Manhard
HESI Exit II
Total Questions : 119 Showing 119 questions
Question 1: Report an Issue Report Wrong Answer Explanation
Correct Answer: C
A client who is hypotensive is receiving dopamine, an
adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which
A: Assessing pupillary response to light hourly is not
intervention should the nurse implement while administering related to dopamine administration. Dopamine does
this medication? not affect the pupils or the cranial nerves that control
A. Assess pupillary response to light hourly. them.
B. Initiate seizure precautions. B: Initiating seizure precautions is not necessary for a
C. Measure urinary output every hour. client receiving dopamine. Dopamine does not lower
the seizure threshold or cause convulsions.
D. Monitor serum potassium frequently.
C: Measuring urinary output every hour is an important intervention for
Hide Correct Answer and Explanation dopamine. Dopamine increases blood pressure and cardiac output, wh
perfusion and urine production. Urinary output is an indicator of the eff
therapy and renal function.
D: Monitoring serum potassium frequently is not
directly related to dopamine administration. Dopamine
does not affect potassium levels or cause
hyperkalemia or hypokalemia. However, potassium
levels may be affected by other factors such as fluid
balance, renal function, and medications.
Discussion Section
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, Question 2: Report an Issue Report Wrong Answer
Explanation
Manhard
A client who is hypotensive is receiving dopamine, an Correct Answer: C
adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which A: Assessing pupillary response to light hourly is not
intervention should the nurse implement while administering related to dopamine administration. Dopamine does
this medication? not affect the pupils or the cranial nerves that control
them.
A. Assess pupillary response to light hourly.
B: Initiating seizure precautions is not necessary for a
B. Initiate seizure precautions. client receiving dopamine. Dopamine does not lower
C. Measure urinary output every hour. the seizure threshold or cause convulsions.
D. Monitor serum potassium frequently. C: Measuring urinary output every hour is an important
intervention for a client receiving dopamine. Dopamine
Hide Correct Answer and Explanation increases blood pressure and cardiac output, which
improves renal perfusion and urine production. Urinary
output is an indicator of the effectiveness of dopamine
therapy and renal function.
D: Monitoring serum potassium frequently is not
directly related to dopamine administration. Dopamine
does not affect potassium levels or cause
hyperkalemia or hypokalemia. However, potassium
levels may be affected by other factors such as fluid
balance, renal function, and medications.
Discussion Section
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Question 3: Report an Issue Report Wrong Answer Explanation
Correct Answer: C
In caring for a client who is receiving linezolid IV for
nosocomial pneumonia, which assessment finding is most A: Yellow-tinged sputum is not a serious adverse effect
important for the nurse to report to the health care provider? of linezolid. It may indicate an infection or inflammation
in the respiratory tract, but it does not require
A. Yellow-tinged sputum
immediate attention from the health care provider.
B. Nausea and headache
C. Watery diarrhea B: Nausea and headache are common side effects of
linezolid. They are usually mild and self-limiting, and
D. Increased fatigue they can be managed with supportive measures such
as hydration, rest, and analgesics.
Hide Correct Answer and Explanation
, C: Watery diarrhea is a sign of pseudomembranous colitis, a potentiall
complication
Manhard of linezolid. It is caused by an overgrowth of Clostridium
which produce toxins that damage the intestinal mucosa. It can lead to
imbalance, sepsis, and perforation. The nurse should report this findin
immediately and stop the linezolid infusion.
D: Increased fatigue is not a specific or serious
adverse effect of linezolid. It may be related to the
underlying infection, anemia, or other factors. It does
not require urgent intervention from the health care
provider.
Discussion Section
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Question 4: Report an Issue Report Wrong Answer Explanation
A male client reports to the on-call clinic nurse that he took Correct Answer: D
two tablets of 10 mg lisinopril by mouth two hours ago and A: Increasing oral fluids may help with hydration, but it
his skin now feels flushed. He reports a history of stable
will not reduce skin flushing caused by lisinopril.
angina, but denies experiencing any chest pain at the moment Lisinopril is an angiotensin-converting enzyme (ACE.
or recently. Which action should the nurse take? inhibitor that dilates blood vessels and lowers blood
pressure. Flushing occurs due to increased blood flow
A. Instruct the client to increase his intake of oral fluids until the
to the skin.
skin flushing is relieved.
B: Nitroglycerin is a vasodilator that relaxes smooth
B. Advise the client to place one nitroglycerin tablet under his
muscle in blood vessels and reduces chest pain
tongue as a precaution. caused by angina. It is not indicated for skin flushing
C. Tell the client to have someone bring him to an emergency caused by lisinopril. Moreover, nitroglycerin can lower
department immediately. blood pressure further and cause hypotension,
D. Reassure the client that facial flushing is a common side effect headache, dizziness, and fainting.
of the medication. C: Going to an emergency department is not
necessary for skin flushing caused by lisinopril.
Hide Correct Answer and Explanation Flushing is not a sign of an allergic reaction or
anaphylaxis, which would require immediate medical
, attention. Flushing is also not a symptom of a heart
attack
Manhard or stroke, which would present with other signs
such as chest pain, shortness of breath, arm
numbness, or slurred speech.
D: Reassuring the client that facial flushing is a
common side effect of lisinopril is the best action for
the nurse to take. Flushing is not harmful or
dangerous, and it usually subsides within a few hours.
The nurse should explain the mechanism of action of
lisinopril and its benefits for lowering blood pressure
and preventing angina. The nurse should also advise
the client to monitor his blood pressure regularly and
report any signs of hypotension, such as dizziness,
lightheadedness, or fainting.
Discussion Section
A Post here. Submit
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Question 5: Report an Issue Report Wrong Answer
Explanation
Correct Answer: D
A client is being urgently transported to radiology for a
Computerized Tomography (CT scan) after a sudden decrease A: Securing chest tube to the stretcher for transport is
in level of consciousness. The client is orally intubated and a good practice, but it is not the most important action.
has a left lateral chest tube to 20 cm suction. Which action is The chest tube should be secured to prevent
most important for the nurse to take? accidental dislodgement or kinking, but it does not
affect the function of the chest tube or the drainage
A. Secure chest tube to the stretcher for transport.
system.
B. Administer PRN pain medication prior to transport.
B: Administering PRN pain medication prior to
C. Mark the amount of chest drainage on the container.
transport is a compassionate action, but it is not the
D. Keep chest tube container below the site of insertion.
most important action. The client may experience pain
due to the chest tube, the intubation, or the underlying
Hide Correct Answer and Explanation condition, but pain relief is not a priority over
maintaining adequate ventilation and drainage.
C: Marking the amount of chest drainage on the
container is a useful action, but it is not the most
important action. The amount of chest drainage should
be recorded and reported to monitor the client's status
and detect any complications, such as hemorrhage or
infection, but it does not affect the immediate function
of the chest tube or the drainage system.
HESI Exit II
Total Questions : 119 Showing 119 questions
Question 1: Report an Issue Report Wrong Answer Explanation
Correct Answer: C
A client who is hypotensive is receiving dopamine, an
adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which
A: Assessing pupillary response to light hourly is not
intervention should the nurse implement while administering related to dopamine administration. Dopamine does
this medication? not affect the pupils or the cranial nerves that control
A. Assess pupillary response to light hourly. them.
B. Initiate seizure precautions. B: Initiating seizure precautions is not necessary for a
C. Measure urinary output every hour. client receiving dopamine. Dopamine does not lower
the seizure threshold or cause convulsions.
D. Monitor serum potassium frequently.
C: Measuring urinary output every hour is an important intervention for
Hide Correct Answer and Explanation dopamine. Dopamine increases blood pressure and cardiac output, wh
perfusion and urine production. Urinary output is an indicator of the eff
therapy and renal function.
D: Monitoring serum potassium frequently is not
directly related to dopamine administration. Dopamine
does not affect potassium levels or cause
hyperkalemia or hypokalemia. However, potassium
levels may be affected by other factors such as fluid
balance, renal function, and medications.
Discussion Section
A Post here. Submit
0 Pulse Checks
No comments
, Question 2: Report an Issue Report Wrong Answer
Explanation
Manhard
A client who is hypotensive is receiving dopamine, an Correct Answer: C
adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which A: Assessing pupillary response to light hourly is not
intervention should the nurse implement while administering related to dopamine administration. Dopamine does
this medication? not affect the pupils or the cranial nerves that control
them.
A. Assess pupillary response to light hourly.
B: Initiating seizure precautions is not necessary for a
B. Initiate seizure precautions. client receiving dopamine. Dopamine does not lower
C. Measure urinary output every hour. the seizure threshold or cause convulsions.
D. Monitor serum potassium frequently. C: Measuring urinary output every hour is an important
intervention for a client receiving dopamine. Dopamine
Hide Correct Answer and Explanation increases blood pressure and cardiac output, which
improves renal perfusion and urine production. Urinary
output is an indicator of the effectiveness of dopamine
therapy and renal function.
D: Monitoring serum potassium frequently is not
directly related to dopamine administration. Dopamine
does not affect potassium levels or cause
hyperkalemia or hypokalemia. However, potassium
levels may be affected by other factors such as fluid
balance, renal function, and medications.
Discussion Section
A Post here. Submit
0 Pulse Checks
No comments
Question 3: Report an Issue Report Wrong Answer Explanation
Correct Answer: C
In caring for a client who is receiving linezolid IV for
nosocomial pneumonia, which assessment finding is most A: Yellow-tinged sputum is not a serious adverse effect
important for the nurse to report to the health care provider? of linezolid. It may indicate an infection or inflammation
in the respiratory tract, but it does not require
A. Yellow-tinged sputum
immediate attention from the health care provider.
B. Nausea and headache
C. Watery diarrhea B: Nausea and headache are common side effects of
linezolid. They are usually mild and self-limiting, and
D. Increased fatigue they can be managed with supportive measures such
as hydration, rest, and analgesics.
Hide Correct Answer and Explanation
, C: Watery diarrhea is a sign of pseudomembranous colitis, a potentiall
complication
Manhard of linezolid. It is caused by an overgrowth of Clostridium
which produce toxins that damage the intestinal mucosa. It can lead to
imbalance, sepsis, and perforation. The nurse should report this findin
immediately and stop the linezolid infusion.
D: Increased fatigue is not a specific or serious
adverse effect of linezolid. It may be related to the
underlying infection, anemia, or other factors. It does
not require urgent intervention from the health care
provider.
Discussion Section
A Post here. Submit
0 Pulse Checks
No comments
Question 4: Report an Issue Report Wrong Answer Explanation
A male client reports to the on-call clinic nurse that he took Correct Answer: D
two tablets of 10 mg lisinopril by mouth two hours ago and A: Increasing oral fluids may help with hydration, but it
his skin now feels flushed. He reports a history of stable
will not reduce skin flushing caused by lisinopril.
angina, but denies experiencing any chest pain at the moment Lisinopril is an angiotensin-converting enzyme (ACE.
or recently. Which action should the nurse take? inhibitor that dilates blood vessels and lowers blood
pressure. Flushing occurs due to increased blood flow
A. Instruct the client to increase his intake of oral fluids until the
to the skin.
skin flushing is relieved.
B: Nitroglycerin is a vasodilator that relaxes smooth
B. Advise the client to place one nitroglycerin tablet under his
muscle in blood vessels and reduces chest pain
tongue as a precaution. caused by angina. It is not indicated for skin flushing
C. Tell the client to have someone bring him to an emergency caused by lisinopril. Moreover, nitroglycerin can lower
department immediately. blood pressure further and cause hypotension,
D. Reassure the client that facial flushing is a common side effect headache, dizziness, and fainting.
of the medication. C: Going to an emergency department is not
necessary for skin flushing caused by lisinopril.
Hide Correct Answer and Explanation Flushing is not a sign of an allergic reaction or
anaphylaxis, which would require immediate medical
, attention. Flushing is also not a symptom of a heart
attack
Manhard or stroke, which would present with other signs
such as chest pain, shortness of breath, arm
numbness, or slurred speech.
D: Reassuring the client that facial flushing is a
common side effect of lisinopril is the best action for
the nurse to take. Flushing is not harmful or
dangerous, and it usually subsides within a few hours.
The nurse should explain the mechanism of action of
lisinopril and its benefits for lowering blood pressure
and preventing angina. The nurse should also advise
the client to monitor his blood pressure regularly and
report any signs of hypotension, such as dizziness,
lightheadedness, or fainting.
Discussion Section
A Post here. Submit
0 Pulse Checks
No comments
Question 5: Report an Issue Report Wrong Answer
Explanation
Correct Answer: D
A client is being urgently transported to radiology for a
Computerized Tomography (CT scan) after a sudden decrease A: Securing chest tube to the stretcher for transport is
in level of consciousness. The client is orally intubated and a good practice, but it is not the most important action.
has a left lateral chest tube to 20 cm suction. Which action is The chest tube should be secured to prevent
most important for the nurse to take? accidental dislodgement or kinking, but it does not
affect the function of the chest tube or the drainage
A. Secure chest tube to the stretcher for transport.
system.
B. Administer PRN pain medication prior to transport.
B: Administering PRN pain medication prior to
C. Mark the amount of chest drainage on the container.
transport is a compassionate action, but it is not the
D. Keep chest tube container below the site of insertion.
most important action. The client may experience pain
due to the chest tube, the intubation, or the underlying
Hide Correct Answer and Explanation condition, but pain relief is not a priority over
maintaining adequate ventilation and drainage.
C: Marking the amount of chest drainage on the
container is a useful action, but it is not the most
important action. The amount of chest drainage should
be recorded and reported to monitor the client's status
and detect any complications, such as hemorrhage or
infection, but it does not affect the immediate function
of the chest tube or the drainage system.
