HESI 700 TEST BANK
Following discharge teaching, a Review with the client the need to avoid foods that are rich in milk and
male client with duodenal ulcer cream
tells the nurse the he will drink
plenty of dairy products, such as Rationale: Diets rich in milk and cream stimulate gastric acid
milk, to help coat and protect his secretion and should be avoided.
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.
Page 1
, HESI 700 TEST BANK
A male client with hypertension, Stroke secondary to hemorrhage
who received new antihypertensive
prescriptions at his last visit returns Rationale: Stroke related to cerebral hemorrhage is major risk for
to the clinic two weeks later to uncontrolled hypertension, which can damage the blood vessel
evaluate his blood pressure (BP). walls and cause the blood vessel to leak or burst.
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
Page 2
, HESI 700 TEST BANK
The nurse observes an unlicensed Instruct the UAP to obtain soft blankets to secure to the side rails
assistive personnel (UAP) instead of pillows
positioning a newly admitted client
who has a seizure disorder. The Rationale: The nurse should instruct the UAP to pad the side rails with
client is supine and the UAP is soft blankest because the use of pillows could result in suffocation and
placing soft pillows along the side would need to be removed at the onset of the seizure. The nurse can
rails. What action should the nurse delegate paddling the side rails to the UAP
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.
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.
Page 3
, HESI 700 TEST BANK
An adolescent with major Describes life without purpose
depressive disorder has been
taking duloxetine (Cymbalta) for the Rationale: Cymbalta is a selective serotonin and norepinephrine
past 12 days. Which assessment reuptake inhibitor that is known to increase the risk of suicidal thinking
finding requires immediate follow- in adolescents and young adults with major depressive disorder. B, C
up? 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.
Page 4
Following discharge teaching, a Review with the client the need to avoid foods that are rich in milk and
male client with duodenal ulcer cream
tells the nurse the he will drink
plenty of dairy products, such as Rationale: Diets rich in milk and cream stimulate gastric acid
milk, to help coat and protect his secretion and should be avoided.
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.
Page 1
, HESI 700 TEST BANK
A male client with hypertension, Stroke secondary to hemorrhage
who received new antihypertensive
prescriptions at his last visit returns Rationale: Stroke related to cerebral hemorrhage is major risk for
to the clinic two weeks later to uncontrolled hypertension, which can damage the blood vessel
evaluate his blood pressure (BP). walls and cause the blood vessel to leak or burst.
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
Page 2
, HESI 700 TEST BANK
The nurse observes an unlicensed Instruct the UAP to obtain soft blankets to secure to the side rails
assistive personnel (UAP) instead of pillows
positioning a newly admitted client
who has a seizure disorder. The Rationale: The nurse should instruct the UAP to pad the side rails with
client is supine and the UAP is soft blankest because the use of pillows could result in suffocation and
placing soft pillows along the side would need to be removed at the onset of the seizure. The nurse can
rails. What action should the nurse delegate paddling the side rails to the UAP
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.
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.
Page 3
, HESI 700 TEST BANK
An adolescent with major Describes life without purpose
depressive disorder has been
taking duloxetine (Cymbalta) for the Rationale: Cymbalta is a selective serotonin and norepinephrine
past 12 days. Which assessment reuptake inhibitor that is known to increase the risk of suicidal thinking
finding requires immediate follow- in adolescents and young adults with major depressive disorder. B, C
up? 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.
Page 4
