HESI RN EXIT Exam Questions and Verified Answers 2024

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, two weeks later to evaluate his blood pressure (BP). His BP is 158/1
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06 and he admits that he has not been taking the prescribedmedica
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tion because the drugs make him “feel bad”. In explainingthe need
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for hypertension control, the nurse should stress that anelevated B
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P places the client at risk for which pathophysiologicalcondition?
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a- Blindness secondary to cataracts u u u




b- Acute kidney injury due to glomerular damage
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c- Stroke secondary to hemorrhage u u u




d- Heart block due to myocardial damage
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Rationale: Stroke related to cerebral hemorrhage is major risk foruncontro
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lled hypertension.
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3. The nurse observes an unlicensed assistive personnel (UAP) posit
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ioning a newly admitted client who has a seizure disorder. The cli
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ent is supine and the UAP is placing soft pillows along theside rails
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. What action should the nurse implement?
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a- Ensure that the UAP has placed the pillows effectively to protect thecli
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ent.
b- Instruct the UAP to obtain soft blankets to secure to the side railsin
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stead of pillows. u u

, a- Assume responsibility for placing the pillows while the UAPc
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ompletes another task. u u




b- Ask the UAP to use some of the pillows to prop the client in a sidelyi
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ng position.u




Rationale: The nurse should instruct the UAP to pad the side rails withsoft
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blankest because the use of pillows could result in suffocation andwould n
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eed to be removed at the onset of the seizure. The nurse can delegate paddl
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ing the side rails to the UAP
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4. An adolescent with major depressive disorder has been takingd
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uloxetine (Cymbalta) for the past 12 days. Which assessmentfin
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ding requires immediate follow-up?
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a- Describes life without purpose u u u




b- Complains of nausea and loss of appetite u u u u u u




c- States is often fatigued and drowsy
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d- Exhibits an increase in sweating. u u u u




Rationale: Cymbalta is a selective serotonin and norepinephrinereuptak
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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 depressivedisorder. B, C and D are s
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ide effects
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