HESI Comprehensive Exit EXAM QUESTIONS
AND ANSWERS GRADED A+ ASSURED
SUCCESS NEW UPDATE 2025/2026 (MULTIPLE
CHOICES) WITH RATIONALES.
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IV FLUID THERAPY NCLEX AGACNP - Based on Frances Guide ... NR 224 Exam 1 Advanc
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Terms in this set (132) Hide definitions
1-Enalapril maleate (Vasotec) is prescribed for a A. Checking the client's blood pressure
hospitalized client. Which assessment does the nurse
perform as a priority before administering the Checking the client's blood pressure
medication? Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to
treat hypertension. One common side effect is postural hypotension. Therefore
A. Checking the client's blood pressure the nurse would check the client's blood pressure immediately before
B. Checking the client's peripheral pulses administering each dose. Checking the client's peripheral pulses, the results of the
C. Checking the most recent potassium level most recent potassium level, and the intake and output for the previous 24 hours
D. Checking the client's intake-and-output record for the are not specifically associated with this mediation.
last 24 hours
2-A client is scheduled to undergo an upper C. "I need to drink citrate of magnesia the night before the test and give myself a
gastrointestinal (GI) series, and the nurse provides Fleet enema on the morning of the test."
instructions to the client about the test. Which statement
by the client indicates a need for further instruction? 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
A. "The test will take about 30 minutes." contrast medium (usually barium), which is administered in a flavored milkshake.
B. "I need to fast for 8 hours before the test." Films are taken at intervals during the test, which takes about 30 minutes. No
C. "I need to drink citrate of magnesia the night before special preparation is necessary before a GI series, except that NPO status must
the test and give myself a Fleet enema on the morning of be maintained for 8 hours before the test. After an upper GI series, the client is
the test." prescribed a laxative to hasten elimination of the barium. Barium that remains in
D. "I need to take a laxative after the test is completed, the colon may become hard and difficult to expel, leading to fecal impaction.
because the liquid that I'll have to drink for the test can
be constipating."
,3-A nurse on the evening shift checks a physician's B. Ask the answering service to contact the on-call physician
prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that the
physician is off for the night and will be available in the
morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call
physician
C. Withhold the medication until the physician can be
reached in the morning
D. Administer the medication but consult the physician
when he becomes available
4.An emergency department (ED) nurse is monitoring a B. Asking the ED physician to check the client
client with suspected acute myocardial infarction (MI)
who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor, checks
the client's carotid pulse, and determines that the PVCs
are not resulting in perfusion. The appropriate action by
the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an
MI
5.NPO status is imposed 8 hours before the procedure A. Administer the antihypertensive with a small sip of water
on a client scheduled to undergo electroconvulsive
therapy (ECT) at 1 p.m. On the morning of the procedure,
the nurse checks the client's record and notes that the
client routinely takes an oral antihypertensive medication
each morning. The nurse should:
A. Administer the antihypertensive with a small sip of
water
B. Withhold the antihypertensive and administer it at
bedtime
C. Administer the medication by way of the intravenous
(IV) route
D. Hold the antihypertensive and resume its
administration on the day after the ECT
, 6 A client who recently underwent coronary artery A. "Tell me more about what you're feeling."
bypass graft surgery comes to the physician's office for a
follow-up visit. On assessment, the client tells the nurse
that he is feeling depressed. Which response by the nurse
is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over
this depression."
D. "Every client who has this surgery feels the same way
for about a month."
7 A client in labor experiences spontaneous rupture of A. Contacting the physician Correct
the membranes. The nurse immediately counts the fetal
heart rate (FHR) for 1 full minute and then checks the
amniotic fluid. The nurse notes that the fluid is yellow and
has a strong odor. Which of the following actions should
be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR
8 A nurse has assisted a physician in inserting a central A. Call the radiography department to obtain a chest x-ray
venous access device into a client with a diagnosis of
severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse
immediately plans to:
A. Call the radiography department to obtain a chest x-
ray
B. Check the client's blood glucose level to serve as a
baseline measurement
C. Hang the prescribed bag of PN and start the infusion
at the prescribed rate
D. Infuse normal saline solution through the catheter at a
rate of 100 mL/hr to maintain patency
9 A rape victim being treated in the emergency D. "Let's talk about the information that you need to determine your risk of
department says to the nurse, "I'm really worried that I've contracting HIV."
got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract
HIV."
D. "Let's talk about the information that you need to
determine your risk of contracting HIV."
AND ANSWERS GRADED A+ ASSURED
SUCCESS NEW UPDATE 2025/2026 (MULTIPLE
CHOICES) WITH RATIONALES.
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
IV FLUID THERAPY NCLEX AGACNP - Based on Frances Guide ... NR 224 Exam 1 Advanc
Teacher 31 terms Teacher 531 terms Teacher 82 terms Teacher
EXTENSION123 Preview kianakiegaa Preview stanleyfadhlan32 Preview sinc
Terms in this set (132) Hide definitions
1-Enalapril maleate (Vasotec) is prescribed for a A. Checking the client's blood pressure
hospitalized client. Which assessment does the nurse
perform as a priority before administering the Checking the client's blood pressure
medication? Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to
treat hypertension. One common side effect is postural hypotension. Therefore
A. Checking the client's blood pressure the nurse would check the client's blood pressure immediately before
B. Checking the client's peripheral pulses administering each dose. Checking the client's peripheral pulses, the results of the
C. Checking the most recent potassium level most recent potassium level, and the intake and output for the previous 24 hours
D. Checking the client's intake-and-output record for the are not specifically associated with this mediation.
last 24 hours
2-A client is scheduled to undergo an upper C. "I need to drink citrate of magnesia the night before the test and give myself a
gastrointestinal (GI) series, and the nurse provides Fleet enema on the morning of the test."
instructions to the client about the test. Which statement
by the client indicates a need for further instruction? 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
A. "The test will take about 30 minutes." contrast medium (usually barium), which is administered in a flavored milkshake.
B. "I need to fast for 8 hours before the test." Films are taken at intervals during the test, which takes about 30 minutes. No
C. "I need to drink citrate of magnesia the night before special preparation is necessary before a GI series, except that NPO status must
the test and give myself a Fleet enema on the morning of be maintained for 8 hours before the test. After an upper GI series, the client is
the test." prescribed a laxative to hasten elimination of the barium. Barium that remains in
D. "I need to take a laxative after the test is completed, the colon may become hard and difficult to expel, leading to fecal impaction.
because the liquid that I'll have to drink for the test can
be constipating."
,3-A nurse on the evening shift checks a physician's B. Ask the answering service to contact the on-call physician
prescriptions and notes that the dose of a prescribed
medication is higher than the normal dose. The nurse
calls the physician's answering service and is told that the
physician is off for the night and will be available in the
morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call
physician
C. Withhold the medication until the physician can be
reached in the morning
D. Administer the medication but consult the physician
when he becomes available
4.An emergency department (ED) nurse is monitoring a B. Asking the ED physician to check the client
client with suspected acute myocardial infarction (MI)
who is awaiting transfer to the coronary intensive care
unit. The nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor, checks
the client's carotid pulse, and determines that the PVCs
are not resulting in perfusion. The appropriate action by
the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an
MI
5.NPO status is imposed 8 hours before the procedure A. Administer the antihypertensive with a small sip of water
on a client scheduled to undergo electroconvulsive
therapy (ECT) at 1 p.m. On the morning of the procedure,
the nurse checks the client's record and notes that the
client routinely takes an oral antihypertensive medication
each morning. The nurse should:
A. Administer the antihypertensive with a small sip of
water
B. Withhold the antihypertensive and administer it at
bedtime
C. Administer the medication by way of the intravenous
(IV) route
D. Hold the antihypertensive and resume its
administration on the day after the ECT
, 6 A client who recently underwent coronary artery A. "Tell me more about what you're feeling."
bypass graft surgery comes to the physician's office for a
follow-up visit. On assessment, the client tells the nurse
that he is feeling depressed. Which response by the nurse
is therapeutic?
A. "Tell me more about what you're feeling."
B. "That's a normal response after this type of surgery."
C. "It will take time, but, I promise you, you will get over
this depression."
D. "Every client who has this surgery feels the same way
for about a month."
7 A client in labor experiences spontaneous rupture of A. Contacting the physician Correct
the membranes. The nurse immediately counts the fetal
heart rate (FHR) for 1 full minute and then checks the
amniotic fluid. The nurse notes that the fluid is yellow and
has a strong odor. Which of the following actions should
be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to monitor the client and the FHR
8 A nurse has assisted a physician in inserting a central A. Call the radiography department to obtain a chest x-ray
venous access device into a client with a diagnosis of
severe malnutrition who will be receiving parenteral
nutrition (PN). After insertion of the catheter, the nurse
immediately plans to:
A. Call the radiography department to obtain a chest x-
ray
B. Check the client's blood glucose level to serve as a
baseline measurement
C. Hang the prescribed bag of PN and start the infusion
at the prescribed rate
D. Infuse normal saline solution through the catheter at a
rate of 100 mL/hr to maintain patency
9 A rape victim being treated in the emergency D. "Let's talk about the information that you need to determine your risk of
department says to the nurse, "I'm really worried that I've contracting HIV."
got HIV now." What is the appropriate response by the
nurse?
A. "HIV is rarely an issue in rape victims."
B. "Every rape victim is concerned about HIV."
C. "You're more likely to get pregnant than to contract
HIV."
D. "Let's talk about the information that you need to
determine your risk of contracting HIV."
