lOMoAR cPSD| 11450120
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, lOMoAR cPSD| 11450120
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iiiiiiiiiiiiiiiiiiiiii HESI EXIT RN EXAM
i i i
V1 To V7
i i
QUESTIONS & ANSWERS WITH RATIONALE
i i i i
COMPLETE SOLUTION (LATEST AND UPDATED)
i i i i
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,HESI EXIT RN EXAM_V1 To V7.
i i i i i lOMoAR cPSD| 11450120
Stuvia.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy iMaterial
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
i i i i i i i i i i i i i i i
plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-
i i i i i i i i i i i i i i i i i i i
upaction by the nurse?
i i i i
a- Remind the client that it is also important to switch to decaffeinatedcoffee and tea.
i i i i i i i i i i i i i i
b- Suggest that the client also plan to eat frequent small meals toreduce discomfort
i i i i i i i i i i i i i
c- Review with the client the need to avoid foods that are rich inmilk and cream.
i i i i i i i i i i i i i i i
d- Reinforce this teaching by asking the client to list a dairy food that hemight select.
i i i i i i i i i i i i i i i
Rationale: Diets rich in milk and cream stimulate gastric acid secretionand should be avoided.
i i i i i i i i i i i i i i
2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit
i i i i i i i i i i i i i
returns to the clinictwo weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he
i i i i i i i i i i i i i i i i i i i
admits that he has not been taking the prescribedmedication because the drugs make him “feel
i i i i i i i i i i i i i i i i
bad”. In explainingthe need for hypertension control, the nurse should stress that anelevated BP
i i i i i i i i i i i i i i i i
places the client at risk for which pathophysiological condition?
i i i i i i i i i
a- Blindness secondary to cataracts i i i
b- Acute kidney injury due to glomerular damage
i i i i i i
c- Stroke secondary to hemorrhage i i i
d- Heart block due to myocardial damage
i i i i i
Rationale: Stroke related to cerebral hemorrhage is major risk for
i i i i i i i i i
Downloaded iby: iredsautobody23 i|
Downloaded ibyiD
DiJstpriobpuptiyonpaopfisth(isbla
dcokcsutm
oneenptioispp
illyem
)
, HESI EXIT RN EXAM_V1 To V7.
i i i i i lOMoAR cPSD| 11450120
Stuvia.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy iMaterial
uncontrolled hypertension. i
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client
i i i i i i i i i i i i
i who has a seizure disorder. The client is supine and the UAP is placing soft pillows along theside
i i i i i i i i i i i i i i i i i i
i rails. What action should the nurse implement?
i i i i i i
a- Ensure that the UAP has placed the pillows effectively to protect theclient.
i i i i i i i i i i i i
b- Instruct the UAP to obtain soft blankets to secure to the side railsinstead of pillows.
i i i i i i i i i i i i i i i
a- Assume responsibility for placing the pillows while the UAPcompletes another task.
i i i i i i i i i i i
b- Ask the UAP to use some of the pillows to prop the client in a sidelying position.
i i i i i i i i i i i i i i i i i
Rationale: The nurse should instruct the UAP to pad the side rails withsoft blankest because the use of
i i i i i i i i i i i i i i i i i i
pillows could result in suffocation andwould need to be removed at the onset of the seizure. The nurse
i i i i i i i i i i i i i i i i i i i
can delegate paddling the side rails to the UAP
i i i i i i i i i
4. An adolescent with major depressive disorder has been takingduloxetine (Cymbalta) for the
i i i i i i i i i i i i
i past 12 days. Which assessmentfinding requires immediate follow-up?
i i i i i i i i
a- Describes life without purpose i i i
b- Complains of nausea and loss of appetite i i i i i i
c- States is often fatigued and drowsy i i i i i
d- Exhibits an increase in sweating. i i i i
Rationale: Cymbalta is a selective serotonin and norepinephrine
i i i i i i i
Downloaded iby: iredsautobody23 i|
Downloaded ibyiD
DiJstpriobpuptiyonpaopfisth(isbla
dcokcsutm
oneenptioispp
illyem
)
iiiiiiiiiiiii
iiiiiiiiiiiiiiiiiiiiii
, lOMoAR cPSD| 11450120
iiiiiiiiiiiiiiiiiii
iiiiiiiiiiiiiiiiiiiiii HESI EXIT RN EXAM
i i i
V1 To V7
i i
QUESTIONS & ANSWERS WITH RATIONALE
i i i i
COMPLETE SOLUTION (LATEST AND UPDATED)
i i i i
Downloaded iby: iredsautobody23 i|
Downloaded ibyiD
DiJstpriobpuptiyonpaopfisth(isbla
dcokcsutm
oneenptioispp
illyem
)
,HESI EXIT RN EXAM_V1 To V7.
i i i i i lOMoAR cPSD| 11450120
Stuvia.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy iMaterial
1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink
i i i i i i i i i i i i i i i
plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-
i i i i i i i i i i i i i i i i i i i
upaction by the nurse?
i i i i
a- Remind the client that it is also important to switch to decaffeinatedcoffee and tea.
i i i i i i i i i i i i i i
b- Suggest that the client also plan to eat frequent small meals toreduce discomfort
i i i i i i i i i i i i i
c- Review with the client the need to avoid foods that are rich inmilk and cream.
i i i i i i i i i i i i i i i
d- Reinforce this teaching by asking the client to list a dairy food that hemight select.
i i i i i i i i i i i i i i i
Rationale: Diets rich in milk and cream stimulate gastric acid secretionand should be avoided.
i i i i i i i i i i i i i i
2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit
i i i i i i i i i i i i i
returns to the clinictwo weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he
i i i i i i i i i i i i i i i i i i i
admits that he has not been taking the prescribedmedication because the drugs make him “feel
i i i i i i i i i i i i i i i i
bad”. In explainingthe need for hypertension control, the nurse should stress that anelevated BP
i i i i i i i i i i i i i i i i
places the client at risk for which pathophysiological condition?
i i i i i i i i i
a- Blindness secondary to cataracts i i i
b- Acute kidney injury due to glomerular damage
i i i i i i
c- Stroke secondary to hemorrhage i i i
d- Heart block due to myocardial damage
i i i i i
Rationale: Stroke related to cerebral hemorrhage is major risk for
i i i i i i i i i
Downloaded iby: iredsautobody23 i|
Downloaded ibyiD
DiJstpriobpuptiyonpaopfisth(isbla
dcokcsutm
oneenptioispp
illyem
)
, HESI EXIT RN EXAM_V1 To V7.
i i i i i lOMoAR cPSD| 11450120
Stuvia.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy iMaterial
uncontrolled hypertension. i
3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client
i i i i i i i i i i i i
i who has a seizure disorder. The client is supine and the UAP is placing soft pillows along theside
i i i i i i i i i i i i i i i i i i
i rails. What action should the nurse implement?
i i i i i i
a- Ensure that the UAP has placed the pillows effectively to protect theclient.
i i i i i i i i i i i i
b- Instruct the UAP to obtain soft blankets to secure to the side railsinstead of pillows.
i i i i i i i i i i i i i i i
a- Assume responsibility for placing the pillows while the UAPcompletes another task.
i i i i i i i i i i i
b- Ask the UAP to use some of the pillows to prop the client in a sidelying position.
i i i i i i i i i i i i i i i i i
Rationale: The nurse should instruct the UAP to pad the side rails withsoft blankest because the use of
i i i i i i i i i i i i i i i i i i
pillows could result in suffocation andwould need to be removed at the onset of the seizure. The nurse
i i i i i i i i i i i i i i i i i i i
can delegate paddling the side rails to the UAP
i i i i i i i i i
4. An adolescent with major depressive disorder has been takingduloxetine (Cymbalta) for the
i i i i i i i i i i i i
i past 12 days. Which assessmentfinding requires immediate follow-up?
i i i i i i i i
a- Describes life without purpose i i i
b- Complains of nausea and loss of appetite i i i i i i
c- States is often fatigued and drowsy i i i i i
d- Exhibits an increase in sweating. i i i i
Rationale: Cymbalta is a selective serotonin and norepinephrine
i i i i i i i
Downloaded iby: iredsautobody23 i|
Downloaded ibyiD
DiJstpriobpuptiyonpaopfisth(isbla
dcokcsutm
oneenptioispp
illyem
)