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An adolescent with major depressive disorder has been taking duloxetine||Questions and answers ||answersheet ||Latest 2024|25||verified by experts $12.99
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HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
ANSWERSHEET
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. - CORRECT ANSWERS 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. - CORRECT ANSWERS 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. - CORRECT ANSWERS Teach tracheal suctioning techniques
,HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
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 - CORRECT ANSWERS 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. - CORRECT ANSWERS 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
,HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
d. Asses clients blood sugar level - CORRECT ANSWERS 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
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. 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. - CORRECT ANSWERS
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 - CORRECT ANSWERS Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hypertension.
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?
, HESI EXIT EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ,A
COMPLETE SOLUTION THAT COVERS 2024/2025 BEST EXAM RATED
A+ FOR SUCCESS
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. - CORRECT ANSWERS
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
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. - CORRECT ANSWERS 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 - CORRECT ANSWERS 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.
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