HESI RN EXIT 2023 EXAM TEST BANK 780+
ACTUAL WRITTEN QUESTIONS AND ANSWERS
WITH RATIONALE
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
Based on the information provided in this client's medical record during labor, which
should the nurse implement? (Click on each chart tab for additional information. Please
be sure to scroll to the bottom right corner of each tab to view all information contained
in the client's medical record.)
a. Apply oxygen 10 l/mask
b. Stop the oxytocin infusion
c. Turn the client to the right lateral position.
d. Continue to monitor the progress of labor. - Continue to monitor the progress of labor
Rationale: Early deceleration are indicative of head compression as the fetus descends
in the birth canal, which is a normal patter during active labor, so labor progression
should continue to be monitored
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 hemorrhag
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