Science Medicine Nursing
~HESI 799 RN Exit Exam~
Save
Following discharge Review with the client the need to avoid foods that
teaching, a male client are rich in milk and cream
with duodenal ulcer tells
the nurse the he will drink Rationale: Diets rich in milk and cream stimulate
plenty of dairy products, gastric acid secretion and should be avoided.
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.
,A male client with Stroke secondary to hemorrhage
hypertension, who
received new Rationale: Stroke related to cerebral hemorrhage is
antihypertensive major risk for uncontrolled hypertension.
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
,The nurse observes an Instruct the UAP to obtain soft blankets to secure to
unlicensed assistive the side rails instead of pillows
personnel (UAP)
positioning a newly Rationale: The nurse should instruct the UAP to pad
admitted client who has a the side rails with soft blankest because the use of
seizure disorder. The client pillows could result in suffocation and would need to
is supine and the UAP is be removed at the onset of the seizure. The nurse can
placing soft pillows along delegate paddling the side rails to the UAP
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.
, An adolescent with major Describes life without purpose
depressive disorder has
been taking duloxetine Rationale: Cymbalta is a selective serotonin and
(Cymbalta) for the past 12 norepinephrine reuptake inhibitor that is known to
days. Which assessment increase the risk of suicidal thinking in adolescents
finding requires immediate and young adults with major depressive disorder. B, C
follow-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.
~HESI 799 RN Exit Exam~
Save
Following discharge Review with the client the need to avoid foods that
teaching, a male client are rich in milk and cream
with duodenal ulcer tells
the nurse the he will drink Rationale: Diets rich in milk and cream stimulate
plenty of dairy products, gastric acid secretion and should be avoided.
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.
,A male client with Stroke secondary to hemorrhage
hypertension, who
received new Rationale: Stroke related to cerebral hemorrhage is
antihypertensive major risk for uncontrolled hypertension.
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
,The nurse observes an Instruct the UAP to obtain soft blankets to secure to
unlicensed assistive the side rails instead of pillows
personnel (UAP)
positioning a newly Rationale: The nurse should instruct the UAP to pad
admitted client who has a the side rails with soft blankest because the use of
seizure disorder. The client pillows could result in suffocation and would need to
is supine and the UAP is be removed at the onset of the seizure. The nurse can
placing soft pillows along delegate paddling the side rails to the UAP
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.
, An adolescent with major Describes life without purpose
depressive disorder has
been taking duloxetine Rationale: Cymbalta is a selective serotonin and
(Cymbalta) for the past 12 norepinephrine reuptake inhibitor that is known to
days. Which assessment increase the risk of suicidal thinking in adolescents
finding requires immediate and young adults with major depressive disorder. B, C
follow-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.
