HESI RN Exit Exam
1. Enalapril maleate (Vasotec) is prescribed for a hospitalized client.
Which assessment does the nurse perform as a priority before
administering the medication?
A) Checking the client's blood pressure
B) checking the client's peripheral pulses
C) checking the most recent potassium level
D) checking the client's intake and output record for the last 24 hours
ANS : A)Checking the client's blood pressure
Rationale--enalapril maleate is an angiotensin-converting enzyme (ACE)
inhibitor used to treat hypertension. One common side effect is postural
hypotension. There- fore the nurse would check the client's blood
pressure immediately before adminis- tering each dose.
2. A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
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,A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D) "I need to take a laxative after the test is completed, because the liquid that
I'll have to drink for the test can be constipating."
ANS : C)"I need to drink citrate of magnesia the night before the test
and give myself a Fleet enema on the morning of the test."
Rationale
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 contrast medium (usually barium), which is
administered in a flavored milkshake. Films are taken
at intervals during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that NPO status must
be maintained for 8 hours before the test. After an upper GI series, the
client is prescribed a laxative to hasten elimination of the barium.
Barium that remains in the colon may become hard and difficult to
2/7
, expel, leading to fecal impaction.
3. A nurse on the evening shift checks a physician's 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 if
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1. Enalapril maleate (Vasotec) is prescribed for a hospitalized client.
Which assessment does the nurse perform as a priority before
administering the medication?
A) Checking the client's blood pressure
B) checking the client's peripheral pulses
C) checking the most recent potassium level
D) checking the client's intake and output record for the last 24 hours
ANS : A)Checking the client's blood pressure
Rationale--enalapril maleate is an angiotensin-converting enzyme (ACE)
inhibitor used to treat hypertension. One common side effect is postural
hypotension. There- fore the nurse would check the client's blood
pressure immediately before adminis- tering each dose.
2. A client is scheduled to undergo an upper gastrointestinal (GI) series,
and the nurse provides instructions to the client about the test. Which
statement by the client indicates a need for further instruction?
1/7
,A) "The test will take about 30 minutes"
B) "I need to fast for 8 hours before the test"
C) "I need to drink citrate of magnesia the night before the test and give
myself a Fleet enema on the morning of the test."
D) "I need to take a laxative after the test is completed, because the liquid that
I'll have to drink for the test can be constipating."
ANS : C)"I need to drink citrate of magnesia the night before the test
and give myself a Fleet enema on the morning of the test."
Rationale
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 contrast medium (usually barium), which is
administered in a flavored milkshake. Films are taken
at intervals during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that NPO status must
be maintained for 8 hours before the test. After an upper GI series, the
client is prescribed a laxative to hasten elimination of the barium.
Barium that remains in the colon may become hard and difficult to
2/7
, expel, leading to fecal impaction.
3. A nurse on the evening shift checks a physician's 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 if
3/7
