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HESI EXIT EXAM
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HESI EXIT EXAM
two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he
admits that he has not been taking the prescribedmedication because the
drugs make him “feel bad”. In explainingthe need for hypertension control,
the nurse should stress that anelevated BP places the client at risk for which
pathophysiologicalcondition?
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.
• An unlicensed assistive personnel (UAP) assigned to obtain clientvital
signs reports to the charge nurse that a client has a weak pulse with a rate
of 44 beat/ minutes. What action should the charge nurse implement?
a- Instruct the UAP to count the client apical pulse rate for sixtyseconds
b- Determine if the UAP also measured the client‟s capillary refilltime.
c- Assign a practical nurse (LPN) to determine if an apical radialdeficit is
present.
d- Notify the health care provider of the abnormal pulse rate andpulse
HESI EXIT EXAM 750 QS & ANS/ HESIEXIT RN EXAM / HESI RN EXIT
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volume.
Rationale: Since the client has bradycardia and week pulse volume
further assessment should be performed by an LPN… of assessmentskills (C) than the UAP. While
follow-up assessment is outside the scope of the UAP
• After a sudden loss of consciousness, a female client is taken to the ED
and initial assessment indicate that her blood glucose level is critically
low. Once her glucose level is stabilized, the client reports that was
recently diagnosed with anorexia nervosa and is being treated at an
outpatient clinic. Which intervention ismore important to include in this
client‟s discharge plan?
a- Describe the signs and symptoms of hypoglycemia.
b- Encourage a low-carbohydrate and high-protein diet
c- Reinforce the need to continue outpatient treatment
d- Suggest wearing a medical alert bracelet at all time.
Rationale: A client with anorexia nervosa with long term starvation or who self-
restrict intake can sign…. Reserves. Providing the client with dietary selections
such as low-carbohydrate, high protein….
Hypoglycemic episodes, which can become life-threating.
• -A client with a peripherally inserted central catheter (PICC) linehas a
HESI EXIT EXAM 750 QS & ANS/ HESIEXIT RN EXAM / HESI RN EXIT
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fever. What client assessment is most important for the
nurse to perform?
a- Observe the antecubital fossa for inflammation.
• 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.
Rationale: Cymbalta is a selective serotonin and norepinephrinereuptake
inhibitor that is known to increase the risk of suicidal thinking in
adolescents and young adults with major depressivedisorder. B, C and D
HESI EXIT EXAM 750 QS & ANS/ HESIEXIT RN EXAM / HESI RN EXIT
EXAM (NEWEST, 2022/2023/2024) VERIFIED ANSWERS, 100%
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