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WGU D455 Role Transition HESI Examination||Verified
Exam!! 2026/2027 – Western Governors University –
Professional Role Transition & Nursing Leadership
Competency Assessment
The nurse is preparing to admister 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 (B) during surgical
anesthesia. (A, C and D) do not address the therapeutic
action of atropine use perioperatively.
An 80 year old client is given morphine sulphate for
postoperative pain. Which concomitant medication should
the nurse question that poses a potential development of
urniary retention in this geriatric client. ? - Answer-Tricyclic
antidepressants
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Drugs with anticholinergic properties, such as tricyclic
antidepressants (C), can exacerbate urinary retention
associated with opioids in the older client. Although
tricyclic antidepressants and antihistamines with opioids
can exacerbate urinary retention, the concurrent use of (A
and B) with opioids do not. Nonsteroidal antiinflammatory
agents (D) can increase the risk for bleeding, but do not
increase urinary retention with opioids (D).
The nurse obtains a heart rate of 92 and a blood pressure
of 110/76 prior to administering a scheduled dose of
verapamil (Calan) for a client with atrial flutter Which
action should the nurse implement? - Answer-Administer
the dose as prescribed
Verapamil slows sinoatrial (SA) nodal automaticity, delays
atrioventricular (AV) nodal conduction, which slows the
ventricular rate, and is used to treat atrial flutter, so (A)
should be implemented, based on the client's heart rate
and blood pressure. (B and C) are not indicated. (D)
delays the administration of the scheduled dose.
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
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should the nurse provide? - Answer-Stimulate contraction
of the uterus
When the infant suckles at the breast, oxytocin is released
by the posterior pituitary to stimulates the "letdown" reflex,
which causes the release of colostrum, and contracts the
uterus (C) to prevent uterine hemorrhage. (A and B) do not
support the client's need in the immediate period after the
emergency delivery. Although maternal-newborn bonding
(D) is facilitated by early breastfeeding, the priority is
uterine contraction stimulation.
The nurse identifies a clients needs and formulates th
nursing problem of " Imbalancee nutrition: Less than body
requirements, related to mental impairment and decreased
intkae, as evidence by increasing confusion and weight
loss of more than 30 pounds over the last 6 months. "
which short-term goal is best for this client? - Answer-Eat
50% of six small meals each day by the end of the week
Short-term goals should be realistic and attainable and
should have a timeline of 7 to 10 days before discharge.
(A) meets those criteria. (B) is nurse-oriented. (C) may be
beyond the capabilities of a confused client. (D) is a long-
term goal.
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the nursie is caring for a client who is unable to void. The
plan of care establishes an objective for the client to ingest
at least 1000 mL of fluid between 7:00 am and 3:30pm.
Which client response should the nurse document that
indicates a successful outcome? - Answer-Drinks 240 mL
of fluid five times during the shift.
The nurse should evaluate the client's outcome by
observing the client's performance of each expected
behavior, so drinking 240 mL of fluid five or six times
during the shift (D) indicates a fluid intake of 1200 to 1440
mL, which meets the objective of at least 1000 mL during
the designated period. (A) uses the term "adequate,"
which is not quantified. (B) is not the objective, which
establishes an intake of at least 1000 mL. (C) is not an
evaluation of the specific fluid intake.
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?
A. Pindolol (Visken).
B. Carteolol (Ocupress).
WGU D455 Role Transition HESI Examination||Verified
Exam!! 2026/2027 – Western Governors University –
Professional Role Transition & Nursing Leadership
Competency Assessment
The nurse is preparing to admister 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 (B) during surgical
anesthesia. (A, C and D) do not address the therapeutic
action of atropine use perioperatively.
An 80 year old client is given morphine sulphate for
postoperative pain. Which concomitant medication should
the nurse question that poses a potential development of
urniary retention in this geriatric client. ? - Answer-Tricyclic
antidepressants
,2|Page
Drugs with anticholinergic properties, such as tricyclic
antidepressants (C), can exacerbate urinary retention
associated with opioids in the older client. Although
tricyclic antidepressants and antihistamines with opioids
can exacerbate urinary retention, the concurrent use of (A
and B) with opioids do not. Nonsteroidal antiinflammatory
agents (D) can increase the risk for bleeding, but do not
increase urinary retention with opioids (D).
The nurse obtains a heart rate of 92 and a blood pressure
of 110/76 prior to administering a scheduled dose of
verapamil (Calan) for a client with atrial flutter Which
action should the nurse implement? - Answer-Administer
the dose as prescribed
Verapamil slows sinoatrial (SA) nodal automaticity, delays
atrioventricular (AV) nodal conduction, which slows the
ventricular rate, and is used to treat atrial flutter, so (A)
should be implemented, based on the client's heart rate
and blood pressure. (B and C) are not indicated. (D)
delays the administration of the scheduled dose.
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
,3|Page
should the nurse provide? - Answer-Stimulate contraction
of the uterus
When the infant suckles at the breast, oxytocin is released
by the posterior pituitary to stimulates the "letdown" reflex,
which causes the release of colostrum, and contracts the
uterus (C) to prevent uterine hemorrhage. (A and B) do not
support the client's need in the immediate period after the
emergency delivery. Although maternal-newborn bonding
(D) is facilitated by early breastfeeding, the priority is
uterine contraction stimulation.
The nurse identifies a clients needs and formulates th
nursing problem of " Imbalancee nutrition: Less than body
requirements, related to mental impairment and decreased
intkae, as evidence by increasing confusion and weight
loss of more than 30 pounds over the last 6 months. "
which short-term goal is best for this client? - Answer-Eat
50% of six small meals each day by the end of the week
Short-term goals should be realistic and attainable and
should have a timeline of 7 to 10 days before discharge.
(A) meets those criteria. (B) is nurse-oriented. (C) may be
beyond the capabilities of a confused client. (D) is a long-
term goal.
, 4|Page
the nursie is caring for a client who is unable to void. The
plan of care establishes an objective for the client to ingest
at least 1000 mL of fluid between 7:00 am and 3:30pm.
Which client response should the nurse document that
indicates a successful outcome? - Answer-Drinks 240 mL
of fluid five times during the shift.
The nurse should evaluate the client's outcome by
observing the client's performance of each expected
behavior, so drinking 240 mL of fluid five or six times
during the shift (D) indicates a fluid intake of 1200 to 1440
mL, which meets the objective of at least 1000 mL during
the designated period. (A) uses the term "adequate,"
which is not quantified. (B) is not the objective, which
establishes an intake of at least 1000 mL. (C) is not an
evaluation of the specific fluid intake.
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?
A. Pindolol (Visken).
B. Carteolol (Ocupress).
