HESI MILESTONE 1
EXAM QUESTIONS AND
CORRECT ANSWERS
Which information should the nurse have when assessing a client for therapeutic effects
of a prescribed medication?
a) The client's previous experience with medication.
b) The client's baseline before taking the medication.
c) Expected side effects of the medication.d) A 12-month-old with an eye infection. CORRECT ANSWER-
c) A teenager with severe
acne on the back.
Angiotensin-converting enzyme (ACE) inhibitors are used to treat which diagnosis?
a) Hypotension
b) Heart failure
c) Stroke
d) Atrial fibrillation CORRECT ANSWER- b) Heart failure
Which anticoagulant would be contraindicated for a client with a vitamin K deficiency?
a) enoxaparin (Lovenox)
b) apixaban (Eliquis)
c) heparin (unfractionated)
d) warfarin (Coumadin) CORRECT ANSWER- d) warfarin (Coumadin)
The nurse is caring for a client taking newly prescribed first-generation antipsychotic
medication. The nurse should monitor the client for which adverse effect that can occur
within the first few days?
a) Suicidal ideations
b) Fibromyalgia syndrome
c) Tardive dyskinesia
, d) Acute dystonia CORRECT ANSWER- c) Tardive dyskinesia
The mnemonic SLUDGE is used to remember the signs and symptoms for the life-
threatening adverse effect of which type of medication?
a) Cholinesterase inhibitors
b) Antipsychotics
c) Antiepileptics
d) Adrenergic Agonists CORRECT ANSWER- a) Cholinesterase inhibitors
The nurse is evaluating the effects of prescribed phenytoin (Dilantin) for a client who
has been taking the medication for six months. The nurse should assess the client for
which outcome?
a) Increased sensation in peripheries.
b) Reduced seizure activity.
c) Decrease in body mass index.
d) Improved activity tolerance. CORRECT ANSWER- b) Reduced seizure activity.
The nurse is teaching a client diagnosed with Alzheimer's disease and the client's spouse
about medication treatment. Which information should the nurse include?
a) "The medication will reverse the symptoms for as long as you take the medication."
b) "Moderate to severe stages of the disease are prevented by the medication."
c) "You will not become confused and forgetful if you take the medication daily."
d) "The decline in functioning from the disease will be slowed from the medication."
CORRECT ANSWER- d) "The decline in functioning from the disease will be slowed
from the medication."
Muscle relaxants cause which adverse effect?
a) Decreased gastrointestinal motility
b) Nephrotoxicity
c) Dysrhythmias
d) Central nervous system depression CORRECT ANSWER- d) Central nervous system
EXAM QUESTIONS AND
CORRECT ANSWERS
Which information should the nurse have when assessing a client for therapeutic effects
of a prescribed medication?
a) The client's previous experience with medication.
b) The client's baseline before taking the medication.
c) Expected side effects of the medication.d) A 12-month-old with an eye infection. CORRECT ANSWER-
c) A teenager with severe
acne on the back.
Angiotensin-converting enzyme (ACE) inhibitors are used to treat which diagnosis?
a) Hypotension
b) Heart failure
c) Stroke
d) Atrial fibrillation CORRECT ANSWER- b) Heart failure
Which anticoagulant would be contraindicated for a client with a vitamin K deficiency?
a) enoxaparin (Lovenox)
b) apixaban (Eliquis)
c) heparin (unfractionated)
d) warfarin (Coumadin) CORRECT ANSWER- d) warfarin (Coumadin)
The nurse is caring for a client taking newly prescribed first-generation antipsychotic
medication. The nurse should monitor the client for which adverse effect that can occur
within the first few days?
a) Suicidal ideations
b) Fibromyalgia syndrome
c) Tardive dyskinesia
, d) Acute dystonia CORRECT ANSWER- c) Tardive dyskinesia
The mnemonic SLUDGE is used to remember the signs and symptoms for the life-
threatening adverse effect of which type of medication?
a) Cholinesterase inhibitors
b) Antipsychotics
c) Antiepileptics
d) Adrenergic Agonists CORRECT ANSWER- a) Cholinesterase inhibitors
The nurse is evaluating the effects of prescribed phenytoin (Dilantin) for a client who
has been taking the medication for six months. The nurse should assess the client for
which outcome?
a) Increased sensation in peripheries.
b) Reduced seizure activity.
c) Decrease in body mass index.
d) Improved activity tolerance. CORRECT ANSWER- b) Reduced seizure activity.
The nurse is teaching a client diagnosed with Alzheimer's disease and the client's spouse
about medication treatment. Which information should the nurse include?
a) "The medication will reverse the symptoms for as long as you take the medication."
b) "Moderate to severe stages of the disease are prevented by the medication."
c) "You will not become confused and forgetful if you take the medication daily."
d) "The decline in functioning from the disease will be slowed from the medication."
CORRECT ANSWER- d) "The decline in functioning from the disease will be slowed
from the medication."
Muscle relaxants cause which adverse effect?
a) Decreased gastrointestinal motility
b) Nephrotoxicity
c) Dysrhythmias
d) Central nervous system depression CORRECT ANSWER- d) Central nervous system
