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HESI RN EXIT EXAM V1-V7 (LATEST ) / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7 latest updated Grade A+

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HESI RN EXIT EXAM V1-V7 (LATEST ) / RN EXIT HESI EXAM V1,V2,V3,V4,V5,V6,V7 latest updated Grade A+ 1.​ Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? •​ Review with the client the need to avoid foods that are rich in milk and cream 2.​ A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he has not been taking the prescribed medication because the drugs make him ―feel bad‖. In explaining the need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which pathophysiological condition? •​ Stroke secondary to hemorrhage 3.​ The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side rails. What action should the nurse implement? •​ Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows. 4.​ An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? •​ Describes life without purpose 5.​ A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse include in the client’s teaching plan? •​ Further evaluation involving surgery may be needed 6.​ A client who recently underwear a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in the discharge plan? •​Teach tracheal suctioning techniques 7.​ In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen reservoir bag does not deflate completely during inspiration and the client’s respiratory rate is 14 breaths / minute. What action should the nurse implement? •​Document the assessment data •​ Rational: reservoir bag should not deflate completely during inspiration and the client’s respiratory rate is within normal limits. 8.​ During shift report, the central electrocardiogram (EKG) monitoring system ,alarms. Which client alarm should the nurse investigate firs? , •​Respiratory apnea of 30 seconds 9.​ During a home visit, the nurse observed an elderly client with diabetes slip and fall. What action should the nurse take first? •​Check the client for lacerations or fractures 10.​At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section), the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first? •​Inform the anesthesia care provider 11.​After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2 heart sounds. To determine if an S3 heart sound is present, what action should the nurse take first? •​Listen with the bell at the same location 12.​A 66-year-old woman is retiring and will no longer have a health insurance through her place of employment. Which agency should the client be referred to by the employee health nurse for health insurance needs? •​ Medicare 13.​A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset. What snack should the nurse instruct the client to take with the tetracycline? •​ Toasted wheat bread and jelly 14.​Following a lumbar puncture, a client voices several complaints. What complaint indicated to the nurse that the client is experiencing a complication? •​ “I have a headache that gets worse when I sit up” •​ ―I am having pain in my lower back when I move my legs‖ •​ ―My throat hurts when I swallow‖ •​ “I feel sick to my stomach and am going to throw up” 15.​An elderly client seems confused and reports the onset of nausea, dysuria, and urgency with incontinence. Which action should the nurse implement? • Obtain a clean catch mid-stream specimen 16.​The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods that are in keeping with the child’s dietary restrictions. Which foods are contraindicated for this child? •​ Foods sweetened with aspartame 17.​Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this client. Which response should the circulating nurse provide? •​Direct the nurse to continue the surgical hand scrub for a 5 minute duration 18.​Which breakfast selection indicates that the client understands the nurse’s instructions about the dietary management of osteoporosis? , S - The Marketplace to Buy and Sell your Study Material •​Bagel with jelly and skim milk 19.​The charge nurse of a critical care unit is informed at the beginning of the shift that less than the optimal number of registered nurses will be working that shift. In planning assignments, which client should receive the most care hours by a registered nurse (RN)? •​ An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a Foley catheter and soft wrist restrains applied​

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HESI RN EXIT EXAM V1-V7 (LATEST 2023-2024) / RN EXIT HESI

EXAM V1,V2,V3,V4,V5,V6,V7 latest updated
Grade A+

HESI RN EXIT EXAM V1-V7 (LATEST 2023-2024) / RN EXIT HESI

EXAM V1,V2,V3,V4,V5,V6,V7 latest updated
Grade A+

1.​ Following discharge teaching, a male client with duodenal ulcer tells the nurse the he
will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What
is the best follow-up action by the nurse?
•​ Review with the client the need to avoid foods that are rich in milk and cream

2.​ A male client with hypertension, who received new antihypertensive prescriptions at his
last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His
BP is 158/106 and he admits that he has not been taking the prescribed medication
because
the drugs make him ―feel bad‖. In explaining the need for hypertension control, the nurse
should stress that an elevated BP places the client at risk for which pathophysiological
condition?
•​ Stroke secondary to hemorrhage

3.​ The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is placing
soft pillows along the side rails. What action should the nurse implement?
•​ Instruct the UAP to obtain soft blankets to secure to the side rails instead
of pillows.

4.​ An adolescent with major depressive disorder has been taking duloxetine (Cymbalta)
for the past 12 days. Which assessment finding requires immediate follow-up?
•​ Describes life without purpose

5.​ A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the nurse include
in the client’s teaching plan?
•​ Further evaluation involving surgery may be needed

6.​ A client who recently underwear a tracheostomy is being prepared for discharge to
home. Which instructions is most important for the nurse to include in the discharge
plan?
•​Teach tracheal suctioning techniques
7.​ In assessing an adult client with a partial rebreather mask, the nurse notes that the
oxygen reservoir bag does not deflate completely during inspiration and the client’s
respiratory rate is 14 breaths / minute. What action should the nurse implement?
•​Document the assessment data
•​ Rational: reservoir bag should not deflate completely during inspiration and the
client’s respiratory rate is within normal limits.
8.​ During shift report, the central electrocardiogram (EKG) monitoring system

,alarms. Which client alarm should the nurse investigate firs?

, •​Respiratory apnea of 30 seconds
9.​ During a home visit, the nurse observed an elderly client with diabetes slip and fall.
What action should the nurse take first?
•​Check the client for lacerations or fractures
10.​At 0600 while admitting a woman for a schedule repeat cesarean section (C-Section),
the client tells the nurse that she drank a cup a coffee at 0400 because she wanted to
avoid getting a headache. Which action should the nurse take first?

•​Inform the anesthesia care provider
11.​After placing a stethoscope as seen in the picture, the nurse auscultates S1 and S2
heart sounds. To determine if an S3 heart sound is present, what action should the
nurse take first?
•​Listen with the bell at the same location
12.​A 66-year-old woman is retiring and will no longer have a health insurance through
her place of employment. Which agency should the client be referred to by the
employee health nurse for health insurance needs?
•​ Medicare

13.​A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
•​ Toasted wheat bread and jelly

14.​Following a lumbar puncture, a client voices several complaints. What
complaint indicated to the nurse that the client is experiencing a complication?
•​ “I have a headache that gets worse when I sit up”

•​ ―I am having pain in my lower back when I move my legs‖

•​ ―My throat hurts when I swallow‖

•​ “I feel sick to my stomach and am going to throw up”

15.​An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the nurse implement? • Obtain a clean catch
mid-stream specimen

16.​The nurse is assisting the mother of a child with phenylketonuria (PKU) to select
foods that are in keeping with the child’s dietary restrictions. Which foods are
contraindicated for this child?
•​ Foods sweetened with aspartame

17.​Before preparing a client for the first surgical case of the day, a part-time scrub nurse
asks the circulating nurse if a 3 minute surgical hand scrub is adequate preparation
for this client. Which response should the circulating nurse provide?
•​Direct the nurse to continue the surgical hand scrub for a 5 minute duration
18.​Which breakfast selection indicates that the client understands the nurse’s instructions
about the dietary management of osteoporosis?

, Stuvia.com - The Marketplace to Buy and Sell your Study Material
•​Bagel with jelly and skim milk

19.​The charge nurse of a critical care unit is informed at the beginning of the shift that less than the
optimal number of registered nurses will be working that shift. In planning assignments, which
client should receive the most care hours by a registered nurse (RN)?
•​ An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a
Foley catheter and soft wrist restrains applied​

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