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HESI Fundamentals Exam
A client is in the radiology department at 0900 when the prescription
levofloxacin (Levaquin) 500 mg IV every 24 hours is scheduled to be
administered. The client returns to the unit at
1300. What is the best intervention for the nurse to implement?
Tr
Contact the healthcare provider and complete a medication variance
form.
us
Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
te
Notify the charge nurse and complete an incident report to explain the
missed dose.
ds
Give the missed dose at 1300 and change the schedule to administer
daily at 1300. - ...ANSWER✓✓✓D
ch
To ensure that a therapeutic level of medication is maintained, the nurse
should administer the missed dose as soon as possible, and revise the
administration schedule accordingly to prevent dangerously increasing
ol
the level of the medication in the bloodstream. The nurse should
ar
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document the reason for the late dose, but contacting the healthcare
provider or the charge nurse are not warranted.
A client is receiving alprazolam (Xanax) 0.75 mg PO bid for anxiety.
Alprazolam is available in 0.5 mg scored tablets. How many tablets
should the nurse administer? (Enter numeric value only.) -
...ANSWER✓✓✓1.5
Using the formula, Desired / Available x 1 tablet =
0.75 mg / 0.5 mg x 1 = 1.5 tablets
Tr
A client receives a prescription for azithromycin (Zithro max) 500 mg
us
PO x 3 days. Azithromycin is available as 250 mg scored tablets. How
many tablets should the nurse administer per dose? (Enter the numerical
value only.) - ...ANSWER✓✓✓2
Using the formula, D/H
te
500 mg/250 mg = 2 tablets
ds
A client who has a sinus infection is receiving a prescription for
amoxicillin/clavulanate potassium (Augmentin) 500 mg PO q8 hours.
The available form is 250 mg amoxicillin/125mg clavulanate tablets.
ch
How many tablets should the nurse administer for each dose? (Enter
numeric value only.) - ...ANSWER✓✓✓2
Using Desired/Available formula:
ol
500 mg/250 mg x 1 tablet = 2
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A client who is 5 foot 5 inches tall and weighs 200 pounds is scheduled
for surgery the next day. Which question is most important for the nurse
to include during the preoperative assessment?
"What is your daily calorie consumption?"
"What vitamin and mineral supplements do you take?"
Tr
"Do you feel that you are overweight?"
us
"Will a clear liquid diet be okay after surgery?" -
...ANSWER✓✓✓B
te
In the preoperative assessment, the nurse should assess the client's use of
vitamin and mineral supplements. These products may impact
medications used during the operative period. The nature of the surgery
ds
and anesthesia will determine the need for a clear liquid diet, rather than
the client's preference. Addressing long-term diet therapy is best done
after surgery and recovery.
ch
A client who is a Jehovah's Witness is admitted to the nursing unit.
Which concern should the nurse have for planning care in terms of the
client's beliefs?
ol
Autopsy of the body is prohibited.
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Blood transfusions are forbidden.
Alcohol use in any form is not allowed.
A vegetarian diet must be followed. - ...ANSWER✓✓✓B
Blood transfusions are forbidden in the Jehovah's Witness religion.
Judaism prohibits autopsies and Buddhism forbids the use of alcohol and
Tr
drugs. Many of these sects follow a vegetarian diet, but the direct impact
on nursing care concerns beliefs about transfusions.
us
A client who is in hospice care reports increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
te
Give an around-the-clock schedule for administration of analgesics.
ds
Administer analgesic medication as needed when the pain is severe.
ch
Provide medication to keep the client sedated and unaware of stimuli.
Offer a medication-free period so that the client can do daily activities. -
ol
...ANSWER✓✓✓A
ar
Trustedscholar
HESI Fundamentals Exam
A client is in the radiology department at 0900 when the prescription
levofloxacin (Levaquin) 500 mg IV every 24 hours is scheduled to be
administered. The client returns to the unit at
1300. What is the best intervention for the nurse to implement?
Tr
Contact the healthcare provider and complete a medication variance
form.
us
Administer the Levaquin at 1300 and resume the 0900 schedule in the
morning.
te
Notify the charge nurse and complete an incident report to explain the
missed dose.
ds
Give the missed dose at 1300 and change the schedule to administer
daily at 1300. - ...ANSWER✓✓✓D
ch
To ensure that a therapeutic level of medication is maintained, the nurse
should administer the missed dose as soon as possible, and revise the
administration schedule accordingly to prevent dangerously increasing
ol
the level of the medication in the bloodstream. The nurse should
ar
Trustedscholar
, 2|Page
document the reason for the late dose, but contacting the healthcare
provider or the charge nurse are not warranted.
A client is receiving alprazolam (Xanax) 0.75 mg PO bid for anxiety.
Alprazolam is available in 0.5 mg scored tablets. How many tablets
should the nurse administer? (Enter numeric value only.) -
...ANSWER✓✓✓1.5
Using the formula, Desired / Available x 1 tablet =
0.75 mg / 0.5 mg x 1 = 1.5 tablets
Tr
A client receives a prescription for azithromycin (Zithro max) 500 mg
us
PO x 3 days. Azithromycin is available as 250 mg scored tablets. How
many tablets should the nurse administer per dose? (Enter the numerical
value only.) - ...ANSWER✓✓✓2
Using the formula, D/H
te
500 mg/250 mg = 2 tablets
ds
A client who has a sinus infection is receiving a prescription for
amoxicillin/clavulanate potassium (Augmentin) 500 mg PO q8 hours.
The available form is 250 mg amoxicillin/125mg clavulanate tablets.
ch
How many tablets should the nurse administer for each dose? (Enter
numeric value only.) - ...ANSWER✓✓✓2
Using Desired/Available formula:
ol
500 mg/250 mg x 1 tablet = 2
ar
Trustedscholar
, 3|Page
A client who is 5 foot 5 inches tall and weighs 200 pounds is scheduled
for surgery the next day. Which question is most important for the nurse
to include during the preoperative assessment?
"What is your daily calorie consumption?"
"What vitamin and mineral supplements do you take?"
Tr
"Do you feel that you are overweight?"
us
"Will a clear liquid diet be okay after surgery?" -
...ANSWER✓✓✓B
te
In the preoperative assessment, the nurse should assess the client's use of
vitamin and mineral supplements. These products may impact
medications used during the operative period. The nature of the surgery
ds
and anesthesia will determine the need for a clear liquid diet, rather than
the client's preference. Addressing long-term diet therapy is best done
after surgery and recovery.
ch
A client who is a Jehovah's Witness is admitted to the nursing unit.
Which concern should the nurse have for planning care in terms of the
client's beliefs?
ol
Autopsy of the body is prohibited.
ar
Trustedscholar
, 4|Page
Blood transfusions are forbidden.
Alcohol use in any form is not allowed.
A vegetarian diet must be followed. - ...ANSWER✓✓✓B
Blood transfusions are forbidden in the Jehovah's Witness religion.
Judaism prohibits autopsies and Buddhism forbids the use of alcohol and
Tr
drugs. Many of these sects follow a vegetarian diet, but the direct impact
on nursing care concerns beliefs about transfusions.
us
A client who is in hospice care reports increasing amounts of pain. The
healthcare provider prescribes an analgesic every four hours as needed.
Which action should the nurse implement?
te
Give an around-the-clock schedule for administration of analgesics.
ds
Administer analgesic medication as needed when the pain is severe.
ch
Provide medication to keep the client sedated and unaware of stimuli.
Offer a medication-free period so that the client can do daily activities. -
ol
...ANSWER✓✓✓A
ar
Trustedscholar
