HESI EXIT RN EXAM OVER 700 QUESTIONS,
ANSWERS RATIONALE NEW 2020/2021
1. Following discharge teaching, a male client with duodenal ulcer
tells the nurse the he will drink plenty of dairy 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 teaching by asking the client to list a dairy food that
he might select.
Rationale: Diets rich in milk and cream stimulate gastric acid
secretion and should be avoided.
2. A male client with hypertension, who received new
antihypertensive 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
, Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP)
positioning a newly admitted client who has a seizure disorder.
The client is supine and the UAP is placing soft pillows along
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.
a- Assume responsibility for placing the pillows while the UAP
completes another task.
b- Ask the UAP to use some of the pillows to prop the client in a
side lying position.
Rationale: The nurse should instruct the UAP to pad the side rails
with soft blankest because the use of pillows could result in
suffocation and would need to be removed at the onset of the seizure.
The nurse can delegate paddling the side rails to the UAP
HESI PN MATERNAL NEWBERN OB EXAM (4
VERSIONS) / PN HESI MATERNAL NEWBERN OB
EXAM (LATEST-2021): (ANSWERS VERIFIED 100%
CORRECT)
https://www.stuvia.com/doc/1032238/hesi-pn-maternal-newbern-ob-exam-4-versions-pn-hesi-
maternal-newbern-ob-exam-latest-2021-answers-verified-100-correct
HESI RN LEADERSHIP PROCTORED EXAM ( 11
VERSIONS) / RN HESI LEADERSHIP PROCTORED
ANSWERS RATIONALE NEW 2020/2021
1. Following discharge teaching, a male client with duodenal ulcer
tells the nurse the he will drink plenty of dairy 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 teaching by asking the client to list a dairy food that
he might select.
Rationale: Diets rich in milk and cream stimulate gastric acid
secretion and should be avoided.
2. A male client with hypertension, who received new
antihypertensive 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
, Rationale: Stroke related to cerebral hemorrhage is major risk for
uncontrolled hypertension.
3. The nurse observes an unlicensed assistive personnel (UAP)
positioning a newly admitted client who has a seizure disorder.
The client is supine and the UAP is placing soft pillows along
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.
a- Assume responsibility for placing the pillows while the UAP
completes another task.
b- Ask the UAP to use some of the pillows to prop the client in a
side lying position.
Rationale: The nurse should instruct the UAP to pad the side rails
with soft blankest because the use of pillows could result in
suffocation and would need to be removed at the onset of the seizure.
The nurse can delegate paddling the side rails to the UAP
HESI PN MATERNAL NEWBERN OB EXAM (4
VERSIONS) / PN HESI MATERNAL NEWBERN OB
EXAM (LATEST-2021): (ANSWERS VERIFIED 100%
CORRECT)
https://www.stuvia.com/doc/1032238/hesi-pn-maternal-newbern-ob-exam-4-versions-pn-hesi-
maternal-newbern-ob-exam-latest-2021-answers-verified-100-correct
HESI RN LEADERSHIP PROCTORED EXAM ( 11
VERSIONS) / RN HESI LEADERSHIP PROCTORED
