HESI 799 RN Exit Exam Questions and Answers 2024
GRADED A+
A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a
chemotherapy (CT) protocol that includes methotrexate (Mexate,
Trexal, MIX), an antimetabolite. Which information should the
nurse provide the parents about caring for their child?
A. Use sunblock or protective clothing when outdoors - CORRECT
ANSWERS Use sunblock or protective clothing when outdoors
A 16-year-old adolescent with meningococcal meningitis (83) is
receiving a continuous IV infusion of penicillin G, which is
prescribed as 20 million units in a total volume of 2 liters of
normal saline every 24 hr. The pharmacy delivers 10 million units/
liters of normal saline. How many ml/hr should the nurse program
the infusion pump? (Enter numeric value only. If rounding is
required, round to the nearest whole number.)
83 - CORRECT ANSWERS Answer 83
Rationale: 1000 ml-----12hr.
1000/12 = 83.33
A 350-bed acute care hospital declares an internal disaster
because the emergency generators malfunctioned during a city-
wide power failure. The UAPs working on a general medical unit
ask the charge nurse what they should do first. What instruction
should the charge nurse provide to these UAPs?
a. Go to the emergency department and complete assigned tasks
b. Shut all doors to client rooms on the unit in case a fire erupts
,HESI 799 RN Exit Exam Questions and Answers 2024
GRADED A+
c. Offer to assist the ICY with ventilator-dependent clients
d. Tell all their assigned clients to stay in their rooms. - CORRECT
ANSWERS Tell all their assigned clients to stay in their rooms.
Rationale: A power failure leaves a unit in total darkness except
for battery operated lighting. The top priority should be ensuring
client safety by having clients stay in their rooms, and UAP can
implement this. A is a higher priority in external disaster. B would
further compound the lighting problems and is not indicated
unless file or smoke is visible. C contraindicated until client safety
is ensured on the assigned unit.
A child is admitted to the pediatric unit diagnosed with sickle cell
crisis. When the nurse walks into the room, the unlicensed
assistive personnel (UAP) is encouraging the child to stay in bed
in the supine position. Which action should the nurse implement?
a. Reposition the client with the head of the bed elevated.
b. Commend the UAP for implementing the proper position
c. Tell the UAP that this position is harmful to the client
d. Encourage the child to ambulate in the room - CORRECT
ANSWERS Reposition the client with the head of the bed
elevated.
Rationale: Since children is sickle cell crisis often have shallow
breathing due to acute chest syndrome, raising the head of the
bed (A) will facilitate chest expansion by decreasing pressure of
the diaphragm (B and C) are not be commended, nor should he
UAP be corrected in front of the child. D is contraindicated
,HESI 799 RN Exit Exam Questions and Answers 2024
GRADED A+
because bed rest is warranted to conserve energy and promote
oxygenation.
A client admitted to the psychiatric unit diagnosed with major
depression wants to sleep during the day, refuses to take a bath,
and refuses to eat. Which nursing intervention should the nurse
implement first?
a. Assess the client's ability to communicate with the other staff
members
b. Arrange a meeting with the family to discuss the client's
situation
c. Administer the client's antidepressant medication as
prescribed.
d. Establish a structured routine for the client to follow. -
CORRECT ANSWERS Establish a structured routine for the client
to follow
A client arrives on the surgical floor after major abdominal
surgery. What intervention should the nurse perform first?
a. Administer prescribed pain medication
b. Assess surgical site
c. Determine the client's vital sign.
d. Apply warmed blankets - CORRECT ANSWERS Determine the
client's vital sign.
, HESI 799 RN Exit Exam Questions and Answers 2024
GRADED A+
Rationale: The First priority must be to obtain baseline vital signs.
A and B should also be accomplished soon, but not until the initial
vital signs are determined. C is a nice thing to do.
A client at 30 week gestation is admitted due to preterm labor. A
prescription of terbutaline sulfate 8.35 mg is given
subcutaneously. Based on which finding should the nurse withhold
the next dose of this drug?
a. Maternal blood pressure of 90/60
b. Fetal heart rate of 170 beats per minute for 15 mints
c. Maternal pulse rate of 162 beats per min
d. Serum potassium of 2.3 mg/dl - CORRECT ANSWERS
Maternal pulse rate of 162 beats per min
Rationale: The nurse checks the maternal pulse prior to
administering the beta sympathomimetic drug terbutaline and
notify the healthcare provider before administration of the drug if
the pulse is over 140 beats in within normal limits because
peripheral vasodilation accompanies pregnancy and causes the
BP decrease.
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
GRADED A+
A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a
chemotherapy (CT) protocol that includes methotrexate (Mexate,
Trexal, MIX), an antimetabolite. Which information should the
nurse provide the parents about caring for their child?
A. Use sunblock or protective clothing when outdoors - CORRECT
ANSWERS Use sunblock or protective clothing when outdoors
A 16-year-old adolescent with meningococcal meningitis (83) is
receiving a continuous IV infusion of penicillin G, which is
prescribed as 20 million units in a total volume of 2 liters of
normal saline every 24 hr. The pharmacy delivers 10 million units/
liters of normal saline. How many ml/hr should the nurse program
the infusion pump? (Enter numeric value only. If rounding is
required, round to the nearest whole number.)
83 - CORRECT ANSWERS Answer 83
Rationale: 1000 ml-----12hr.
1000/12 = 83.33
A 350-bed acute care hospital declares an internal disaster
because the emergency generators malfunctioned during a city-
wide power failure. The UAPs working on a general medical unit
ask the charge nurse what they should do first. What instruction
should the charge nurse provide to these UAPs?
a. Go to the emergency department and complete assigned tasks
b. Shut all doors to client rooms on the unit in case a fire erupts
,HESI 799 RN Exit Exam Questions and Answers 2024
GRADED A+
c. Offer to assist the ICY with ventilator-dependent clients
d. Tell all their assigned clients to stay in their rooms. - CORRECT
ANSWERS Tell all their assigned clients to stay in their rooms.
Rationale: A power failure leaves a unit in total darkness except
for battery operated lighting. The top priority should be ensuring
client safety by having clients stay in their rooms, and UAP can
implement this. A is a higher priority in external disaster. B would
further compound the lighting problems and is not indicated
unless file or smoke is visible. C contraindicated until client safety
is ensured on the assigned unit.
A child is admitted to the pediatric unit diagnosed with sickle cell
crisis. When the nurse walks into the room, the unlicensed
assistive personnel (UAP) is encouraging the child to stay in bed
in the supine position. Which action should the nurse implement?
a. Reposition the client with the head of the bed elevated.
b. Commend the UAP for implementing the proper position
c. Tell the UAP that this position is harmful to the client
d. Encourage the child to ambulate in the room - CORRECT
ANSWERS Reposition the client with the head of the bed
elevated.
Rationale: Since children is sickle cell crisis often have shallow
breathing due to acute chest syndrome, raising the head of the
bed (A) will facilitate chest expansion by decreasing pressure of
the diaphragm (B and C) are not be commended, nor should he
UAP be corrected in front of the child. D is contraindicated
,HESI 799 RN Exit Exam Questions and Answers 2024
GRADED A+
because bed rest is warranted to conserve energy and promote
oxygenation.
A client admitted to the psychiatric unit diagnosed with major
depression wants to sleep during the day, refuses to take a bath,
and refuses to eat. Which nursing intervention should the nurse
implement first?
a. Assess the client's ability to communicate with the other staff
members
b. Arrange a meeting with the family to discuss the client's
situation
c. Administer the client's antidepressant medication as
prescribed.
d. Establish a structured routine for the client to follow. -
CORRECT ANSWERS Establish a structured routine for the client
to follow
A client arrives on the surgical floor after major abdominal
surgery. What intervention should the nurse perform first?
a. Administer prescribed pain medication
b. Assess surgical site
c. Determine the client's vital sign.
d. Apply warmed blankets - CORRECT ANSWERS Determine the
client's vital sign.
, HESI 799 RN Exit Exam Questions and Answers 2024
GRADED A+
Rationale: The First priority must be to obtain baseline vital signs.
A and B should also be accomplished soon, but not until the initial
vital signs are determined. C is a nice thing to do.
A client at 30 week gestation is admitted due to preterm labor. A
prescription of terbutaline sulfate 8.35 mg is given
subcutaneously. Based on which finding should the nurse withhold
the next dose of this drug?
a. Maternal blood pressure of 90/60
b. Fetal heart rate of 170 beats per minute for 15 mints
c. Maternal pulse rate of 162 beats per min
d. Serum potassium of 2.3 mg/dl - CORRECT ANSWERS
Maternal pulse rate of 162 beats per min
Rationale: The nurse checks the maternal pulse prior to
administering the beta sympathomimetic drug terbutaline and
notify the healthcare provider before administration of the drug if
the pulse is over 140 beats in within normal limits because
peripheral vasodilation accompanies pregnancy and causes the
BP decrease.
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
