NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER INCLUDED)
ATTAINED SCORE A+ LATEST UPDATE 2022/2023
Following discharge teaching, a male client with duodenal ulcer tells
the nurse the he will drink plenty of dairy products, such as milk, to
help coat and protect his ulcer. 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.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion
and should be avoided.
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER INCLUDED) ATTAINED SCORE A+ LATEST
UPDATE 2022/2023
,NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER INCLUDED)
ATTAINED SCORE A+ LATEST UPDATE 2022/2023
two weeks later to evaluate his blood pressure (BP). His BP is
158/106 and he admits that he has not been taking the prescribed med-
ication 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
Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
The nurse observes an unlicensed assistive personnel (UAP) posi-
tioning a newly admitted client who has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the side
rails. What action should the nurse implement?
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
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER INCLUDED) ATTAINED SCORE A+ LATEST
UPDATE 2022/2023
,NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER INCLUDED)
ATTAINED SCORE A+ LATEST UPDATE 2022/2023
instead of pillows.
a. Assume responsibility for placing the pillows while the UAP
completes another task.
b. Ask the UAP to use some of the pillows to prop the client in a side
lying position.
Rationale: The nurse should instruct the UAP to pad the side rails with
soft blankest because the use of pillows could result in suffocation and
would need to be removed at the onset of the seizure. The nurse can
delegate paddling the side rails to the UAP
An adolescent with major depressive disorder has been taking du-
loxetine (Cymbalta) for the past 12 days. Which assessment find-
ing requires immediate follow-up?
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.
Rationale: Cymbalta is a selective serotonin and norepinephrine
reuptake inhibitor that is known to increase the risk of suicidal
thinking in adolescents and young adults with major depressive
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER INCLUDED) ATTAINED SCORE A+ LATEST
UPDATE 2022/2023
, NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER INCLUDED)
ATTAINED SCORE A+ LATEST UPDATE 2022/2023
disorder. B, C and D are side effects
A 60-year-old female client with a positive family history of ovar-
ian cancer has developed an abdominal mass and is being evaluat-
ed for possible ovarian cancer. Her Papanicolau (Pap) smear re-
sults 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.
Rationale: An abdominal mass in a client with a family history for
ovarian cancer should be evaluated carefully
A client who recently underwear a tracheostomy is being pre-
pared for discharge to home. Which instructions is most impor-
tant for the nurse to include in 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.
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER INCLUDED) ATTAINED SCORE A+ LATEST
UPDATE 2022/2023
ANSWERS, RATIONALE OF EACH ANSWER INCLUDED)
ATTAINED SCORE A+ LATEST UPDATE 2022/2023
Following discharge teaching, a male client with duodenal ulcer tells
the nurse the he will drink plenty of dairy products, such as milk, to
help coat and protect his ulcer. 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.
Rationale: Diets rich in milk and cream stimulate gastric acid secretion
and should be avoided.
A male client with hypertension, who received new antihypertensive
prescriptions at his last visit returns to the clinic
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER INCLUDED) ATTAINED SCORE A+ LATEST
UPDATE 2022/2023
,NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER INCLUDED)
ATTAINED SCORE A+ LATEST UPDATE 2022/2023
two weeks later to evaluate his blood pressure (BP). His BP is
158/106 and he admits that he has not been taking the prescribed med-
ication 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
Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
The nurse observes an unlicensed assistive personnel (UAP) posi-
tioning a newly admitted client who has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the side
rails. What action should the nurse implement?
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
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER INCLUDED) ATTAINED SCORE A+ LATEST
UPDATE 2022/2023
,NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER INCLUDED)
ATTAINED SCORE A+ LATEST UPDATE 2022/2023
instead of pillows.
a. Assume responsibility for placing the pillows while the UAP
completes another task.
b. Ask the UAP to use some of the pillows to prop the client in a side
lying position.
Rationale: The nurse should instruct the UAP to pad the side rails with
soft blankest because the use of pillows could result in suffocation and
would need to be removed at the onset of the seizure. The nurse can
delegate paddling the side rails to the UAP
An adolescent with major depressive disorder has been taking du-
loxetine (Cymbalta) for the past 12 days. Which assessment find-
ing requires immediate follow-up?
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.
Rationale: Cymbalta is a selective serotonin and norepinephrine
reuptake inhibitor that is known to increase the risk of suicidal
thinking in adolescents and young adults with major depressive
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER INCLUDED) ATTAINED SCORE A+ LATEST
UPDATE 2022/2023
, NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND
ANSWERS, RATIONALE OF EACH ANSWER INCLUDED)
ATTAINED SCORE A+ LATEST UPDATE 2022/2023
disorder. B, C and D are side effects
A 60-year-old female client with a positive family history of ovar-
ian cancer has developed an abdominal mass and is being evaluat-
ed for possible ovarian cancer. Her Papanicolau (Pap) smear re-
sults 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.
Rationale: An abdominal mass in a client with a family history for
ovarian cancer should be evaluated carefully
A client who recently underwear a tracheostomy is being pre-
pared for discharge to home. Which instructions is most impor-
tant for the nurse to include in 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.
NURS 2520 HESI EXIT RN EXAM (750 QUESTIONS AND ANSWERS, RATIONALE OF EACH ANSWER INCLUDED) ATTAINED SCORE A+ LATEST
UPDATE 2022/2023
