HESI 799 RN Exit Exam
HESI 799 RN EXIT EXAM COMPLETE 700+ RECENT QUESTIONS
AND CORRECT VERIFIED ANSWERS/ RN HESI EXIT EXAM FOR
THE RN HESI EXIT PREP (NEW!)2025/2026
The charge nurse of critical care unit informed at beginning of shift that less than
optimal number registered nurses be working that shift. In planning assignments,
which client should receive most care hours by a registered nurse
a. A 34 yo admitted today after emergency appendendectomy who has peripheral
intravenous catheter, Foley catheter.
b. A 48 yo marathon runner w/a central venous catheter experiencing nausea,
vomiting due to electrolyte disturbance following a race.
c. A 63 yo chain smoker w/ chronic bronchitis receiving O2 nasal cannula and a
saline-locked peripheral intravenous catheter.
d. An 82 yo client with Alzheimer's disease newly-fractures femur w/Foley
catheter and soft wrist restrains applied
An 82-year-old client with Alzheimer's disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
Rationale: (D) describe the client at the most risk for injury and complications
because of the factor listed. (A) has complete the recovery period form
anesthesia but requires critical care because of the invasive lines and new
abdominal incision. (B) is likely to be in excellent physical condition and has one
invasive line needed for rehydration. (C) is essentially stable, despite having a
chronic condition.
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through
the shoe and pierced the bottom of the child's foot. Which action should the
nurse implement first?
1|Page
, HESI 799 RN Exit Exam
a. Cleanse the foot with soap and water and apply an antibiotic ointment
b. Provide teaching about the need for a tetanus booster within the next 72 hours.
c. have the mother check the child's temperature q4h for the next 24 hours
d. transfer the child to the emergency department to receive a gamma globulin
injection
Cleanse the foot with soap and water and apply an antibiotic ointment
Rationale: The nurse should cleanse the wound first and implement B next.
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
a. Antibiotics take two weeks to become effective against infections such as
athlete's foot.
b. Continue using the ointment for a full week, even after the symptoms
disappear.
c. Applying too much ointment can deter its effectiveness. Apply a thin layer to
prevent maceration.
d. Stop using the ointment and encourage complete drying of the feet and
wearing clean socks.
Stop using the ointment and encourage complete drying of the feet and wearing
clean socks.
Rationale: Athlete's foot (tinea pedi) is a fungal infection that afflicts the feet
and causes scaliness and cracking of the skin between the toes and on the soles
of the feet. The feet should be ventilated, dried well after bathing, and clean
socks should be placed on the feet after bathing. Antifungal ointments may be
prescribed, but antibiotic ointments are not useful.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
2|Page
, HESI 799 RN Exit Exam
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
Rationale: An overdose of thyroid preparation generally manifests symptoms of
an agitated state such as tremors, palpitations, shortness of breath, tachycardia,
increased appetite, agitation, sweating and diarrhea.
A client with a history of heart failure presents to the clinic with a nausea,
vomiting, yellow vision and palpitations. Which finding is most important for the
nurse to assess to the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
d. Ask the client about exposure to environmental heat.
Obtain a list of medications taken for cardiac history
Rationale: The client is presenting with signs of digitalis toxicity. A list of
medication, which is likely to include digoxin (Lanoxin) for heart failure, can
direct further assessment in validating digitalis toxicity with serum labels greater
than 2 mg/ml that is contributing to client's presenting clinical picture.
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg
in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pump
to deliver how many ml/hour? (Enter numeric value only.)
3|Page
, HESI 799 RN Exit Exam
75
75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour /
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply)
a. Bleeding that results from a decreased production of the body's clotting factors
b. Fluid shifts from intravascular to interstitial area due to decreased serum
protein
c. Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
d. Increased circulating aldosterone levels that increase sodium and water
retention
e. Decreased absorption of fatty acids in the duodenum leading to abdominal
distention.
b. Fluid shifts from intravascular to interstitial area due to decreased serum
protein
c. Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
d. Increased circulating aldosterone levels that increase sodium and water
retention
Rationale: When liver fail production of albumin is reduced. Since albumin is the
primary serum protein creating intravascular osmotic pressure, decreased serum
protein allows a fluids shift into the interstitial space. Pressure increases in the
portal circulation © when venous return from the upper GI tract cannot flow
freely into sclerosed liver, which cause a pressure gradient to further Increase
4|Page
HESI 799 RN EXIT EXAM COMPLETE 700+ RECENT QUESTIONS
AND CORRECT VERIFIED ANSWERS/ RN HESI EXIT EXAM FOR
THE RN HESI EXIT PREP (NEW!)2025/2026
The charge nurse of critical care unit informed at beginning of shift that less than
optimal number registered nurses be working that shift. In planning assignments,
which client should receive most care hours by a registered nurse
a. A 34 yo admitted today after emergency appendendectomy who has peripheral
intravenous catheter, Foley catheter.
b. A 48 yo marathon runner w/a central venous catheter experiencing nausea,
vomiting due to electrolyte disturbance following a race.
c. A 63 yo chain smoker w/ chronic bronchitis receiving O2 nasal cannula and a
saline-locked peripheral intravenous catheter.
d. An 82 yo client with Alzheimer's disease newly-fractures femur w/Foley
catheter and soft wrist restrains applied
An 82-year-old client with Alzheimer's disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied
Rationale: (D) describe the client at the most risk for injury and complications
because of the factor listed. (A) has complete the recovery period form
anesthesia but requires critical care because of the invasive lines and new
abdominal incision. (B) is likely to be in excellent physical condition and has one
invasive line needed for rehydration. (C) is essentially stable, despite having a
chronic condition.
A mother brings her 6-year-old child, who has just stepped on a rusty nail, to the
pediatrician's office. Upon inspection, the nurse notes that the nail went through
the shoe and pierced the bottom of the child's foot. Which action should the
nurse implement first?
1|Page
, HESI 799 RN Exit Exam
a. Cleanse the foot with soap and water and apply an antibiotic ointment
b. Provide teaching about the need for a tetanus booster within the next 72 hours.
c. have the mother check the child's temperature q4h for the next 24 hours
d. transfer the child to the emergency department to receive a gamma globulin
injection
Cleanse the foot with soap and water and apply an antibiotic ointment
Rationale: The nurse should cleanse the wound first and implement B next.
The mother of an adolescent tells the clinic nurse, "My son has athlete's foot, I
have been applying triple antibiotic ointment for two days, but there has been no
improvement." What instruction should the nurse provide?
a. Antibiotics take two weeks to become effective against infections such as
athlete's foot.
b. Continue using the ointment for a full week, even after the symptoms
disappear.
c. Applying too much ointment can deter its effectiveness. Apply a thin layer to
prevent maceration.
d. Stop using the ointment and encourage complete drying of the feet and
wearing clean socks.
Stop using the ointment and encourage complete drying of the feet and wearing
clean socks.
Rationale: Athlete's foot (tinea pedi) is a fungal infection that afflicts the feet
and causes scaliness and cracking of the skin between the toes and on the soles
of the feet. The feet should be ventilated, dried well after bathing, and clean
socks should be placed on the feet after bathing. Antifungal ointments may be
prescribed, but antibiotic ointments are not useful.
A 26-year-old female client is admitted to the hospital for treatment of a simple
goiter, and levothyroxine sodium (Synthroid) is prescribed. Which symptoms
2|Page
, HESI 799 RN Exit Exam
indicate to the nurse that the prescribed dosage is too high for this client? The
client experiences
a. Palpitations and shortness of breath
b. Bradycardia and constipation
c. Lethargy and lack of appetite
d. Muscle cramping and dry, flushed skin
Palpitations and shortness of breath
Rationale: An overdose of thyroid preparation generally manifests symptoms of
an agitated state such as tremors, palpitations, shortness of breath, tachycardia,
increased appetite, agitation, sweating and diarrhea.
A client with a history of heart failure presents to the clinic with a nausea,
vomiting, yellow vision and palpitations. Which finding is most important for the
nurse to assess to the client?
a. Determine the client's level of orientation and cognition
b. Assess distal pulses and signs of peripheral edema
c. Obtain a list of medications taken for cardiac history.
d. Ask the client about exposure to environmental heat.
Obtain a list of medications taken for cardiac history
Rationale: The client is presenting with signs of digitalis toxicity. A list of
medication, which is likely to include digoxin (Lanoxin) for heart failure, can
direct further assessment in validating digitalis toxicity with serum labels greater
than 2 mg/ml that is contributing to client's presenting clinical picture.
The healthcare provider prescribes an IV solution of isoproterenol (Isuprel) 1 mg
in 250 ml of D5W at 300 mcg/hour. The nurse should program the infusion pump
to deliver how many ml/hour? (Enter numeric value only.)
3|Page
, HESI 799 RN Exit Exam
75
75
Rationale: Convert mg to mcg and use the formula D/H x Q. 300 mcg/hour /
1,000 mcg x 250 ml = 3/1 x 25 = 75 ml/hour
The pathophysiological mechanism are responsible for ascites related to liver
failure? (Select all that apply)
a. Bleeding that results from a decreased production of the body's clotting factors
b. Fluid shifts from intravascular to interstitial area due to decreased serum
protein
c. Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
d. Increased circulating aldosterone levels that increase sodium and water
retention
e. Decreased absorption of fatty acids in the duodenum leading to abdominal
distention.
b. Fluid shifts from intravascular to interstitial area due to decreased serum
protein
c. Increased hydrostatic pressure in portal circulation increases fluid shifts into
abdomen
d. Increased circulating aldosterone levels that increase sodium and water
retention
Rationale: When liver fail production of albumin is reduced. Since albumin is the
primary serum protein creating intravascular osmotic pressure, decreased serum
protein allows a fluids shift into the interstitial space. Pressure increases in the
portal circulation © when venous return from the upper GI tract cannot flow
freely into sclerosed liver, which cause a pressure gradient to further Increase
4|Page
