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HESI EXIT RN EXAM
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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 followup 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
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mi ght select. g
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 g g g g g g g g
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 Acute kidney injury due to glome
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rular damage c Stroke secondary to hemorrhage d Heart block due
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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. g
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? g g
a- Describes life without purpose b- g g g
Complains of nausea and loss of appetite c States is often fatigu
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ed and drowsy d 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 effects g g g g g g g
5. A 60- g
yearold 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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