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HESI EXIT EXAM 799 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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HESI EXIT EXAM 799 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • September 12, 2024
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HESI EXIT EXAM 799 QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
FollowingTdischargeTteaching,TaTmaleTclientTwithTduodenalTulcerTtellsTtheTnurseTtheTheTwillTdrinkTplentyTofT
dairyTproducts,TsuchTasTmilk,TtoThelpTcoatTandTprotectThisTulcer.TWhatTisTtheTbestTfollow-
upTactionTbyTtheTnurse?

a.TRemindTtheTclientTthatTitTisTalsoTimportantTtoTswitchTtoTdecaffeinatedTcoffeeTandTtea.

b.TSuggestTthatTtheTclientTalsoTplanTtoTeatTfrequentTsmallTmealsTtoTreduceTdiscomfort

c.TReviewTwithTtheTclientTtheTneedTtoTavoidTfoodsTthatTareTrichTinTmilkTandTcream.

d.TReinforceTthisTteachingTbyTaskingTtheTclientTtoTlistTaTdairyTfoodTthatTheTmightTselect.T-
TANSWERTc.TReviewTwithTtheTclientTtheTneedTtoTavoidTfoodsTthatTareTrichTinTmilkTandTcream.




TheTnurseTobservesTanTunlicensedTassistiveTpersonnelT(UAP)TpositioningTaTnewlyTadmittedTclientTwhoThasT
aTseizureTdisorder.TTheTclientTisTsupineTandTtheTUAPTisTplacingTsoftTpillowsTalongTtheTsideTrails.TWhatTaction
TshouldTtheTnurseTimplement?



a.TEnsureTthatTtheTUAPThasTplacedTtheTpillowsTeffectivelyTtoTprotectTtheTclient.

b.TInstructTtheTUAPTtoTobtainTsoftTblanketsTtoTsecureTtoTtheTsideTrailsTinsteadTofTpillows.

c.TAssumeTresponsibilityTforTplacingTtheTpillowsTwhileTtheTUAPTcompletesTanotherTtask.

d.TAskTtheTUAPTtoTuseTsomeTofTtheTpillowsTtoTpropTtheTclientTinTaTsideTlyingTposition.T-
TANSWERTb.TInstructTtheTUAPTtoTobtainTsoftTblanketsTtoTsecureTtoTtheTsideTrailsTinsteadTofTpillows.




ATmaleTclientTwithThypertension,TwhoTreceivedTnewTantihypertensiveTprescriptionsTatThisTlastTvisitTreturnsT
toTtheTclinicTtwoTweeksTlaterTtoTevaluateThisTbloodTpressureT(BP).THisTBPTisT158/106TandTheTadmitsTthatTheT
hasTnotTbeenTtakingTtheTprescribedTmedicationTbecauseTtheTdrugsTmakeThimT"feelTbad".TInTexplainingTtheT
needTforThypertensionTcontrol,TtheTnurseTshouldTstressTthatTanTelevatedTBPTplacesTtheTclientTatTriskTforTwh
ichTpathophysiologicalTcondition?

a.TBlindnessTsecondaryTtoTcataracts

b.TAcuteTkidneyTinjuryTdueTtoTglomerularTdamage

c.TStrokeTsecondaryTtoThemorrhage

d.THeartTblockTdueTtoTmyocardialTdamageT-TANSWERTc.TStrokeTsecondaryTtoThemorrhage



AnTadolescentTwithTmajorTdepressiveTdisorderThasTbeenTtakingTduloxetineT(Cymbalta)TforTtheTpastT12Tdays
.TWhichTassessmentTfindingTrequiresTimmediateTfollow-up

,a.TDescribesTlifeTwithoutTpurpose

b.TComplainsTofTnauseaTandTlossTofTappetite

c.TStatesTisToftenTfatiguedTandTdrowsy

d.TExhibitsTanTincreaseTinTsweating.T-TANSWERTa.TDescribesTlifeTwithoutTpurpose



AT60-year-
oldTfemaleTclientTwithTaTpositiveTfamilyThistoryTofTovarianTcancerThasTdevelopedTanTabdominalTmassTandTis
TbeingTevaluatedTforTpossibleTovarianTcancer.THerTPapanicolauT(Pap)TsmearTresultsTareTnegative.TWhatTinfo

rmationTshouldTtheTnurseTincludeTinTtheTclient'sTteachingTplan

a.TFurtherTevaluationTinvolvingTsurgeryTmayTbeTneeded

b.TATpelvicTexamTisTalsoTneededTbeforeTcancerTisTruledTout

c.TPapTsmearTevaluationTshouldTbeTcontinuedTeveryTsixTmonth

d.TOneTadditionalTnegativeTpapTsmearTinTsixTmonthsTisTneeded.T-
TANSWERTa.TFurtherTevaluationTinvolvingTsurgeryTmayTbeTneeded




ATclientTwhoTrecentlyTunderwentTaTtracheostomyTisTbeingTpreparedTforTdischargeTtoThome.TWhichTinstruct
ionsTisTmostTimportantTforTtheTnurseTtoTincludeTinTtheTdischargeTplan?

a.TExplainThowTtoTuseTcommunicationTtools.

b.TTeachTtrachealTsuctioningTtechniques

c.TEncourageTself-careTandTindependence.

d.TDemonstrateThowTtoTcleanTtracheostomyTsite.T-TANSWERTb.TTeachTtrachealTsuctioningTtechniques



InTassessingTanTadultTclientTwithTaTpartialTrebreatherTmask,TtheTnurseTnotesTthatTtheToxygenTreservoirTbagT
doesTnotTdeflateTcompletelyTduringTinspirationTandTtheTclient'sTrespiratoryTrateTisT14TbreathsT/Tminute.TW
hatTactionTshouldTtheTnurseTimplement

a.TEncourageTtheTclientTtoTtakeTdeepTbreaths

b.TRemoveTtheTmaskTtoTdeflateTtheTbag

c.TIncreaseTtheTliterTflowTofToxygen

d.TDocumentTtheTassessmentTdataT-TANSWERTd.TDocumentTtheTassessmentTdata



DuringTshiftTreport,TtheTcentralTelectrocardiogramT(EKG)TmonitoringTsystemTalarms.TWhichTclientTalarmTsh
ouldTtheTnurseTinvestigateTfirst?

,a.TRespiratoryTapneaTofT30Tseconds

b.TOxygenTsaturationTrateTofT88%

c.TEightTprematureTventricularTbeatsTeveryTminute

d.TDisconnectedTmonitorTsignalTforTtheTlastT6Tminutes.T-TANSWERTa.TRespiratoryTapneaTofT30Tseconds



DuringTaThomeTvisit,TtheTnurseTobservedTanTelderlyTclientTwithTdiabetesTslipTandTfall.TWhatTactionTshouldTt
heTnurseTtakeTfirst?



a.TGiveTtheTclientT4TouncesTofTorangeTjuice

b.TCallT911TtoTsummonTemergencyTassistance

c.TCheckTtheTclientTforTlacerationsTorTfractures

d.TAssesTclientsTbloodTsugarTlevelT-TANSWERTc.TCheckTtheTclientTforTlacerationsTorTfractures



AtT0600TwhileTadmittingTaTwomanTforTaTscheduleTrepeatTcesareanTsectionT(C-
Section),TtheTclientTtellsTtheTnurseTthatTsheTdrankTaTcupTaTcoffeeTatT0400TbecauseTsheTwantedTtoTavoidTgett
ingTaTheadache.TWhichTactionTshouldTtheTnurseTtakeTfirst?

a.TEnsureTpreoperativeTlabTresultsTareTavailable

b.TStartTprescribedTIVTwithTlactatedTRinger's

c.TInformTtheTanesthesiaTcareTprovider

d.TContactTtheTclient'sTobstetrician.T-TANSWERTc.TInformTtheTanesthesiaTcareTprovider



AfterTplacingTaTstethoscopeTasTseenTinTtheTpicture,TtheTnurseTauscultatesTS1TandTS2TheartTsounds.TToTdeter
mineTifTanTS3TheartTsoundTisTpresent,TwhatTactionTshouldTtheTnurseTtakeTfirst

a.TSideTtheTstethoscopeTacrossTtheTsternum.

b.TMoveTtheTstethoscopeTtoTtheTmitralTsite

c.TListenTwithTtheTbellTatTtheTsameTlocation

d.TObserveTtheTcardiacTtelemetryTmonitorT-TANSWERTc.TListenTwithTtheTbellTatTtheTsameTlocation



AT66-year-
oldTwomanTisTretiringTandTwillTnoTlongerThaveTaThealthTinsuranceTthroughTherTplaceTofTemployment.TWhic
hTagencyTshouldTtheTclientTbeTreferredTtoTbyTtheTemployeeThealthTnurseTforThealthTinsuranceTneeds?

, a.TWoman,TInfant,TandTChildrenTprogram

b.TMedicaid

c.TMedicare

d.TConsolidatedTOmnibusTBudgetTReconciliationTActTprovision.T-TANSWERTc.TMedicare



ATclientTwhoTisTtakingTanToralTdoseTofTaTtetracyclineTcomplainsTofTgastrointestinalTupset.TWhatTsnackTshoul
dTtheTnurseTinstructTtheTclientTtoTtakeTwithTtheTtetracycline?

a.TFruit-flavoredTyogurt.

b.TCheeseTandTcrackers.

c.TColdTcerealTwithTskimTmilk.

d.TToastedTwheatTbreadTandTjellyT-TANSWERTd.TToastedTwheatTbreadTandTjelly



FollowingTaTlumbarTpuncture,TaTclientTvoicesTseveralTcomplaints.TWhatTcomplaintTindicatedTtoTtheTnurseTt
hatTtheTclientTisTexperiencingTaTcomplication?

a.T"ITamThavingTpainTinTmyTlowerTbackTwhenTITmoveTmyTlegs"

b.T"MyTthroatThurtsTwhenTITswallow"

c.T"ITfeelTsickTtoTmyTstomachTandTamTgoingTtoTthrowTup"

d.TIThaveTaTheadacheTthatTgetsTworseTwhenTITsitTup"T-
TANSWERTd.TIThaveTaTheadacheTthatTgetsTworseTwhenTITsitTup"




AnTelderlyTclientTseemsTconfusedTandTreportsTtheTonsetTofTnausea,Tdysuria,TandTurgencyTwithTincontinenc
e.TWhichTactionTshouldTtheTnurseTimplement

a.TAuscultateTforTrenalTbruits

b.TObtainTaTcleanTcatchTmid-streamTspecimen

c.TUseTaTdipstickTtoTmeasureTforTurinaryTketone

d.TBeginTtoTstrainTtheTclient'sTurine.T-TANSWERTb.TObtainTaTcleanTcatchTmid-streamTspecimen



TheTnurseTisTassistingTtheTmotherTofTaTchildTwithTphenylketonuriaT(PKU)TtoTselectTfoodsTthatTareTinTkeeping
TwithTtheTchild'sTdietaryTrestrictions.TWhichTfoodsTareTcontraindicatedTforTthisTchild?



a.TWheatTproducts

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