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
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.)
,HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
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?
a. Evaluate the oxygen saturation - CORRECT ANSWERS Evaluate the oxygen saturation
, HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
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 taste "bitter". He complains that he
simply has no appetite. What action should the nurse implement?
a. Suggest the use of alternative sources of protein such as dairy products and nuts - CORRECT
ANSWERS Suggest the use of alternative sources of protein such as dairy products and nuts
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
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.)
,HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
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?
a. Evaluate the oxygen saturation - CORRECT ANSWERS Evaluate the oxygen saturation
, HESI 799 RN Exit Test Exam with Questions
and Answers 2024/2025 RANKED A+
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 taste "bitter". He complains that he
simply has no appetite. What action should the nurse implement?
a. Suggest the use of alternative sources of protein such as dairy products and nuts - CORRECT
ANSWERS Suggest the use of alternative sources of protein such as dairy products and nuts
