HESI RN EXIT EXAM V5 SCREENSHOTS 2022 INET PROCTORED EXAM 2023.pdf

HESI RN Exit Exam m m m




Following discharge teaching, a male client with duodenal ulcer tells the nurse the
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he will drink plenty of dairy products, such as milk, to help coat and protect his ul
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cer. What is the best follow-up action by the nurse?
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a. Remind the client that it is also important to switch to decaffeinated coffee an
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d tea.
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b. Suggest that the client also plan to eat frequent small meals to reduce discomfort
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c. Review with the client the need to avoid foods that are rich in milk and cream.
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d. Reinforce this teaching by asking the client to list a dairy food that he migh
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t select.
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(ANS-
mReview with the client the need to avoid foods that are rich in milk and cream
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Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should
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be avoided.
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A male client with hypertension, who received new antihypertensive prescriptions
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mat his last visit returns to the clinic two weeks later to evaluate his blood pressur
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e (BP). His BP is 158/106 and he admits that he has not been taking the prescribe
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d medication because the drugs make him "feel bad". In explaining the need for h
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ypertension control, the nurse should stress that an elevated BP places the client a
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t risk for which pathophysiological condition?
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a. Blindness secondary to cataracts m m m


b. Acute kidney injury due to glomerular damage
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c. Stroke secondary to hemorrhage m m m


d. Heart block due to myocardial damage
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m(ANS- Stroke secondary to hemorrhage
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Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled hyp
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ertension.

,The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
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admitted client who has a seizure disorder. The client is supine and the UAP is pl
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acing soft pillows along the side rails. What action should the nurse implement?
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a. Ensure that the UAP has placed the pillows effectively to protect the client.
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b. Instruct the UAP to obtain soft blankets to secure to the side rails instead o
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f pillows.
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c. Assume responsibility for placing the pillows while the UAP completes anothe
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r task.
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d. Ask the UAP to use some of the pillows to prop the client in a side lyin
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g position.
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(ANS-
mInstruct the UAP to obtain soft blankets to secure to the side rails instead of pillo
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ws

Rationale: The nurse should instruct the UAP to pad the side rails with soft blank
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est because the use of pillows could result in suffocation and would need to be re
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moved at the onset of the seizure. The nurse can delegate paddling the side rails t
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o the UAP
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An adolescent with major depressive disorder has been taking duloxetine (Cy
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mbalta) for the past 12 days. Which assessment finding requires immediate fol
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low-up

a. Describes life without purpose m m m


b. Complains of nausea and loss of appetite m m m m m m


c. States is often fatigued and drowsy
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d. Exhibits an increase in sweating. ( m m m m m


ANS- Describes life without purpose
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Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor
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that is known to increase the risk of suicidal thinking in adolescents and young ad
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ults with major depressive disorder. B, C and D are side effects
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,A 60-year-
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old female client with a positive family history of ovarian cancer has developed an
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mabdominal mass and is being evaluated for possible ovarian cancer. Her Papanicol
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au (Pap) smear results are negative. What information should the nurse include in
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the client's teaching plan
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a. Further evaluation involving surgery may be needed
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b. A pelvic exam is also needed before cancer is ruled out
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c. Pap smear evaluation should be continued every six month
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d. One additional negative pap smear in six months is needed
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. (ANS- Further evaluation involving surgery may be needed
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Rationale: An abdominal mass in a client with a family history for ovarian cancer
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should be evaluated carefully
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A client who recently underwent a tracheostomy is being prepared for discharge t
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o home. Which instructions is most important for the nurse to include in the disch
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arge plan? m




a. Explain how to use communication tools.
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b. Teach tracheal suctioning techniques
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c. Encourage self-care and independence. m m m


d. Demonstrate how to clean tracheostomy site. m m m m m


m(ANS- Teach tracheal suctioning techniques
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Rationale: Suctioning helps to clear secretions and maintain an open airway, which
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is critical.
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In assessing an adult client with a partial rebreather mask, the nurse notes that the
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oxygen reservoir bag does not deflate completely during inspiration and the client'
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s respiratory rate is 14 breaths / minute. What action should the nurse implement
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a. Encourage the client to take deep breathsm m m m m m


b. Remove the mask to deflate the bag
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c. Increase the liter flow of oxygenm m m m m


d. Document the assessment data m m m

, (ANS- Document the assessment data
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Rationale: reservoir bag should not deflate completely during inspiration and the c
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lient's respiratory rate is within normal limits.
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During shift report, the central electrocardiogram (EKG) monitoring system alarm
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s. Which client alarm should the nurse investigate first?
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a. Respiratory apnea of 30 seconds m m m m


b. Oxygen saturation rate of 88% m m m m


c. Eight premature ventricular beats every minute
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d. Disconnected monitor signal for the last 6 minutes m m m m m m m


. (ANS- Respiratory apnea of 30 seconds
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Rationale: The priority is the client whose alarm indicating respiratory apnea that s
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hould be assessed first.
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During a home visit, the nurse observed an elderly client with diabetes slip and f
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all. What action should the nurse take first?
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a. Give the client 4 ounces of orange juice
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b. Call 911 to summon emergency assistance
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c. Check the client for lacerations or fractures
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d. Asses clients blood sugar level (ANS-
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mCheck the client for lacerations or fractures
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Rationale: After the client falls, the nurse should immediately assess for the possib
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ility of injuries and provide first aid as needed
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At 0600 while admitting a woman for a schedule repeat cesarean section (C-
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mSection), the client tells the nurse that she drank a cup a coffee at 0400 because sh
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e wanted to avoid getting a headache. Which action should the nurse take first?
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a. Ensure preoperative lab results are available
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b. Start prescribed IV with lactated Ringer's
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