HESI Exit RN Exam Over 700 Questions, Answers Rationale New 2021 latest 100%.

HESI EXIT RN EXAM OVER 700 QUESTIONS,
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ANSWERS RATIONALE NEW 2020/2021 LA
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TEST




HESI EXIT RN EXAM OVER 700 QUESTIONS,
u u u u u u u



ANSWERS RATIONALE NEW 2020/2021
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1. Propranololu(Inderal)uisuprescribeduforuaupatientudiagnoseduwithuhypertension.uTheunurseushoulduconsultu
withutheuhealthucareuproviderubeforeugivinguthisudruguwhenutheupatienturevealsuauhistoryu of
a. dailyualcoholuuse.uc.ureactiveuairwayudisease.
b. pepticuulcerudisease.ud.umyocardialuinfarctionu
(MI).uANS:uC
Nonselectiveub-blockersublockub1-uandub2-
adrenergicureceptorsuanducanucauseubronchospasm,uespeciallyuinupatientsuwithuauhistoryuofuasthma.ub-
Blockersuwilluhaveunoueffectuonutheupatient’supepticuulcerudiseaseuorualcoholuuse.ub-
BlockerutherapyuisurecommendeduafteruMI.


2. Au56-yr-
oldupatientuwhouhasunoupreviousuhistoryuofuhypertensionuoruotheruhealthuproblemsusuddenlyudevelopsuau
bloodupressureu(BP)uofu198/110ummuHg.uAfterureconfirmingutheuBP,uituisuappropriateuforutheunurseutoutell
utheupatientuthat


a. auBPurecheckushouldubeuscheduleduinuaufewuweeks.
b. dietaryusodiumuandufatucontentushouldubeudecreased.
c. diagnosis,utreatment,uanduongoingumonitoringuwillubeuneeded.
d. thereuisuanuimmediateudangeruofuaustroke,urequiringu
hospitalization.uANS:uC


AusuddenuincreaseuinuBPuinuaupatientuolderuthanuageu50uyearsuwithunoupreviousuhypertensionuhistoryuoruri
skufactorsuindicatesuthatutheuhypertensionumayubeusecondaryutousomeuotheruproblem.uTheuBPuwilluneedutr
eatmentuanduongoingumonitoring.uIfutheupatientuhasunouotheruriskufactors,uaustrokeuinutheuimmediateufutu
reuisuunlikely.uThereuisunouindicationuthatudietaryusaltuorufatuintakeuhaveucontributedutouthisusuddenuincre
aseuinuBP,uandureducinguintakeuofusaltuandufatualoneuwillunotubeuadequateutoureduceuthisuBPutouanuaccepta
bleulevel.
3. Whichuactionuwillubeuincludeduinutheuplanuofucareuwhenutheunurseuisucaringuforuaupatientuwhouisur
eceivingunicardipineu(Cardene)utoutreatuauhypertensiveuemergency?
a. Organizeunursinguactivitiesusouthatutheupatientuhasuundisturbedusleepuforu8u
hoursuatunight.
b. KeeputheupatientuNPOutoupreventuaspirationucausedubyunauseauandu
possibleuvomiting.
c. Assistutheupatientuupuinutheuchairuforumealsutouavoiducomplicationsuassociatedu
withuimmobility.
d. Useuanuautomatedunoninvasiveubloodupressureumachineutouobtain
frequentumeasurements.
u


ANS:uD
FrequentumonitoringuofuBPuisuneededuwhenutheupatientuisureceivingurapid-
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, HESI EXIT RN EXAM OVER 700 QUESTIONS,
u u u u u u u



ANSWERS RATIONALE NEW 2020/2021 LA
u u u u



TEST

actinguIVuantihypertensiveumedications.uThisucanubeumostueasilyuaccomplisheduwithuanuautomateduBPumachin
euoruarterialuline.uTheupatientuwillurequireufrequentuassessments,usouallowingu8uhoursuofuundisturbedusleepuisuno
tureasonable.
WhenupatientsuareureceivinguIVuvasodilators,ubedurestuisumaintainedutoupreventudecreaseducerebral
perfusionuandufainting. 1
Thereuisunouindicationuthatuthisupatientuisunauseateduoruaturiskuforuaspiration,usouanuNPOustatusuis
unnecessary.



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