EVOLVE HESI 1 NEWEST 2024 VERSION 1 COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS
Which condition is contraindicated for St. John's Wort herbal therapy? - (answer) Dementia (St. John's
Wort is used to treat anxiety)
other contraindicated for st. johns: schizophrenia, bipolar depression, Alzheimer's
Which condition is contraindicated for Bupropion? - (answer) Seizures
Which condition is contraindicated for Valerian? - (answer) Cardiac Disease
Which condition is contraindicated for ginseng herbal therapy? - (answer) Pregnancy
Which antidepressant medication is a selective monoamine oxidase-B inhibitor?
a. Selegiline
b. Phenelzine
c. Isocarboxazid
d. Tranylcypromine - (answer) Selegiline is a a selective monoamine oxidase-B inhibitor.
The other medications are nonselective monoamine oxidase-A and B inhibitors.
Which response identified by the nurse is unrelated to an extrapyramidal tract effect? - (answer)
opisthotonos, oculogyric crisis, akathisia are all examples. Hypertension is unrelated.
Extrapyramidal tracts: Originate in the brainstem, carrying motor fibres to the spinal cord. They are
responsible for the unconscious, reflexive or responsive control of musculature, eg muscle tone, balance,
posture and locomotion.
Zolipidem (Ambien) - (answer) Sedative/hypnotic; short use for INSOMNIA
o Can cause daytime sleepiness
,EVOLVE HESI 1 NEWEST 2024 VERSION 1 COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS
o schedule 4 drug; risk for dependence
o avoid ETOH, barbiturates, opioids and other CNS depressants when taking
Semi-Fowler's Position - (answer) the head of the bed is raised 30 degrees; or the head of the bed is
raised 30 degrees and the knee portion is raised 15 degrees
Which body region is most at risk for pressure injury when the client is in semi-fowlers position? -
(answer) Sacrum
Which body region is most at risk for pressure injury when the client is in upright sitting position? -
(answer) Ischial spine
Which body region is most at risk for pressure injury when the client is in side lying position? - (answer)
Greater trochanter
What do neuroleptics do? - (answer) o it blocks dopamine
o treats schizophrenia, does not treat Parkinson's
o increases serotonin at post synaptic sites
Clozapine is used for what and poses a risk for what? - (answer) o antipsychotic medication
o risk for development of agranulocytosis, especially when combined with SSRI (such as prozac)
o monitor WBC
In adolescents, the volume of solution required for an enema is: - (answer) 500-750 mL
In infants, the volume of solution required for an enema is: - (answer) 150-250 mL warmed solution
Second generation antipsychotics may cause: - (answer) metabolic side effects such as diabetes and
dyslipiemia
, EVOLVE HESI 1 NEWEST 2024 VERSION 1 COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS
clozapine is more effective than others
first generation antipsychotics may cause - (answer) extrapyramidal side effects
Which medication may lead to bruxism? - (answer) levomilnacipran
Which age related effects occur in the older client? - (answer) increased autoantibodies
Which age related effects DECREASE in the older client? - (answer) expression of IL-2 receptors,
delayed hypersensitivity reaction, and primary/secondary antibody responses
Autoantibodies - (answer) Antibodies produced by B cells that mistakenly attack and destroy "self" cells
belonging to the patient; autoantibodies are the pathophysiologic agent of most autoimmune disorders
which blood glucose levels would the nurse identify as hypoglycemia? - (answer) 72 - 108 in adults is
normal
less than 72 = hypoglycemia
tracheostomy - (answer) surgical creation of an opening into the trachea through the neck to establish
an airway
cordectomy - (answer) Surgical removal of the vocal cords/ a vocal cord
total laryngectomy - (answer) Surgical removal of the entire larynx/hyoid bone/strap muscles and
tracheal rings
Prescriptive Theory - (answer) A theory that gives specific directions on how an organizational form
should best be created and managed.
action oriented
Which condition is contraindicated for St. John's Wort herbal therapy? - (answer) Dementia (St. John's
Wort is used to treat anxiety)
other contraindicated for st. johns: schizophrenia, bipolar depression, Alzheimer's
Which condition is contraindicated for Bupropion? - (answer) Seizures
Which condition is contraindicated for Valerian? - (answer) Cardiac Disease
Which condition is contraindicated for ginseng herbal therapy? - (answer) Pregnancy
Which antidepressant medication is a selective monoamine oxidase-B inhibitor?
a. Selegiline
b. Phenelzine
c. Isocarboxazid
d. Tranylcypromine - (answer) Selegiline is a a selective monoamine oxidase-B inhibitor.
The other medications are nonselective monoamine oxidase-A and B inhibitors.
Which response identified by the nurse is unrelated to an extrapyramidal tract effect? - (answer)
opisthotonos, oculogyric crisis, akathisia are all examples. Hypertension is unrelated.
Extrapyramidal tracts: Originate in the brainstem, carrying motor fibres to the spinal cord. They are
responsible for the unconscious, reflexive or responsive control of musculature, eg muscle tone, balance,
posture and locomotion.
Zolipidem (Ambien) - (answer) Sedative/hypnotic; short use for INSOMNIA
o Can cause daytime sleepiness
,EVOLVE HESI 1 NEWEST 2024 VERSION 1 COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS
o schedule 4 drug; risk for dependence
o avoid ETOH, barbiturates, opioids and other CNS depressants when taking
Semi-Fowler's Position - (answer) the head of the bed is raised 30 degrees; or the head of the bed is
raised 30 degrees and the knee portion is raised 15 degrees
Which body region is most at risk for pressure injury when the client is in semi-fowlers position? -
(answer) Sacrum
Which body region is most at risk for pressure injury when the client is in upright sitting position? -
(answer) Ischial spine
Which body region is most at risk for pressure injury when the client is in side lying position? - (answer)
Greater trochanter
What do neuroleptics do? - (answer) o it blocks dopamine
o treats schizophrenia, does not treat Parkinson's
o increases serotonin at post synaptic sites
Clozapine is used for what and poses a risk for what? - (answer) o antipsychotic medication
o risk for development of agranulocytosis, especially when combined with SSRI (such as prozac)
o monitor WBC
In adolescents, the volume of solution required for an enema is: - (answer) 500-750 mL
In infants, the volume of solution required for an enema is: - (answer) 150-250 mL warmed solution
Second generation antipsychotics may cause: - (answer) metabolic side effects such as diabetes and
dyslipiemia
, EVOLVE HESI 1 NEWEST 2024 VERSION 1 COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS
clozapine is more effective than others
first generation antipsychotics may cause - (answer) extrapyramidal side effects
Which medication may lead to bruxism? - (answer) levomilnacipran
Which age related effects occur in the older client? - (answer) increased autoantibodies
Which age related effects DECREASE in the older client? - (answer) expression of IL-2 receptors,
delayed hypersensitivity reaction, and primary/secondary antibody responses
Autoantibodies - (answer) Antibodies produced by B cells that mistakenly attack and destroy "self" cells
belonging to the patient; autoantibodies are the pathophysiologic agent of most autoimmune disorders
which blood glucose levels would the nurse identify as hypoglycemia? - (answer) 72 - 108 in adults is
normal
less than 72 = hypoglycemia
tracheostomy - (answer) surgical creation of an opening into the trachea through the neck to establish
an airway
cordectomy - (answer) Surgical removal of the vocal cords/ a vocal cord
total laryngectomy - (answer) Surgical removal of the entire larynx/hyoid bone/strap muscles and
tracheal rings
Prescriptive Theory - (answer) A theory that gives specific directions on how an organizational form
should best be created and managed.
action oriented
