HESI Exit RN Exam Test Bank 2022 ( V1-V6 Exam Combined) (Latest 4 Exam Versions).pdf

HESI EXIT RN EXAM g g g




(750 QUESTIONS AND ANSWERS, RATIONALE OF EAC
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H ANSWER INCLUDED)
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1. Following discharge teaching, a male client with duodenal ulcer tells t
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he nurse the he will drink plenty of dairy products, such as milk, to hel
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p coat and protect his ulcer. What is the best follow-
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up action by the nurse?
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a- Remind the client that it is also important to switch to decaffeinated c
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offee and tea. g g




b- Suggest that the client also plan to eat frequent small meals to re
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duce discomfort g




c- Review with the client the need to avoid foods that are rich in m
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ilk and cream.
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d- Reinforce this teaching by asking the client to list a dairy food that he mi
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ght select.
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Rationale: Diets rich in milk and cream stimulate gastric acid secretion and sho
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uld be avoided.
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2. A male client with hypertension, who received new antihypertensive p
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rescriptions at his last visit returns to the clinic
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, two weeks later to evaluate his blood pressure (BP). His BP is 158/106 a
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nd he admits that he has not been taking the prescribed medication bec
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ause the drugs make him “feel bad”. In explaining the need for hyperte
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nsion control, the nurse should stress that an elevated BP places the clie
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nt at risk for which pathophysiological condition?
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a- Blindness secondary to cataracts b- g g g g




Acute kidney injury due to glomerular damage c-
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gStroke secondary to hemorrhage d- g g g g




gHeart block due to myocardial damage
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Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled
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hypertension.



3. The nurse observes an unlicensed assistive personnel (UAP) position
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ing a newly admitted client who has a seizure disorder. The client is s
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upine and the UAP is placing soft pillows along the side rails. What a
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ction should the nurse implement?
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a- Ensure that the UAP has placed the pillows effectively to protect the cl
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ient.
b- Instruct the UAP to obtain soft blankets to secure to the side rails
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, instead of pillows. g g




a- Assume responsibility for placing the pillows while the UAP c
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ompletes another task. g g




b- Ask the UAP to use some of the pillows to prop the client in a side lyi
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ng position.
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Rationale: The nurse should instruct the UAP to pad the side rails with soft bla
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nkest because the use of pillows could result in suffocation and would need to
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be removed at the onset of the seizure. The nurse can delegate paddling the sid
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e rails to the UAP
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4. An adolescent with major depressive disorder has been taking dulo
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xetine (Cymbalta) for the past 12 days. Which assessment finding re
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quires immediate follow-up?
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a- Describes life without purpose g g g




b- Complains of nausea and loss of appetite c- g g g g g g g




g States is often fatigued and drowsy d-
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g Exhibits an increase in sweating.
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Rationale: Cymbalta is a selective serotonin and norepinephrine reuptak
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e inhibitor that is known to increase the risk of suicidal thinking in adole
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scents and young adults with major depressive
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, disorder. B, C and D are side effectsg g g g g g g




5. A 60-year- g




old female client with a positive family history of ovarian cancer
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has developed an abdominal mass and is being evaluated for pos
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sible ovarian cancer. Her Papanicolau (Pap) smear results are n
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egative. What information should the nurse include in the client’
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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 c-
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g Pap smear evaluation should be continued every six month d-
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g One additional negative pap smear in six months is needed.
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Rationale: An abdominal mass in a client with a family history for ovaria
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n cancer should be evaluated carefully
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6. A client who recently underwear a tracheostomy is being pre
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pared for discharge to home. Which instructions is most imp
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ortant for the nurse to include in the discharge plan?
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a- Explain how to use communication tools. b-
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gTeach tracheal suctioning techniques c-
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gEncourage self-care and independence. g g g




d- Demonstrate how to clean tracheostomy site.
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