Hesi 799 rn exit exam cs 2024 practice exam questions and answers

‫م‬V8:41V2024/3/3 HESIV799VRNVEXITVEXAMVCSV2024VPracticeVEXAMVQuestionsVANDVAns
0 wers




HESI 799 RN EXIT EXAM/ CS 2024 PRACT
V V V V V V V


ICE EXAM QUESTIONS ANDANSWERS
V V V V



FollowingV dischargeV teaching,VaVmaleVclientV withVduodenalV ulcerV tellsVtheVnurseV theVheV willV
drinkVplentyVofVdairyVproducts,VsuchVasVmilk,VtoVhelpVcoatVandVprotectVhisVulcer.VWhatVisVth
eVbestVfollow-VupVactionVbyVtheVnurse?

a. RemindVtheVclientVthatVitVisValsoVimportantVtoVswitchVtoVdecaffeinatedVcoffeeVandVtea.
b. SuggestVthatVtheVclientValsoVplanV toVeatV frequentVsmallVmealsVtoVreduceVdiscomfort
c. ReviewVwithVtheVclientVtheVneedVtoVavoidVfoodsVthatVareVrichVinV milkVandVcream.
d. ReinforceVthisVteachingVbyVaskingVtheVclientVtoVlistVaVdairyVfoodVthatV heVmightV

select.VReviewVwithVtheVclientVtheVneedVtoVavoidVfoodsVthatVareVrichVinVmilkVandV

cream

Rationale:VDietsVrichVinVmilkVandVcreamV stimulateVgastricVacidVsecretionVandVshouldVbeVavoided.

AVmaleVclientV withVhypertension,V whoVreceivedVnewVantihypertensiveVprescriptionsVatVhisVl
astVvisitVreturnsVtoVtheVclinicVtwoVweeksVlaterVtoVevaluateVhisVbloodV pressureV(BP).VHisVBPV
isV158/106VandVheVadmitsVthatVheV hasVnotVbeenVtakingVtheV prescribedVmedicationVbecause
V theVdrugsVmakeVhimV"feelVbad".VInVexplainingVtheV needVforVhypertensionVcontrol,VtheV nur
seVshouldVstressV thatVanVelevatedVBPVplacesVtheVclientVatVriskVforVwhichVpathophysiologicalV
condition?

a. BlindnessVsecondaryVtoVcataracts
b. AcuteV kidneyV injuryV dueV toV glomerularV damage
c. StrokeVsecondaryV toVhemorrhage
d. HeartVblockVdueVtoVmyocardialVdama

geVStrokeVsecondaryVtoVhemorrhage

Rationale:VStrokeVrelatedVtoVcerebralVhemorrhageVisV majorVriskVforVuncontrolledV hyperten
sion.VBrainpower

ReadVMor

eVPreviousV

Play

Next




about:blank 1/242

,‫م‬V8:41V2024/3/3 HESIV799VRNVEXITVEXAMVCSV2024VPracticeVEXAMVQuestionsVANDVAns
0 wers




RewindV10Vseconds
MoveVforwardV10Vsecond

sVUnmute

0:00
/

0:00

FullVscreen

TheV nurseV observesV anVunlicensedV assistiveV personnelV(UAP)V positioningV aVnewlyV admittedV c
lientVwhoVhasVaVseizureVdisorder.VTheVclientVisVsupineVandVtheVUAPVisVplacingVsoftVpillowsVal
ongVtheVsideVrails.VWhatVactionVshouldVtheVnurseVimplement?



a. EnsureVthatVtheVUAPVhasVplacedVtheVpillowsVeffectivelyVtoV protectVtheVclient.
b. InstructVtheVUAPVtoVobtainVsoftVblanketsVtoVsecureVtoVtheVsideVrailsVinsteadVofVpillows.
c. AssumeVresponsibilityV forV placingV theV pillowsVwhileV theV UAPV completesV anotherVtask.
d. AskVtheVUAPVtoVuseVsomeVofVtheVpillowsVtoVpropVtheVclientVinVaVsideVlyingV p
osition.VInstructVtheVUAPVtoVobtainVsoftVblanketsVtoVsecureVtoVtheVsideVrailsVinst
eadVofVpillows

Rationale:VTheVnurseVshouldV instructVtheVUAPV toVpadVtheVsideV railsVwithVsoftVblankestVbeca
useVtheVuseVofVpillowsVcouldVresultVinVsuffocationVandVwouldV needVtoVbeVremovedVatVtheVon
setVofVtheVseizure.VTheVnurseVcanVdelegateVpaddlingVtheVsideVrailsVtoVtheVUAP
AnVadolescentV withV majorV depressiveV disorderV hasVbeenV takingVduloxetineV (Cymbalta)Vfo
rV theVpastV12Vdays.VWhichVassessmentVfindingVrequiresVimmediateVfollow-up

a. DescribesV lifeV withoutV purpose
b. ComplainsVofV nauseaVandV lossVofV appetite
c. StatesVisVoftenVfatiguedVandVdrowsy
d. ExhibitsVanVincreaseVinVsweatin

g.VDescribesVlifeVwithoutVpurpose

Rationale:VCymbaltaVisVaVselectiveVserotoninVandVnorepinephrineVreuptakeVinhibitorVth
atVisVknownVtoVincreaseVtheVriskVofVsuicidalVthinkingVinVadolescentsVandVyoungVadultsV
withVmajorVdepressiveVdisorder.VB,VCVandVDVareVsideVeffects

AV60-year-
oldVfemaleVclientVwithVaVpositiveVfamilyV historyVofVovarianVcancerV hasVdevelopedVanVabd
ominalVmassVandVisVbeingVevaluatedVforVpossibleVovarianVcancer.VHerVPapanicolauV(Pap)




about:blank 2/242

,‫م‬V8:41V2024/3/3 HESIV799VRNVEXITVEXAMVCSV2024VPracticeVEXAMVQuestionsVANDVAns
0 wers




smearVresultsVareV negative.VWhatV informationVshouldV theV nurseVincludeVinVtheVclient'sVte
achingVplan

a. FurtherVevaluationVinvolvingVsurgeryV mayVbeVneeded
b. AVpelvicVexamVisValsoVneededVbeforeVcancerVisVruledVout
c. PapVsmearVevaluationVshouldV beVcontinuedVeveryVsixV month
d. OneVadditionalV negativeVpapVsmearVinVsixVmonthsVisVnee

ded.VFurtherVevaluationVinvolvingVsurgeryVmayVbeVneeded

Rationale:VAnVabdominalV massVinV aVclientVwithVaVfamilyV historyVforVovarianVcancerV sho
uldVbeVevaluatedVcarefully
AVclientVwhoVrecentlyV underwentVaVtracheostomyVisVbeingVpreparedVforVdischargeVtoV
home.VWhichVinstructionsVisVmostVimportantVforVtheVnurseVtoVincludeVinVtheVdischarge
Vplan?


a. ExplainVhowVtoV useVcommunicationV tools.
b. TeachVtrachealVsuctioningVtechniques
c. EncourageVself-careV andV independence.
d. DemonstrateVhowVtoVcleanVtracheostomyVsi

te.VTeachVtrachealVsuctioningVtechniques

Rationale:VSuctioningV helpsVtoVclearVsecretionsVandVmaintainVanVopenVairway,V whichVisVcritical.
InVassessingVanVadultVclientV withVaVpartialVrebreatherVmask,VtheVnurseVnotesVthatVtheVoxy
genVreservoirVbagV doesVnotV deflateVcompletelyV duringV inspirationVandVtheVclient'sVrespirat
oryVrateVisV14VbreathsV/Vminute.VWhatVactionVshouldVtheVnurseVimplement

a. EncourageVtheVclientVtoVtakeVdeepVbreaths
b. RemoveVtheVmaskV toVdeflateV theV bag
c. IncreaseVtheVliterVflowVofVoxygen
d. DocumentVtheVassessmentVdat

aVDocumentVtheVassessmentVdat

a

Rational:VreservoirV bagV shouldV notV deflateV completelyV duringV inspirationV andVtheV cli
ent'sVrespiratoryVrateVisVwithinVnormalVlimits.

DuringVshiftV report,VtheV centralVelectrocardiogramV(EKG)V monitoringVsystemValarms.V WhichV
clientValarmVshouldVtheVnurseVinvestigateVfirst?

a. RespiratoryVapneaVofV30Vseconds
b. OxygenVsaturationVrateVofV88%




about:blank 3/242

, ‫م‬V8:41V2024/3/3 HESIV799VRNVEXITVEXAMVCSV2024VPracticeVEXAMVQuestionsVANDVAns
0 wers




c. EightVprematureVventricularVbeatsVeveryV minute
d. DisconnectedVmonitorVsignalVforVtheVlastV6Vminut

es.VRespiratoryVapneaVofV30Vseconds

Rationale:VTheV priorityV isV theV clientV whoseV alarmV indicatingV respiratoryV apneaVthatV shou
ldV beVassessedVfirst.
DuringVaV homeVvisit,V theV nurseVobservedVanVelderlyV clientVwithVdiabetesVslipV andVfall.VWhat
VactionVshouldVtheVnurseVtakeVfirst?


a. GiveVtheVclientV 4VouncesVofVorangeVjuice
b. CallVtt11V toV summonV emergencyVassistance
c. CheckVtheVclientVforVlacerationsVorVfractures
d. AssesVclientsV bloodVsugarVlevel

CheckVtheVclientVforVlacerationsVorVfractures

Rationale:VAfterV theV clientVfalls,V theV nurseVshouldVimmediatelyV assessVforVtheV possibil
ityVofVinjuriesVandVprovideVfirstVaidVasVneeded

AtV0600V whileVadmittingV aVwomanVforV aVscheduleV repeatVcesareanVsectionV (C-
Section),V theVclientVtellsVtheVnurseVthatVsheVdrankVaVcupVaVcoffeeVatV0400VbecauseVsheVwan
tedVtoVavoidVgettingVaVheadache.VWhichVactionVshouldVtheVnurseVtakeVfirst?

a. EnsureVpreoperativeVlabVresultsVareVavailable
b. StartV prescribedVIVV withVlactatedVRinger's
c. InformVtheVanesthesiaVcareVprovider
d. ContactV theVclient'sVobstetrician

.VInformVtheVanesthesiaVcareVprovi

der

Rationale:VSurgicalV preoperativeVinstructionVincludesV NPOVafterVmidnightVtheVdayVofVsurger
yVtoVdecreaseV theV riskV ofV aspirationV shouldVvomitingV occurV duringV anesthesia.V WhileV itV isV p
ossibleV theVC-
sectionVwillVbeVdoneVonVscheduleVorVrescheduledVforVlaterVinVtheV day,V theVanesthesiaVprovi
derVshouldVbeVnotifiedVfirst.
AfterVplacingVaVstethoscopeVasVseenVinVtheVpicture,V theV nurseVauscultatesVS1VandVS2VheartVsoun
ds.
ToVdetermineVifVanVS3VheartVsoundVisVpresent,VwhatVactionVshouldVtheVnurseVtakeVfirst

a. SideVtheVstethoscopeVacrossVtheVsternum.
b. MoveVtheVstethoscopeVtoVtheVmitralVsite
c. ListenVwithVtheVbellVatVtheVsameVlocation
d. ObserveV theV cardiacV telemetryV monitor




about:blank 4/242