1|Page
HESI 799 RN EXIT EXAM WITH QS & AS
[RATIONALES PROVIDED]
NEWLY FORMATTED DOCUMENT
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 Rationale: Diets rich in milk and cream stimulate
drink plenty of dairy gastric acid secretion and should be avoided.
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
,2|Page
teaching by asking the
client to list a dairy food
that he might select.
,3|Page
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
, 4|Page
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 pillows could result in suffocation and would need
client is supine and the to be removed at the onset of the
UAP is placing soft pillows seizure. The nurse can delegate paddling the side
along the side rails. What rails to the UAP
action should the nurse
implement?
a. Ensure that the UAP
has placed the pillows
effectively to protect the
client.
b. Instruct the UAP to
HESI 799 RN EXIT EXAM WITH QS & AS
[RATIONALES PROVIDED]
NEWLY FORMATTED DOCUMENT
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 Rationale: Diets rich in milk and cream stimulate
drink plenty of dairy gastric acid secretion and should be avoided.
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
,2|Page
teaching by asking the
client to list a dairy food
that he might select.
,3|Page
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
, 4|Page
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 pillows could result in suffocation and would need
client is supine and the to be removed at the onset of the
UAP is placing soft pillows seizure. The nurse can delegate paddling the side
along the side rails. What rails to the UAP
action should the nurse
implement?
a. Ensure that the UAP
has placed the pillows
effectively to protect the
client.
b. Instruct the UAP to
