HESI 799 RN Exit Exam
Following discharge teaching, a male client Review with the client the need to avoid foods that are rich in
with duodenal ulcer tells the nurse the he milk and cream
will drink plenty of dairy products, such as
milk, to help coat and protect his ulcer. What Rationale: Diets rich in milk and cream stimulate gastric acid
is the best follow-up action by the nurse? secretion and should be avoided.
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.
, HESI 799 RN Exit Exam
A male client with hypertension, who Stroke secondary to hemorrhage
received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks Rationale: Stroke related to cerebral hemorrhage is major risk
later to evaluate his blood pressure (BP). His for uncontrolled hypertension.
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
, HESI 799 RN Exit Exam
The nurse observes an unlicensed assistive Instruct the UAP to obtain soft blankets to secure to the side
personnel (UAP) positioning a newly rails instead of pillows
admitted client who has a seizure disorder.
The client is supine and the UAP is placing Rationale: The nurse should instruct the UAP to pad the side
soft pillows along the side rails. What action rails with soft blankest because the use of pillows could result
should the nurse implement? 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
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.
, HESI 799 RN Exit Exam
An adolescent with major depressive Describes life without purpose
disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which Rationale: Cymbalta is a selective serotonin and
assessment finding requires immediate norepinephrine reuptake inhibitor that is known to increase
follow-up the risk of suicidal thinking in adolescents and young adults
with major depressive disorder. B, C and D are side effects
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.
Following discharge teaching, a male client Review with the client the need to avoid foods that are rich in
with duodenal ulcer tells the nurse the he milk and cream
will drink plenty of dairy products, such as
milk, to help coat and protect his ulcer. What Rationale: Diets rich in milk and cream stimulate gastric acid
is the best follow-up action by the nurse? secretion and should be avoided.
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.
, HESI 799 RN Exit Exam
A male client with hypertension, who Stroke secondary to hemorrhage
received new antihypertensive prescriptions
at his last visit returns to the clinic two weeks Rationale: Stroke related to cerebral hemorrhage is major risk
later to evaluate his blood pressure (BP). His for uncontrolled hypertension.
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
, HESI 799 RN Exit Exam
The nurse observes an unlicensed assistive Instruct the UAP to obtain soft blankets to secure to the side
personnel (UAP) positioning a newly rails instead of pillows
admitted client who has a seizure disorder.
The client is supine and the UAP is placing Rationale: The nurse should instruct the UAP to pad the side
soft pillows along the side rails. What action rails with soft blankest because the use of pillows could result
should the nurse implement? 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
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.
, HESI 799 RN Exit Exam
An adolescent with major depressive Describes life without purpose
disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which Rationale: Cymbalta is a selective serotonin and
assessment finding requires immediate norepinephrine reuptake inhibitor that is known to increase
follow-up the risk of suicidal thinking in adolescents and young adults
with major depressive disorder. B, C and D are side effects
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.
