TEST BANK FOR 2025 HESI RN Exit Exam (V1 - V7) Actual QUESTIONS & ANSWERS |Approved Pass Exam | 100% Verified | latest updated version |with full chapters

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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 f f f f f f f f



tells the nurse the he will drink plenty of dairy products, such as
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milk, to help coat and protect his ulcer. What is the best follow-
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upaction by the nurse?
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a- Remind the client that it is also important to switch to f f f f f f f f f f



decaffeinatedcoffee and tea.
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b- Suggest that the client also plan to eat frequent small meals f f f f f f f f f f



toreduce discomfort
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c- Review with the client the need to avoid foods that are rich f f f f f f f f f f f




inmilk and cream.
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d- Reinforce this teaching by asking the client 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 secretionand
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should be avoided.
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2. A male client with hypertension, who received new
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antihypertensive prescriptions at his last visit returns to the
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clinictwo weeks later to evaluate his blood pressure (BP). His BP is
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158/106 and he admits that he has not been taking the
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prescribedmedication because the drugs make him “feel bad”. In
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explainingthe need for hypertension control, the nurse should
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stress that anelevated BP places the client at risk for which
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pathophysiological condition?
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a- Blindness secondary to cataracts f f f




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




c- Stroke secondary to hemorrhage f f f




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




Rationale: Stroke related to cerebral hemorrhage is major risk for
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,HESI EXIT RN EXAM_V1 To V7.
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uncontrolled hypertension. f




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




railsinstead of pillows.
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a- Assume responsibility for placing the pillows while the f f f f f f f




UAPcompletes another task.
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b- Ask the UAP to use some of the pillows to prop the client in a
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sidelying position.f f f




Rationale: The nurse should instruct the UAP to pad the side rails
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withsoft blankest because the use of pillows could result in suffocation
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andwould 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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taking duloxetine (Cymbalta) for the past 12 days. Which
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assessmentfinding requires immediate follow-up?
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a- Describes life without purpose f f f




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




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




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




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

, HESI EXIT RN EXAM_V1 To V7.
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reuptake inhibitor that is known to increase the risk of suicidal
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thinking in adolescents and young adults with major
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depressivedisorder. 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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ovarian cancer has developed an abdominal mass and is being
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evaluated for possible ovarian cancer. Her Papanicolau (Pap)
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smear results are negative. What information should the
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nurseinclude in the client’s teaching plan?
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a- Further evaluation involving surgery may be needed f f f f f f




b- A pelvic exam is also needed before cancer is ruled out
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c- Pap smear evaluation should be continued 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 forovarian
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cancer should be evaluated carefully
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6. A client who recently underwear a tracheostomy is being
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prepared for discharge to home. Which instructions is
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mostimportant for the nurse to include in the discharge plan?
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a- Explain how to use communication tools. f f f f f




b- Teach tracheal suctioning techniques f f f



c- Encourage self-care and independence. f f f




d- Demonstrate how to clean tracheostomy site. f f f f f




Rationale: Suctioning helps to clear secretions and maintain an openairway,
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which is critical.
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7. In assessing an adult client with a partial rebreather mask, the
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nurse notes that the oxygen reservoir bag does not deflate
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completely during inspiration and the client’s respiratory rate
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is14 breaths / minute. What action should the nurse implement?
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