HESI EXIT
REVIEW
V1
QUESTION BANK
Verified
, HESI EXIT V1 WITH RATIONALES
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.
ANSWER: Review with the client the need to avoid foods that are rich in milk and cream.
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
ANSWER: Stroke secondary to hemorrhage
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.
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.
ANSWER: Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
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
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days.
Which assessment finding requires immediate follow-up?
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.
1
REVIEW
V1
QUESTION BANK
Verified
, HESI EXIT V1 WITH RATIONALES
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.
ANSWER: Review with the client the need to avoid foods that are rich in milk and cream.
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
ANSWER: Stroke secondary to hemorrhage
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.
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.
ANSWER: Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows.
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
4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days.
Which assessment finding requires immediate follow-up?
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.
1
