HESI RN EXIT EXAM V1-V7 (LATEST ) / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7

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HESIEXITRN
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EXAM
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V1ToV7 qa qa




QUESTIONS & ANSWERS WITH RATIONALE qa qa qa qa




COMPLETE SOLUTION (LATEST AND UPDATED) qa qa qa qa




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,HESI EXIT RN EXAM_V1 To V7.
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1. Following discharge teaching, a male client with duodenal ulcer tells qa qa qa qa qa qa qa qa qa




the nurse the he will drink plenty of dairy products, such as milk, to
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help coat and protect his ulcer. What is the best follow-upaction by the
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nurse? qa




a- Remind the client that it is also important to switch to decaffeinated qa qa qa qa qa qa qa qa qa qa qa




coffee and tea. qa qa qa




b- Suggest that the client also plan to eatfrequentsmall meals to qa qa qa qa qa qa qa qa qa qa qa




reduce discomfort qa qa




c- Review with the client the need to avoid foods that are rich inmilk qa qa qa qa qa qa qa qa qa qa qa qa a
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and cream. qa qa




d- Reinforce this teaching byasking the client to list a dairy food that hemight qa qa qa qa qa qa qa qa qa qa qa qa qa qa




select. qa




Rationale: Diets richin milk and creamstimulate gastricacid secretionand
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should be avoided.
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2. A male client with hypertension, who received new antihypertensive
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prescriptions at hislast visit returnsto the clinictwo weeks later to
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evaluate his blood pressure (BP). His BP is 158/106 and he admits
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that he has not been taking the prescribedmedication because the
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drugs make him “feel bad”. In explainingthe need for hypertension
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control, the nurse should stress that anelevated BP places the client at
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risk for which pathophysiological condition?
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a- Blindness secondaryto cataracts qa qa qa




b- Acute kidney injury due to glomerular damage qa qa qa qa qa qa




c- Stroke secondary to hemorrhage qa qa qa




d- Heart block due to myocardial damage qa qa qa qa qa




Rationale: Stroke relatedto cerebral hemorrhage is major risk for qa qa qa qa qa qa qa qa qa




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uncontrolled hypertension. qa




3. The nurse observes an unlicensed assistive personnel (UAP)
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positioning a newly admitted client who has a seizure disorder. The
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client is supine and the UAP is placing soft pillows along theside rails.
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What action should the nurse implement?
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a- Ensure that the UAP has placed the pillows effectively to protect the
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client. qa




b- Instruct the UAP to obtain soft blankets to secure to the side rails qa qa qa qa qa qa qa qa qa qa qa qa




instead of pillows.
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a- Assume responsibility for placing the pillows while the UAP qa qa qa qa qa qa qa qa




completes another task.
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b- Ask the UAP to usesome of the pillows to prop the client in a sidelying
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Rationale: The nurse should instruct the UAP to pad the side rails withsoft
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blankest because the use of pillows could result in suffocation andwould
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need to be removed at the onset of the seizure. The nurse can delegate
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paddling the side rails to the UAP
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4. An adolescent with major depressive disorder has been taking
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duloxetine (Cymbalta) for the past 12 days. Which assessment
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finding requires immediate follow-up?
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a- Describes life withoutpurpose qa qa qa




b- Complains of nausea and loss of appetite qa qa qa qa qa qa




c- States is often fatigued and drowsy qa qa qa qa qa




d- Exhibits an increase in sweating. qa qa qa qa




Rationale: Cymbalta is a selective serotonin and norepinephrine qa qa qa qa qa qa qa




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