lOMoAR cPSD| 11450120
ff ff ff ff ff ff ff ff ff ff ff ff ff
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
,HESI EXIT RN EXAM_V1 To V7. f f f f f lOMoAR cPSD| 11450120
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
1. Following discharge teaching, a male client with duodenal ulcer ff ff ff ff ff ff ff ff
tells the nurse the he will drink plenty of dairy products, such as
ff ff ff ff ff ff ff ff ff ff ff ff ff
milk, to help coat and protect his ulcer. What is the best follow-
ff ff ff ff ff ff ff ff ff ff ff ff ff
upaction by the nurse? f ff ff ff
a- Remind the client that it is also important to switch to ff ff ff ff ff ff ff ff ff ff
decaffeinatedcoffee and tea.ff f ff ff
b- Suggest that the client also plan to eat frequent small meals ff ff ff ff ff ff ff ff ff ff
toreduce discomfort ff f ff
c- Review with the client the need to avoid foods that are rich ff ff ff ff ff ff ff ff ff ff ff
inmilk and cream. ff f ff ff
d- Reinforce this teaching by asking the client to list a dairy food that ff ff ff ff ff ff ff ff ff ff ff ff
hemight select.
ff f ff
Rationale: Diets rich in milk and cream stimulate gastric acid ff ff ff ff ff ff ff ff ff
secretionand should be avoided.
ff f ff ff ff
2. A male client with hypertension, who received new
ff ff ff ff ff ff ff
antihypertensive prescriptions at his last visit returns to the
ff ff ff ff ff ff ff ff ff
clinictwo weeks later to evaluate his blood pressure (BP). His BP
ff f ff ff ff ff ff ff ff ff ff ff
is 158/106 and he admits that he has not been taking the
ff ff ff ff ff ff ff ff ff ff ff ff
prescribedmedication because the drugs make him “feel bad”. In
ff f ff ff ff ff ff ff ff ff
explainingthe need for hypertension control, the nurse should
ff f ff ff ff ff ff ff ff
stress that anelevated BP places the client at risk for which
ff ff ff f ff ff ff ff ff ff ff ff
pathophysiological condition?
ff ff
a- Blindness secondary to cataracts ff ff ff
b- Acute kidney injury due to glomerular damage ff ff ff ff ff ff
c- Stroke secondary to hemorrhage ff ff ff
d- Heart block due to myocardial damage ff ff ff ff ff
Rationale: Stroke related to cerebral hemorrhage is major risk for ff ff ff ff ff ff ff ff ff
,HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
uncontrolled hypertension. ff
3. The nurse observes an unlicensed assistive personnel (UAP)
ff ff ff ff ff ff ff
positioning a newly admitted client who has a seizure disorder.
ff ff ff ff ff ff ff ff ff ff
The client is supine and the UAP is placing soft pillows along
ff ff ff ff ff ff ff ff ff ff ff ff
theside rails. What action should the nurse implement?
ff f ff ff ff ff ff ff ff
a- Ensure that the UAP has placed the pillows effectively to protect
ff ff ff ff ff ff ff ff ff ff
theclient.
ff f
b- Instruct the UAP to obtain soft blankets to secure to the side ff ff ff ff ff ff ff ff ff ff ff
railsinstead of pillows.
ff f ff ff
a- Assume responsibility for placing the pillows while the ff ff ff ff ff ff ff
UAPcompletes another task.
ff f ff ff
b- Ask the UAP to use some of the pillows to prop the client in a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
sidelying position.
ff f ff
Rationale: The nurse should instruct the UAP to pad the side rails
ff ff ff ff ff ff ff ff ff ff ff
withsoft blankest because the use of pillows could result in suffocation
ff f ff ff ff ff ff ff ff ff ff ff
andwould need to be removed at the onset of the seizure. The nurse
ff f ff ff ff ff ff ff ff ff ff ff ff ff
can delegate paddling the side rails to the UAP
ff ff ff ff ff ff ff ff ff
4. An adolescent with major depressive disorder has been
ff ff ff ff ff ff ff
taking duloxetine (Cymbalta) for the past 12 days. Which
ff f ff ff ff ff ff ff ff
assessmentfinding requires immediate follow-up?
ff f ff ff ff
a- Describes life without purpose ff ff ff
b- Complains of nausea and loss of appetite ff ff ff ff ff ff
c- States is often fatigued and drowsy ff ff ff ff ff
d- Exhibits an increase in sweating. ff ff ff ff
Rationale: Cymbalta is a selective serotonin and norepinephrine ff ff ff ff ff ff ff
, HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
reuptake inhibitor that is known to increase the risk of suicidal
ff ff ff ff ff ff ff ff ff ff
thinking in adolescents and young adults with major
ff ff ff ff ff ff ff ff
depressivedisorder. B, C and D are side effects
ff f ff ff ff ff ff ff ff
5. A 60-year-old female client with a positive family history of
ff ff ff ff ff ff ff ff ff
ovarian cancer has developed an abdominal mass and is being
ff ff ff ff ff ff ff ff ff ff
evaluated for possible ovarian cancer. Her Papanicolau (Pap)
ff ff ff ff ff ff ff ff
smear results are negative. What information should the
ff ff ff ff ff ff ff ff
nurseinclude in the client’s teaching plan?
ff f ff ff ff ff ff
a- Further evaluation involving surgery may be needed ff ff ff ff ff ff
b- A pelvic exam is also needed before cancer is ruled out
ff ff ff ff ff ff ff ff ff ff
c- Pap smear evaluation should be continued every six month
ff ff ff ff ff ff ff ff
d- One additional negative pap smear in six months is needed.
ff ff ff ff ff ff ff ff ff
Rationale: An abdominal mass in a client with a family history forovarian
ff ff ff ff ff ff ff ff ff ff ff f
cancer should be evaluated carefully
ff ff ff ff ff
6. A client who recently underwear a tracheostomy is being
ff ff ff ff ff ff ff ff
prepared for discharge to home. Which instructions is
ff ff ff ff ff ff ff ff
mostimportant for the nurse to include in the discharge
ff f ff ff ff ff ff ff ff ff
plan? ff
a- Explain how to use communication tools. ff ff ff ff ff
b- Teach tracheal suctioning techniques ff ff ff
c- Encourage self-care and independence. ff ff ff
d- Demonstrate how to clean tracheostomy site. ff ff ff ff ff
Rationale: Suctioning helps to clear secretions and maintain an
ff ff ff ff ff ff ff ff
openairway, which is critical.
ff f ff ff ff
7. In assessing an adult client with a partial rebreather mask, the
ff ff ff ff ff ff ff ff ff ff
nurse notes that the oxygen reservoir bag does not deflate
ff ff ff ff ff ff ff ff ff ff
completely during inspiration and the client’s respiratory rate
ff ff ff ff ff ff ff ff
is14 breaths / minute. What action should the nurse implement?
ff f ff ff ff ff ff ff ff ff ff
ff ff ff ff ff ff ff ff ff ff ff ff ff
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
,HESI EXIT RN EXAM_V1 To V7. f f f f f lOMoAR cPSD| 11450120
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
1. Following discharge teaching, a male client with duodenal ulcer ff ff ff ff ff ff ff ff
tells the nurse the he will drink plenty of dairy products, such as
ff ff ff ff ff ff ff ff ff ff ff ff ff
milk, to help coat and protect his ulcer. What is the best follow-
ff ff ff ff ff ff ff ff ff ff ff ff ff
upaction by the nurse? f ff ff ff
a- Remind the client that it is also important to switch to ff ff ff ff ff ff ff ff ff ff
decaffeinatedcoffee and tea.ff f ff ff
b- Suggest that the client also plan to eat frequent small meals ff ff ff ff ff ff ff ff ff ff
toreduce discomfort ff f ff
c- Review with the client the need to avoid foods that are rich ff ff ff ff ff ff ff ff ff ff ff
inmilk and cream. ff f ff ff
d- Reinforce this teaching by asking the client to list a dairy food that ff ff ff ff ff ff ff ff ff ff ff ff
hemight select.
ff f ff
Rationale: Diets rich in milk and cream stimulate gastric acid ff ff ff ff ff ff ff ff ff
secretionand should be avoided.
ff f ff ff ff
2. A male client with hypertension, who received new
ff ff ff ff ff ff ff
antihypertensive prescriptions at his last visit returns to the
ff ff ff ff ff ff ff ff ff
clinictwo weeks later to evaluate his blood pressure (BP). His BP
ff f ff ff ff ff ff ff ff ff ff ff
is 158/106 and he admits that he has not been taking the
ff ff ff ff ff ff ff ff ff ff ff ff
prescribedmedication because the drugs make him “feel bad”. In
ff f ff ff ff ff ff ff ff ff
explainingthe need for hypertension control, the nurse should
ff f ff ff ff ff ff ff ff
stress that anelevated BP places the client at risk for which
ff ff ff f ff ff ff ff ff ff ff ff
pathophysiological condition?
ff ff
a- Blindness secondary to cataracts ff ff ff
b- Acute kidney injury due to glomerular damage ff ff ff ff ff ff
c- Stroke secondary to hemorrhage ff ff ff
d- Heart block due to myocardial damage ff ff ff ff ff
Rationale: Stroke related to cerebral hemorrhage is major risk for ff ff ff ff ff ff ff ff ff
,HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
uncontrolled hypertension. ff
3. The nurse observes an unlicensed assistive personnel (UAP)
ff ff ff ff ff ff ff
positioning a newly admitted client who has a seizure disorder.
ff ff ff ff ff ff ff ff ff ff
The client is supine and the UAP is placing soft pillows along
ff ff ff ff ff ff ff ff ff ff ff ff
theside rails. What action should the nurse implement?
ff f ff ff ff ff ff ff ff
a- Ensure that the UAP has placed the pillows effectively to protect
ff ff ff ff ff ff ff ff ff ff
theclient.
ff f
b- Instruct the UAP to obtain soft blankets to secure to the side ff ff ff ff ff ff ff ff ff ff ff
railsinstead of pillows.
ff f ff ff
a- Assume responsibility for placing the pillows while the ff ff ff ff ff ff ff
UAPcompletes another task.
ff f ff ff
b- Ask the UAP to use some of the pillows to prop the client in a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
sidelying position.
ff f ff
Rationale: The nurse should instruct the UAP to pad the side rails
ff ff ff ff ff ff ff ff ff ff ff
withsoft blankest because the use of pillows could result in suffocation
ff f ff ff ff ff ff ff ff ff ff ff
andwould need to be removed at the onset of the seizure. The nurse
ff f ff ff ff ff ff ff ff ff ff ff ff ff
can delegate paddling the side rails to the UAP
ff ff ff ff ff ff ff ff ff
4. An adolescent with major depressive disorder has been
ff ff ff ff ff ff ff
taking duloxetine (Cymbalta) for the past 12 days. Which
ff f ff ff ff ff ff ff ff
assessmentfinding requires immediate follow-up?
ff f ff ff ff
a- Describes life without purpose ff ff ff
b- Complains of nausea and loss of appetite ff ff ff ff ff ff
c- States is often fatigued and drowsy ff ff ff ff ff
d- Exhibits an increase in sweating. ff ff ff ff
Rationale: Cymbalta is a selective serotonin and norepinephrine ff ff ff ff ff ff ff
, HESI EXIT RN EXAM_V1 To V7.
f f f f f lOMoAR cPSD| 11450120
reuptake inhibitor that is known to increase the risk of suicidal
ff ff ff ff ff ff ff ff ff ff
thinking in adolescents and young adults with major
ff ff ff ff ff ff ff ff
depressivedisorder. B, C and D are side effects
ff f ff ff ff ff ff ff ff
5. A 60-year-old female client with a positive family history of
ff ff ff ff ff ff ff ff ff
ovarian cancer has developed an abdominal mass and is being
ff ff ff ff ff ff ff ff ff ff
evaluated for possible ovarian cancer. Her Papanicolau (Pap)
ff ff ff ff ff ff ff ff
smear results are negative. What information should the
ff ff ff ff ff ff ff ff
nurseinclude in the client’s teaching plan?
ff f ff ff ff ff ff
a- Further evaluation involving surgery may be needed ff ff ff ff ff ff
b- A pelvic exam is also needed before cancer is ruled out
ff ff ff ff ff ff ff ff ff ff
c- Pap smear evaluation should be continued every six month
ff ff ff ff ff ff ff ff
d- One additional negative pap smear in six months is needed.
ff ff ff ff ff ff ff ff ff
Rationale: An abdominal mass in a client with a family history forovarian
ff ff ff ff ff ff ff ff ff ff ff f
cancer should be evaluated carefully
ff ff ff ff ff
6. A client who recently underwear a tracheostomy is being
ff ff ff ff ff ff ff ff
prepared for discharge to home. Which instructions is
ff ff ff ff ff ff ff ff
mostimportant for the nurse to include in the discharge
ff f ff ff ff ff ff ff ff ff
plan? ff
a- Explain how to use communication tools. ff ff ff ff ff
b- Teach tracheal suctioning techniques ff ff ff
c- Encourage self-care and independence. ff ff ff
d- Demonstrate how to clean tracheostomy site. ff ff ff ff ff
Rationale: Suctioning helps to clear secretions and maintain an
ff ff ff ff ff ff ff ff
openairway, which is critical.
ff f ff ff ff
7. In assessing an adult client with a partial rebreather mask, the
ff ff ff ff ff ff ff ff ff ff
nurse notes that the oxygen reservoir bag does not deflate
ff ff ff ff ff ff ff ff ff ff
completely during inspiration and the client’s respiratory rate
ff ff ff ff ff ff ff ff
is14 breaths / minute. What action should the nurse implement?
ff f ff ff ff ff ff ff ff ff ff
