NRSG 245 HESI Practice Exams questions with complete solutions
A client prescribed risperidone 10 mg/day for the past three months is being admitted to the hospital. Which physical assessment findings should the nurse report to the healthcare provider?
-Anorexia.
-Drowsiness and lethargy.
-Tremors and muscle twitching.
-Dry mouth, and constipation. CORRECT ANSWER Tremors and muscle twitching.
The nurse receives a unit of blood from the blood bank for a postoperative client who is currently in the X-ray department. Which action should the nurse implement?
-Return the blood to the blood bank for refrigeration within 30 minutes.
-Hang the blood transfusion as soon as the client returns to the unit.
-Store the blood bag in the nursing unit's refrigerator until the client returns.
-Take the unit of blood to the X-ray department to initiate the transfusion. CORRECT ANSWER Return the blood to the blood bank for refrigeration within 30 minutes.
A client is administered an injection of medroxyprogesterone acetate (Depo-
Provera). Which physical finding should the nurse instruct the client is an expected
side effect of the medication?
-Leg or calf pain. -Headaches or visual changes.
-Vaginal bleeding or spotting.
-Jaundice or angioedema. CORRECT ANSWER Vaginal bleeding or spotting.
A male client with meningitis is prescribed cefotaxime (Claforan) IV and asks the nurse why he cannot receive an oral drug, such as cefaclor (Ceclor) or cefadroxil (Duricef), that he has taken before for infections. How should the nurse respond when considering the actions of cephalosporins?
-Cefazolin (Ancef) is another IV antibiotic that can be prescribed.
-Cefaclor (Ceclor) is a good alternative to suggest to the healthcare provider.
-Cefadroxil (Duricef) is usually prescribed when the IV is discontinued.
-Cefotaxime (Claforan) provides therapeutic CNS concentrations. CORRECT ANSWER Cefotaxime (Claforan) provides therapeutic CNS concentrations.
The healthcare provider (HCP) prescribes a medication for an older adult client who is reporting insomnia, and the HCP instructs the client to return in two weeks. The nurse should question which prescription?
-Zolpidem (Ambien) 10 milligrams orally at bedtime.
-Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
-Temazepam (Restoril) 7.5 milligrams orally at bedtime.
-Ramelteon (Rozerem) 8 milligrams orally at bedtime. CORRECT ANSWER Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
A mother of a child prescribed methylphenidate hydrochloride for attention-deficit hyperactivity disorder (ADHD) informs the school nurse she administers the medication at bedtime. Which instructions should the nurse recommend? -Continue administering the medication dose at bedtime.
-Give the medication when the child arrives at school.
-The medication should be taken with meals.
-Administer the medication at least six hours before bedtime. CORRECT ANSWER Administer the medication at least six hours before bedtime.
A client prescribed cyclosporine for the past nine months to prevent renal allograft rejection has a blood urea nitrogen level of 36 mg/dL. Which additional finding should the nurse notify the healthcare provider?
-Hemoglobin level of 16.8 g/dL.
-White blood cell count level of 10,000.
-Creatinine level of 2.8 mg/dL.
-Potassium of 4.2 mEq/L. CORRECT ANSWER Creatinine level of 2.8 mg/dL.
A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction?
-Drink fluids between meals to relieve gastric distress.
-Monitor for an increase in blood pressure during therapy.
-Dissolve capsule contents in fruit juice for easier ingestion.
-Take at same time each day one hour before eating a meal. CORRECT ANSWER Take at same time each day one hour before eating a meal.
A client prescribed risperidone 10 mg/day for the past three months is being admitted to the hospital. Which physical assessment findings should the nurse report to the healthcare provider?
-Anorexia.
-Drowsiness and lethargy.
-Tremors and muscle twitching.
-Dry mouth, and constipation. CORRECT ANSWER Tremors and muscle twitching.
The nurse receives a unit of blood from the blood bank for a postoperative client who is currently in the X-ray department. Which action should the nurse implement?
-Return the blood to the blood bank for refrigeration within 30 minutes.
-Hang the blood transfusion as soon as the client returns to the unit.
-Store the blood bag in the nursing unit's refrigerator until the client returns.
-Take the unit of blood to the X-ray department to initiate the transfusion. CORRECT ANSWER Return the blood to the blood bank for refrigeration within 30 minutes.
A client is administered an injection of medroxyprogesterone acetate (Depo-
Provera). Which physical finding should the nurse instruct the client is an expected
side effect of the medication?
-Leg or calf pain. -Headaches or visual changes.
-Vaginal bleeding or spotting.
-Jaundice or angioedema. CORRECT ANSWER Vaginal bleeding or spotting.
A male client with meningitis is prescribed cefotaxime (Claforan) IV and asks the nurse why he cannot receive an oral drug, such as cefaclor (Ceclor) or cefadroxil (Duricef), that he has taken before for infections. How should the nurse respond when considering the actions of cephalosporins?
-Cefazolin (Ancef) is another IV antibiotic that can be prescribed.
-Cefaclor (Ceclor) is a good alternative to suggest to the healthcare provider.
-Cefadroxil (Duricef) is usually prescribed when the IV is discontinued.
-Cefotaxime (Claforan) provides therapeutic CNS concentrations. CORRECT ANSWER Cefotaxime (Claforan) provides therapeutic CNS concentrations.
The healthcare provider (HCP) prescribes a medication for an older adult client who is reporting insomnia, and the HCP instructs the client to return in two weeks. The nurse should question which prescription?
-Zolpidem (Ambien) 10 milligrams orally at bedtime.
-Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
-Temazepam (Restoril) 7.5 milligrams orally at bedtime.
-Ramelteon (Rozerem) 8 milligrams orally at bedtime. CORRECT ANSWER Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
A mother of a child prescribed methylphenidate hydrochloride for attention-deficit hyperactivity disorder (ADHD) informs the school nurse she administers the medication at bedtime. Which instructions should the nurse recommend? -Continue administering the medication dose at bedtime.
-Give the medication when the child arrives at school.
-The medication should be taken with meals.
-Administer the medication at least six hours before bedtime. CORRECT ANSWER Administer the medication at least six hours before bedtime.
A client prescribed cyclosporine for the past nine months to prevent renal allograft rejection has a blood urea nitrogen level of 36 mg/dL. Which additional finding should the nurse notify the healthcare provider?
-Hemoglobin level of 16.8 g/dL.
-White blood cell count level of 10,000.
-Creatinine level of 2.8 mg/dL.
-Potassium of 4.2 mEq/L. CORRECT ANSWER Creatinine level of 2.8 mg/dL.
A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction?
-Drink fluids between meals to relieve gastric distress.
-Monitor for an increase in blood pressure during therapy.
-Dissolve capsule contents in fruit juice for easier ingestion.
-Take at same time each day one hour before eating a meal. CORRECT ANSWER Take at same time each day one hour before eating a meal.
