HESI RN EXIT EXAM 2025
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A) Checking the client's blood pressure
B) checking the client's peripheral pulses
C) checking the most recent potassium level
D) checking the client's intake and output record for the last 24 hours -
ANSWER- A) Checking the client's blood pressure
Rationale--enalapril maleate is an angiotensin-converting enzyme
(ACE) inhibitor used to treat hypertension. One common side effect
is postural hypotension. Therefore the nurse would check the client's
blood pressure immediately before administering each dose.
, A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D) "I need to take a laxative after the test is completed, because the
liquid that I'll have to drink for the test can be constipating." -
ANSWER- C) "I need to drink citrate of magnesia the night before the
test and give myself a Fleet enema on the morning of the test."
Rationale
An upper GI series involves visualization of the esophagus, duodenum,
and upper
jejunum by means of the use of a contrast medium. It involves
swallowing a contrast
medium (usually barium), which is administered in a flavored
milkshake. Films are taken
at intervals during the test, which takes about 30 minutes. No special
preparation is
necessary before a GI series, except that NPO status must be maintained
for 8 hours
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering the
medication?
A) Checking the client's blood pressure
B) checking the client's peripheral pulses
C) checking the most recent potassium level
D) checking the client's intake and output record for the last 24 hours -
ANSWER- A) Checking the client's blood pressure
Rationale--enalapril maleate is an angiotensin-converting enzyme
(ACE) inhibitor used to treat hypertension. One common side effect
is postural hypotension. Therefore the nurse would check the client's
blood pressure immediately before administering each dose.
, A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D) "I need to take a laxative after the test is completed, because the
liquid that I'll have to drink for the test can be constipating." -
ANSWER- C) "I need to drink citrate of magnesia the night before the
test and give myself a Fleet enema on the morning of the test."
Rationale
An upper GI series involves visualization of the esophagus, duodenum,
and upper
jejunum by means of the use of a contrast medium. It involves
swallowing a contrast
medium (usually barium), which is administered in a flavored
milkshake. Films are taken
at intervals during the test, which takes about 30 minutes. No special
preparation is
necessary before a GI series, except that NPO status must be maintained
for 8 hours
