the UAP has placed the pillows effectively
to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to
the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the
UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the
client in a side lying position.
An adolescent with major depressive disorder has been Describes life without purpose
taking duloxetine (Cymbalta) for the past 12 days. Which
assessment finding requires immediate follow-up Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor
that is known to increase the risk of suicidal thinking in adolescents and young
a. Describes life without purpose adults with major depressive disorder. B, C and D are side effects
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive family history Further evaluation involving surgery may be needed
of ovarian cancer has developed an abdominal mass and
is being evaluated for possible ovarian cancer. Her Rationale: An abdominal mass in a client with a family history for ovarian cancer
Papanicolau (Pap) smear results are negative. What should be evaluated carefully
information should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled
out
c. Pap smear evaluation should be continued every six
month
d. One additional negative pap smear in six months is
needed.
, A client who recently underwent a tracheostomy is being Teach tracheal suctioning techniques
prepared for discharge to home. Which instructions is
most important for the nurse to include in the discharge Rationale: Suctioning helps to clear secretions and maintain an open airway, which
plan? is critical.
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
In assessing an adult client with a partial rebreather mask, Document the assessment data
the nurse notes that the oxygen reservoir bag does not
deflate completely during inspiration and the client's Rational: reservoir bag should not deflate completely during inspiration and the
respiratory rate is 14 breaths / minute. What action should client's respiratory rate is within normal limits.
the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
During shift report, the central electrocardiogram (EKG) Respiratory apnea of 30 seconds
monitoring system alarms. Which client alarm should the
nurse investigate first? Rationale: The priority is the client whose alarm indicating respiratory apnea that
should be assessed first.
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
During a home visit, the nurse observed an elderly client Check the client for lacerations or fractures
with diabetes slip and fall. What action should the nurse
take first? Rationale: After the client falls, the nurse should immediately assess for the
possibility of injuries and provide first aid as needed
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level
At 0600 while admitting a woman for a schedule repeat Inform the anesthesia care provider
cesarean section (C-Section), the client tells the nurse
that she drank a cup a coffee at 0400 because she Rationale: Surgical preoperative instruction includes NPO after midnight the day
wanted to avoid getting a headache. Which action should of surgery to decrease the risk of aspiration should vomiting occur during
the nurse take first? anesthesia. While it is possible the C-section will be done on schedule or
rescheduled for later in the day, the anesthesia provider should be notified first.
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
2025–2026 | Questions,
Answers & Detailed
Rationales Study Guide
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,The nurse observes an unlicensed assistive personnel Instruct the UAP to obtain soft blankets to secure to the side rails instead of
(UAP) positioning a newly admitted client who has a pillows
seizure disorder. The client is supine and the UAP is
placing soft pillows along the side rails. What action Rationale: The nurse should instruct the UAP to pad the side rails with soft
should the nurse implement? blankest because the use of pillows could result in suffocation and would need to
be removed at the onset of the seizure. The nurse can delegate paddling the side
rails to the UAP
a. Ensure that the UAP has placed the pillows effectively
to protect the client.
b. Instruct the UAP to obtain soft blankets to secure to
the side rails instead of pillows.
c. Assume responsibility for placing the pillows while the
UAP completes another task.
d. Ask the UAP to use some of the pillows to prop the
client in a side lying position.
An adolescent with major depressive disorder has been Describes life without purpose
taking duloxetine (Cymbalta) for the past 12 days. Which
assessment finding requires immediate follow-up Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor
that is known to increase the risk of suicidal thinking in adolescents and young
a. Describes life without purpose adults with major depressive disorder. B, C and D are side effects
b. Complains of nausea and loss of appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
A 60-year-old female client with a positive family history Further evaluation involving surgery may be needed
of ovarian cancer has developed an abdominal mass and
is being evaluated for possible ovarian cancer. Her Rationale: An abdominal mass in a client with a family history for ovarian cancer
Papanicolau (Pap) smear results are negative. What should be evaluated carefully
information should the nurse include in the client's
teaching plan
a. Further evaluation involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled
out
c. Pap smear evaluation should be continued every six
month
d. One additional negative pap smear in six months is
needed.
, A client who recently underwent a tracheostomy is being Teach tracheal suctioning techniques
prepared for discharge to home. Which instructions is
most important for the nurse to include in the discharge Rationale: Suctioning helps to clear secretions and maintain an open airway, which
plan? is critical.
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
In assessing an adult client with a partial rebreather mask, Document the assessment data
the nurse notes that the oxygen reservoir bag does not
deflate completely during inspiration and the client's Rational: reservoir bag should not deflate completely during inspiration and the
respiratory rate is 14 breaths / minute. What action should client's respiratory rate is within normal limits.
the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
During shift report, the central electrocardiogram (EKG) Respiratory apnea of 30 seconds
monitoring system alarms. Which client alarm should the
nurse investigate first? Rationale: The priority is the client whose alarm indicating respiratory apnea that
should be assessed first.
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
During a home visit, the nurse observed an elderly client Check the client for lacerations or fractures
with diabetes slip and fall. What action should the nurse
take first? Rationale: After the client falls, the nurse should immediately assess for the
possibility of injuries and provide first aid as needed
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacerations or fractures
d. Asses clients blood sugar level
At 0600 while admitting a woman for a schedule repeat Inform the anesthesia care provider
cesarean section (C-Section), the client tells the nurse
that she drank a cup a coffee at 0400 because she Rationale: Surgical preoperative instruction includes NPO after midnight the day
wanted to avoid getting a headache. Which action should of surgery to decrease the risk of aspiration should vomiting occur during
the nurse take first? anesthesia. While it is possible the C-section will be done on schedule or
rescheduled for later in the day, the anesthesia provider should be notified first.
a. Ensure preoperative lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
