HESI 799 RN Exit Exam 2024 Questions And Correct Answers
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Course
HESI 799 RN
Institution
HESI 799 RN
HESI 799 RN Exit Exam 2024
Questions And Correct Answers
The nurse is explaining the need to reduce salt intake to a client
with primary hypertension. What explanation should the nurse
provide?
a. High salt can damage the lining of the blood vessels
b. Too much salt can cau...
HESI 799 RN Exit Exam 2024
Questions And Correct Answers
The nurse is explaining the need to reduce salt intake to a client
with primary hypertension. What explanation should the nurse
provide?
a. High salt can damage the lining of the blood vessels
b. Too much salt can cause the kidneys to retain fluid
c. Excessive salt can cause blood vessels to constrict
d. Salt can cause information inside the blood vessels - ANSWER
✔ b. Too much salt can cause the kidneys to retain fluid
Rationale: Excessive salt intake can contribute to primary
hypertension by causing renal salt retention which influence water
retention that expands blood volume and pressure (ACD) are not
believed to contribute to primary hypertension.
The first paddle has been placed on the chest of a client who
needs defibrillation. Where should the nurse place the second
paddle? (Mark the location where the second paddle should be
placed on the image).
right upper chest, left midaxillary - ANSWER ✔ right upper chest,
left midaxillary
In assessing a pressure ulcer on a client's hip, which action
should the nurse include?
a. Determine the degree of elasticity surrounding the lesion
,b. Photograph the lesion with a ruler placed next to the lesion
c. Stage the depth of the ulcer using the Braden numeric scale
d. Use a gloved finger to palpate for tunneling around the lesion -
ANSWER ✔ b. Photograph the lesion with a ruler placed next to
the lesion
Rationale: An ulcer extends into the dermis or subcutaneous
tissue and is likely to increase in size and depth, so assessment
should include photograph with measuring device to document
the size of the lesion.
A nurse is planning discharge care for a male client with
metastatic cancer. The client tells the nurse that he plans to return
to work despite pain, fatigue, and impending death. Which goals
is most important to include in this client's plan of care?
a. Implements decisions about future hospices services within the
next 3 months.
b. Maintaining pain level below 4 when implementing outpatient
pain clinic strategies.
c. Request home health care if independence become
compromised for 5 days.
d. Arranges for short term counseling stressors impact work
schedule for 2 weeks. - ANSWER ✔ b. Maintaining pain level
below 4 when implementing outpatient pain clinic strategies.
Rationale: An outpatient pain clinic provides the interdisciplinary
services needed to manage chronic pain. Also, the client has a
terminal disease and is being discharge home, hospice and
health care are not indicating currently. Short term counseling is
not an option.
A client who had an open cholecystectomy two weeks ago
comes to the emergency department with complaints of nausea,
,abdominal distention, and pain. Which assessment should the
nurse implement?
a. Auscultate all quadrants of the abdomen.
b. Perform a digital rectal exam
c. Palpate the liver and spleen
d. Obtain a hemoccult of the client's stool - ANSWER ✔ a.
Auscultate all quadrants of the abdomen.
The nurse is caring for several clients on a telemetry unit. Which
client should the nurse assess first? The client who is
demonstrating?
a. A paced rhythm with 100% capture after pacemaker
replacement
b. Normal sinus rhythm and complaining of chest pain
c. Atrial fibrillation with congestive heart failure and complaining of
fatigue
d. Sinus tachycardia 3 days after a myocardial infarction -
ANSWER ✔ b. Normal sinus rhythm and complaining of chest
pain
The nurse is evaluating the health teaching of a female client with
condyloma acuminate. Which statement by the client indicates
that teaching has been effective?
a. These warts are caused by a fungus
b. Early treatment is very effective
c. I need to have regular pap smears
d. I will clean my hot tub better - ANSWER ✔ c. I need to have
regular pap smears
While the nurse is conducting a daily assessment of an older
woman who resides in a long-term facility, the client begins to cry
, and tells the nurse that her family has stopped calling and visiting.
What action should the nurse take first?
a. Ask the client when a family member last visited her.
b. Determine the client's orientation to time and space
c. Review the client's record regarding social interactions
d. Reassure the client of her family's love for her - ANSWER ✔ a.
Ask the client when a family member last visited her.
A female client with severe renal impairment is receiving
enoxaparin (lovenox) 30 mg SUBQ BID. Which laboratory value
due to enoxaparin should the nurse report to the healthcare
provider?
a. creatinine clearance 25 mL/ minute
b. calcium 9 mg/dl
c. hemoglobin 12 grams/dl
d. partial thromboplastin time (PTT) 30 seconds - ANSWER ✔ a.
creatinine clearance 25 mL/ minute
The nurse notes an increase in serosanguinous drainage from
the abdominal surgical wound from an obese client. What action
should the nurse implement?
a. Observe the wound for dehiscence
b. Teach the client to splint the incision while coughing
c. Assess the skin surrounding the wound for maceration
d. Obtain a culture of the wound drainage. - ANSWER ✔ a.
Observe the wound for dehiscence
A nurse is conducting a physical assessment of a young adult.
Which information provides the best indication of the individual
nutritional status?
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