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Exam (elaborations)

HESI EXIT EXAM OVER 700 QUESTIONS

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HESI EXIT EXAM OVER 700 QUESTIONS (MORE THAN 700 Q & A)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-Remind the client that it is also important to switch to decaffeinated coffeeand 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.2.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 stressthat an elevated BP places the client at risk for which pathophysiological condition?a-Blindness secondary to cataractsb-Acute kidney injury due to glomerular damagec-Stroke secondary to hemorrhaged-Heart block due to myocardial damage 3.The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and theUAP is placing soft pillows along the side rails. What action should the nurseimplement?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.b.Assume responsibility for placing the pillows while the UAP completes another task. c.Ask the UAP to use some of the pillows to prop the client in a side lying position. 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 purposeb-Complains of nausea and loss of appetitec-States is often fatigued and drowsyd-Exhibits an increase in sweating.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 nurse include in the client’s teaching plan?a-Further evaluation involving surgery may be neededb-A pelvic exam is also needed before cancer is ruled outc-Pap smear evaluation should be continued every six monthd-One additional negative pap smear in six months is needed

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Uploaded on
August 24, 2022
Number of pages
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Written in
2022/2023
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