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HESI RN Exit Exam With Questions and Verified Solutions Latest Update 2024/2025
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HESI RN Exit Exam With Questions and Verified Solutions Latest Update 2024/2025HESI RN Exit Exam With Questions and Verified Solutions Latest Update 2024/2025HESI RN Exit Exam With Questions and Verified Solutions Latest Update 2024/2025HESI RN Exit Exam With Questions and Verified Solutions Latest...

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  • April 18, 2024
  • 355
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • hesi rn exit exam
  • hesi rn exit
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HESI RN Exit Exam With Questions and

Verified Solutions Latest Update 2024/2025




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?



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 with 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.

Review with the client the need to avoid foods that are rich in milk and cream



Rationale: Diets rich in milk and cream stimulate gastric acid secretion and should be

avoided.

,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?



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

Stroke secondary to hemorrhage



Rationale: Stroke related to cerebral hemorrhage is major risk for uncontrolled

hypertension.

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?




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.

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

4. 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.

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

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



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 continued every six month

d. One additional negative pap smear in six months is needed.

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

6. 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.

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