EXIT HESI 700 + BANK FIRST 100 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

EXIT HESI 700 + BANK FIRST 100
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
1.UFollowingUdischargeUteaching,UaUmaleUclientUwithUduodenalUulcerUtellsUtheUnurseUtheUheUwillUdrinkUplen
tyUofUdairyUproducts,UsuchUasUmilk,UtoUhelpUcoatUandUprotectUhisUulcer.UWhatUisUtheUbestUfollow-
upUactionUbyUtheUnurse?



A)URemindUtheUclientUthatUitUisUalsoUimportantUtoUswitchUtoUdecaffeinatedUcoffeeUandUtea.U



B)USuggestUthatUtheUclientUalsoUplanUtoUeatUfrequentUsmallUmealsUtoUreduceUdiscomfort.U



C)UReviewUwithUtheUclientUtheUneedUtoUavoidUfoodsUthatUareUrichUinUmilkUandUcream.U



D)UReinforceUthisUteachingUbyUaskingUtheUclientUtoUlistUaUdairyUfoodUthatUheUmightUselect.U-
UANSWERUC)UReviewUwithUtheUclientUtheUneedUtoUavoidUfoodsUthatUareUrichUinUmilkUandUcream.U




Rationale:UDietsUrichUinUmilkUandUcreamUstimulateUgastricUacidUsecretionUandUshouldUbeUavoided.



2.UAUmaleUclientUwithUhypertension,UwhoUreceivedUnewUantihypertensiveUprescriptionsUatUhisUlastUvisitUret
urnsUtoUtheUclinicUtwoUweeksUlaterUtoUevaluateUhisUbloodUpressureU(BP).UHisUBPUisU158/106UandUheUadmits
UthatUheUhasUnotUbeenUtakingUtheUprescribedUmedicationUbecauseUtheUdrugsUmakeUhimU"feelUbad".UInUexp

lainingUtheUneedUforUhypertensionUcontrol,UtheUnurseUshouldUstressUthatUanUelevatedUBPUplacesUtheUclient
UatUriskUforUwhichUpathophysiologicalUcondition?U




A)UBlindnessUsecondaryUtoUcataractsU



B)UAcuteUkidneyUinjuryUdueUtoUglomerularUdamageU



C)UStokeUsecondaryUtoUhemorrhageU



D)UHeartUblockUdueUtoUmyocardialUdamageU-UANSWERUC)UStokeUsecondaryUtoUhemorrhageU

,Rationale:UStrokeUrelatedUtoUcerebralUhemorrhageUisUmajorUriskUforUuncontrolledUhypertension.



3.UTheUnurseUobservesUanUunlicensedUassistiveUpersonnelU(UAP)UpositioningUaUnewlyUadmittedUclientUwho
UhasUaUseizureUdisorder.UTheUclientUisUsupineUandUtheUUAPUisUplacingUsoftUpillowsUalongUtheUsideUrails.UWh

atUactionUshouldUtheUnurseUimplement?U



A)UEnsureUthatUtheUUAPUhasUplacedUpillowsUeffectivelyUtoUprotectUtheUclient.U



B)UInstructUtheUUAPUtoUobtainUsoftUblanketsUtoUsecureUtoUtheUsideUrailsUinsteadUofUpillows.U



C)UAssumeUresponsibilityUforUplacingUtheUpillowsUwhileUtheUUAPUcompletesUanotherUtask.U



D)UAskUtheUUAPUtoUuseUsomeUofUtheUpillowsUtoUpropUtheUclientUinUaUsideUlyingUposition.U-
UANSWERUB)UInstructUtheUUAPUtoUobtainUsoftUblanketsUtoUsecureUtoUtheUsideUrailsUinsteadUofUpillows.U




Rationale:UTheUnurseUshouldUinstructUtheUUAPUtoUpadUtheUsideUrailsUwithUsoftUblanketsUbecauseUtheUuseUo
fUpillowsUcouldUresultUinUsuffocationUandUwouldUneedUtoUbeUremovedUatUtheUonsetUofUseizure.UTheUnurseU
CANUdelegateUpaddingUtheUsideUrailsUtoUtheUUAP.



4.UAnUadolescentUwithUmajorUdepressiveUdisorderUhasUbeenUtakingUduloxetineU(Cymbalta)UforUtheUpastU12
Udays.UWhichUassessmentUrequiresUimmediateUfollow-up?




A)UDescribesUlifeUwithoutUpurposeU



B)UComplainsUofUnauseaUandUlossUofUappetite



C)UStatesUisUoftenUfatiguedUandUdrowsy



D)UExhibitsUanUincreaseUinUsweatingU-UANSWERUA)UDescribesUlifeUwithoutUpurposeU

,Rationale:UCymbaltaUisUaUselectiveUserotoninUandUnorepinephrineUreuptakeUinhibitorUthatUisUknownUtoUinc
reaseUtheUriskUofUsuicidalUthinkingUinUadolescentsUandUyoungUadultsUwithUmajorUdepressiveUdisorder.UB,UC
UandUDUareUsideUeffects.




5.UAU60-year-
oldUfemaleUclientUwithUaUpositiveUfamilyUhistoryUofUovarianUcancerUhasUdevelopedUanUabdominalUmassUan
dUisUbeingUevaluatedUforUpossibleUovarianUcancer.UHerUpapanicolauU(pap)UsmearUresultsUareUnegative.UWh
atUinformationUshouldUtheUnurseUincludeUinUtheUclient'sUteachingUplan?U



A)UFurtherUevaluationUinvolvingUsurgeryUmayUbeUneeded



B)UAUpelvicUexamUisUalsoUneededUbeforeUcancerUisUruledUout



C)UPapUsmearUevaluationUshouldUbeUcontinuedUeveryUsixUmonth



D)UOneUadditionalUnegativeUpapUsmearUinUsixUmonthsUisUneededU-
UANSWERUA)UFurtherUevaluationUinvolvingUsurgeryUmayUbeUneeded




Rationale:UAnUabdominalUmassUinUaUclientUwithUfamilyUhistoryUforUovarianUcancerUshouldUbeUevaluatedUca
refully.



6.UAUclientUwhoUrecentlyUunderwearUaUtracheostomyUisUbeingUpreparedUforUdischargeUtoUhome.UWhichUin
structionsUisUmostUimportantUforUtheUnurseUtoUincludeUinUtheUdischargeUplan?



A)UExplainUhowUtoUuseUcommunicationUtools.



B)UTeachUtrachealUsuctioningUtechniques



C)UEncourageUself-careUandUindependence.



D)UDemonstrateUhowUtoUcleanUtracheostomyUsite.U-UANSWERUB)UTeachUtrachealUsuctioningUtechniques

, Rationale:USuctioningUhelpsUtoUclearUsecretionsUandUmaintainUanUopenUairway,UwhichUisUcritical.



7.UInUassessingUanUadultUclientUwithUaUpartialUrebreatherUmask,UtheUnurseUnotesUthatUtheUoxygenUreservoi
rUbagUdoesUnotUdeflateUcompletelyUduringUinspirationUandUtheUclient'sUrespiratoryUrateUisU14UbreathsU/Umi
nute.UWhatUactionUshouldUtheUnurseUimplement?



A)UEncourageUtheUclientUtoUtakeUdeepUbreaths



B)URemoveUtheUmaskUtoUdeflateUtheUbag



C)UIncreaseUtheUliterUflowUofUoxygen



D)UDocumentUtheUassessmentUdataU-UANSWERUD)UDocumentUtheUassessmentUdataU



Rational:UreservoirUbagUshouldUnotUdeflateUcompletelyUduringUinspirationUandUtheUclient'sUrespiratoryUrat
eUisUwithinUnormalUlimits.



8.UDuringUaUhomeUvisit,UtheUnurseUobservedUanUelderlyUclientUwithUdiabetesUslipUandUfall.UWhatUactionUsh
ouldUtheUnurseUtakeUfirst?



A)UGiveUtheUclientU4UouncesUofUorangeUjuice



B)UCallU911UtoUsummonUemergencyUassistance



C)UCheckUtheUclientUforUlacerationsUorUfractures



D)UAssesUclientsUbloodUsugarUlevelU-UANSWERUC)UCheckUtheUclientUforUlacerationsUorUfractures



Rationale:UAfterUtheUclientUfalls,UtheUnurseUshouldUimmediatelyUassessUforUtheUpossibilityUofUinjuriesUandU
provideUfirstUaidUasUneeded