Bsn 315 V1 HESI
1. The nurse is administering sodium polystyrene sulfonate to a client in acute kidney
injury (AKI). Which laboratory finding indicates that the medication has been effective?
Reference Range:
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/_))
Ammonia [10 to 80 g/dL (6 to 47 umol/aL)l
A Serum ammonia level of 30 pg/dL (17.62 pmol /dL).
B Serum glucose level of 120 mg/dL (c.7 mmol/L).
C Serum potassium level of 3.8 mEq/L (3.8 mmol/L).
D Hemoglobin level of 13.5 g/dL (135 g/L).
2. NGN : The thiazide diuretic works to decrease the client's blood pressure by
reducing stroke volume. and the angiotensin converting enyzme (ACE) inhibitor works
to decrease the client's blood pressure by reduce stroke volume and systemic
vascular resistance.
3. The nurse is teaching a client how to use an inhaler device. Which client statement
indicates to the nurse that the client understands the instructions?
A Caffeinated beverages should be limited to two cups per day.
B The inhaler will be used before bed each night.
C Rinsing the mouth with water should be done after each use.
D To mask taste of the medication, inhaler can be used during meals.
4. The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a
strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule
the administration of these medications?
• A Give parental dose once every 24 hours.
• B offer both drugs together with a meal.
• C Schedule both medications at bedtime.
• D Administer iodine one hour before PTU.
5. A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
ADepression screening.
B Body mass index (BMI).
C Daily calorie count.
D Serum protein levels
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, 6. A client with generalized anxiety disorder (GAD) receives a new prescription for
lorazepam. Which statement provided by the client requires additional instruction by the
nurse?
A Use relaxation techniques to reduce excessive anxiety.
B Move slowly from a sitting position to a standing position.
C Avoid alcohol and other sedatives while taking the medication.
D Stop taking the medication if intended effect is not immediate.
7. A client who is taking an oral contraceptive receives a new prescription for
erythromycin. Which instruction should the nurse provide to the client?
A Avoid prolonged exposure to direct sunlight.
•B Use an additional form of contraception.
• C Take the medications at least 12 hours apart.
•D Stop the oral contraceptive immediately.
9. After receiving the third dose of a new oral anticoagulant prescription, an older client
develops bleeding and tender gums and has many new bruises. Which action(s) should
the nurse implement? Select all that apply.
A. Review the most recent coagulation laboratory values.
B Complete a medication variance report.
C Report findings to healthcare provider.
D Obtain a soft bristle toothbrush for client.
E Provide a PRN nonsteroidal antiinflammatory (NSAID) for gum discomfort.
10. The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and
receives a prescription for adalimumab.
Which instructions should the nurse provide the client?
A Obtain routine vaccinations as scheduled.
B Have a chest x-ray prior to your first dose.
C Avoid crowds and people who are sick.
D Undergo annual eye examinations.
11. The healthcare provider prescribes magnesium sulfate 300 mg/hour IV. The IV bag
is contains magnesium sulfate 4 grams in dextrose 5% in water (D,) 500 mL. How many
mL/hour should the nurse set the infusion pump? (Enter numerical value only. If
rounding is required, round to the nearest tenth.) 37.5ml/hr
12. NGN: The client has a history of major depressive disorder and is being
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1. The nurse is administering sodium polystyrene sulfonate to a client in acute kidney
injury (AKI). Which laboratory finding indicates that the medication has been effective?
Reference Range:
Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)]
Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/_))
Ammonia [10 to 80 g/dL (6 to 47 umol/aL)l
A Serum ammonia level of 30 pg/dL (17.62 pmol /dL).
B Serum glucose level of 120 mg/dL (c.7 mmol/L).
C Serum potassium level of 3.8 mEq/L (3.8 mmol/L).
D Hemoglobin level of 13.5 g/dL (135 g/L).
2. NGN : The thiazide diuretic works to decrease the client's blood pressure by
reducing stroke volume. and the angiotensin converting enyzme (ACE) inhibitor works
to decrease the client's blood pressure by reduce stroke volume and systemic
vascular resistance.
3. The nurse is teaching a client how to use an inhaler device. Which client statement
indicates to the nurse that the client understands the instructions?
A Caffeinated beverages should be limited to two cups per day.
B The inhaler will be used before bed each night.
C Rinsing the mouth with water should be done after each use.
D To mask taste of the medication, inhaler can be used during meals.
4. The healthcare provider prescribes propylthiouracil (PTU) and Lugol's solution, a
strong iodine solution, for a client with hyperthyroidism. How should the nurse schedule
the administration of these medications?
• A Give parental dose once every 24 hours.
• B offer both drugs together with a meal.
• C Schedule both medications at bedtime.
• D Administer iodine one hour before PTU.
5. A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to determine the effectiveness of the
medication?
ADepression screening.
B Body mass index (BMI).
C Daily calorie count.
D Serum protein levels
Downloaded by harun mburu ()
, 6. A client with generalized anxiety disorder (GAD) receives a new prescription for
lorazepam. Which statement provided by the client requires additional instruction by the
nurse?
A Use relaxation techniques to reduce excessive anxiety.
B Move slowly from a sitting position to a standing position.
C Avoid alcohol and other sedatives while taking the medication.
D Stop taking the medication if intended effect is not immediate.
7. A client who is taking an oral contraceptive receives a new prescription for
erythromycin. Which instruction should the nurse provide to the client?
A Avoid prolonged exposure to direct sunlight.
•B Use an additional form of contraception.
• C Take the medications at least 12 hours apart.
•D Stop the oral contraceptive immediately.
9. After receiving the third dose of a new oral anticoagulant prescription, an older client
develops bleeding and tender gums and has many new bruises. Which action(s) should
the nurse implement? Select all that apply.
A. Review the most recent coagulation laboratory values.
B Complete a medication variance report.
C Report findings to healthcare provider.
D Obtain a soft bristle toothbrush for client.
E Provide a PRN nonsteroidal antiinflammatory (NSAID) for gum discomfort.
10. The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and
receives a prescription for adalimumab.
Which instructions should the nurse provide the client?
A Obtain routine vaccinations as scheduled.
B Have a chest x-ray prior to your first dose.
C Avoid crowds and people who are sick.
D Undergo annual eye examinations.
11. The healthcare provider prescribes magnesium sulfate 300 mg/hour IV. The IV bag
is contains magnesium sulfate 4 grams in dextrose 5% in water (D,) 500 mL. How many
mL/hour should the nurse set the infusion pump? (Enter numerical value only. If
rounding is required, round to the nearest tenth.) 37.5ml/hr
12. NGN: The client has a history of major depressive disorder and is being
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