HESI EXIT RN EXAM OVER 700
QUESTIONS, ANSWERS
RATIONALE
NEW UPDATE , A GRADED
DOCUMENT
,1. 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.
,2. A male client with hypertension, who received new
antihypertensive prescriptions at his last visit returns to the clinic
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
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
Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP)
positioning 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
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
4. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment
finding 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
disorder. B, C and D are side effects
5. A 60-year-old female client with a positive family history of
ovarian cancer has developed an abdominal mass and is being
evaluated for possible ovarian cancer. Her 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. Rationale: An abdominal
mass in a client with a family history for ovarian
cancer should be evaluated carefully
QUESTIONS, ANSWERS
RATIONALE
NEW UPDATE , A GRADED
DOCUMENT
,1. 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.
,2. A male client with hypertension, who received new
antihypertensive prescriptions at his last visit returns to the clinic
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
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
Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP)
positioning 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
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
4. An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment
finding 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
disorder. B, C and D are side effects
5. A 60-year-old female client with a positive family history of
ovarian cancer has developed an abdominal mass and is being
evaluated for possible ovarian cancer. Her 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. Rationale: An abdominal
mass in a client with a family history for ovarian
cancer should be evaluated carefully
