lOMoAR cPSD| 11450120
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,HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
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1. Following discharge teaching, a male client with duodenal ulcer f f f f f f f f
tells the nurse the he will drink plenty of dairy products, such as
f f f f f f f f f f f f f
milk, to help coat and protect his ulcer. What is the best follow-
f f f f f f f f f f f f f
upaction by the nurse?
f f f f
a- Remind the client that it is also important to switch to f f f f f f f f f f
decaffeinatedcoffee and tea.
f f f f
b- Suggest that the client also plan to eat frequent small meals f f f f f f f f f f
toreduce discomfort
f f f
c- Review with the client the need to avoid foods that are rich f f f f f f f f f f f
inmilk and cream.
f f f f
d- Reinforce this teaching by asking the client to list a dairy food that
f f f f f f f f f f f f
hemight select.
f f f
Rationale: Diets rich in milk and cream stimulate gastric acid secretionand
f f f f f f f f f f f
should be avoided.
f f f
2. A male client with hypertension, who received new
f f f f f f f
antihypertensive prescriptions at his last visit returns to the
f f f f f f f f f
clinictwo weeks later to evaluate his blood pressure (BP). His BP is
f f f f f f f f f f f f f
158/106 and he admits that he has not been taking the
f f f f f f f f f f f
prescribedmedication because the drugs make him “feel bad”. In
f f f f f f f f f f
explainingthe need for hypertension control, the nurse should
f f f f f f f f f
stress that anelevated BP places the client at risk for which
f f f f f f f f f f f f
pathophysiological condition?
f f
a- Blindness secondary to cataracts f f f
b- Acute kidney injury due to glomerular damage f f f f f f
c- Stroke secondary to hemorrhage f f f
d- Heart block due to myocardial damage f f f f f
Rationale: Stroke related to cerebral hemorrhage is major risk for
f f f f f f f f f
,HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
uncontrolled hypertension. f
3. The nurse observes an unlicensed assistive personnel (UAP)
f f f f f f f
positioning a newly admitted client who has a seizure disorder.
f f f f f f f f f f
The client is supine and the UAP is placing soft pillows along
f f f f f f f f f f f f
theside rails. What action should the nurse implement?
f f f f f f f f f
a- Ensure that the UAP has placed the pillows effectively to protect
f f f f f f f f f f
theclient.
f f
b- Instruct the UAP to obtain soft blankets to secure to the side f f f f f f f f f f f
railsinstead of pillows.
f f f f
a- Assume responsibility for placing the pillows while the f f f f f f f
UAPcompletes another task.
f f f f
b- Ask the UAP to use some of the pillows to prop the client in a
f f f f f f f f f f f f f f
sidelying position.f f f
Rationale: The nurse should instruct the UAP to pad the side rails
f f f f f f f f f f f
withsoft blankest because the use of pillows could result in suffocation
f f f f f f f f f f f f
andwould need to be removed at the onset of the seizure. The nurse can
f f f f f f f f f f f f f f f
delegate paddling the side rails to the UAP
f f f f f f f f
4. An adolescent with major depressive disorder has been
f f f f f f f
taking duloxetine (Cymbalta) for the past 12 days. Which
f f f f f f f f f
assessmentfinding requires immediate follow-up?
f f f f f
a- Describes life without purpose f f f
b- Complains of nausea and loss of appetite f f f f f f
c- States is often fatigued and drowsy f f f f f
d- Exhibits an increase in sweating. f f f f
Rationale: Cymbalta is a selective serotonin and norepinephrine f f f f f f f
, HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
reuptake inhibitor that is known to increase the risk of suicidal
f f f f f f f f f f
thinking in adolescents and young adults with major
f f f f f f f f
depressivedisorder. B, C and D are side effects
f f f f f f f f f
5. A 60-year-old female client with a positive family history of
f f f f f f f f f
ovarian cancer has developed an abdominal mass and is being
f f f f f f f f f f
evaluated for possible ovarian cancer. Her Papanicolau (Pap)
f f f f f f f f
smear results are negative. What information should the
f f f f f f f f
nurseinclude in the client’s teaching plan?
f f f f f f f
a- Further evaluation involving surgery may be needed f f f f f f
b- A pelvic exam is also needed before cancer is ruled out
f f f f f f f f f f
c- Pap smear evaluation should be continued every six month
f f f f f f f f
d- One additional negative pap smear in six months is needed.
f f f f f f f f f
Rationale: An abdominal mass in a client with a family history forovarian
f f f f f f f f f f f f
cancer should be evaluated carefully
f f f f f
6. A client who recently underwear a tracheostomy is being
f f f f f f f f
prepared for discharge to home. Which instructions is
f f f f f f f f
mostimportant for the nurse to include in the discharge plan?
f f f f f f f f f f f
a- Explain how to use communication tools. f f f f f
b- Teach tracheal suctioning techniques f f f
c- Encourage self-care and independence. f f f
d- Demonstrate how to clean tracheostomy site. f f f f f
Rationale: Suctioning helps to clear secretions and maintain an openairway,
f f f f f f f f f f
which is critical.
f f f
7. In assessing an adult client with a partial rebreather mask, the
f f f f f f f f f f
nurse notes that the oxygen reservoir bag does not deflate
f f f f f f f f f f
completely during inspiration and the client’s respiratory rate
f f f f f f f f
is14 breaths / minute. What action should the nurse implement?
f f f f f f f f f f f
fffffffffffff
ffffffffffffffffffffff
,HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
fffffffffffffffffff
1. Following discharge teaching, a male client with duodenal ulcer f f f f f f f f
tells the nurse the he will drink plenty of dairy products, such as
f f f f f f f f f f f f f
milk, to help coat and protect his ulcer. What is the best follow-
f f f f f f f f f f f f f
upaction by the nurse?
f f f f
a- Remind the client that it is also important to switch to f f f f f f f f f f
decaffeinatedcoffee and tea.
f f f f
b- Suggest that the client also plan to eat frequent small meals f f f f f f f f f f
toreduce discomfort
f f f
c- Review with the client the need to avoid foods that are rich f f f f f f f f f f f
inmilk and cream.
f f f f
d- Reinforce this teaching by asking the client to list a dairy food that
f f f f f f f f f f f f
hemight select.
f f f
Rationale: Diets rich in milk and cream stimulate gastric acid secretionand
f f f f f f f f f f f
should be avoided.
f f f
2. A male client with hypertension, who received new
f f f f f f f
antihypertensive prescriptions at his last visit returns to the
f f f f f f f f f
clinictwo weeks later to evaluate his blood pressure (BP). His BP is
f f f f f f f f f f f f f
158/106 and he admits that he has not been taking the
f f f f f f f f f f f
prescribedmedication because the drugs make him “feel bad”. In
f f f f f f f f f f
explainingthe need for hypertension control, the nurse should
f f f f f f f f f
stress that anelevated BP places the client at risk for which
f f f f f f f f f f f f
pathophysiological condition?
f f
a- Blindness secondary to cataracts f f f
b- Acute kidney injury due to glomerular damage f f f f f f
c- Stroke secondary to hemorrhage f f f
d- Heart block due to myocardial damage f f f f f
Rationale: Stroke related to cerebral hemorrhage is major risk for
f f f f f f f f f
,HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
uncontrolled hypertension. f
3. The nurse observes an unlicensed assistive personnel (UAP)
f f f f f f f
positioning a newly admitted client who has a seizure disorder.
f f f f f f f f f f
The client is supine and the UAP is placing soft pillows along
f f f f f f f f f f f f
theside rails. What action should the nurse implement?
f f f f f f f f f
a- Ensure that the UAP has placed the pillows effectively to protect
f f f f f f f f f f
theclient.
f f
b- Instruct the UAP to obtain soft blankets to secure to the side f f f f f f f f f f f
railsinstead of pillows.
f f f f
a- Assume responsibility for placing the pillows while the f f f f f f f
UAPcompletes another task.
f f f f
b- Ask the UAP to use some of the pillows to prop the client in a
f f f f f f f f f f f f f f
sidelying position.f f f
Rationale: The nurse should instruct the UAP to pad the side rails
f f f f f f f f f f f
withsoft blankest because the use of pillows could result in suffocation
f f f f f f f f f f f f
andwould need to be removed at the onset of the seizure. The nurse can
f f f f f f f f f f f f f f f
delegate paddling the side rails to the UAP
f f f f f f f f
4. An adolescent with major depressive disorder has been
f f f f f f f
taking duloxetine (Cymbalta) for the past 12 days. Which
f f f f f f f f f
assessmentfinding requires immediate follow-up?
f f f f f
a- Describes life without purpose f f f
b- Complains of nausea and loss of appetite f f f f f f
c- States is often fatigued and drowsy f f f f f
d- Exhibits an increase in sweating. f f f f
Rationale: Cymbalta is a selective serotonin and norepinephrine f f f f f f f
, HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
reuptake inhibitor that is known to increase the risk of suicidal
f f f f f f f f f f
thinking in adolescents and young adults with major
f f f f f f f f
depressivedisorder. B, C and D are side effects
f f f f f f f f f
5. A 60-year-old female client with a positive family history of
f f f f f f f f f
ovarian cancer has developed an abdominal mass and is being
f f f f f f f f f f
evaluated for possible ovarian cancer. Her Papanicolau (Pap)
f f f f f f f f
smear results are negative. What information should the
f f f f f f f f
nurseinclude in the client’s teaching plan?
f f f f f f f
a- Further evaluation involving surgery may be needed f f f f f f
b- A pelvic exam is also needed before cancer is ruled out
f f f f f f f f f f
c- Pap smear evaluation should be continued every six month
f f f f f f f f
d- One additional negative pap smear in six months is needed.
f f f f f f f f f
Rationale: An abdominal mass in a client with a family history forovarian
f f f f f f f f f f f f
cancer should be evaluated carefully
f f f f f
6. A client who recently underwear a tracheostomy is being
f f f f f f f f
prepared for discharge to home. Which instructions is
f f f f f f f f
mostimportant for the nurse to include in the discharge plan?
f f f f f f f f f f f
a- Explain how to use communication tools. f f f f f
b- Teach tracheal suctioning techniques f f f
c- Encourage self-care and independence. f f f
d- Demonstrate how to clean tracheostomy site. f f f f f
Rationale: Suctioning helps to clear secretions and maintain an openairway,
f f f f f f f f f f
which is critical.
f f f
7. In assessing an adult client with a partial rebreather mask, the
f f f f f f f f f f
nurse notes that the oxygen reservoir bag does not deflate
f f f f f f f f f f
completely during inspiration and the client’s respiratory rate
f f f f f f f f
is14 breaths / minute. What action should the nurse implement?
f f f f f f f f f f f
