HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
A male client notifies the nurse that he feels short of breath and has chest pressure
radiating down his left arm. A STAT 12-lead electrocardiogram (ECG) is obtained and
shows ST segment elevation in leads II, II, aVF and V4R. The nurse collects blood
samples and gives a normal saline bolus. What action is most important for the
nurse to implement?
a- Obtain the results for STAT serum cardiac biomarkers
b- Asses for contraindications for thrombolytic therapy
c- Measure ST-segment height and waveform changes.
d- Transfer for percutaneous coronary intervention (PCI) - CORRECT ANSWERS b.
Asses for contraindications for thrombolytic therapy.
Rationale: ST segment elevation myocardial infarction (STEMI) usually occurs with
complete occlusion of an epicardial coronary artery which requires early reperfusion
therapy. Screening the client for fibrinolytic therapy (B) is most important to
determine PCI option for rapid reperfusion. If the client is not a candidate for
fibrinolytic therapy, then transfer to a PCI unit or facility is indicated. Reperfusion
therapy should be delayed in STEMI (A). (C) is of significant concern in ECG
interpretation with ST-segment depression, not STEMI
An IV antibiotic is prescribed for a client with a postoperative infection. The
medication is to be administered in 4 divided doses. What schedule is best for
administering this prescription?
a. 1000, 1600, 2200, 0400 - CORRECT ANSWERS 1000, 1600, 2200, 0400
A client is receiving continuous bladder irrigation via a triple-lumen suprapubic
catheter that was placed during prostatectomy. Which report by the unlicensed
assistive personnel (UAP) requires intervention by the nurse?
a. Leakage around catheter insertion site - CORRECT ANSWERS Leakage around
catheter insertion site
,HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
A client with Addison's crisis is admitted for treatment with adrenal cortical
supplementation. Based on the client's admitting diagnosis, which findings require
immediate action by the nurse? (Select all that apply.)
A. Headache and tremors.
B. Postural hypotension.
C. Pallor and diaphoresis.
D. Skin hyperpigmentation.
E. Irregular heart beat. - CORRECT ANSWERS A. Headache and tremors.
B. Postural hypotension.
C. Pallor and diaphoresis.
E. Irregular heart beat.
Rationale: (A, B, C, and E) are correct. Addison's crisis results from an acute lack of
adrenal cortical hormones. Headache and tremors (A), as well as pallor and
diaphoresis (C) may indicate significant hypoglycemia. Hypotension (B) with pale,
diaphoretic skin (C) are indicative of progressing signs of life-threatening shock that
also require immediate nursing intervention. An irregular heart rate (E) may be the
result of hyperkalemia and also requires immediate intervention. (D) is consistent
with chronic secondary adrenal insufficiency and does not require immediate
nursing intervention.
A client with rapid respirations and audible rhonchi is admitted to the intensive care
unit because of a pulmonary embolism (PE). Low-flow oxygen by nasal cannula and
weight based heparin protocol is initiated. Which intervention is most important for
the nurse to include in this client's plan of care?
a. Evaluate daily blood clotting factors. - CORRECT ANSWERS Evaluate daily
blood clotting factors.
The nurse enters a client's room to administer scheduled daily medications and
observes the client leaning forward and using pursed lip breathing. Which action is
most important for the nurse to implement first?
, HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
a. Evaluate the oxygen saturation - CORRECT ANSWERS Evaluate the oxygen
saturation
During a clinic visit, a client with a kidney transplant ask, "What will happen if
chronic rejection develops?" which response is best for the nurse to provide?
a. Dialysis would need to be resumed if chronic rejection becomes a reality -
CORRECT ANSWERS Dialysis would need to be resumed if chronic rejection
becomes a reality
The nurse enters a client's room and observe the unlicensed assistive personnel
(UAP) making an occupied bed as seen in the picture. What action should the nurse
take first?
a. Place the side rails in an up position - CORRECT ANSWERS Place the side rails
in an up position
A client with bleeding esophageal varices receives vasopressin (Pitressin) IV. What
should the nurse monitor for during the IV infusion of this medication?
a. Chest pain and dysrhythmia - CORRECT ANSWERS Chest pain and dysrhythmia
A nurse plans to call the healthcare provider to report an 0600 serum potassium
level of 2 mEq/L or mmol/L (SI), but the charge nurse tells the nurse that the
healthcare provider does not like to receive early morning calls and will make
rounds later in the morning. What action should the nurse make?
a. Contact the healthcare provider immediately to report the laboratory value
regardless of the advice - CORRECT ANSWERS Contact the healthcare provider
immediately to report the laboratory value regardless of the advice
A male client with cancer who has lost 10 pounds during the last months tells the
nurse that beef, chicken, and eggs, which used to be his favorite foods, now they
and Answers 2024/2025 RANKED A+
A male client notifies the nurse that he feels short of breath and has chest pressure
radiating down his left arm. A STAT 12-lead electrocardiogram (ECG) is obtained and
shows ST segment elevation in leads II, II, aVF and V4R. The nurse collects blood
samples and gives a normal saline bolus. What action is most important for the
nurse to implement?
a- Obtain the results for STAT serum cardiac biomarkers
b- Asses for contraindications for thrombolytic therapy
c- Measure ST-segment height and waveform changes.
d- Transfer for percutaneous coronary intervention (PCI) - CORRECT ANSWERS b.
Asses for contraindications for thrombolytic therapy.
Rationale: ST segment elevation myocardial infarction (STEMI) usually occurs with
complete occlusion of an epicardial coronary artery which requires early reperfusion
therapy. Screening the client for fibrinolytic therapy (B) is most important to
determine PCI option for rapid reperfusion. If the client is not a candidate for
fibrinolytic therapy, then transfer to a PCI unit or facility is indicated. Reperfusion
therapy should be delayed in STEMI (A). (C) is of significant concern in ECG
interpretation with ST-segment depression, not STEMI
An IV antibiotic is prescribed for a client with a postoperative infection. The
medication is to be administered in 4 divided doses. What schedule is best for
administering this prescription?
a. 1000, 1600, 2200, 0400 - CORRECT ANSWERS 1000, 1600, 2200, 0400
A client is receiving continuous bladder irrigation via a triple-lumen suprapubic
catheter that was placed during prostatectomy. Which report by the unlicensed
assistive personnel (UAP) requires intervention by the nurse?
a. Leakage around catheter insertion site - CORRECT ANSWERS Leakage around
catheter insertion site
,HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
A client with Addison's crisis is admitted for treatment with adrenal cortical
supplementation. Based on the client's admitting diagnosis, which findings require
immediate action by the nurse? (Select all that apply.)
A. Headache and tremors.
B. Postural hypotension.
C. Pallor and diaphoresis.
D. Skin hyperpigmentation.
E. Irregular heart beat. - CORRECT ANSWERS A. Headache and tremors.
B. Postural hypotension.
C. Pallor and diaphoresis.
E. Irregular heart beat.
Rationale: (A, B, C, and E) are correct. Addison's crisis results from an acute lack of
adrenal cortical hormones. Headache and tremors (A), as well as pallor and
diaphoresis (C) may indicate significant hypoglycemia. Hypotension (B) with pale,
diaphoretic skin (C) are indicative of progressing signs of life-threatening shock that
also require immediate nursing intervention. An irregular heart rate (E) may be the
result of hyperkalemia and also requires immediate intervention. (D) is consistent
with chronic secondary adrenal insufficiency and does not require immediate
nursing intervention.
A client with rapid respirations and audible rhonchi is admitted to the intensive care
unit because of a pulmonary embolism (PE). Low-flow oxygen by nasal cannula and
weight based heparin protocol is initiated. Which intervention is most important for
the nurse to include in this client's plan of care?
a. Evaluate daily blood clotting factors. - CORRECT ANSWERS Evaluate daily
blood clotting factors.
The nurse enters a client's room to administer scheduled daily medications and
observes the client leaning forward and using pursed lip breathing. Which action is
most important for the nurse to implement first?
, HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
a. Evaluate the oxygen saturation - CORRECT ANSWERS Evaluate the oxygen
saturation
During a clinic visit, a client with a kidney transplant ask, "What will happen if
chronic rejection develops?" which response is best for the nurse to provide?
a. Dialysis would need to be resumed if chronic rejection becomes a reality -
CORRECT ANSWERS Dialysis would need to be resumed if chronic rejection
becomes a reality
The nurse enters a client's room and observe the unlicensed assistive personnel
(UAP) making an occupied bed as seen in the picture. What action should the nurse
take first?
a. Place the side rails in an up position - CORRECT ANSWERS Place the side rails
in an up position
A client with bleeding esophageal varices receives vasopressin (Pitressin) IV. What
should the nurse monitor for during the IV infusion of this medication?
a. Chest pain and dysrhythmia - CORRECT ANSWERS Chest pain and dysrhythmia
A nurse plans to call the healthcare provider to report an 0600 serum potassium
level of 2 mEq/L or mmol/L (SI), but the charge nurse tells the nurse that the
healthcare provider does not like to receive early morning calls and will make
rounds later in the morning. What action should the nurse make?
a. Contact the healthcare provider immediately to report the laboratory value
regardless of the advice - CORRECT ANSWERS Contact the healthcare provider
immediately to report the laboratory value regardless of the advice
A male client with cancer who has lost 10 pounds during the last months tells the
nurse that beef, chicken, and eggs, which used to be his favorite foods, now they
