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V7 Exit Exam Practice Questions and Answers ( Latest )
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Created lwithlthelintentionltolaid lRNlstudentsltolpassltheirlExit lHESI.
Thisldocument lislprotected lbylcopyright.lDistributing,lwhetherlelectroniclorlphysical,lorlcopyinglthisldocumen
t,lwholelorlinlpart,lislillegal.lBylpurchasingland laccessinglthisldocument,lyoulhavelacknowledged lt heseltermslan
d lconditions.
1. Followingldischargelteaching,lalmalelclient lwithlduodenallulcerltellslthelnurselthelhelwillldrinklplentylo
f ldairylproducts,lsuchlaslmilk,ltolhelplcoat land lprotect lhislulcer.lWhat lislthelbest lfollow-
uplactionlbylthelnurse?
• lReview lwithlthelclient lthelneed ltolavoid lfoodslthat larelrichlinlmilkland lcreaml
2. Almalelclient lwithlhypertension,lwholreceived lnew lantihypertensivelprescriptionslat lhisllast lvisit lreturnslt olth
elclinicltwolweeksllaterltolevaluatelhislblood lpressurel(BP).lHislBPlisl158/106land lheladmitslthat lhelhaslnot lbeenl
takinglthelprescribed lmedicationlbecauseltheldrugslmakelhiml“feellbad”.lInlexplaininglthelneed lforlhypertensio
nlcontrol,lthelnurselshould lstresslthat lanlelevated lBPlplaceslthelclient lat lrisklforlwhichlpathophysiologicallcondit
ion?
• lStrokelsecondaryltolhemorrhagel
3. Thelnurselobserveslanlunlicensed lassistivelpersonnell(UAP)lpositioninglalnewlyladmitted lclient lwhol
haslalseizureldisorder.lThelclient lislsupineland lthelUAPlislplacinglsoft lpillowslalonglthelsidelrails.lWhat
lactionlshould lthelnurselimplement?
4. Anladolescent lwithlmajorldepressiveldisorderlhaslbeenltakinglduloxetinel(Cymbalta)lforlthelpastl12ldays
.lWhichlassessment lfindinglrequireslimmediatelfollow-up?
• lDescribesllifelwithout lpurposel
5. Al60-year-
old lfemalelclient lwithlalpositivelfamilylhistorylof lovarianlcancerlhasldeveloped lanlabdominallmassland lislbeingle
valuated lforlpossiblelovarianlcancer.lHerlPapanicolaul(Pap)lsmearlresultslarelnegative.lWhat linformationlshoul
d lthelnurselincludelinlthelclient’slteachinglplan?
• lFurtherlevaluationlinvolvinglsurgerylmaylbelneeded l
6. Alclient lwholrecentlylunderwearlaltracheostomylislbeinglprepared lforldischargeltolhome.lWhichlinstr
uctionslislmost limportant lforlthelnurseltolincludelinltheldischargelplan?
• lTeachltracheallsuctioningltechniquesl
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V7 Exit Exam Practice Questions and Answers ( Latest )
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7. Inlassessinglanladult lclient lwithlalpartiallrebreatherlmask,lthelnurselnoteslthat ltheloxygen
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V7 Exit Exam Practice Questions and Answers ( Latest )
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reservoirlbagldoeslnot ldeflatelcompletelylduringlinspirationland lthelclient’slrespiratorylratelisl14lbreathsl/lm
inute.lWhat lactionlshould lthelnurselimplement?
• Document lthelassessment ldata
• Rational:lreservoirlbaglshould lnot ldeflatelcompletelylduringlinspirationland lthelclient’slres
piratorylratelislwithinlnormalllimits.
8. Duringlshift lreport,lthelcentrallelectrocardiograml(EKG)lmonitoringlsystemlalarms.lWhichlclient lala
rmlshould lthelnurselinvestigatelfirs?
• lRespiratorylapnealof l30lseconds
9. Duringlalhomelvisit,lthelnurselobserved lanlelderlylclient lwithldiabeteslslipland lfall.lWhat l actionlshould lt helnu
rseltakelfirst?
• lChecklthelclient lforllacerationslorlfractures
10. At l0600lwhileladmittinglalwomanlforlalschedulelrepeat lcesareanlsectionl(C-
Section),lthelclient ltellslthelnurselthat lsheldranklalcuplalcoffeelat l0400lbecauselshelwanted ltolavoid lgettinglalhead
ache.lWhichlactionlshould lthelnurseltakelfirst?
• lInformlthelanesthesialcarelprovider
11. Afterlplacinglalstethoscopelaslseenlinlthelpicture,lthelnurselauscultateslS1land lS2lheart lsounds.lTold eter
minelif lanlS3lheart lsound lislpresent,lwhat lactionlshould lthelnurseltakelfirst?
• Listenlwithlthelbelllat lthelsamellocationl
12. Al66-year-
old lwomanlislretiringland lwilllnollongerlhavelalhealthlinsurancelthroughlherlplacelof lemployment.lWhic
hlagencylshould lthelclient lbelreferred ltolbylthelemployeelhealthlnurselforlhealthlinsurancelneeds?
• lMedicarel
13. Alclient lwholisltakinglanloralldoselof laltetracyclinelcomplainslof lgastrointestinallupset.lWhat lsnacklshoul
d lthelnurselinstruct lthelclient ltoltakelwithltheltetracycline?
• lToasted lwheat lbread land ljellyl
14. Followinglallumbarlpuncture,lalclient lvoiceslseverallcomplaints.lWhat lcomplaint lindicated ltolthelnurs
elthat lthelclient lislexperiencinglalcomplication?
• “IlhavelalheadachelthatlgetslworselwhenlIlsitlup”
• “I lamlhavinglpainlinlmyllowerlbacklwhenlI lmovelmyllegs”
• “Mylthroat lhurtslwhenlI lswallow”
• “I lfeellsickltolmylstomachland lamlgoingltolthrow lup”
15. Anlelderlylclient lseemslconfused land lreportslthelonset loflnausea,ldysuria,land lurgencylwithlinco
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V7 Exit Exam Practice Questions and Answers ( Latest )
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ntinence.lWhichlactionlshould lthelnurselimplement?
• lObtainlalcleanlcatchlmid-streamlspecimenl