Hesi Rn Exit Exam V1-V7 (Latest ) / Rn Exit Hesi Exam V1,V2,V3,V4,V5,V6,V7

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HESIEXIT RN
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EXAM
c.




V1ToV7 c. c.




QUESTIONS & ANSWERS WITH RATIONALE c. c. c. c.




COMPLETE SOLUTION (LATEST AND UPDATED) c. c. c. c.




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Stuvia.com - The Marketplace to Buy and Sell your Study Material c. c. c. c. c. c. c. c. c. c.




1. Following discharge teaching, a male client with duodenal ulcer tells c. c. c. c. c. c. c. c. c.




the nurse the he will drink plenty of dairy products, such as milk, to
c. c. c. c. c. c. c. c. c. c. c. c. c. c.




help coat and protect his ulcer. What is the best follow-upaction by
c. c. c. c. c. c. c. c. c. c. c. c. c.




the nurse? c. c.




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




coffee and tea. c. c. c.




b- Suggest that the client also plan to eat frequent small meals to c. c. c. c. c. c. c. c. c. c. c.




reduce discomfort c. c.




c- Review with the client the need to avoid foods that are rich in c. c. c. c. c. c. c. c. c. c. c. c.




milk and cream. c. c. c.




d- Reinforce this teaching by asking the client to list a dairy food that he c. c. c. c. c. c. c. c. c. c. c. c. c.




might select.
c. c.




Rationale: Diets rich in milk and cream stimulate gastric acid secretionand
c. c. c. c. c. c. c. c. c. c. c.




should be avoided.
c. c. c.




2. A male client with hypertension, who received new
c. c. c. c. c. c. c.




antihypertensive prescriptions at his last visit returns to the clinic
c. c. c. c. c. c. c. c. c. c.




two weeks later to evaluate his blood pressure (BP). His BP is
c. c. c. c. c. c. c. c. c. c. c. c.




158/106 and he admits that he has not been taking the prescribed
c. c. c. c. c. c. c. c. c. c. c. c.




medication because the drugs make him “feel bad”. In explaining
c. c. c. c. c. c. c. c. c. c.




the need for hypertension control, the nurse should stress that an
c. c. c. c. c. c. c. c. c. c. c.




elevated BP places the client at risk for which pathophysiological
c. c. c. c. c. c. c. c. c. c.




condition? c.




a- Blindness secondary to cataracts c. c. c.




b- Acute kidney injury due to glomerular damage c. c. c. c. c. c.




c- Stroke secondary to hemorrhage c. c. c.




d- Heart block due to myocardial damage c. c. c. c. c.




Rationale: Stroke related to cerebral hemorrhage is major risk for c. c. c. c. c. c. c. c. c.




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Stuvia.com - The Marketplace to Buy and Sell your Study Material c. c. c. c. c. c. c. c. c. c.




uncontrolled hypertension. c.




3. The nurse observes an unlicensed assistive personnel (UAP)
c. c. c. c. c. c. c.




positioning a newly admitted client who has a seizure disorder. The
c. c. c. c. c. c. c. c. c. c. c.




client is supine and the UAP is placing soft pillows along theside
c. c. c. c. c. c. c. c. c. c. c. c. c.




rails. What action should the nurse implement?
c. c. c. c. c. c. c.




a- Ensure that the UAP has placed the pillows effectively to protect the
c. c. c. c. c. c. c. c. c. c. c.




client. c.




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




instead of pillows.
c. c. c.




a- Assume responsibility for placing the pillows while the UAP c. c. c. c. c. c. c. c.




completes another task.
c. c. c.




b- Ask the UAP to use some of the pillows to prop the client in a sidelying
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.




position. c.




Rationale: The nurse should instruct the UAP to pad the side rails withsoft
c. c. c. c. c. c. c. c. c. c. c. c. c.




blankest because the use of pillows could result in suffocation andwould
c. c. c. c. c. c. c. c. c. c. c. c.




need to be removed at the onset of the seizure. The nurse can delegate
c. c. c. c. c. c. c. c. c. c. c. c. c. c.




paddling the side rails to the UAP
c. c. c. c. c. c. c.




4. An adolescent with major depressive disorder has been taking
c. c. c. c. c. c. c. c.




duloxetine (Cymbalta) for the past 12 days. Which assessment
c. c. c. c. c. c. c. c. c.




finding requires immediate follow-up?
c. c. c. c.




a- Describes life without purpose c. c. c.




b- Complains of nausea and loss of appetite c. c. c. c. c. c.




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




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




Rationale: Cymbalta is a selective serotonin and norepinephrine c. c. c. c. c. c. c.




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