Science Medicine Nursing
HESI RN Exit Exam
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Theories Final exam passpoint exam 2 practice 5: Health communication and patien... Person
659 terms 50 terms 18 terms 19 terms
suarezm1986 Preview kgazzilli02 Preview leannelisci Preview scu
Following discharge teaching, a male client Review with the client the need to avoid foods that are rich in milk and cream
with duodenal ulcer tells the nurse the he
will drink plenty of dairy products, such as Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be
milk, to help coat and protect his ulcer. avoided.
What is the best follow-up action by the
nurse?
a. Remind the client that it is also important
to switch to decaffeinated coffee and 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.
,A male client with hypertension, who Stroke secondary to hemorrhage
received new antihypertensive
prescriptions at his last visit returns to the Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled
clinic two weeks later to evaluate his blood hypertension.
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
stress that an elevated BP places the client
at risk for which pathophysiological
condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular
damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
The nurse observes an unlicensed assistive Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
personnel (UAP) positioning a newly
admitted client who has a seizure disorder. Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest
The client is supine and the UAP is placing because the use of pillows could result in suffocation and would need to be
soft pillows along the side rails. What removed at the onset of the seizure. The nurse can delegate paddling the side rails
action should the nurse implement? to the UAP
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.
c. Assume responsibility for placing the
pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows
to prop the client in a side lying position.
An adolescent with major depressive Describes life without purpose
disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor
assessment finding requires immediate that is known to increase the risk of suicidal thinking in adolescents and young adults
follow-up with major depressive disorder. B, C and D are side effects
a. Describes life without purpose
b. Complains of nausea and loss of
appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
, A 60-year-old female client with a positive Further evaluation involving surgery may be needed
family history of ovarian cancer has
developed an abdominal mass and is being Rationale: An abdominal mass in a client with a family history for ovarian cancer
evaluated for possible ovarian cancer. Her should be evaluated carefully
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 needed
b. A pelvic exam is also needed before
cancer is ruled out
c. Pap smear evaluation should be
continued every six month
d. One additional negative pap smear in six
months is needed.
A client who recently underwent a Teach tracheal suctioning techniques
tracheostomy is being prepared for
discharge to home. Which instructions is Rationale: Suctioning helps to clear secretions and maintain an open airway, which is
most important for the nurse to include in critical.
the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy
site.
In assessing an adult client with a partial Document the assessment data
rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate Rational: reservoir bag should not deflate completely during inspiration and the
completely during inspiration and the client's respiratory rate is within normal limits.
client's respiratory rate is 14 breaths /
minute. What action should the nurse
implement
a. Encourage the client to take deep
breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
During shift report, the central Respiratory apnea of 30 seconds
electrocardiogram (EKG) monitoring
system alarms. Which client alarm should Rationale: The priority is the client whose alarm indicating respiratory apnea that
the nurse investigate first? should be assessed first.
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every
minute
d. Disconnected monitor signal for the last
6 minutes.
HESI RN Exit Exam
Save
Students also studied
Theories Final exam passpoint exam 2 practice 5: Health communication and patien... Person
659 terms 50 terms 18 terms 19 terms
suarezm1986 Preview kgazzilli02 Preview leannelisci Preview scu
Following discharge teaching, a male client Review with the client the need to avoid foods that are rich in milk and cream
with duodenal ulcer tells the nurse the he
will drink plenty of dairy products, such as Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be
milk, to help coat and protect his ulcer. avoided.
What is the best follow-up action by the
nurse?
a. Remind the client that it is also important
to switch to decaffeinated coffee and 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.
,A male client with hypertension, who Stroke secondary to hemorrhage
received new antihypertensive
prescriptions at his last visit returns to the Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled
clinic two weeks later to evaluate his blood hypertension.
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
stress that an elevated BP places the client
at risk for which pathophysiological
condition?
a. Blindness secondary to cataracts
b. Acute kidney injury due to glomerular
damage
c. Stroke secondary to hemorrhage
d. Heart block due to myocardial damage
The nurse observes an unlicensed assistive Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows
personnel (UAP) positioning a newly
admitted client who has a seizure disorder. Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest
The client is supine and the UAP is placing because the use of pillows could result in suffocation and would need to be
soft pillows along the side rails. What removed at the onset of the seizure. The nurse can delegate paddling the side rails
action should the nurse implement? to the UAP
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.
c. Assume responsibility for placing the
pillows while the UAP completes another
task.
d. Ask the UAP to use some of the pillows
to prop the client in a side lying position.
An adolescent with major depressive Describes life without purpose
disorder has been taking duloxetine
(Cymbalta) for the past 12 days. Which Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor
assessment finding requires immediate that is known to increase the risk of suicidal thinking in adolescents and young adults
follow-up with major depressive disorder. B, C and D are side effects
a. Describes life without purpose
b. Complains of nausea and loss of
appetite
c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.
, A 60-year-old female client with a positive Further evaluation involving surgery may be needed
family history of ovarian cancer has
developed an abdominal mass and is being Rationale: An abdominal mass in a client with a family history for ovarian cancer
evaluated for possible ovarian cancer. Her should be evaluated carefully
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 needed
b. A pelvic exam is also needed before
cancer is ruled out
c. Pap smear evaluation should be
continued every six month
d. One additional negative pap smear in six
months is needed.
A client who recently underwent a Teach tracheal suctioning techniques
tracheostomy is being prepared for
discharge to home. Which instructions is Rationale: Suctioning helps to clear secretions and maintain an open airway, which is
most important for the nurse to include in critical.
the discharge plan?
a. Explain how to use communication tools.
b. Teach tracheal suctioning techniques
c. Encourage self-care and independence.
d. Demonstrate how to clean tracheostomy
site.
In assessing an adult client with a partial Document the assessment data
rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate Rational: reservoir bag should not deflate completely during inspiration and the
completely during inspiration and the client's respiratory rate is within normal limits.
client's respiratory rate is 14 breaths /
minute. What action should the nurse
implement
a. Encourage the client to take deep
breaths
b. Remove the mask to deflate the bag
c. Increase the liter flow of oxygen
d. Document the assessment data
During shift report, the central Respiratory apnea of 30 seconds
electrocardiogram (EKG) monitoring
system alarms. Which client alarm should Rationale: The priority is the client whose alarm indicating respiratory apnea that
the nurse investigate first? should be assessed first.
a. Respiratory apnea of 30 seconds
b. Oxygen saturation rate of 88%
c. Eight premature ventricular beats every
minute
d. Disconnected monitor signal for the last
6 minutes.
