HESI 799 RN EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2023/2024 ALL ANSWERS CORRECT VERIFIED TOP RANKED EXAM TO SCORE
A+ FOR SUCCESS
The nurse is making a home visit to a male client who is in the moderate stage of Alzheimer's
diseases. The client's wife is exhausted and tells the nurse that the family plans to take turns caring
for the client in their home, each keeping him for two weeks at a time. How should the nurse
respond?
a. Advise the client's spouse to consider inpatient hospice care as an alternative
b. Suggest that each rotation last one week, rather than two, to prevent caregiver fatigue
c. Use active listening to allow the client and spouse to express their feelings about the plan
d. Suggest enrolling the client in adult daycare instead of rotating among family. - CORRECT
ANSWERS b. Suggest enrolling the client in adult daycare instead of rotating among family
Rationale: Suggesting a viable alternative, such as adult daycare provides an option to allow the
spouse respite the least disruption to routines and environment.
A young adult male was admitted 36 hours ago for a head injury that occurred as the result of a
motorcycle accident. In the last 4 hours, his urine output has increased to over 200 ml/H. Before
reporting the finding to the healthcare provider, which intervention should the nurse implement?
a- Evaluate the urine osmolality and the serum osmolality values.
b- Obtain blood pressure and assess for dependent edema
c- Measure oral secretions suctioned during last hours
d- Obtain capillary blood samples q2 hours for glucose monitoring. - CORRECT ANSWERS a. Evaluate
the urine osmolality and the serum osmolality values.
Rationale: With a known head injury, sudden inadequate secretion of antidiuretic hormone (ADH)
can cause excessive output of diluted urine. Evaluating laboratory results should de determined to
identify findings of neurogenic diabetes insipidus (DI), such as low urine osmolarity and normal
serum osmolarity (A) prior to notify the healthcare provider so that these finding can be included in
the report. Massive diuresis, dehydration, and thirst manifest hypotension, irregular tachycardia,
decrease skin turgor, but B or C are not related to DI.
A male client has received a prescription for orlistat for weight and nutrition management. In
addition to the medication, the client states he plans to take a multivitamin. What teaching should
the nurse provide?
,HESI 799 RN EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2023/2024 ALL ANSWERS CORRECT VERIFIED TOP RANKED EXAM TO SCORE
A+ FOR SUCCESS
a. As a nutritional supplement, orlistat already contains all the recommended daily vitamins and
minerals.
b. Multivitamins are contraindicated. During treatment with weight-control medications such as
orlistat
c. Be sure to take the multivitamin and the medication at least two hours apart for best absorption
and effectiveness.
d. Following a well-balanced diet is a much healthier approach to good nutrition than depending on
a multivitamin. - CORRECT ANSWERS c. Be sure to take the multivitamin and the medication at least
two hours apart for best absorption and effectiveness
A female client is taking alendronate, a bisphosphate, for postmenopausal osteoporosis. The client
tells the nurse that she is experiencing jaw pain. How should the nurse respond?
a- Determine how the client is administering the medication
b- Confirm that this is a common symptom of osteoporosis
c- Report the client's jaw pain to the healthcare provider.
d- Advise the client to gargle with warm salt water twice daily. - CORRECT ANSWERS c. Report the
client's jaw pain to the healthcare provider.
Rationale: Bisphosponates, including alendronate, can cause osteonecrosis of jaw, which should be
reported to the healthcare provider © for evaluation. Incorrect administration (A) such as failing to
remain upright after taking the medication, can contribute to esophageal reactions, but does not
causes haw pain. Jaw pain is not a symptom of osteoporosis and is not relieved with saline throat
gargles.
Which intervention should the nurse implement for a client with a superficial (first degree) burn?
a. Spray an anesthetic agent over the burn every 3 to 4 hours
b. Position the burn victim in front of a cool fan to decrease discomfort
c. Apply ice pack for 30 mints to lower surface temperature
d. Place wet clothes on the burned areas for short periods of time. - CORRECT ANSWERS d. Place
wet cloths on the burned areas for short periods of time.
Rationale: D provides comfort and helps to relive the pain of a first degree burn, which involves only
the epidermal layer of the skin.
,HESI 799 RN EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2023/2024 ALL ANSWERS CORRECT VERIFIED TOP RANKED EXAM TO SCORE
A+ FOR SUCCESS
What is the primary goal when planning nursing care for a client with degenerative joint disease
(DJD)?
a. Obtain adequate rest and sleep
b. Achieve satisfactory pain control.
c. Improve stress management skills
d. Reduce risk for infection. - CORRECT ANSWERS b. Achieve satisfactory pain control.
An adult woman who is seen in the clinic with possible neuropathic pain of the right leg rates her
pain as a 7 on a 10 point scale. What action should the nurse take?
a. Elevate the foot and leg on two pillows
b. Measure the client's capillary glucose
c. Ask the client to dorsiflex the right foot.
d. Encourage the client to describe the pain. - CORRECT ANSWERS d. Encourage the client to
describe the pain.
Rationale: Neuropathic pain is caused by damage within the nervous system. Description of the pain
such as burning or numbness helps identify the pain as neuropathic, allowing appropriate treatment
to be initiated. Elevation is to unlikely to impact the pain. Persons with diabetes mellitus may
develop peripheral neuropathy, nut there is no immediate need to measure this client's capillary
glucose. (C) is not a useful intervention in assessing or managing neuropathic pain.
The nurse is caring for a client with an NG tube. Which task can the nurse delegate to the UAP?
a- Replace the NG tube as prescribed by the healthcare provider
b- Secure the NG tube if it slides out of the client's nasal passage
c- Disconnect the NG suction so the client can ambulate in the hallway.
d- Reconnect the NG suction when the client returns form ambulating. - CORRECT ANSWERS c.
Disconnect the NG suction so the client can ambulate in the hallway
, HESI 799 RN EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2023/2024 ALL ANSWERS CORRECT VERIFIED TOP RANKED EXAM TO SCORE
A+ FOR SUCCESS
The nurse is conducting the initial assessment of an ill client who is from another culture.... What
response should the nurse provide?
a- Can you read the written instructions is English?
b- "What practices do you believe will help you heal?"
c- What prescriptions must be strictly followed to get well.
d- You must believe that the medications will help you. - CORRECT ANSWERS b. What practices do
you believe will help you heal?"
Which interventions should the nurse include in a long-term plan of care for a client with COPD?
a- Reduce risk factors for infection
b- Administer high flow oxygen during sleep
c- Limit fluid intake to reduce secretions
d- Use diaphragmatic breathing to achieve better exhalation - CORRECT ANSWERS a. Reduce risk
factors for infection
Rationale: Interventions aimed at reducing the risk factors of infections should be included in the
plan of care COPD client are at particular risk for respiratory infection. Prevention and early detection
of infections are necessary
The nurse is collecting a sterile urine specimen using a straight catheter tray for culture.... (Arrange
from first action to last).
Correct Order: (DODU)
1. Drape the client in a recumbent position for privacy
2. Open the urinary catheterization tray
3. Don sterile gloves using aseptic technique
4. Use forceps and swaps to clean the urinary meatus - CORRECT ANSWERS 1. Drape the client in a
recumbent position for privacy
2. Open the urinary catheterization tray
3. Don sterile gloves using aseptic technique
2023/2024 ALL ANSWERS CORRECT VERIFIED TOP RANKED EXAM TO SCORE
A+ FOR SUCCESS
The nurse is making a home visit to a male client who is in the moderate stage of Alzheimer's
diseases. The client's wife is exhausted and tells the nurse that the family plans to take turns caring
for the client in their home, each keeping him for two weeks at a time. How should the nurse
respond?
a. Advise the client's spouse to consider inpatient hospice care as an alternative
b. Suggest that each rotation last one week, rather than two, to prevent caregiver fatigue
c. Use active listening to allow the client and spouse to express their feelings about the plan
d. Suggest enrolling the client in adult daycare instead of rotating among family. - CORRECT
ANSWERS b. Suggest enrolling the client in adult daycare instead of rotating among family
Rationale: Suggesting a viable alternative, such as adult daycare provides an option to allow the
spouse respite the least disruption to routines and environment.
A young adult male was admitted 36 hours ago for a head injury that occurred as the result of a
motorcycle accident. In the last 4 hours, his urine output has increased to over 200 ml/H. Before
reporting the finding to the healthcare provider, which intervention should the nurse implement?
a- Evaluate the urine osmolality and the serum osmolality values.
b- Obtain blood pressure and assess for dependent edema
c- Measure oral secretions suctioned during last hours
d- Obtain capillary blood samples q2 hours for glucose monitoring. - CORRECT ANSWERS a. Evaluate
the urine osmolality and the serum osmolality values.
Rationale: With a known head injury, sudden inadequate secretion of antidiuretic hormone (ADH)
can cause excessive output of diluted urine. Evaluating laboratory results should de determined to
identify findings of neurogenic diabetes insipidus (DI), such as low urine osmolarity and normal
serum osmolarity (A) prior to notify the healthcare provider so that these finding can be included in
the report. Massive diuresis, dehydration, and thirst manifest hypotension, irregular tachycardia,
decrease skin turgor, but B or C are not related to DI.
A male client has received a prescription for orlistat for weight and nutrition management. In
addition to the medication, the client states he plans to take a multivitamin. What teaching should
the nurse provide?
,HESI 799 RN EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2023/2024 ALL ANSWERS CORRECT VERIFIED TOP RANKED EXAM TO SCORE
A+ FOR SUCCESS
a. As a nutritional supplement, orlistat already contains all the recommended daily vitamins and
minerals.
b. Multivitamins are contraindicated. During treatment with weight-control medications such as
orlistat
c. Be sure to take the multivitamin and the medication at least two hours apart for best absorption
and effectiveness.
d. Following a well-balanced diet is a much healthier approach to good nutrition than depending on
a multivitamin. - CORRECT ANSWERS c. Be sure to take the multivitamin and the medication at least
two hours apart for best absorption and effectiveness
A female client is taking alendronate, a bisphosphate, for postmenopausal osteoporosis. The client
tells the nurse that she is experiencing jaw pain. How should the nurse respond?
a- Determine how the client is administering the medication
b- Confirm that this is a common symptom of osteoporosis
c- Report the client's jaw pain to the healthcare provider.
d- Advise the client to gargle with warm salt water twice daily. - CORRECT ANSWERS c. Report the
client's jaw pain to the healthcare provider.
Rationale: Bisphosponates, including alendronate, can cause osteonecrosis of jaw, which should be
reported to the healthcare provider © for evaluation. Incorrect administration (A) such as failing to
remain upright after taking the medication, can contribute to esophageal reactions, but does not
causes haw pain. Jaw pain is not a symptom of osteoporosis and is not relieved with saline throat
gargles.
Which intervention should the nurse implement for a client with a superficial (first degree) burn?
a. Spray an anesthetic agent over the burn every 3 to 4 hours
b. Position the burn victim in front of a cool fan to decrease discomfort
c. Apply ice pack for 30 mints to lower surface temperature
d. Place wet clothes on the burned areas for short periods of time. - CORRECT ANSWERS d. Place
wet cloths on the burned areas for short periods of time.
Rationale: D provides comfort and helps to relive the pain of a first degree burn, which involves only
the epidermal layer of the skin.
,HESI 799 RN EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2023/2024 ALL ANSWERS CORRECT VERIFIED TOP RANKED EXAM TO SCORE
A+ FOR SUCCESS
What is the primary goal when planning nursing care for a client with degenerative joint disease
(DJD)?
a. Obtain adequate rest and sleep
b. Achieve satisfactory pain control.
c. Improve stress management skills
d. Reduce risk for infection. - CORRECT ANSWERS b. Achieve satisfactory pain control.
An adult woman who is seen in the clinic with possible neuropathic pain of the right leg rates her
pain as a 7 on a 10 point scale. What action should the nurse take?
a. Elevate the foot and leg on two pillows
b. Measure the client's capillary glucose
c. Ask the client to dorsiflex the right foot.
d. Encourage the client to describe the pain. - CORRECT ANSWERS d. Encourage the client to
describe the pain.
Rationale: Neuropathic pain is caused by damage within the nervous system. Description of the pain
such as burning or numbness helps identify the pain as neuropathic, allowing appropriate treatment
to be initiated. Elevation is to unlikely to impact the pain. Persons with diabetes mellitus may
develop peripheral neuropathy, nut there is no immediate need to measure this client's capillary
glucose. (C) is not a useful intervention in assessing or managing neuropathic pain.
The nurse is caring for a client with an NG tube. Which task can the nurse delegate to the UAP?
a- Replace the NG tube as prescribed by the healthcare provider
b- Secure the NG tube if it slides out of the client's nasal passage
c- Disconnect the NG suction so the client can ambulate in the hallway.
d- Reconnect the NG suction when the client returns form ambulating. - CORRECT ANSWERS c.
Disconnect the NG suction so the client can ambulate in the hallway
, HESI 799 RN EXIT EXAM QUESTIONS AND ANSWERS LATEST UPDATE
2023/2024 ALL ANSWERS CORRECT VERIFIED TOP RANKED EXAM TO SCORE
A+ FOR SUCCESS
The nurse is conducting the initial assessment of an ill client who is from another culture.... What
response should the nurse provide?
a- Can you read the written instructions is English?
b- "What practices do you believe will help you heal?"
c- What prescriptions must be strictly followed to get well.
d- You must believe that the medications will help you. - CORRECT ANSWERS b. What practices do
you believe will help you heal?"
Which interventions should the nurse include in a long-term plan of care for a client with COPD?
a- Reduce risk factors for infection
b- Administer high flow oxygen during sleep
c- Limit fluid intake to reduce secretions
d- Use diaphragmatic breathing to achieve better exhalation - CORRECT ANSWERS a. Reduce risk
factors for infection
Rationale: Interventions aimed at reducing the risk factors of infections should be included in the
plan of care COPD client are at particular risk for respiratory infection. Prevention and early detection
of infections are necessary
The nurse is collecting a sterile urine specimen using a straight catheter tray for culture.... (Arrange
from first action to last).
Correct Order: (DODU)
1. Drape the client in a recumbent position for privacy
2. Open the urinary catheterization tray
3. Don sterile gloves using aseptic technique
4. Use forceps and swaps to clean the urinary meatus - CORRECT ANSWERS 1. Drape the client in a
recumbent position for privacy
2. Open the urinary catheterization tray
3. Don sterile gloves using aseptic technique
