Exam (elaborations)
HESI EXIT EXAM 799 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
HESI EXIT EXAM 799 QUESTIONS AND ANSWERS WITH SOLUTIONS 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