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HESI 700 Exit Practice Test Exam 2024/2025 Questions With Completed & Verified Solutions.
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HESI 700 Exit Practice Test Exam 2024/2025 Questions With Completed & Verified Solutions.
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HESI700
Exit
Practice
Test
Following
discharge
teaching,
a
male
client
with
duodenal
ulcer
tells
the
nurse
that
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.
Remind
the
client
that
it
is
also
important
to
switch
to
decaffeinated
coffee
and
tea.
b.
Suggest
that
the
client
also
plan
to
eat
frequent
small
meals
to
reduce
discomfort
c.
Review
with
the
client
the
need
to
avoid
foods
that
are
rich
in
milk
and
cream.
d.
Reinforce
this
teaching
by
asking
the
client
to
list
a
dairy
food
that
he
might
select.
Review
with
the
client
the
need
to
avoid
foods
that
are
rich
in
milk
and
cream
Rationale:
Diets
rich
in
milk
and
cream
stimulate
gastric
acid
secretion
and
should
be
avoided.
A
male
client
with
hypertension,
who
received
new
antihypertensive
prescriptions
at
his
last
visit
returns
to
the
clinic
two
weeks
later
to
evaluate
his
blood
pressure
(BP).
His
BP
is
158/106
and
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
kidney
injury
due
to
glomerular
damage
c.
Stroke
secondary
to
hemorrhage
d.
Heart
block
due
to
myocardial
damage
Stroke
secondary
to
hemorrhage
Rationale:
Stroke
related
to
cerebral
hemorrhage
is
major
risk
for
uncontrolled
hypertension.
Previous
Play
Next
Rewind
10
seconds
Move
forward
10
seconds
Unmute
0:00
/
0:15
Full
screen
Brainpower Read
More
The
nurse
observes
an
unlicensed
assistive
personnel
(UAP)
positioning
a
newly
admitted
client
who
has
a
seizure
disorder.
The
client
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
the
client.
b.
Instruct
the
UAP
to
obtain
soft
blankets
to
secure
to
the
side
rails
instead
of
pillows.
c.
Assume
responsibility
for
placing
the
pillows
while
the
UAP
completes
another
task.
d.
Ask
the
UAP
to
use
some
of
the
pillows
to
prop
the
client
in
a
side
lying
position.
Instruct
the
UAP
to
obtain
soft
blankets
to
secure
to
the
side
rails
instead
of
pillows
Rationale:
The
nurse
should
instruct
the
UAP
to
pad
the
side
rails
with
soft
blankest
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
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.
Describes
life
without
purpose
Rationale:
Cymbalta
is
a
selective
serotonin
and
norepinephrine
reuptake
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
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
nurse
include
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.
Pap
smear
evaluation
should
be
continued
every
six
month
d.
One
additional
negative
pap
smear
in
six
months
is
needed.
Further
evaluation
involving
surgery
may
be
needed
Rationale:
An
abdominal
mass
in
a
client
with
a
family
history
for
ovarian
cancer
should
be
evaluated
carefully A
client
who
recently
underwent
a
tracheostomy
is
being
prepared
for
discharge
to
home.
Which
instructions
is
most
important
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.
Teach
tracheal
suctioning
techniques
Rationale:
Suctioning
helps
to
clear
secretions
and
maintain
an
open
airway,
which
is
critical.
In
assessing
an
adult
client
with
a
partial
rebreather
mask,
the
nurse
notes
that
the
oxygen
reservoir
bag
does
not
deflate
completely
during
inspiration
and
the
client's
respiratory
rate
is
14
breaths
/
minute.
What
action
should
the
nurse
implement
a.
Encourage
the
client
to
take
deep
breaths
b.
Remove
the
mask
to
deflate
the
bag
c.
Increase
the
liter
flow
of
oxygen
d.
Document
the
assessment
data
Document
the
assessment
data
Rational:
reservoir
bag
should
not
deflate
completely
during
inspiration
and
the
client's
respiratory
rate
is
within
normal
limits.
During
shift
report,
the
central
electrocardiogram
(EKG)
monitoring
system
alarms.
Which
client
alarm
should
the
nurse
investigate
first?
a.
Respiratory
apnea
of
30
seconds
b.
Oxygen
saturation
rate
of
88%
c.
Eight
premature
ventricular
beats
every
minute
d.
Disconnected
monitor
signal
for
the
last
6
minutes.
Respiratory
apnea
of
30
seconds
Rationale:
The
priority
is
the
client
whose
alarm
indicating
respiratory
apnea
that
should
be
assessed
first.
During
a
home
visit,
the
nurse
observed
an
elderly
client
with
diabetes
slip
and
fall.
What
action
should
the
nurse
take
first? a.
Give
the
client
4
ounces
of
orange
juice
b.
Call
911
to
summon
emergency
assistance
c.
Check
the
client
for
lacerations
or
fractures
d.
Asses
clients
blood
sugar
level
Check
the
client
for
lacerations
or
fractures
Rationale:
After
the
client
falls,
the
nurse
should
immediately
assess
for
the
possibility
of
injuries
and
provide
first
aid
as
needed
At
0600
while
admitting
a
woman
for
a
schedule
repeat
cesarean
section
(C-Section),
the
client
tells
the
nurse
that
she
drank
a
cup
a
coffee
at
0400
because
she
wanted
to
avoid
getting
a
headache.
Which
action
should
the
nurse
take
first?
a.
Ensure
preoperative
lab
results
are
available
b.
Start
prescribed
IV
with
lactated
Ringer's
c.
Inform
the
anesthesia
care
provider
d.
Contact
the
client's
obstetrician.
Inform
the
anesthesia
care
provider
Rationale:
Surgical
preoperative
instruction
includes
NPO
after
midnight
the
day
of
surgery
to
decrease
the
risk
of
aspiration
should
vomiting
occur
during
anesthesia.
While
it
is
possible
the
C-section
will
be
done
on
schedule
or
rescheduled
for
later
in
the
day,
the
anesthesia
provider
should
be
notified
first.
After
placing
a
stethoscope
as
seen
in
the
picture,
the
nurse
auscultates
S1
and
S2
heart
sounds.
To
determine
if
an
S3
heart
sound
is
present,
what
action
should
the
nurse
take
first
a.
Side
the
stethoscope
across
the
sternum.
b.
Move
the
stethoscope
to
the
mitral
site
c.
Listen
with
the
bell
at
the
same
location
d.
Observe
the
cardiac
telemetry
monitor
Listen
with
the
bell
at
the
same
location
Rationale:
The
nurse
uses
the
bell
of
the
stethoscope
to
hear
low-pitched
sounds
such
as
S3
and
S4.
The
nurse
listens
at
the
same
site
using
the
diaphragm
the
diaphragm
and
bell
before
moving
systematically
to
the
next
sites.
A
66-year-old
woman
is
retiring
and
will
no
longer
have
a
health
insurance
through
her
place
of
employment.
Which
agency
should
the
client
be
referred
to
by
the
employee
health
nurse
for
health
insurance
needs?
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