WGU D449 PSYCH & MENTAL HEALTH NURSING
HESI EXAM 2026/2027 QUESTIONS AND CORRECT
ANSWERS GRADED A+
A patient taking prednisone for chronic inflammation develops a fever and sore throat. What should the
nurse do first?
Assess the patient's white blood cell count
Brand Name: Coumadin
Drug Class: Anticoagulant
Which of the following are important considerations when administering warfarin? (Select all that apply)
Monitor the international normalized ratio (INR) regularly, Teach the patient to avoid vitamin K-rich
foods, Monitor for signs of bleeding, such as petechiae or hematuria.
A patient on warfarin reports consuming a large amount of spinach in their salad. What is the nurse's
priority action?
Notify the healthcare provider of the potential interaction with warfarin.
Brand Name: Humulin R
Drug Class: Insulin (Short-acting)
Which of the following are important teaching points for a patient using insulin? (Select all that apply)
Monitor blood glucose levels regularly, Rotate injection sites to prevent tissue damage, Always carry a
source of sugar in case of hypoglycemia.
,A patient is experiencing shakiness, dizziness, and sweating shortly after an insulin injection. What is the
nurse's priority action?
Provide the patient with a quick-acting source of sugar.
Brand Name: Microzide
Drug Class: Thiazide Diuretic
Which of the following are common side effects of hydrochlorothiazide? (Select all that apply)
Hyperglycemia,Hypotension,Dehydration, Photosensitivity
A patient taking hydrochlorothiazide for hypertension reports feeling lightheaded and weak. What should
the nurse do first?
Monitor the patient's blood pressure.
Brand Name: Proventil
Drug Class: Beta-2 Agonist
Which of the following are nursing interventions for a patient using albuterol for asthma? (Select all that
apply)
Instruct the patient to use the inhaler before exercise to prevent bronchospasm, Monitor for signs of
tachycardia, Recommend the use of a spacer to improve medication delivery, Teach the patient to rinse
their mouth after using the inhaler to prevent oral thrush.
A patient using albuterol for asthma is experiencing a rapid heart rate. What should the nurse do next?
Advise the patient to stop using the inhaler and contact the healthcare provider
Lisinopril (Zestril/Prinivil)
Brand Name:
Drug Class: Angiotensin-Converting Enzyme (ACE) Inhibitor
,Persistent dry cough, Hyperkalemia, Angioedema, Hypotension.
A patient prescribed lisinopril develops swelling in the face and tongue. What is the nurse's priority
action?
Discontinue the lisinopril and notify the healthcare provider immediately.
Brand Name: Lasix
Drug Class: Loop Diuretic
Which of the following are important nursing interventions for a patient receiving furosemide? (Select all
that apply)
Monitor serum potassium levels regularly, Administer the medication slowly to avoid ototoxicity, Assess
blood pressure before administration, Teach the patient to report any leg cramps or muscle weakness.
A patient receiving furosemide for edema is reporting lightheadedness and dizziness. What is the nurse's
priority action?
Take the patient's blood pressure and assess for hypotension
A patient taking metformin develops nausea, vomiting, and abdominal discomfort. What is the nurse's
priority action?
Assess the patient's blood glucose level and renal function.
Which of the following are important teaching points for a patient taking metformin? (Select all that
apply.)
Avoid alcohol to reduce the risk of lactic acidosis,Monitor blood glucose levels regularly,Take the
medication with food to minimize gastrointestinal side effects.
, Brand Name: NorvascDrug Class: Calcium Channel Blocker
Which of the following are common side effects of amlodipine? (Select all that apply)
Peripheral edema,Headache, Dizziness
A patient taking amlodipine reports feeling dizzy when standing up. What is the nurse's priority action?
Assess the patient's blood pressure to check for hypotension.
Which of the following are important considerations for a patient taking clopidogrel? (Select all that
apply)Brand Name: PlavixDrug Class: Antiplatele
Monitor for signs of bleeding, such as bruising or black stools, Avoid concurrent use with anticoagulants
unless advised by the provider,Teach the patient to use an electric razor to reduce the risk of cuts,Monitor
platelet count regularly.
Lorazepam (Ativan)
Brand Name: Ativan
Drug Class: Benzodiazepine (Anxiolytic)
Which of the following are key nursing interventions for a patient prescribed lorazepam? (Select all that
apply)
Assess the patient for signs of sedation or respiratory depression,Educate the patient to avoid alcohol
while taking lorazepam,Monitor for withdrawal symptoms upon discontinuation
HESI EXAM 2026/2027 QUESTIONS AND CORRECT
ANSWERS GRADED A+
A patient taking prednisone for chronic inflammation develops a fever and sore throat. What should the
nurse do first?
Assess the patient's white blood cell count
Brand Name: Coumadin
Drug Class: Anticoagulant
Which of the following are important considerations when administering warfarin? (Select all that apply)
Monitor the international normalized ratio (INR) regularly, Teach the patient to avoid vitamin K-rich
foods, Monitor for signs of bleeding, such as petechiae or hematuria.
A patient on warfarin reports consuming a large amount of spinach in their salad. What is the nurse's
priority action?
Notify the healthcare provider of the potential interaction with warfarin.
Brand Name: Humulin R
Drug Class: Insulin (Short-acting)
Which of the following are important teaching points for a patient using insulin? (Select all that apply)
Monitor blood glucose levels regularly, Rotate injection sites to prevent tissue damage, Always carry a
source of sugar in case of hypoglycemia.
,A patient is experiencing shakiness, dizziness, and sweating shortly after an insulin injection. What is the
nurse's priority action?
Provide the patient with a quick-acting source of sugar.
Brand Name: Microzide
Drug Class: Thiazide Diuretic
Which of the following are common side effects of hydrochlorothiazide? (Select all that apply)
Hyperglycemia,Hypotension,Dehydration, Photosensitivity
A patient taking hydrochlorothiazide for hypertension reports feeling lightheaded and weak. What should
the nurse do first?
Monitor the patient's blood pressure.
Brand Name: Proventil
Drug Class: Beta-2 Agonist
Which of the following are nursing interventions for a patient using albuterol for asthma? (Select all that
apply)
Instruct the patient to use the inhaler before exercise to prevent bronchospasm, Monitor for signs of
tachycardia, Recommend the use of a spacer to improve medication delivery, Teach the patient to rinse
their mouth after using the inhaler to prevent oral thrush.
A patient using albuterol for asthma is experiencing a rapid heart rate. What should the nurse do next?
Advise the patient to stop using the inhaler and contact the healthcare provider
Lisinopril (Zestril/Prinivil)
Brand Name:
Drug Class: Angiotensin-Converting Enzyme (ACE) Inhibitor
,Persistent dry cough, Hyperkalemia, Angioedema, Hypotension.
A patient prescribed lisinopril develops swelling in the face and tongue. What is the nurse's priority
action?
Discontinue the lisinopril and notify the healthcare provider immediately.
Brand Name: Lasix
Drug Class: Loop Diuretic
Which of the following are important nursing interventions for a patient receiving furosemide? (Select all
that apply)
Monitor serum potassium levels regularly, Administer the medication slowly to avoid ototoxicity, Assess
blood pressure before administration, Teach the patient to report any leg cramps or muscle weakness.
A patient receiving furosemide for edema is reporting lightheadedness and dizziness. What is the nurse's
priority action?
Take the patient's blood pressure and assess for hypotension
A patient taking metformin develops nausea, vomiting, and abdominal discomfort. What is the nurse's
priority action?
Assess the patient's blood glucose level and renal function.
Which of the following are important teaching points for a patient taking metformin? (Select all that
apply.)
Avoid alcohol to reduce the risk of lactic acidosis,Monitor blood glucose levels regularly,Take the
medication with food to minimize gastrointestinal side effects.
, Brand Name: NorvascDrug Class: Calcium Channel Blocker
Which of the following are common side effects of amlodipine? (Select all that apply)
Peripheral edema,Headache, Dizziness
A patient taking amlodipine reports feeling dizzy when standing up. What is the nurse's priority action?
Assess the patient's blood pressure to check for hypotension.
Which of the following are important considerations for a patient taking clopidogrel? (Select all that
apply)Brand Name: PlavixDrug Class: Antiplatele
Monitor for signs of bleeding, such as bruising or black stools, Avoid concurrent use with anticoagulants
unless advised by the provider,Teach the patient to use an electric razor to reduce the risk of cuts,Monitor
platelet count regularly.
Lorazepam (Ativan)
Brand Name: Ativan
Drug Class: Benzodiazepine (Anxiolytic)
Which of the following are key nursing interventions for a patient prescribed lorazepam? (Select all that
apply)
Assess the patient for signs of sedation or respiratory depression,Educate the patient to avoid alcohol
while taking lorazepam,Monitor for withdrawal symptoms upon discontinuation
