HESI comp exam 1
Study online at https://quizlet.com/_a6p775
1. A client with asthma receives a pre- Metoprolol tartrate (Lopressor)
scription for high blood pressure
during a clinic visit. Which prescrip- Best antihypertensive med for asthmatics. Beta2 block-
tion should the nurse anticipate ing agent -- also a cardioselective and less likely to
the client to receive that is at least cause bronchoconstriction.
likely to exacerbate asthma?
2. A male client who has been tak- Ask the healthcare provider about tapering the drug
ing propranolol (Inderal) for 18 dose over the next week.
months tells the nurse that the
healthcare provider discontinued HCP discontinued drug BUT measures to prevent re-
the medication because his blood bound cardiac excitation, such as progressively reduc-
pressure has been normal for the ing the dose over 1 or 2 weeks, should be recommend-
past 3 months. Which instruction ed to prevent rebound tachycardia, hypertension, and
should the nurse provide? ventricular dysrhythmias.
3. A client who is taking cloni- How long has the client been taking the medication?
dine ( Catapres, Duraclon) reports
drowsiness. Which additional as- Drowsiness can occur in the early weeks of treatment
sessment should the nurse make? with clonidine and with continued use becomes less
intense, so the length of time the client has been on the
medication provides information to direct additional
instruction.
4. The nurse is preparing to admin- Decrease the risk of bradycardia during surgery
ister atropine, an anticholinergic,
to a client who is scheduled for Atropine may be prescribed preoperatively to increase
a cholecystectomy. The client asks the automaticity of the sinoatrial node and prevent
the nurse to explain the reason for a dangerous reduction in heart rate during surgical
the prescribed medication. What anesthesia.
response is best for the nurse to
provide?
, HESI comp exam 1
Study online at https://quizlet.com/_a6p775
5. An 80-year old client is given mor- Tricyclic antidepressants
phine sulfate for post-op pain.
Which concomitant med should Drugs with anticholinergic properties can exacerbate
the nurse question that poses a po- urinary retention associated with opioids in the older
tential development of urinary re- client.
tention in this geriatric client?
6. A client with osteoarthritis is given Provide anti-inflammatory response
a new script for a NSAID. The client
asks the nurse, "How is this med NSAIDs relieve pain associated with osteoarthritis and
different from the acetaminophen differs from acetaminophen(a non-narcotic & an-
I have been taking?" Which infor- tipyretic). Also potentially hepatotoxic.
mation about the therapeutic ac-
tion of NSAIDs should the nurse
provide?
7. A client with cancer has a history of Liver
alcohol abuse and is taking aceta-
minophen (Tylenol) for pain. Which Acetaminophen & alcohol both metabolized in the liver.
organ function is most important Pt at risk of hepatotoxicity & potentially fatal liver dam-
for the nurse to monitor? age.
8. The nurse obtains a heart rate of Administer the dose as prescribed.
92 and a BP of 110/76 prior to ad-
ministering a scheduled does of Verapamil slows SA nodal automaticity, delays AV nodal
verapamil (Calan) for a client with conduction, slowing ventricular rate & treats atrial flut-
atrial flutter. Which action should ter. HR is above 60 and BP is WNL.
the nurse implement?
9. A client is admitted to the hospital One chronic and one acute illness
with a diagnosis of Type 2 diabetes
mellitus and influenza. Which cat- Adult onset DM is life-long chronic disease. Influenza is
egories of illness should the nurse acute illness with short term duration.
, HESI comp exam 1
Study online at https://quizlet.com/_a6p775
develop goals for the client's plan
of care?
10. Following an emergency Cesare- Stimulate contraction of the uterus
an delivery the nurse encourages
the new mother to breastfed her Infant suckling breast releases oxytocin by the posterior
newborn. The client asks why she pituitary and stimulates the "letdown" reflex. Causing
should breastfeed now. Which info release of colostrum & contracts the uterus to prevent
should the nurse provide? uterine hemorrhage.
11. Which intervention should the Supervised and guided visits with infant.
nurse include in the plan of care
for a female client with severe Structured visits provide an opportunity for the mother
postpartum depression who is ad- and infant to bond and should be facilitated and en-
mitted to the inpatient psychiatric couraged according to the client's pace of progress.
unit?
12. A 16-year-old male client is ad- Obtain the permission of the custodial parent for the
mitted to the hospital after falling surgery.
off a bike and sustaining a frac-
tured bone. The HCP explains the Pt is a minor and cannot legally sign his own consent
surgery needed to immobilize the unless he is an emancipated minor. Consent should be
fracture. Which action should be obtained from the guardian, custodial parent.
implemented to obtain a valid in-
formed consent?
13. During a client assessment, the Identify the problem
client says, "I can't walk very well."
Which action should the nurse im- Sequential problem solving steps: 1) Identify the prob-
plement first? lem, 2) consider alternatives, 3) consider outcomes of
the alternatives, 4) predict the likelihood of the out-
comes occurring and choose best chance of success.
Study online at https://quizlet.com/_a6p775
1. A client with asthma receives a pre- Metoprolol tartrate (Lopressor)
scription for high blood pressure
during a clinic visit. Which prescrip- Best antihypertensive med for asthmatics. Beta2 block-
tion should the nurse anticipate ing agent -- also a cardioselective and less likely to
the client to receive that is at least cause bronchoconstriction.
likely to exacerbate asthma?
2. A male client who has been tak- Ask the healthcare provider about tapering the drug
ing propranolol (Inderal) for 18 dose over the next week.
months tells the nurse that the
healthcare provider discontinued HCP discontinued drug BUT measures to prevent re-
the medication because his blood bound cardiac excitation, such as progressively reduc-
pressure has been normal for the ing the dose over 1 or 2 weeks, should be recommend-
past 3 months. Which instruction ed to prevent rebound tachycardia, hypertension, and
should the nurse provide? ventricular dysrhythmias.
3. A client who is taking cloni- How long has the client been taking the medication?
dine ( Catapres, Duraclon) reports
drowsiness. Which additional as- Drowsiness can occur in the early weeks of treatment
sessment should the nurse make? with clonidine and with continued use becomes less
intense, so the length of time the client has been on the
medication provides information to direct additional
instruction.
4. The nurse is preparing to admin- Decrease the risk of bradycardia during surgery
ister atropine, an anticholinergic,
to a client who is scheduled for Atropine may be prescribed preoperatively to increase
a cholecystectomy. The client asks the automaticity of the sinoatrial node and prevent
the nurse to explain the reason for a dangerous reduction in heart rate during surgical
the prescribed medication. What anesthesia.
response is best for the nurse to
provide?
, HESI comp exam 1
Study online at https://quizlet.com/_a6p775
5. An 80-year old client is given mor- Tricyclic antidepressants
phine sulfate for post-op pain.
Which concomitant med should Drugs with anticholinergic properties can exacerbate
the nurse question that poses a po- urinary retention associated with opioids in the older
tential development of urinary re- client.
tention in this geriatric client?
6. A client with osteoarthritis is given Provide anti-inflammatory response
a new script for a NSAID. The client
asks the nurse, "How is this med NSAIDs relieve pain associated with osteoarthritis and
different from the acetaminophen differs from acetaminophen(a non-narcotic & an-
I have been taking?" Which infor- tipyretic). Also potentially hepatotoxic.
mation about the therapeutic ac-
tion of NSAIDs should the nurse
provide?
7. A client with cancer has a history of Liver
alcohol abuse and is taking aceta-
minophen (Tylenol) for pain. Which Acetaminophen & alcohol both metabolized in the liver.
organ function is most important Pt at risk of hepatotoxicity & potentially fatal liver dam-
for the nurse to monitor? age.
8. The nurse obtains a heart rate of Administer the dose as prescribed.
92 and a BP of 110/76 prior to ad-
ministering a scheduled does of Verapamil slows SA nodal automaticity, delays AV nodal
verapamil (Calan) for a client with conduction, slowing ventricular rate & treats atrial flut-
atrial flutter. Which action should ter. HR is above 60 and BP is WNL.
the nurse implement?
9. A client is admitted to the hospital One chronic and one acute illness
with a diagnosis of Type 2 diabetes
mellitus and influenza. Which cat- Adult onset DM is life-long chronic disease. Influenza is
egories of illness should the nurse acute illness with short term duration.
, HESI comp exam 1
Study online at https://quizlet.com/_a6p775
develop goals for the client's plan
of care?
10. Following an emergency Cesare- Stimulate contraction of the uterus
an delivery the nurse encourages
the new mother to breastfed her Infant suckling breast releases oxytocin by the posterior
newborn. The client asks why she pituitary and stimulates the "letdown" reflex. Causing
should breastfeed now. Which info release of colostrum & contracts the uterus to prevent
should the nurse provide? uterine hemorrhage.
11. Which intervention should the Supervised and guided visits with infant.
nurse include in the plan of care
for a female client with severe Structured visits provide an opportunity for the mother
postpartum depression who is ad- and infant to bond and should be facilitated and en-
mitted to the inpatient psychiatric couraged according to the client's pace of progress.
unit?
12. A 16-year-old male client is ad- Obtain the permission of the custodial parent for the
mitted to the hospital after falling surgery.
off a bike and sustaining a frac-
tured bone. The HCP explains the Pt is a minor and cannot legally sign his own consent
surgery needed to immobilize the unless he is an emancipated minor. Consent should be
fracture. Which action should be obtained from the guardian, custodial parent.
implemented to obtain a valid in-
formed consent?
13. During a client assessment, the Identify the problem
client says, "I can't walk very well."
Which action should the nurse im- Sequential problem solving steps: 1) Identify the prob-
plement first? lem, 2) consider alternatives, 3) consider outcomes of
the alternatives, 4) predict the likelihood of the out-
comes occurring and choose best chance of success.
