HESI 799 RN Exit Exam & RN Exit HESI
V5 – TEST BANK 2026/2027 Edition:
Extensive Practice Questions and Answers
for Nursing Students, NCLEX-RN
Preparation, and HESI Exit Exam Success
Review Guide
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.
Review with the client the need to avoid foods that are rich in
milk and cream
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 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
,Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk
for uncontrolled hypertension.
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.
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.
Instruct the UAP to obtain soft blankets to secure to the side
rails instead of pillows
, 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 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.
Describes life without purpose
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
V5 – TEST BANK 2026/2027 Edition:
Extensive Practice Questions and Answers
for Nursing Students, NCLEX-RN
Preparation, and HESI Exit Exam Success
Review Guide
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.
Review with the client the need to avoid foods that are rich in
milk and cream
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 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
,Stroke secondary to hemorrhage
Rationale: Stroke related to cerebral hemorrhage is major risk
for uncontrolled hypertension.
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.
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.
Instruct the UAP to obtain soft blankets to secure to the side
rails instead of pillows
, 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 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.
Describes life without purpose
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
