HESI Exit RN Exam (15 Exam Sets, 2500 + Q & A, Newest-2025)/ HESI RN Exit Exam / RN Exit HESI Exam / Exit HESI RN Exam |Complete Document for HESI Exam

HESI Exit RN Exam (15 Exam Sets, 2500 + Q & A, Newest-2025)/

HESI RN Exit Exam / RN Exit HESI Exam / Exit HESI RN Exam

|Complete Document for HESI Exam




1. Following discharge teaching, a maleclient with duodenal ulcer
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wm tells the nurse the he will drink plenty of dairy products,
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wm such as milk, to help coat and protect his ulcer. What is
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wm the best follow-up action by the nurse?
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a. Remind the client that it is also important to switch to
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decaffeinated coffee and tea.
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b. Suggest that the client also plan to eat frequent small
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wm meals to reduce discomfort
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c. Review with the client the need to avoid foods that are rich in
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milk and cream.
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d. wm Reinforce this teaching by asking theclient to list a dairy food that
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hemight select.
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Rationale: Diets rich in milk and cream stimulate gastric acid secretion
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and should be avoided.
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2. A male client with hypertension, who received new
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wm antihypertensive prescriptions at his last visit returns to the
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wm clinic

, two weeks later to evaluate his blood pressure (BP). His BPis
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wm 158/106 and headmits that he has not been taking the
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wm prescribed med- ication because the drugs make him “feel bad”.
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wm In explaining the needfor hypertension control, the nurse should
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wm stress that an elevated BP places the client at risk for which
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wm pathophysiological condition? wm




a. Blindness secondaryto cataracts wm wm



b. Acute kidney injury dueto glomerular
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wmStroke secondary
damage c. to hemorrhage
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d. wm Heart block dueto myocardial damage
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Rationale: Stroke related to cerebral hemorrhage is major risk for
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uncontrolled hypertension. i




3. The nurse observes an unlicensed assistive personnel (UAP)
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wm posi- tioning a newly admitted client who has a seizure
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wm disorder. The client is supine and the UAP is placing
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wm soft pillows along the side rails. What action should the
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wm nurse implement?
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a. Ensure that the UAP has placed the pillows effectively to
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protect the client.
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b. Instruct the UAP to obtain soft blankets to secure to the side rails
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, instead of pillows. i i




a. Assume responsibility for placing the pillows while the
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wmUAP completes another task.
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b. Ask the UAPto use some of the pillows to prop the client
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wmin aside lying position.
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Rationale: The nurse should instruct the UAP to pad the side rails with
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soft blankest because the use of pillows could result in suffocation an
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d
would need to be removed at the onset of the seizure. The nurse can
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delegate paddling the side rails to the UAP
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4. An adolescent with major depressive disorder has been
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wmtaking du- loxetine (Cymbalta) for the past 12 days.
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wmWhich assessment find- ing requires immediate follow-
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up?


a. Describes life without purpose i i i




b. Complains of nausea and loss of appetite wm wm wm wm wm wm



c. States is often fatigued and drowsy
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d. Exhibits an increase in sweating. wm wm wm wm




Rationale: Cymbalta is a selective serotonin and norepinephrine
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wmi reuptake inhibitor that is known to increase the risk of suicidal
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w m i thinking in adolescents and young adults with major depressive
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, disorder. B, C and D are side effects
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5. A 60-year-old female client with a positive family history of
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ovar- ian cancer has developed an abdominal mass and is
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being evaluat- ed for possible ovarian cancer. Her
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wmPapanicolau (Pap) smear re- sults are negative. What
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information should the nurse include in the client‟s teaching
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wm plan?


a. Further evaluation involving surgery may be needed
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b. Apelvic exam is also needed before cancer is ruled out
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c. Pap smear evaluation should becontinued every six month
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d. One additional negative pap smear in six months is needed.
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Rationale: An abdominal mass in a client with a family history for
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ovarian cancer should be evaluated carefully
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6. A client who recently underwear a tracheostomy is
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wm being pre- pared for discharge to home. Which
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instructions is most impor- tant for the nurse to include
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wm in the discharge plan?
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a. Explain how to use communication tools.
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b. Teach tracheal suctioning techniques c-
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Encourage self-care and independence.wm wm wm



d- Demonstrate how to clean tracheostomysite.
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