NURSING 270 Hesi Exit Comprehensive Exam - Latest Complete Solutions

NURSING 270 Hesi Exit Comprehensive Exam - Latest Complete SolutionsHESI EXIT EXAM OVER 700 QUESTIONS
(MORE THAN 700 Q & A)
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
d-
cream.
Reinforce this teaching by asking the client to list a dairy food that he
might select.
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
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.
b. Assume responsibility for placing the pillows while the UAP completes
another task.
NURSING 270 : Hesi Exit Comprehensive Exam -
Latest Complete Solutions
c. Ask the UAP to use some of the pillows to prop the client in a side lying
position.
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.
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?