K
C
LO
YC
D
HESI COMPREHENSIVE EXAM 1
U
QUESTIONS AND CORRECT DETAILED
ST
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
,A client with asthma receives a prescription for high blood pressure during a
clinic visit. Which prescription should the nurse anticipate the client to receive
that is at least likely to exacerbate asthma? - ANS Metoprolol tartrate
(Lopressor)
Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a
cardioselective and less likely to cause bronchoconstriction.
A male client who has been taking propranolol (Inderal) for 18 months tells the
K
nurse that the healthcare provider discontinued the medication because his
blood pressure has been normal for the past 3 months. Which instruction
C
should the nurse provide? - ANS Ask the healthcare provider about tapering
the drug dose over the next week.
LO
HCP discontinued drug BUT measures to prevent rebound cardiac excitation,
such as progressively reducing the dose over 1 or 2 weeks, should be
recommended to prevent rebound tachycardia, hypertension, and ventricular
dysrhythmias.
YC
A client who is taking clonidine ( Catapres, Duraclon) reports drowsiness.
Which additional assessment should the nurse make? - ANS How long has
the client been taking the medication?
D
Drowsiness can occur in the early weeks of treatment with clonidine and with
U
continued use becomes less intense, so the length of time the client has been
on the medication provides information to direct additional instruction.
ST
The nurse is preparing to administer atropine, an anticholinergic, to a client
who is scheduled for a cholecystectomy. The client asks the nurse to explain
the reason for the prescribed medication. What response is best for the nurse
to provide? - ANS Decrease the risk of bradycardia during surgery
Atropine may be prescribed preoperatively to increase the automaticity of the
sinoatrial node and prevent a dangerous reduction in heart rate during
surgical anesthesia.
, An 80-year old client is given morphine sulfate for post-op pain. Which
concomitant med should the nurse question that poses a potential
development of urinary retention in this geriatric client? - ANS Tricyclic
antidepressants
Drugs with anticholinergic properties can exacerbate urinary retention
associated with opioids in the older client.
A client with osteoarthritis is given a new script for a NSAID. The client asks
K
the nurse, "How is this med different from the acetaminophen I have been
taking?" Which information about the therapeutic action of NSAIDs should the
C
nurse provide? - ANS Provide anti-inflammatory response
LO
NSAIDs relieve pain associated with osteoarthritis and differs from
acetaminophen(a non-narcotic & antipyretic). Also potentially hepatotoxic.
A client with cancer has a history of alcohol abuse and is taking
acetaminophen (Tylenol) for pain. Which organ function is most important for
YC
the nurse to monitor? - ANS Liver
Acetaminophen & alcohol both metabolized in the liver. Pt at risk of
hepatotoxicity & potentially fatal liver damage.
D
The nurse obtains a heart rate of 92 and a BP of 110/76 prior to administering
U
a scheduled does of verapamil (Calan) for a client with atrial flutter. Which
action should the nurse implement? - ANS Administer the dose as
prescribed.
ST
Verapamil slows SA nodal automaticity, delays AV nodal conduction, slowing
ventricular rate & treats atrial flutter. HR is above 60 and BP is WNL.
A client is admitted to the hospital with a diagnosis of Type 2 diabetes mellitus
and influenza. Which categories of illness should the nurse develop goals for
the client's plan of care? - ANS One chronic and one acute illness
C
LO
YC
D
HESI COMPREHENSIVE EXAM 1
U
QUESTIONS AND CORRECT DETAILED
ST
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
,A client with asthma receives a prescription for high blood pressure during a
clinic visit. Which prescription should the nurse anticipate the client to receive
that is at least likely to exacerbate asthma? - ANS Metoprolol tartrate
(Lopressor)
Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a
cardioselective and less likely to cause bronchoconstriction.
A male client who has been taking propranolol (Inderal) for 18 months tells the
K
nurse that the healthcare provider discontinued the medication because his
blood pressure has been normal for the past 3 months. Which instruction
C
should the nurse provide? - ANS Ask the healthcare provider about tapering
the drug dose over the next week.
LO
HCP discontinued drug BUT measures to prevent rebound cardiac excitation,
such as progressively reducing the dose over 1 or 2 weeks, should be
recommended to prevent rebound tachycardia, hypertension, and ventricular
dysrhythmias.
YC
A client who is taking clonidine ( Catapres, Duraclon) reports drowsiness.
Which additional assessment should the nurse make? - ANS How long has
the client been taking the medication?
D
Drowsiness can occur in the early weeks of treatment with clonidine and with
U
continued use becomes less intense, so the length of time the client has been
on the medication provides information to direct additional instruction.
ST
The nurse is preparing to administer atropine, an anticholinergic, to a client
who is scheduled for a cholecystectomy. The client asks the nurse to explain
the reason for the prescribed medication. What response is best for the nurse
to provide? - ANS Decrease the risk of bradycardia during surgery
Atropine may be prescribed preoperatively to increase the automaticity of the
sinoatrial node and prevent a dangerous reduction in heart rate during
surgical anesthesia.
, An 80-year old client is given morphine sulfate for post-op pain. Which
concomitant med should the nurse question that poses a potential
development of urinary retention in this geriatric client? - ANS Tricyclic
antidepressants
Drugs with anticholinergic properties can exacerbate urinary retention
associated with opioids in the older client.
A client with osteoarthritis is given a new script for a NSAID. The client asks
K
the nurse, "How is this med different from the acetaminophen I have been
taking?" Which information about the therapeutic action of NSAIDs should the
C
nurse provide? - ANS Provide anti-inflammatory response
LO
NSAIDs relieve pain associated with osteoarthritis and differs from
acetaminophen(a non-narcotic & antipyretic). Also potentially hepatotoxic.
A client with cancer has a history of alcohol abuse and is taking
acetaminophen (Tylenol) for pain. Which organ function is most important for
YC
the nurse to monitor? - ANS Liver
Acetaminophen & alcohol both metabolized in the liver. Pt at risk of
hepatotoxicity & potentially fatal liver damage.
D
The nurse obtains a heart rate of 92 and a BP of 110/76 prior to administering
U
a scheduled does of verapamil (Calan) for a client with atrial flutter. Which
action should the nurse implement? - ANS Administer the dose as
prescribed.
ST
Verapamil slows SA nodal automaticity, delays AV nodal conduction, slowing
ventricular rate & treats atrial flutter. HR is above 60 and BP is WNL.
A client is admitted to the hospital with a diagnosis of Type 2 diabetes mellitus
and influenza. Which categories of illness should the nurse develop goals for
the client's plan of care? - ANS One chronic and one acute illness
