HESI RN EXIT V7 VERSION 7 EXAM WITH 160 QUESTIONS AND ANSWERS UPDATE GRADED A+ AND GUARANTEED SUCCESS 2023/2024 LATEST UPDATE 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? a. Remind the client that it is also important to switch to decaffeinated coffee and tea. b. Suggest that the client also plan to eat frequent small meals to reduce discomfort c. Review wi th the client the need to avoid foods that are rich in milk and cream. d. Reinforce this teaching by asking the client to list a dairy food that he might select. (ANS - Review with the client the need to avoid foods that are rich in milk and cream Rationa le: Diets rich in milk and cream stimulate gastric acid secretion and should be avoided. 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 pressur e (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? a. Blindness secondary to cataracts b. Acute kidney injury due to glomerular damage c. Stroke secondary to hemorrhage d. Heart block due to myocardial damage (ANS - Stroke secondary to hemorrhage Rationale: Stroke rela ted to cerebral hemorrhage is major risk for uncontrolled hypertension. 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 alo ng the side rails. What action should the nurse implement? a. Ensure that the UAP has placed the pillows effectively to protect the client. b. Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows. c. Assume responsibility for placing the pillows while the UAP completes another task. d. Ask the UAP to use some of the pillows to prop the client in a side lying position. (ANS - Instruct the UAP to obtain soft blankets to secure to the side rails instead of pillows Rationale: The nurse should instruct the UAP to pad the side rails with soft blankest because the use of pillows could result in suffocation and would need to be removed at the onset of the seizure. The nurse can delegate paddling the side rails to the UAP An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow -up a. Describes life without purpose b. Complains of nausea and loss of appetite c. States is often fatigued and drowsy d. Exhibits an increase in sweating. (ANS - Describes life without purpose Rationale: Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor that is known to increase the risk of suicidal thinking in adolescents and young adults with major depressive disorder. B, C and D are side effects 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 a. Further evaluation involving surgery may be needed b. A pelvic exam is also needed before cancer is ruled out c. Pap smear evaluation should be co ntinued every six month d. One additional negative pap smear in six months is needed. (ANS - Further evaluation involving surgery may be needed Rationale: An abdominal mass in a client with a family history for ovarian cancer should be evaluated carefully A client who recently underwent a tracheostomy is being prepared for discharge to home. Which instructions is most important for the nurse to include in the discharge plan? a. Explain how to use communication tools. b. Teach tracheal suctioning techniques c. Encourage self -care and independence. d. Demonstrate how to clean tracheostomy site. (ANS - Teach tracheal suctioning techniques Rationale : Suctioning helps to clear secretions and maintain an open airway, which is critical. 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 a. Encou rage the client to take deep breaths b. Remove the mask to deflate the bag c. Increase the liter flow of oxygen d. Document the assessment data (ANS - Document the assessment data Rational : reservoir bag should not deflate completely during inspiration a nd the client's respiratory rate is within normal limits. During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client alarm should the nurse investigate first? a. Respiratory apnea of 30 seconds b. Oxygen saturation ra te of 88% c. Eight premature ventricular beats every minute
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EveryStudy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.29. You're not tied to anything after your purchase.
