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HESI EXIT RN EXAM OVER 700QUESTIONS, ANSWERS RATIONALE
NEW 2020/2021 LATEST
HESI EXIT RN EXAM OVER 700
QUESTIONS, ANSWERS RATIONALE
NEW 2020/2021
1. Propranolol (Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should
consult with the health care provider before giving this drug when the patient reveals a history of
a. daily alcohol use. c. reactive airway disease.
b. peptic ulcer disease. d. myocardial infarction
(MI). ANS: C
Nonselective b-blockers block b1- and b2-adrenergic receptors and can cause bronchospasm, especially in
patients with a history of asthma. b-Blockers will have no effect on the patient’s peptic ulcer disease or
alcohol use. b-Blocker therapy is recommended after MI.
2. A 56-yr-old patient who has no previous history of hypertension or other health problems suddenly
develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the
nurse to tell the patient that
a. a BP recheck should be scheduled in a few weeks.
b. dietary sodium and fat content should be decreased.
c. diagnosis, treatment, and ongoing monitoring will be needed.
d. there is an immediate danger of a stroke, requiring
hospitalization. ANS: C
A sudden increase in BP in a patient older than age 50 years with no previous hypertension history or
risk factors indicates that the hypertension may be secondary to some other problem. The BP will
need treatment and ongoing monitoring. If the patient has no other risk factors, a stroke in the
immediate future is unlikely. There is no indication that dietary salt or fat intake have contributed to
this sudden increase in BP, and reducing intake of salt and fat alone will not be adequate to reduce
this BP to an acceptable level.
3. Which action will be included in the plan of care when the nurse is caring for a patient who
is receiving nicardipine (Cardene) to treat a hypertensive emergency?
a. Organize nursing activities so that the patient has undisturbed sleep for
8 hours at night.
b. Keep the patient NPO to prevent aspiration caused by nausea and
possible vomiting.
c. Assist the patient up in the chair for meals to avoid complications
associated with immobility.
d. Use an automated noninvasive blood pressure machine to
obtain frequent measurements.
ANS: D
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, HESI EXIT RN EXAM OVER 700
QUESTIONS, ANSWERS RATIONALE
NEW 2020/2021 LATEST
Frequent monitoring of BP is needed when the patient is receiving rapid-acting IV antihypertensive
medications. This can be most easily accomplished with an automated BP machine or arterial line. The
patient will require frequent assessments, so allowing 8 hours of undisturbed sleep is not reasonable.
When patients are receiving IV vasodilators, bed rest is maintained to prevent decreased cerebral
perfusion and fainting. 1
There is no indication that this patient is nauseated or at risk for aspiration, so an NPO status is
unnecessary.
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, HESI EXIT RN EXAM OVER 700
QUESTIONS, ANSWERS RATIONALE
NEW 2020/2021 LATEST
4. The nurse has just finished teaching a hypertensive patient about the newly prescribed
drug, ramipril (Altace). Which patient statement indicates that more teaching is needed?
a. “The medication may not work well if I take aspirin.”
b. “I can expect some swelling around my lips and face.”
c. “The doctor may order a blood potassium level occasionally.”
d. “I will call the doctor if I notice that I have a frequent
cough.” ANS: B
Angioedema occurring with angiotensin-converting enzyme (ACE) inhibitor therapy is an indication
that the ACE inhibitor should be discontinued. The patient should be taught that if any swelling of the
face or oral mucosa occurs, the health care provider should be immediately notified because this could
be life threatening. The other patient statements indicate that the patient has an accurate understanding
of ACE inhibitor therapy.
5. During change-of-shift report, the nurse obtains the following information about a hypertensive patient
who received the first dose of nadolol (Corgard) during the previous shift. Which information
indicates that the patient needs immediate intervention?
a. The patient’s pulse has dropped from 68 to 57 beats/min.
b. The patient complains that the fingers and toes feel quite cold.
c. The patient has developed wheezes throughout the lung fields.
d. The patient’s blood pressure (BP) reading is now 158/91
mm Hg. ANS: C
The most urgent concern for this patient is the wheezes, which indicate that bronchospasm (a common
adverse effect of the noncardioselective b-blockers) is occurring. The nurse should immediately obtain
an O2 saturation measurement, apply supplemental O2, and notify the health care provider. The mild
decrease in heart rate and complaint of cold fingers and toes are associated with b-receptor blockade but
do not require any change in therapy. The BP reading may indicate that a change in medication type or
dose may be indicated.
However, this is not as urgently needed as addressing the bronchospasm.
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2
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