lOMoARcPSD|34465178
HESI 799 RN EXIT EXAM/ CS 2024
PRACTICE EXAM QUESTIONS AND
ANSWERS
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-
up ac琀椀on by the nurse?
a. Remind the client that it is also important to switch to deca昀昀einated co昀昀ee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might select.
Review with the client the need to avoid foods that are rich in milk and cream
Ra琀椀onale: Diets rich in milk and cream s琀椀mulate gastric acid secre琀椀on and should be avoided.
A male client with hypertension, who received new an琀椀hypertensive prescrip琀椀ons at his last
visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106
and he admits that he has not been taking the prescribed medica琀椀on because the drugs make
him "feel bad". In explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condi琀椀on?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
Stroke secondary to hemorrhage
Ra琀椀onale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hypertension.
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The nurse observes an unlicensed assis琀椀ve personnel (UAP) posi琀椀oning a newly admi琀琀ed client
who has a seizure disorder. The client is supine and the UAP is placing so昀琀 pillows along the side
rails. What ac琀椀on should the nurse implement?
a. Ensure that the UAP has placed the pillows e昀昀ec琀椀vely to protect the client.
b. Instruct the UAP to obtain so昀琀 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 posi琀椀on.
Instruct the UAP to obtain so昀琀 blankets to secure to the side rails instead of pillows
Ra琀椀onale: The nurse should instruct the UAP to pad the side rails with so昀琀 blankest because the
use of pillows could result in su昀昀oca琀椀on and would need to be removed at the onset of the
seizure. The nurse can delegate paddling the side rails to the UAP
An adolescent with major depressive disorder has been taking duloxe琀椀ne (Cymbalta) for the
past 12 days. Which assessment 昀椀nding requires immediate follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appe琀椀te
c. States is o昀琀en fa琀椀gued and drowsy
d. Exhibits an increase in swea琀椀ng.
Describes life without purpose
Ra琀椀onale: Cymbalta is a selec琀椀ve serotonin and norepinephrine reuptake inhibitor that is
known to increase the risk of suicidal thinking in adolescents and young adults with major
depressive disorder. B, C and D are side e昀昀ects
A 60-year-old female client with a posi琀椀ve family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap)
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smear results are nega琀椀ve. What informa琀椀on should the nurse include in the client's teaching
plan
a. Further evalua琀椀on involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evalua琀椀on should be con琀椀nued every six month
d. One addi琀椀onal nega琀椀ve pap smear in six months is needed.
Further evalua琀椀on involving surgery may be needed
Ra琀椀onale: An abdominal mass in a client with a family history for ovarian cancer should be
evaluated carefully
A client who recently underwent a tracheostomy is being prepared for discharge to home.
Which instruc琀椀ons is most important for the nurse to include in the discharge plan?
a. Explain how to use communica琀椀on tools.
b. Teach tracheal suc琀椀oning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Teach tracheal suc琀椀oning techniques
Ra琀椀onale: Suc琀椀oning helps to clear secre琀椀ons and maintain an open airway, which is cri琀椀cal.
In assessing an adult client with a par琀椀al rebreather mask, the nurse notes that the oxygen
reservoir bag does not de昀氀ate completely during inspira琀椀on and the client's respiratory rate is
14 breaths / minute. What ac琀椀on should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to de昀氀ate the bag
c. Increase the liter 昀氀ow of oxygen
d. Document the assessment data
Document the assessment data
Ra琀椀onal: reservoir bag should not de昀氀ate completely during inspira琀椀on and the client's
respiratory rate is within normal limits.
During shi昀琀 report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm should the nurse inves琀椀gate 昀椀rst?
a. Respiratory apnea of 30 seconds
b. Oxygen satura琀椀on rate of 88%
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c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
Respiratory apnea of 30 seconds
Ra琀椀onale: The priority is the client whose alarm indica琀椀ng respiratory apnea that should be
assessed 昀椀rst.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What ac琀椀on
should the nurse take 昀椀rst?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacera琀椀ons or fractures
d. Asses clients blood sugar level
Check the client for lacera琀椀ons or fractures
Ra琀椀onale: A昀琀er the client falls, the nurse should immediately assess for the possibility of
injuries and provide 昀椀rst aid as needed
At 0600 while admi琀�ng a woman for a schedule repeat cesarean sec琀椀on (C-Sec琀椀on), the client
tells the nurse that she drank a cup a co昀昀ee at 0400 because she wanted to avoid ge琀�ng a
headache. Which ac琀椀on should the nurse take 昀椀rst?
a. Ensure preopera琀椀ve lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
Inform the anesthesia care provider
Ra琀椀onale: Surgical preopera琀椀ve instruc琀椀on includes NPO a昀琀er midnight the day of surgery to
decrease the risk of aspira琀椀on should vomi琀椀ng occur during anesthesia. While it is possible the
C-sec琀椀on will be done on schedule or rescheduled for later in the day, the anesthesia provider
should be no琀椀昀椀ed 昀椀rst.
A昀琀er placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds.
To determine if an S3 heart sound is present, what ac琀椀on should the nurse take 昀椀rst
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same loca琀椀on
d. Observe the cardiac telemetry monitor
Downloaded by Brian Kariuki ()
HESI 799 RN EXIT EXAM/ CS 2024
PRACTICE EXAM QUESTIONS AND
ANSWERS
Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-
up ac琀椀on by the nurse?
a. Remind the client that it is also important to switch to deca昀昀einated co昀昀ee and tea.
b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
c. Review with the client the need to avoid foods that are rich in milk and cream.
d. Reinforce this teaching by asking the client to list a dairy food that he might select.
Review with the client the need to avoid foods that are rich in milk and cream
Ra琀椀onale: Diets rich in milk and cream s琀椀mulate gastric acid secre琀椀on and should be avoided.
A male client with hypertension, who received new an琀椀hypertensive prescrip琀椀ons at his last
visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106
and he admits that he has not been taking the prescribed medica琀椀on because the drugs make
him "feel bad". In explaining the need for hypertension control, the nurse should stress that an
elevated BP places the client at risk for which pathophysiological condi琀椀on?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
Stroke secondary to hemorrhage
Ra琀椀onale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hypertension.
Brainpower
Read More
Previous
Play
Next
Downloaded by Brian Kariuki ()
, lOMoARcPSD|34465178
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:00
Full screen
The nurse observes an unlicensed assis琀椀ve personnel (UAP) posi琀椀oning a newly admi琀琀ed client
who has a seizure disorder. The client is supine and the UAP is placing so昀琀 pillows along the side
rails. What ac琀椀on should the nurse implement?
a. Ensure that the UAP has placed the pillows e昀昀ec琀椀vely to protect the client.
b. Instruct the UAP to obtain so昀琀 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 posi琀椀on.
Instruct the UAP to obtain so昀琀 blankets to secure to the side rails instead of pillows
Ra琀椀onale: The nurse should instruct the UAP to pad the side rails with so昀琀 blankest because the
use of pillows could result in su昀昀oca琀椀on and would need to be removed at the onset of the
seizure. The nurse can delegate paddling the side rails to the UAP
An adolescent with major depressive disorder has been taking duloxe琀椀ne (Cymbalta) for the
past 12 days. Which assessment 昀椀nding requires immediate follow-up
a. Describes life without purpose
b. Complains of nausea and loss of appe琀椀te
c. States is o昀琀en fa琀椀gued and drowsy
d. Exhibits an increase in swea琀椀ng.
Describes life without purpose
Ra琀椀onale: Cymbalta is a selec琀椀ve serotonin and norepinephrine reuptake inhibitor that is
known to increase the risk of suicidal thinking in adolescents and young adults with major
depressive disorder. B, C and D are side e昀昀ects
A 60-year-old female client with a posi琀椀ve family history of ovarian cancer has developed an
abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap)
Downloaded by Brian Kariuki ()
, lOMoARcPSD|34465178
smear results are nega琀椀ve. What informa琀椀on should the nurse include in the client's teaching
plan
a. Further evalua琀椀on involving surgery may be needed
b. A pelvic exam is also needed before cancer is ruled out
c. Pap smear evalua琀椀on should be con琀椀nued every six month
d. One addi琀椀onal nega琀椀ve pap smear in six months is needed.
Further evalua琀椀on involving surgery may be needed
Ra琀椀onale: An abdominal mass in a client with a family history for ovarian cancer should be
evaluated carefully
A client who recently underwent a tracheostomy is being prepared for discharge to home.
Which instruc琀椀ons is most important for the nurse to include in the discharge plan?
a. Explain how to use communica琀椀on tools.
b. Teach tracheal suc琀椀oning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy site.
Teach tracheal suc琀椀oning techniques
Ra琀椀onale: Suc琀椀oning helps to clear secre琀椀ons and maintain an open airway, which is cri琀椀cal.
In assessing an adult client with a par琀椀al rebreather mask, the nurse notes that the oxygen
reservoir bag does not de昀氀ate completely during inspira琀椀on and the client's respiratory rate is
14 breaths / minute. What ac琀椀on should the nurse implement
a. Encourage the client to take deep breaths
b. Remove the mask to de昀氀ate the bag
c. Increase the liter 昀氀ow of oxygen
d. Document the assessment data
Document the assessment data
Ra琀椀onal: reservoir bag should not de昀氀ate completely during inspira琀椀on and the client's
respiratory rate is within normal limits.
During shi昀琀 report, the central electrocardiogram (EKG) monitoring system alarms. Which client
alarm should the nurse inves琀椀gate 昀椀rst?
a. Respiratory apnea of 30 seconds
b. Oxygen satura琀椀on rate of 88%
Downloaded by Brian Kariuki ()
, lOMoARcPSD|34465178
c. Eight premature ventricular beats every minute
d. Disconnected monitor signal for the last 6 minutes.
Respiratory apnea of 30 seconds
Ra琀椀onale: The priority is the client whose alarm indica琀椀ng respiratory apnea that should be
assessed 昀椀rst.
During a home visit, the nurse observed an elderly client with diabetes slip and fall. What ac琀椀on
should the nurse take 昀椀rst?
a. Give the client 4 ounces of orange juice
b. Call 911 to summon emergency assistance
c. Check the client for lacera琀椀ons or fractures
d. Asses clients blood sugar level
Check the client for lacera琀椀ons or fractures
Ra琀椀onale: A昀琀er the client falls, the nurse should immediately assess for the possibility of
injuries and provide 昀椀rst aid as needed
At 0600 while admi琀�ng a woman for a schedule repeat cesarean sec琀椀on (C-Sec琀椀on), the client
tells the nurse that she drank a cup a co昀昀ee at 0400 because she wanted to avoid ge琀�ng a
headache. Which ac琀椀on should the nurse take 昀椀rst?
a. Ensure preopera琀椀ve lab results are available
b. Start prescribed IV with lactated Ringer's
c. Inform the anesthesia care provider
d. Contact the client's obstetrician.
Inform the anesthesia care provider
Ra琀椀onale: Surgical preopera琀椀ve instruc琀椀on includes NPO a昀琀er midnight the day of surgery to
decrease the risk of aspira琀椀on should vomi琀椀ng occur during anesthesia. While it is possible the
C-sec琀椀on will be done on schedule or rescheduled for later in the day, the anesthesia provider
should be no琀椀昀椀ed 昀椀rst.
A昀琀er placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds.
To determine if an S3 heart sound is present, what ac琀椀on should the nurse take 昀椀rst
a. Side the stethoscope across the sternum.
b. Move the stethoscope to the mitral site
c. Listen with the bell at the same loca琀椀on
d. Observe the cardiac telemetry monitor
Downloaded by Brian Kariuki ()
