BSN 315 Practice Hesi
Study online at https://quizlet.com/_dwrdo0
1. The mother of a newborn asks the nurse why her infant needs the vitamin K
injection. Which information should the nurse provide?: Bacteria that synthesize vitamin K
are not present in the newborn's intestinal tract.
2. A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole 20 mg capsule daily. When providing this client with discharge
teaching, the nurse should include which instruction?: take at the same time each day one
hour before eating a meal
3. A client at 30 weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone intramuscularly every 12 hours.
The client asks the nurse why she is receiving betamethasone. Which informa-
tion should the nurse use to explain the action of the medication?: stimulates fetal
surfactant production
4. A client receives a new prescription for pentazocine, a mixed opioid ago-
nist-antagonist after an opioid agonist is discontinued. Which is the advantage
for the client when the new prescription is implemented?: used to decrease substance
abuse disorder
5. The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. Which information should the nurse tell the client?: the infection is
difficult to eradicate and requires prolonged therapy for 3 to 6 months
6. A client receives a new prescription for an angiotensin-converting enzyme
(ACE) inhibitor. Which client history contraindicates its use?: renal artery stenosis
7. Which side effects should the nurse monitor for a client who is receiving dex-
amethasone following neurosurgery? (Select all that apply.): Mood swings, increased
weight gain
Dexamethasone is a long-acting glucocorticoid prescribed for neurosurgical procedures because it suppresses in-
flammation and has a low sodium-retaining ability, which is important in averting cerebral edema. However, the
medication does produce the following side effects such as: mood swings, an increase in appetite, resulting in weight
gain, hyperglycemia (serum glucose level above 120 mg/dl) which is related to the gluconeogenesis properties of
corticosteroids, delayed in wound healing related to immune suppression properties, and complete blood count
resulting in a decreased in WBC and hemoglobin (less than 12mg/dl). When a client is receiving dexamethasone,
they should be monitored for these side effects.
, BSN 315 Practice Hesi
Study online at https://quizlet.com/_dwrdo0
8. A client is taking sulfisoxazole for a urinary tract infection (UTI) and complains
of nausea and gastric upset since starting the medication. Which additional
adverse reaction should the nurse instruct the client to report?: rash
9. What pathophysiological action supports the expected outcome for a client
with chronic cancer pain who is treated with imipramine, a tricyclic antidepres-
sant?: decreases transmission of pain impulses by altering serotonin and norepinephrine activity at nerve synapses
10. Which statement by a client warrants further instruction by the nurse about
the changing insulin needs of a diabetic client during pregnancy?: I will increase my
insulin dosage by 5 units each month during the first trimester
11. A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the nurse
implement first?: withhold medication and report symptoms and vital signs to the healthcare provider
12. A client is admitted for atrial fibrillation, and the healthcare provider pre-
scribes disopyramide. After explaining the action of this antidysrhythmic agent,
which complaint should the nurse instruct the client to report?: daily weight gain of 2
pounds
13. A client is taking cyclosporine for renal allograft rejection prevention. After 9
months of drug therapy, the nurse reviews laboratory data and notes that the
blood urea nitrogen level is 36 mg/dl. What additional finding should the nurse
identify?: creatinine 2.8 mg/dl
14. The healthcare provider prescribes pyridostigmine bromide tablets for a
client with myasthenia gravis (MG). Which instruction should the nurse provide
this client?: that the medication is not a cure but it does relieve symptoms
15. When prescribed for a client with hepatic encephalopathy, which is the
therapeutic action of lactulose?: Lowers the pH of the colon
16. A client with Paget's disease is started on calcitonin 500 mcg subcutaneously
daily. During the initial treatment, which is the priority nursing action?: Observe
the client for signs of hypersensitivity
17. A client is beginning therapy with montelukast PO 10 mg once a day in the
evening. The client asks the nurse, "When should I begin to feel better?" How
should the nurse respond?: peak is 3-4 hours with duration of 24 hours
, BSN 315 Practice Hesi
Study online at https://quizlet.com/_dwrdo0
18. A client is receiving fentanyl via an epidural infusion. Which side effect should
the nurse anticipate in the first 24 hours of epidural analgesia?: urinary retention
19. The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first
time. What side effects should the nurse assess the client for during the initial
dose?: dystonia
20. Which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication?: tinnitus and hearing loss
21. While reviewing the client's electronic medical record (EMR), the nurse as-
sesses a client who is at risk for a possible interaction with an over-the-counter
(OTC) decongestant. Which client health history should the nurse report to the
healthcare provider concerning the OTC medication? (Select all that apply).: -
chronic hypertension
22. A client with depression receives a prescription for amitriptyline. Which
instruction should the nurse include in the client's teaching?: avoid the consumption
of alcohol
23. The healthcare provider discontinues prednisone, a glucocorticoid, for a
client with chronic obstructive pulmonary disease. Which instructions should
the nurse give the client about the regimen to follow?: the dose must be tapered of the
course of 7 to 10 days
24. Which is the effect of beta-blocking agents when used for the treatment of
glaucoma?: inhibiting aqueous humor production
25. A client with chronic gouty arthritis takes allopurinol and experiences an
acute attack of gouty arthritis. The healthcare provider prescribes concurrent
low-dose colchicine. Which information should the nurse provide the client that
best explains the action of the colchicine?: Reduces inflammation at the affected site
26. A client who has Trichomonas vaginalis receives a prescription for metron-
idazole. Which instruction should the nurse provide during client education?: -
avoid over the counter antitussives
27. A client with chronic pancreatitis receives a new prescription for pancreli-
pase. Which instruction is most important for the nurse to include in this client's
teaching?: take the medication when consuming food
Study online at https://quizlet.com/_dwrdo0
1. The mother of a newborn asks the nurse why her infant needs the vitamin K
injection. Which information should the nurse provide?: Bacteria that synthesize vitamin K
are not present in the newborn's intestinal tract.
2. A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole 20 mg capsule daily. When providing this client with discharge
teaching, the nurse should include which instruction?: take at the same time each day one
hour before eating a meal
3. A client at 30 weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone intramuscularly every 12 hours.
The client asks the nurse why she is receiving betamethasone. Which informa-
tion should the nurse use to explain the action of the medication?: stimulates fetal
surfactant production
4. A client receives a new prescription for pentazocine, a mixed opioid ago-
nist-antagonist after an opioid agonist is discontinued. Which is the advantage
for the client when the new prescription is implemented?: used to decrease substance
abuse disorder
5. The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. Which information should the nurse tell the client?: the infection is
difficult to eradicate and requires prolonged therapy for 3 to 6 months
6. A client receives a new prescription for an angiotensin-converting enzyme
(ACE) inhibitor. Which client history contraindicates its use?: renal artery stenosis
7. Which side effects should the nurse monitor for a client who is receiving dex-
amethasone following neurosurgery? (Select all that apply.): Mood swings, increased
weight gain
Dexamethasone is a long-acting glucocorticoid prescribed for neurosurgical procedures because it suppresses in-
flammation and has a low sodium-retaining ability, which is important in averting cerebral edema. However, the
medication does produce the following side effects such as: mood swings, an increase in appetite, resulting in weight
gain, hyperglycemia (serum glucose level above 120 mg/dl) which is related to the gluconeogenesis properties of
corticosteroids, delayed in wound healing related to immune suppression properties, and complete blood count
resulting in a decreased in WBC and hemoglobin (less than 12mg/dl). When a client is receiving dexamethasone,
they should be monitored for these side effects.
, BSN 315 Practice Hesi
Study online at https://quizlet.com/_dwrdo0
8. A client is taking sulfisoxazole for a urinary tract infection (UTI) and complains
of nausea and gastric upset since starting the medication. Which additional
adverse reaction should the nurse instruct the client to report?: rash
9. What pathophysiological action supports the expected outcome for a client
with chronic cancer pain who is treated with imipramine, a tricyclic antidepres-
sant?: decreases transmission of pain impulses by altering serotonin and norepinephrine activity at nerve synapses
10. Which statement by a client warrants further instruction by the nurse about
the changing insulin needs of a diabetic client during pregnancy?: I will increase my
insulin dosage by 5 units each month during the first trimester
11. A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the nurse
implement first?: withhold medication and report symptoms and vital signs to the healthcare provider
12. A client is admitted for atrial fibrillation, and the healthcare provider pre-
scribes disopyramide. After explaining the action of this antidysrhythmic agent,
which complaint should the nurse instruct the client to report?: daily weight gain of 2
pounds
13. A client is taking cyclosporine for renal allograft rejection prevention. After 9
months of drug therapy, the nurse reviews laboratory data and notes that the
blood urea nitrogen level is 36 mg/dl. What additional finding should the nurse
identify?: creatinine 2.8 mg/dl
14. The healthcare provider prescribes pyridostigmine bromide tablets for a
client with myasthenia gravis (MG). Which instruction should the nurse provide
this client?: that the medication is not a cure but it does relieve symptoms
15. When prescribed for a client with hepatic encephalopathy, which is the
therapeutic action of lactulose?: Lowers the pH of the colon
16. A client with Paget's disease is started on calcitonin 500 mcg subcutaneously
daily. During the initial treatment, which is the priority nursing action?: Observe
the client for signs of hypersensitivity
17. A client is beginning therapy with montelukast PO 10 mg once a day in the
evening. The client asks the nurse, "When should I begin to feel better?" How
should the nurse respond?: peak is 3-4 hours with duration of 24 hours
, BSN 315 Practice Hesi
Study online at https://quizlet.com/_dwrdo0
18. A client is receiving fentanyl via an epidural infusion. Which side effect should
the nurse anticipate in the first 24 hours of epidural analgesia?: urinary retention
19. The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first
time. What side effects should the nurse assess the client for during the initial
dose?: dystonia
20. Which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication?: tinnitus and hearing loss
21. While reviewing the client's electronic medical record (EMR), the nurse as-
sesses a client who is at risk for a possible interaction with an over-the-counter
(OTC) decongestant. Which client health history should the nurse report to the
healthcare provider concerning the OTC medication? (Select all that apply).: -
chronic hypertension
22. A client with depression receives a prescription for amitriptyline. Which
instruction should the nurse include in the client's teaching?: avoid the consumption
of alcohol
23. The healthcare provider discontinues prednisone, a glucocorticoid, for a
client with chronic obstructive pulmonary disease. Which instructions should
the nurse give the client about the regimen to follow?: the dose must be tapered of the
course of 7 to 10 days
24. Which is the effect of beta-blocking agents when used for the treatment of
glaucoma?: inhibiting aqueous humor production
25. A client with chronic gouty arthritis takes allopurinol and experiences an
acute attack of gouty arthritis. The healthcare provider prescribes concurrent
low-dose colchicine. Which information should the nurse provide the client that
best explains the action of the colchicine?: Reduces inflammation at the affected site
26. A client who has Trichomonas vaginalis receives a prescription for metron-
idazole. Which instruction should the nurse provide during client education?: -
avoid over the counter antitussives
27. A client with chronic pancreatitis receives a new prescription for pancreli-
pase. Which instruction is most important for the nurse to include in this client's
teaching?: take the medication when consuming food
