©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
HESI Comp Exam 1 Questions And Answers
(Guaranteed A+)
A client with asthma receives a prescription for high blood pressure during a clinic visit. Which
prescription should the nurse anticipate the client to receive that is at least likely to exacerbate
asthma? - answer✔Metoprolol tartrate (Lopressor)
Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a cardioselective and
less likely to cause bronchoconstriction.
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the
healthcare provider discontinued the medication because his blood pressure has been normal
for the past 3 months. Which instruction should the nurse provide? - answer✔Ask the
healthcare provider about tapering the drug dose over the next week.
HCP discontinued drug BUT measures to prevent rebound cardiac excitation, such as
progressively reducing the dose over 1 or 2 weeks, should be recommended to prevent
rebound tachycardia, hypertension, and ventricular dysrhythmias.
1|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
A client who is taking clonidine ( Catapres, Duraclon) reports drowsiness. Which additional
assessment should the nurse make? - answer✔How long has the client been taking the
medication?
Drowsiness can occur in the early weeks of treatment 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.
The nurse is preparing to administer atropine, an anticholinergic, to a client who is scheduled
for a cholecystectomy. The client asks the nurse to explain the reason for the prescribed
medication. What response is best for the nurse to provide? - answer✔Decrease the risk of
bradycardia during surgery
Atropine may be prescribed preoperatively to increase the automaticity of the sinoatrial node
and prevent a dangerous reduction in heart rate during surgical anesthesia.
An 80-year old client is given morphine sulfate for post-op pain. Which concomitant med
should the nurse question that poses a potential development of urinary retention in this
geriatric client? - answer✔Tricyclic antidepressants
2|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Drugs with anticholinergic properties can exacerbate urinary retention associated with opioids
in the older client.
A client with osteoarthritis is given a new script for a NSAID. The client asks the nurse, "How is
this med different from the acetaminophen I have been taking?" Which information about the
therapeutic action of NSAIDs should the nurse provide? - answer✔Provide anti-inflammatory
response
NSAIDs relieve pain associated with osteoarthritis and differs from acetaminophen(a non-
narcotic & antipyretic). Also potentially hepatotoxic.
A client with cancer has a history of alcohol abuse and is taking acetaminophen (Tylenol) for
pain. Which organ function is most important for the nurse to monitor? - answer✔Liver
Acetaminophen & alcohol both metabolized in the liver. Pt at risk of hepatotoxicity &
potentially fatal liver damage.
The nurse obtains a heart rate of 92 and a BP of 110/76 prior to administering a scheduled does
of verapamil (Calan) for a client with atrial flutter. Which action should the nurse implement? -
answer✔Administer the dose as prescribed.
3|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Verapamil slows SA nodal automaticity, delays AV nodal conduction, slowing ventricular rate &
treats atrial flutter. HR is above 60 and BP is WNL.
A client is admitted to the hospital with a diagnosis of Type 2 diabetes mellitus and influenza.
Which categories of illness should the nurse develop goals for the client's plan of care? -
answer✔One chronic and one acute illness
Adult onset DM is life-long chronic disease. Influenza is acute illness with short term duration.
Following an emergency Cesarean delivery the nurse encourages the new mother to breastfed
her newborn. The client asks why she should breastfeed now. Which info should the nurse
provide? - answer✔Stimulate contraction of the uterus
Infant suckling breast releases oxytocin by the posterior pituitary and stimulates the "letdown"
reflex. Causing release of colostrum & contracts the uterus to prevent uterine hemorrhage.
Which intervention should the nurse include in the plan of care for a female client with severe
postpartum depression who is admitted to the inpatient psychiatric unit? - answer✔Supervised
and guided visits with infant.
Structured visits provide an opportunity for the mother and infant to bond and should be
facilitated and encouraged according to the client's pace of progress.
4|Page
ALL RIGHTS RESERVED.
HESI Comp Exam 1 Questions And Answers
(Guaranteed A+)
A client with asthma receives a prescription for high blood pressure during a clinic visit. Which
prescription should the nurse anticipate the client to receive that is at least likely to exacerbate
asthma? - answer✔Metoprolol tartrate (Lopressor)
Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a cardioselective and
less likely to cause bronchoconstriction.
A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the
healthcare provider discontinued the medication because his blood pressure has been normal
for the past 3 months. Which instruction should the nurse provide? - answer✔Ask the
healthcare provider about tapering the drug dose over the next week.
HCP discontinued drug BUT measures to prevent rebound cardiac excitation, such as
progressively reducing the dose over 1 or 2 weeks, should be recommended to prevent
rebound tachycardia, hypertension, and ventricular dysrhythmias.
1|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
A client who is taking clonidine ( Catapres, Duraclon) reports drowsiness. Which additional
assessment should the nurse make? - answer✔How long has the client been taking the
medication?
Drowsiness can occur in the early weeks of treatment 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.
The nurse is preparing to administer atropine, an anticholinergic, to a client who is scheduled
for a cholecystectomy. The client asks the nurse to explain the reason for the prescribed
medication. What response is best for the nurse to provide? - answer✔Decrease the risk of
bradycardia during surgery
Atropine may be prescribed preoperatively to increase the automaticity of the sinoatrial node
and prevent a dangerous reduction in heart rate during surgical anesthesia.
An 80-year old client is given morphine sulfate for post-op pain. Which concomitant med
should the nurse question that poses a potential development of urinary retention in this
geriatric client? - answer✔Tricyclic antidepressants
2|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Drugs with anticholinergic properties can exacerbate urinary retention associated with opioids
in the older client.
A client with osteoarthritis is given a new script for a NSAID. The client asks the nurse, "How is
this med different from the acetaminophen I have been taking?" Which information about the
therapeutic action of NSAIDs should the nurse provide? - answer✔Provide anti-inflammatory
response
NSAIDs relieve pain associated with osteoarthritis and differs from acetaminophen(a non-
narcotic & antipyretic). Also potentially hepatotoxic.
A client with cancer has a history of alcohol abuse and is taking acetaminophen (Tylenol) for
pain. Which organ function is most important for the nurse to monitor? - answer✔Liver
Acetaminophen & alcohol both metabolized in the liver. Pt at risk of hepatotoxicity &
potentially fatal liver damage.
The nurse obtains a heart rate of 92 and a BP of 110/76 prior to administering a scheduled does
of verapamil (Calan) for a client with atrial flutter. Which action should the nurse implement? -
answer✔Administer the dose as prescribed.
3|Page
, ©FYNDLAY EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Verapamil slows SA nodal automaticity, delays AV nodal conduction, slowing ventricular rate &
treats atrial flutter. HR is above 60 and BP is WNL.
A client is admitted to the hospital with a diagnosis of Type 2 diabetes mellitus and influenza.
Which categories of illness should the nurse develop goals for the client's plan of care? -
answer✔One chronic and one acute illness
Adult onset DM is life-long chronic disease. Influenza is acute illness with short term duration.
Following an emergency Cesarean delivery the nurse encourages the new mother to breastfed
her newborn. The client asks why she should breastfeed now. Which info should the nurse
provide? - answer✔Stimulate contraction of the uterus
Infant suckling breast releases oxytocin by the posterior pituitary and stimulates the "letdown"
reflex. Causing release of colostrum & contracts the uterus to prevent uterine hemorrhage.
Which intervention should the nurse include in the plan of care for a female client with severe
postpartum depression who is admitted to the inpatient psychiatric unit? - answer✔Supervised
and guided visits with infant.
Structured visits provide an opportunity for the mother and infant to bond and should be
facilitated and encouraged according to the client's pace of progress.
4|Page
