HESI RN EXIT EXAM WITH CORRECT ANSWERS PROVIDED & RATIONALE
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Course
HESI RN
Institution
HESI RN
HESI RN EXIT EXAM WITH CORRECT ANSWERS PROVIDED & RATIONALE
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse?
a- Re...
HESI RN EXIT EXAM WITH CORRECT ANSWERS
PROVIDED & RATIONALE
1. Following discharge teaching, a male client with duodenal ulcer tellsthe nurse the he will
drink plenty of dairy products, such as milk, tohelp coat and protect his ulcer. What is the
best follow-up action by the nurse?
a- Remind the client that it is also important to switch to decaffeinatedcoffee and tea.
b- Suggest that the client also plan to eat frequent small meals toreduce
discomfort
c- Review with the client the need to avoid foods that are rich inmilk and cream.
d- Reinforce this teaching by asking the client to list a dairy food that hemight select.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion andshould be avoided.
2. A male client with hypertension, who received new antihypertensiveprescriptions at his
last visit returns to the clinic
, two weeks later to evaluate his blood pressure (BP). His BP is 158/106and he admits that he
has not been taking the prescribed medication because the drugs make him “feel bad”. In
explaining the need for hypertension control, the nurse should stress that an elevated BP
places the client at risk for which pathophysiological condition?
a- Blindness secondary to cataracts b- Acute kidneyinjury due to
glomerular damage c- Stroke secondary to hemorrhage d- Heart
block due to myocardial damage
Rationale: Stroke related to cerebral hemorrhage is major risk foruncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. Theclient is supine and the UAP is placing
soft pillows along the side rails. What action should the nurse implement?
a- Ensure that the UAP has placed the pillows effectively to protect theclient.
b- Instruct the UAP to obtain soft blankets to secure to the side rails
, instead of pillows.
a- Assume responsibility for placing the pillows while the UAPcompletes
another task.
b- Ask the UAP to use some of the pillows to prop the client in a sidelying position.
Rationale: The nurse should instruct the UAP to pad the side rails with softblankest because the
use of pillows could result in suffocation and would need to be removed at the onset of the
seizure. The nurse can delegate paddling the side rails to the UAP
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate follow-up?
a- Describes life without purpose
b- Complains of nausea and loss of appetite c-States is
often fatigued and drowsy d- Exhibits an increase in
sweating.
Rationale: Cymbalta is a selective serotonin and norepinephrinereuptake
inhibitor that is known to increase the risk of suicidal thinking in adolescents
and young adults with major depressive
, disorder. B, C and D are side effects
5. A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer.
Her Papanicolau (Pap) smear results are negative. What information should the
nurseinclude in the client’s teaching plan?
a- Further evaluation involving surgery may be needed
b- A pelvic exam is also needed before cancer is ruled out c- Papsmear
evaluation should be continued every six month d- One additional negative pap
smear in six months is needed.
Rationale: An abdominal mass in a client with a family history forovarian cancer should be
evaluated carefully
6. A client who recently underwear a tracheostomy is being prepared for
discharge to home. Which instructions is mostimportant for the nurse to
include in the discharge plan?
a- Explain how to use communication tools. b-Teach
tracheal suctioning techniques c- Encourage self-care
and independence.
d- Demonstrate how to clean tracheostomy site.
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