{"id":117404,"date":"2023-08-28T20:38:47","date_gmt":"2023-08-28T20:38:47","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117404"},"modified":"2023-08-28T20:38:49","modified_gmt":"2023-08-28T20:38:49","slug":"nsg-hesi-exit-rn-exam-questions-and-answers-with-rationale-latest-2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/nsg-hesi-exit-rn-exam-questions-and-answers-with-rationale-latest-2023\/","title":{"rendered":"(NSG) HESI EXIT RN EXAM QUESTIONS AND ANSWERS WITH RATIONALE LATEST 2023"},"content":{"rendered":"\n
    \n
  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.
    Rationale: Diets rich in milk and cream stimulate gastric acid secretion and
    should be avoided.<\/li>\n\n\n\n
  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 \u201cfeel bad\u201d. In explaining
    the need for hypertension control, the nurse should stress that an
    elevated BP places the client at risk for which pathophysiological
    condition?<\/li>\n<\/ol>\n\n\n\n

    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
    Rationale: Stroke related to cerebral hemorrhage is major risk for
    uncontrolled hypertension.<\/p>\n\n\n\n

      \n
    1. 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. a- Assume responsibility for placing the pillows
      while the UAP completes another task. b- Ask the UAP to use some
      of the pillows to prop the client in a side lying position.
      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<\/li>\n\n\n\n
    2. 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\u0002Complains of nausea and loss of appetite c-<\/li>\n<\/ol>\n\n\n\n

      States is often fatigued and drowsy d- Exhibits
      an increase in sweating.
      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<\/p>\n\n\n\n

        \n
      1. 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\u201fs 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. Rationale: An abdominal
        mass in a client with a family history for ovarian
        cancer should be evaluated carefully<\/li>\n\n\n\n
      2. A client who recently underwear 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\u0002Teach tracheal suctioning techniques c\u0002Encourage self-care and independence. d\u0002Demonstrate how to clean tracheostomy s<\/li>\n<\/ol>\n\n\n\n

        Rationale: Suctioning helps to clear secretions and maintain an open
        airway, which is critical.<\/p>\n\n\n\n

          \n
        1. In assessing an adult client with a partial rebreather mask, the
          nurse notes that the oxygen reservoir bag does not deflate
          completely during inspiration and the client\u201fs respiratory rate
          is 14 breaths \/ minute. What action should the nurse
          implement?
          a- Encourage the client to take deep breaths
          b- Remove the mask to deflate the bag c\u0002Increase the liter flow of oxygen d\u0002Document the assessment data
          Rational: reservoir bag should not deflate completely during inspiration
          and the client\u201fs respiratory rate is within normal limits.<\/li>\n\n\n\n
        2. During a home visit, the nurse observed an elderly client with
          diabetes slip and fall. What action should the nurse take first?
          a- Give the client 4 ounces of orange juice b- Call
          911 to summon emergency assistance c- Check
          the client for lacerations or fractures d- Asses
          clients blood sugar level
          Rationale: After the client falls, the nurse should immediately assess for
          the possibility of injuries and provide first aid as needed<\/li>\n\n\n\n
        3. At 0600 while admitting a woman for a schedule repeat cesarean
          section (C-Section), the client tells the nurse that she drank a cup
          a coffee at 0400 because she wanted to avoid getting a headache.
          Which action should the nurse take first?
          a- Ensure preoperative lab results are available<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          a- Blindness secondary to cataractsb- Acute kidney injury due to glomerular damagec- Stroke secondary to hemorrhage d- Heart block due to myocardialdamageRationale: Stroke related to cerebral hemorrhage is major risk foruncontrolled hypertension. States is often fatigued and drowsy d- Exhibitsan increase in sweating.Rationale: Cymbalta is a selective serotonin and norepinephrinereuptake inhibitor that is known to […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117404","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117404","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117404"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117404\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117404"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117404"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}