HESI RN Exam 2 2024
Following the administration of sublingual nitroglycerin to a client experiencing an
acute anginal attack, which assessment finding indicates to the nurse that the
desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96% - A. nitroglycerin reduces
mycocardial oxygen consumption which decreases ischemia and reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which client
teaching is most important for the nurse to provide a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis - A. flushing of the face and neck, lasting up to an
hour, is a frequent reason for discontinuing niacin. inclusion of this effect in clietn
teaching may promote compliance in taking the med.
When assessing an adolescent who recently overdosed on acetaminophen (tylonel),
it is most important for the nurse to assess for pain in which area of the body
a. flank
b. abdomen
c. chest
d. head - B. acetaminophen toxicisty an result in liver damage; therefore, it is
especially important for the nurse to assess for pain in the right upper quadrant of
the abdomen (which might indicated liver damage)
A client is admitted to the coronary care unit with a medical diagnosis of acute
myocardial infarction. which medication prescription decreases both preload and
afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril - A. nitroglycerin is a nitrate that causes peripheral vasodilation and
decreases contractility, thereby decreasing both preload and afterload
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse
knows that the action of this drug is to
A. decrease the amount of the thyroid-stimulating hormone circulating in the blood
B. increase the amount of thyroid-stimulating hormone circulating in the blood C.
increase the amount of T4 and decrease the amount of T3 produced by the
thyroid
,D. inhibit synthesis of T3 and T4 by the thyroid gland - D. PTU is an adjunct therapy
used to control hyperthyroidism by inhibiting production of thyroid hormones. It is
often prescribed in prep for thyroidectomy or radioactive iodine therapy
Which hchange hin hdata hindicates hto hthe hnurse hthe hdesired heffect hof hthe
hangiotensin hII hreceptor hantagonist hhas hbeen hachieved hA. hDependent hedema
hreduced hform h+3 hto h+1 h
B. Serum hHDL hincreased hfrom h35 hto h55mg/dl h
C. PUlse hrate hreduced hfrom h150 hto h90 hbeats/min h
D. Blood hpressure hreducedf hrom h160/90 hto h130.80 h- hD. hangiotensin hII hreceptor
hantagonist h(blocker), hprescribed hfrom htreatment hof hHTN. hThe hdesired heffect
his ha hdecrease hin hblood hpressure. h
h
Which hinstructions hshould hthe hnurse hgive hto ha hfemale hclient hwho hjust hrecieved
ha hprescription hfor horal hmetronidazole h(flagyl) hfor htreatment hof htrichomonas
hvaginalis h(select hall hthat happly) h
A. increase hfluid hintake, hespecially hcranberry hjuice h
B. Do hnot habruptly hdiscontinue hthe hmedication; htaper huse h
C. Check hblood hpressure hdaily hto hdetect hhypertension h
D. Avoid hdrinking halcohol hwhile htaking hthis hmedication h
E. Use hcondoms huntil htreatment his hcompleted h
F. Ensure hthat hall hsexual hpartners hare htreated hat hthe hsame htime h- hADEF h
h
The hnurse his htranscribing ha hnew hprescription hfor hspironolactone h(aldactone) hfor
ha h
client hwho hreceives han hangiotensin-converting henzyme hinhibitor. hWhich haction
hshould hthe hnurse himplement h
A. verify hboth hprescriptions hwith hthe hHCP h
B. report hthe hmed hinteractions hto hthe hnurse hmanager h
C. hold hthe hACE hinhibitor hand hgive hthe hnew hprescription h
D. Transcribe hand hsend hthe hprescription hto hthe hpharmacy h- hA. hthe hconcomitant
huse hof han hACE hinhibitor hand ha hpotassium-sparing hdiuretic hsucha hs
hspironolactone, hshould hbe hgiven hwith hcaution hb/c hthe htwo hdrugs hmay
hinteract hto hcause han helevation hin hserum hpotassium hlevels. h
h
A hclient hhas hmyxedema, hwhich hresults hfrom ha hdeficiency hof hthyroid hhormone
hsynthesis hin hadults. hThe hnurse hknows hthat hwhich hmedication hshould hbe
hcontraindicated hfor hthis hclient? h
A. liothyronine h(cytomel) hto hreplace hiodine h
B. Furosemide h(Lasix) hfor hrelief hof hfluid hretention h
C. Pentobarbital hsodium hfor hsleep h
D. nitroglycerin hfor hangina hpain h- hC. hpersons hwith hmyxedema hare hdangerously
hhypersensitive hto hnarcotics, hbarbiturates, hand hanesthetics. hThey hdo hnot
htolerate hliothyronine hand husually hreceive hiodine hreplacement htherapy. hThese
hclients hare halso hsuceptable hto hheart hproblems hsuch has hangina hfor hwhich
hnitroglycerine hwould hbe hindicated hand hand hcongestive hheart hfailure hfor
hwhich hfurosemide hwould hbe hindicated h
h
, A hclient hhas ha hcontinuous hIV hinfusion hof hdopamine hand han hIV hof hnormal hsaline
hat h50ml/hour. hThe hnurse hnoes hthat hthe hclient's hurinary houtput hhas hbeen
h20ml/hour hfor hthe hlast htwo hhours. hWhich hintervention hshould hthe hnurse hinitiate?
h
A. stop hthe hinfusion hof hdopamine h
B. change hthe hnormal hsaline hto ha hkeep hopen hrate h
C. replace hthe hurinary hcatheter h
D. notify hthe hhealthcare hprovider hof hthe hurinary houtput. h- hD. h
h
A hhealthcare hprovider hprescrives hcephalexin hmonhydrate h(Keflex) hfor ha hclient
hwith ha
postoperative hinfection. hIt his hmost himportant hfor hthe hnurse hto hassess h
hfor hwhat
additional hdrug hallergy hbefore hadministering hthis h
hprescription?
A. h
hPenicillins
B. h
hAminoglycosides
C. h
hErythromycins
D.Sulfonamides h- hA. hCross-allergies hexist hbetween hpenicillins hand
hcephalosporines, h
such has hkeflex. hso hchecking hfor hpenicillin hallergy his ha hwise h
hprecaution
h
Which hmedications hshould hthe hnurse hcaution hthe hclient habout htaking hwhile
hreceiving han hopioid hanalgesic? hA. hAntacids. h h
B. Benzodiasepines h
C. Antihypertensives h
D. Oral hantidiabetics h- hB. hrespiratory hdepression hincreases hwith hthe hconcurrent
huse hof hopioid hanalgesics hand hother hcns hdepressant hagents, hsuch has
halcohol, hbarbiturates, hand hbenzodiasepines h
h
Which hnursing hdiagnosis his himportant hto hinclude hin hthe hplan hof hcare hfor ha
hclient hrecieving hthe hangiotensin hII hreceptor hantagonist hirbesartan h(avapro)? h
A. hFluid hvolume hdeficit h
B.Risk hfor hinfection
hC. hRisk hfor hinjury h
D. hImpaired hsleep hpatterns h- hC. hAvapro his han hantihypertensive hagent, hwhich
hacts hby hblocking hvasoconstrictor heffects hat hvarious hreceptor hsites. hThis hcan
hcause hhypotension hand hdizziness, hplacing hthe hclient hat hhigh hrisk hfor hinjury h
h
A hpostoperative hclient hhas hbeen hrecieving ha hcontinuous hIV hinfusion hof
hmeperidine h
(demerol) h35mg/hr hfor hfour hdays. hThe hclient hhas ha hPRN hprescription hfor
hDemorol h100mg hPO hQ3H. hThe hnurse hnotes hthat hthe hclient hhas hbecome
Following the administration of sublingual nitroglycerin to a client experiencing an
acute anginal attack, which assessment finding indicates to the nurse that the
desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96% - A. nitroglycerin reduces
mycocardial oxygen consumption which decreases ischemia and reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which client
teaching is most important for the nurse to provide a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis - A. flushing of the face and neck, lasting up to an
hour, is a frequent reason for discontinuing niacin. inclusion of this effect in clietn
teaching may promote compliance in taking the med.
When assessing an adolescent who recently overdosed on acetaminophen (tylonel),
it is most important for the nurse to assess for pain in which area of the body
a. flank
b. abdomen
c. chest
d. head - B. acetaminophen toxicisty an result in liver damage; therefore, it is
especially important for the nurse to assess for pain in the right upper quadrant of
the abdomen (which might indicated liver damage)
A client is admitted to the coronary care unit with a medical diagnosis of acute
myocardial infarction. which medication prescription decreases both preload and
afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril - A. nitroglycerin is a nitrate that causes peripheral vasodilation and
decreases contractility, thereby decreasing both preload and afterload
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse
knows that the action of this drug is to
A. decrease the amount of the thyroid-stimulating hormone circulating in the blood
B. increase the amount of thyroid-stimulating hormone circulating in the blood C.
increase the amount of T4 and decrease the amount of T3 produced by the
thyroid
,D. inhibit synthesis of T3 and T4 by the thyroid gland - D. PTU is an adjunct therapy
used to control hyperthyroidism by inhibiting production of thyroid hormones. It is
often prescribed in prep for thyroidectomy or radioactive iodine therapy
Which hchange hin hdata hindicates hto hthe hnurse hthe hdesired heffect hof hthe
hangiotensin hII hreceptor hantagonist hhas hbeen hachieved hA. hDependent hedema
hreduced hform h+3 hto h+1 h
B. Serum hHDL hincreased hfrom h35 hto h55mg/dl h
C. PUlse hrate hreduced hfrom h150 hto h90 hbeats/min h
D. Blood hpressure hreducedf hrom h160/90 hto h130.80 h- hD. hangiotensin hII hreceptor
hantagonist h(blocker), hprescribed hfrom htreatment hof hHTN. hThe hdesired heffect
his ha hdecrease hin hblood hpressure. h
h
Which hinstructions hshould hthe hnurse hgive hto ha hfemale hclient hwho hjust hrecieved
ha hprescription hfor horal hmetronidazole h(flagyl) hfor htreatment hof htrichomonas
hvaginalis h(select hall hthat happly) h
A. increase hfluid hintake, hespecially hcranberry hjuice h
B. Do hnot habruptly hdiscontinue hthe hmedication; htaper huse h
C. Check hblood hpressure hdaily hto hdetect hhypertension h
D. Avoid hdrinking halcohol hwhile htaking hthis hmedication h
E. Use hcondoms huntil htreatment his hcompleted h
F. Ensure hthat hall hsexual hpartners hare htreated hat hthe hsame htime h- hADEF h
h
The hnurse his htranscribing ha hnew hprescription hfor hspironolactone h(aldactone) hfor
ha h
client hwho hreceives han hangiotensin-converting henzyme hinhibitor. hWhich haction
hshould hthe hnurse himplement h
A. verify hboth hprescriptions hwith hthe hHCP h
B. report hthe hmed hinteractions hto hthe hnurse hmanager h
C. hold hthe hACE hinhibitor hand hgive hthe hnew hprescription h
D. Transcribe hand hsend hthe hprescription hto hthe hpharmacy h- hA. hthe hconcomitant
huse hof han hACE hinhibitor hand ha hpotassium-sparing hdiuretic hsucha hs
hspironolactone, hshould hbe hgiven hwith hcaution hb/c hthe htwo hdrugs hmay
hinteract hto hcause han helevation hin hserum hpotassium hlevels. h
h
A hclient hhas hmyxedema, hwhich hresults hfrom ha hdeficiency hof hthyroid hhormone
hsynthesis hin hadults. hThe hnurse hknows hthat hwhich hmedication hshould hbe
hcontraindicated hfor hthis hclient? h
A. liothyronine h(cytomel) hto hreplace hiodine h
B. Furosemide h(Lasix) hfor hrelief hof hfluid hretention h
C. Pentobarbital hsodium hfor hsleep h
D. nitroglycerin hfor hangina hpain h- hC. hpersons hwith hmyxedema hare hdangerously
hhypersensitive hto hnarcotics, hbarbiturates, hand hanesthetics. hThey hdo hnot
htolerate hliothyronine hand husually hreceive hiodine hreplacement htherapy. hThese
hclients hare halso hsuceptable hto hheart hproblems hsuch has hangina hfor hwhich
hnitroglycerine hwould hbe hindicated hand hand hcongestive hheart hfailure hfor
hwhich hfurosemide hwould hbe hindicated h
h
, A hclient hhas ha hcontinuous hIV hinfusion hof hdopamine hand han hIV hof hnormal hsaline
hat h50ml/hour. hThe hnurse hnoes hthat hthe hclient's hurinary houtput hhas hbeen
h20ml/hour hfor hthe hlast htwo hhours. hWhich hintervention hshould hthe hnurse hinitiate?
h
A. stop hthe hinfusion hof hdopamine h
B. change hthe hnormal hsaline hto ha hkeep hopen hrate h
C. replace hthe hurinary hcatheter h
D. notify hthe hhealthcare hprovider hof hthe hurinary houtput. h- hD. h
h
A hhealthcare hprovider hprescrives hcephalexin hmonhydrate h(Keflex) hfor ha hclient
hwith ha
postoperative hinfection. hIt his hmost himportant hfor hthe hnurse hto hassess h
hfor hwhat
additional hdrug hallergy hbefore hadministering hthis h
hprescription?
A. h
hPenicillins
B. h
hAminoglycosides
C. h
hErythromycins
D.Sulfonamides h- hA. hCross-allergies hexist hbetween hpenicillins hand
hcephalosporines, h
such has hkeflex. hso hchecking hfor hpenicillin hallergy his ha hwise h
hprecaution
h
Which hmedications hshould hthe hnurse hcaution hthe hclient habout htaking hwhile
hreceiving han hopioid hanalgesic? hA. hAntacids. h h
B. Benzodiasepines h
C. Antihypertensives h
D. Oral hantidiabetics h- hB. hrespiratory hdepression hincreases hwith hthe hconcurrent
huse hof hopioid hanalgesics hand hother hcns hdepressant hagents, hsuch has
halcohol, hbarbiturates, hand hbenzodiasepines h
h
Which hnursing hdiagnosis his himportant hto hinclude hin hthe hplan hof hcare hfor ha
hclient hrecieving hthe hangiotensin hII hreceptor hantagonist hirbesartan h(avapro)? h
A. hFluid hvolume hdeficit h
B.Risk hfor hinfection
hC. hRisk hfor hinjury h
D. hImpaired hsleep hpatterns h- hC. hAvapro his han hantihypertensive hagent, hwhich
hacts hby hblocking hvasoconstrictor heffects hat hvarious hreceptor hsites. hThis hcan
hcause hhypotension hand hdizziness, hplacing hthe hclient hat hhigh hrisk hfor hinjury h
h
A hpostoperative hclient hhas hbeen hrecieving ha hcontinuous hIV hinfusion hof
hmeperidine h
(demerol) h35mg/hr hfor hfour hdays. hThe hclient hhas ha hPRN hprescription hfor
hDemorol h100mg hPO hQ3H. hThe hnurse hnotes hthat hthe hclient hhas hbecome
