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HESI EXIT RN EXAM OVER 700 QUESTIONS, ANSWERS RATIONALE NEW
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HESI EXIT RN EXAM OVER 700 QUESTIONS, ANSWERS RATIONALE NEW20202021
HESI EXIT RN EXAM OVER 700
QUESTIONS, ANSWERS RATIONALE
NEW 2020/2021
1. Propranolol (Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should
consult with the health care provider before giving this drug when the patient reveals a history of
a. daily alcohol use. c. reactive airway disease.
b. peptic ulcer disease. d. myocardial infarction
(MI). ANS: C
Nonselective b-blockers block b1- and b2-adrenergic receptors and can cause bronchospasm, especially in
patients with a history of asthma. b-Blockers will have no effect on the patient’s peptic ulcer disease or
alcohol use. b-Blocker therapy is recommended after MI.
2. A 56-yr-old patient who has no previous history of hypertension or other health problems suddenly
develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the
nurse to tell the patient that
a. a BP recheck should be scheduled in a few weeks.
b. dietary sodium and fat content should be decreased.
c. diagnosis, treatment, and ongoing monitoring will be needed.
d. there is an immediate danger of a stroke, requiring
hospitalization. ANS: C
A sudden increase in BP in a patient older than age 50 years with no previous hypertension history or
risk factors indicates that the hypertension may be secondary to some other problem. The BP will
need treatment and ongoing monitoring. If the patient has no other risk factors, a stroke in the
immediate future is unlikely. There is no indication that dietary salt or fat intake have contributed to
this sudden increase in BP, and reducing intake of salt and fat alone will not be adequate to reduce
this BP to an acceptable level.
3. Which action will be included in the plan of care when the nurse is caring for a patient who
is receiving nicardipine (Cardene) to treat a hypertensive emergency?
a. Organize nursing activities so that the patient has undisturbed sleep for
8 hours at night.
b. Keep the patient NPO to prevent aspiration caused by nausea and
possible vomiting.
c. Assist the patient up in the chair for meals to avoid complications
associated with immobility.
d. Use an automated noninvasive blood pressure machine to
obtain frequent measurements.
ANS: D
Frequent monitoring of BP is needed when the patient is receiving rapid-acting IV antihypertensive
medications. This can be most easily accomplished with an automated BP machine or arterial line. The
patient will require frequent assessments, so allowing 8 hours of undisturbed sleep is not reasonable.
When patients are receiving IV vasodilators, bed rest is maintained to prevent decreased cerebral
perfusion and fainting. 1
There is no indication that this patient is nauseated or at risk for aspiration, so an NPO status is
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, HESI EXIT RN EXAM OVER 700 QUESTIONS, ANSWERS RATIONALE NEW
20202021
unnecessary.
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