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NGN HES EXIT RN_EXAM 15 EXAM SETS 2500 QA NEWEST 2023/2024 HESI RN EXIT EXAM RN EXIT HESI RN COMPLETE QUESTIONS ANS AND ANSWERS £10.61   Add to cart
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NGN HES EXIT RN_EXAM 15 EXAM SETS 2500 QA NEWEST 2023/2024 HESI RN EXIT EXAM RN EXIT HESI RN COMPLETE QUESTIONS ANS AND ANSWERS

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Followingdischargeteaching,amaleclientwithduodenalulcertellsthenursethehewilldrinkplenty ofdairyproducts,suchas milk, to helpcoatandprotecthisulcer.What isthebestfollow-up actionby thenurse? a. Remindtheclientthatitisalsoimportanttoswitchtodecaffeinatedcoffeeandtea. b. Suggestthattheclientalsop...

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  • April 22, 2024
  • 488
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • c milkiand cream reviewiwithitheiclientitheineed

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  • _NGN HESI EXIT RN
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1. Following discharge teaching, a maleclient with duodenal ulcer tellsthe 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 decaffeinatedcoffee and tea.
b. Suggest that the client also plan to eat frequent small meals toreduce discomfort


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




d. Reinforce this teaching by asking theclient to list a dairy food that hemightselect.

Rationale: Diets rich in milk and cream stimulate gastric acid secretion
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and should be avoided.
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2. A male client with hypertension, who received new antihypertensiveprescriptions at his last visit
returns to the clinic

, two weeks later to evaluate his blood pressure (BP). His BPis 158/106 and he admits that he has not been
taking the prescribed med-ii cation because the drugs make him “feel bad”. In explaining the needfor
hypertension control, the nurse should stress that an elevated BP placesthe client at risk for which
pathophysiological condition?

a. Blindness secondaryto cataracts
b. Acute kidney injury dueto glomerular damagec.
d. Heart blocksecondary
Stroke dueto myocardial
i todamage
hemorrhage i i




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




3. The nurse observes an unlicensed assistive personnel (UAP) posi-tioning 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 theclient.
b. Instruct the UAP to obtain soft blankets to secure to the side rails
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, instead of pillows. i i




a. Assume responsibility for placing the pillows while the UAPcompletes another task.
b. Ask the UAPto use some of the pillows to prop the client in asidelying position.


Rationale: The nurse should instruct the UAP to pad the side rails with
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soft blankest because the use of pillows could result in suffocation and
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would need to be removed at the onset of the seizure. The nurse can
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delegate paddling the side rails to the UAP
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4. An adolescent with major depressive disorder has been taking du- loxetine (Cymbalta) for the
past 12 days. Which assessment find- ing requires immediate follow-up?



a. Describes life without purpose i i i




b. Complains of nausea and loss of appetite

c. States is often fatigued and drowsy
d. Exhibits an increase in sweating.



Rationale: Cymbalta is a selective serotonin and norepinephrine
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reuptake inhibitor that is known to increase the risk of suicidal
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i thinking in adolescents and young adults with major depressive
i i i i i i i i

, disorder. B, C and D are side effects
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5. A 60-year-old female client with a positive family history of ovar- ian cancer has developed an
abdominal mass and is being evaluat- ed for possible ovarian cancer. Her Papanicolau (Pap)
smear re- sults are negative. What information should the nurse include in theclient‟s teaching
plan?



a. Further evaluation involving surgery may be needed
i i i i i i




b. Apelvic exam is also needed before cancer is ruled out

c. Pap smear evaluation should becontinued every six month
d. One additional negative pap smear in six months is needed.

Rationale: An abdominal mass in a client with a family history for
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ovarian cancer should be evaluated carefully
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6. A client who recently underwear a tracheostomy is being pre- pared for discharge to home.
Which instructions is most impor-tant for the nurse to include in the discharge plan?

a. Explain how to use communication tools.
b. Teach tracheal suctioningtechniques c-
i i i



Encourage self-care and independence.
d- Demonstrate how to clean tracheostomysite.

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