Hesi Cat Exit exam 1
A patient is prescribed digoxin (Lanoxin) for heart failure. Which of the following
findings is most concerning to the nurse?
A) Heart rate of 58 beats per minute
B) Serum potassium level of 3.2 mEq/L
C) Digoxin level of 1.0 ng/mL
D) Blood pressure of 140/90 mmHg
Answer: B) Serum potassium level of 3.2 mEq/L
A nurse is providing discharge instructions to a patient with chronic obstructive
pulmonary disease (COPD). Which statement by the patient indicates a need for
further teaching?
A) "I will use my inhaler before doing any physical activity."
B) "I should drink plenty of fluids to stay hydrated."
C) "I will avoid being around people who are smoking."
D) "I can stop taking my medication if I feel better."
Answer: D) "I can stop taking my medication if I feel better."
Which of the following assessment findings would indicate a positive outcome for a
patient receiving treatment for diabetic ketoacidosis (DKA)?
A) Blood glucose level of 350 mg/dL
B) Arterial pH of 7.35
C) Serum potassium level of 5.5 mEq/L
D) Presence of ketones in the urine
Answer: B) Arterial pH of 7.35
,A nurse is caring for a patient with a history of seizures who is taking phenytoin
(Dilantin). Which of the following should the nurse include in the patient’s care plan?
A) Monitor for signs of gingival hyperplasia
B) Encourage a high-protein diet
C) Administer the medication with antacids
D) Limit fluid intake to prevent toxicity
Answer: A) Monitor for signs of gingival hyperplasia
A patient with a recent diagnosis of hypertension is prescribed enalapril (Vasotec).
Which of the following side effects should the nurse instruct the patient to report
immediately?
A) Dry cough
B) Fatigue
C) Dizziness
D) Swelling of the face or lips
Answer: D) Swelling of the face or lips
During a blood transfusion, a patient begins to exhibit signs of an allergic reaction.
What is the nurse’s priority action?
A) Slow the rate of the infusion
B) Administer an antihistamine
C) Stop the transfusion and maintain the IV line with normal saline
D) Notify the healthcare provider immediately
Answer: C) Stop the transfusion and maintain the IV line with normal saline
,A patient with a deep vein thrombosis (DVT) is receiving heparin therapy. Which
laboratory test should the nurse monitor to determine the effectiveness of the
therapy?
A) Hemoglobin level
B) Platelet count
C) Activated partial thromboplastin time (aPTT)
D) Prothrombin time (PT)
Answer: C) Activated partial thromboplastin time (aPTT)
Which dietary modification should the nurse suggest to a patient with chronic kidney
disease (CKD)?
A) Increase intake of potassium-rich foods
B) Limit protein intake
C) Increase intake of dairy products
D) Limit fluid intake to 3 liters per day
Answer: B) Limit protein intake
:
A patient presents to the emergency department with chest pain. Which diagnostic
test should the nurse anticipate as the priority?
A) Electrocardiogram (ECG)
B) Chest X-ray
C) Complete blood count (CBC)
D) Pulmonary function test
, Answer: A) Electrocardiogram (ECG)
A patient with cirrhosis is experiencing ascites. Which intervention should the nurse
implement to manage the ascites?
A) Encourage increased fluid intake
B) Administer a diuretic as prescribed
C) Place the patient in a Trendelenburg position
D) Restrict protein intake
Answer: B) Administer a diuretic as prescribedA nurse is caring for a patient with
acute pancreatitis. Which of the following interventions should the nurse
implement?
A) Provide a high-fat diet
B) Encourage oral intake of clear liquids
C) Administer pain medication as prescribed
D) Place the patient in a supine position
Answer: C) Administer pain medication as prescribed
A patient with hyperthyroidism is prescribed propylthiouracil (PTU). Which of the
following adverse effects should the nurse monitor for?
A) Bradycardia
B) Weight gain
C) Agranulocytosis
D) Constipation
Answer: C) Agranulocytosis
A patient is prescribed digoxin (Lanoxin) for heart failure. Which of the following
findings is most concerning to the nurse?
A) Heart rate of 58 beats per minute
B) Serum potassium level of 3.2 mEq/L
C) Digoxin level of 1.0 ng/mL
D) Blood pressure of 140/90 mmHg
Answer: B) Serum potassium level of 3.2 mEq/L
A nurse is providing discharge instructions to a patient with chronic obstructive
pulmonary disease (COPD). Which statement by the patient indicates a need for
further teaching?
A) "I will use my inhaler before doing any physical activity."
B) "I should drink plenty of fluids to stay hydrated."
C) "I will avoid being around people who are smoking."
D) "I can stop taking my medication if I feel better."
Answer: D) "I can stop taking my medication if I feel better."
Which of the following assessment findings would indicate a positive outcome for a
patient receiving treatment for diabetic ketoacidosis (DKA)?
A) Blood glucose level of 350 mg/dL
B) Arterial pH of 7.35
C) Serum potassium level of 5.5 mEq/L
D) Presence of ketones in the urine
Answer: B) Arterial pH of 7.35
,A nurse is caring for a patient with a history of seizures who is taking phenytoin
(Dilantin). Which of the following should the nurse include in the patient’s care plan?
A) Monitor for signs of gingival hyperplasia
B) Encourage a high-protein diet
C) Administer the medication with antacids
D) Limit fluid intake to prevent toxicity
Answer: A) Monitor for signs of gingival hyperplasia
A patient with a recent diagnosis of hypertension is prescribed enalapril (Vasotec).
Which of the following side effects should the nurse instruct the patient to report
immediately?
A) Dry cough
B) Fatigue
C) Dizziness
D) Swelling of the face or lips
Answer: D) Swelling of the face or lips
During a blood transfusion, a patient begins to exhibit signs of an allergic reaction.
What is the nurse’s priority action?
A) Slow the rate of the infusion
B) Administer an antihistamine
C) Stop the transfusion and maintain the IV line with normal saline
D) Notify the healthcare provider immediately
Answer: C) Stop the transfusion and maintain the IV line with normal saline
,A patient with a deep vein thrombosis (DVT) is receiving heparin therapy. Which
laboratory test should the nurse monitor to determine the effectiveness of the
therapy?
A) Hemoglobin level
B) Platelet count
C) Activated partial thromboplastin time (aPTT)
D) Prothrombin time (PT)
Answer: C) Activated partial thromboplastin time (aPTT)
Which dietary modification should the nurse suggest to a patient with chronic kidney
disease (CKD)?
A) Increase intake of potassium-rich foods
B) Limit protein intake
C) Increase intake of dairy products
D) Limit fluid intake to 3 liters per day
Answer: B) Limit protein intake
:
A patient presents to the emergency department with chest pain. Which diagnostic
test should the nurse anticipate as the priority?
A) Electrocardiogram (ECG)
B) Chest X-ray
C) Complete blood count (CBC)
D) Pulmonary function test
, Answer: A) Electrocardiogram (ECG)
A patient with cirrhosis is experiencing ascites. Which intervention should the nurse
implement to manage the ascites?
A) Encourage increased fluid intake
B) Administer a diuretic as prescribed
C) Place the patient in a Trendelenburg position
D) Restrict protein intake
Answer: B) Administer a diuretic as prescribedA nurse is caring for a patient with
acute pancreatitis. Which of the following interventions should the nurse
implement?
A) Provide a high-fat diet
B) Encourage oral intake of clear liquids
C) Administer pain medication as prescribed
D) Place the patient in a supine position
Answer: C) Administer pain medication as prescribed
A patient with hyperthyroidism is prescribed propylthiouracil (PTU). Which of the
following adverse effects should the nurse monitor for?
A) Bradycardia
B) Weight gain
C) Agranulocytosis
D) Constipation
Answer: C) Agranulocytosis
