HESI Milestone 2 Exam Practice V6 2025 Questions and
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QUESTION
The postoperative client has been receiving a continuous IV infusion of Meperidine (Demerol), 35
mg/hr for four days. The client has a PRN prescrip- tion for Demerol 100 mg PO q3h. The nurse
notes that the client has become increasingly restless, irritable, and confused, stating that there
are bugs all over the walls. What action should the nurse take first?
a. Administer a PRN dose of the PO Meperidine (Demerol)
b. Administer Naloxone (Narcan) IV per PRN protocol
c. Decrease the IV infusion rate of the Meperidine (Demerol) per protocol Notify the HCP of the
client's confusion and hallucinations
Answer:
c. Decrease the IV infusion rate of the Meperidine (Demerol) per protocol
The client is exhibiting symptoms of Demerol toxicity, which is consistent with the large dose of
Demerol received over four days. C is the most effective action to immediately decrease the
amount of Serum Demerol. A will increase the toxic level of medication in the bloodstream.
Naloxone is an opioid antagonist that is used during an opioid overdose but is not beneficial during
Demerol toxicity and can precipitate seizures. The HCP should be notified, but that is not the
initial action the nurse should take; first, the amount of drug infusing should be decreased
QUESTION
A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has
completed discharge teaching regarding medication admin- istration. Which morning schedule
would indicate to the nurse that the client's teaching has been effective?
,a. Take medication, go for a 30-minute morning walk, then eat breakfast b. Take medication, rest in
bed for 30 minutes, eat breakfast, and go for a morning walk
c. Take medication with breakfast, then go for a 30-minute morning walk
Answer:
,Take medication, go for a 30-minute morning walk, then eat breakfast
Alendronate (Fosamax) is best absorbed when taken thirty minutes before eating in the morning.
The client should also be advised to remain in an upright position for at least 30 minutes after
taking the medication to reduce the risk of esophageal reflux and irritation. A is the best schedule
to meet these needs. B, C, and D do not meet these criteria.
QUESTION
In teaching a client who had a liver transplant about cyclosporine (Sandimmune), the nurse
should encourage the client to report which adverse response to the healthcare provider.
a. Changes in urine color
b. Presence of hand tremors c. Increasing body hirsutism
d. Nausea and Vomiting
Answer:
b. Presence of hand tremors
Neurological complications, such as hand tremors, occur in about 50% of clients taking
cyclosporine and should be reported. Although this drug can be nephrotoxic, changes in urine
color typically do not occur. C and D are common side effects but usually are not severe
QUESTION
Taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to
another type of anti-infective agent should the nurse ask the client about when taking the nursing
history?
a. Aminoglycosides b. Cephalosporins c. Sulfonamides
d. Tetracyclines
, Answer:
b. Cephalosporins
Verified Answers with Rationales 100% Guaranteed Pass
With Multiple Choice Questions and Answers
QUESTION
The postoperative client has been receiving a continuous IV infusion of Meperidine (Demerol), 35
mg/hr for four days. The client has a PRN prescrip- tion for Demerol 100 mg PO q3h. The nurse
notes that the client has become increasingly restless, irritable, and confused, stating that there
are bugs all over the walls. What action should the nurse take first?
a. Administer a PRN dose of the PO Meperidine (Demerol)
b. Administer Naloxone (Narcan) IV per PRN protocol
c. Decrease the IV infusion rate of the Meperidine (Demerol) per protocol Notify the HCP of the
client's confusion and hallucinations
Answer:
c. Decrease the IV infusion rate of the Meperidine (Demerol) per protocol
The client is exhibiting symptoms of Demerol toxicity, which is consistent with the large dose of
Demerol received over four days. C is the most effective action to immediately decrease the
amount of Serum Demerol. A will increase the toxic level of medication in the bloodstream.
Naloxone is an opioid antagonist that is used during an opioid overdose but is not beneficial during
Demerol toxicity and can precipitate seizures. The HCP should be notified, but that is not the
initial action the nurse should take; first, the amount of drug infusing should be decreased
QUESTION
A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has
completed discharge teaching regarding medication admin- istration. Which morning schedule
would indicate to the nurse that the client's teaching has been effective?
,a. Take medication, go for a 30-minute morning walk, then eat breakfast b. Take medication, rest in
bed for 30 minutes, eat breakfast, and go for a morning walk
c. Take medication with breakfast, then go for a 30-minute morning walk
Answer:
,Take medication, go for a 30-minute morning walk, then eat breakfast
Alendronate (Fosamax) is best absorbed when taken thirty minutes before eating in the morning.
The client should also be advised to remain in an upright position for at least 30 minutes after
taking the medication to reduce the risk of esophageal reflux and irritation. A is the best schedule
to meet these needs. B, C, and D do not meet these criteria.
QUESTION
In teaching a client who had a liver transplant about cyclosporine (Sandimmune), the nurse
should encourage the client to report which adverse response to the healthcare provider.
a. Changes in urine color
b. Presence of hand tremors c. Increasing body hirsutism
d. Nausea and Vomiting
Answer:
b. Presence of hand tremors
Neurological complications, such as hand tremors, occur in about 50% of clients taking
cyclosporine and should be reported. Although this drug can be nephrotoxic, changes in urine
color typically do not occur. C and D are common side effects but usually are not severe
QUESTION
Taking a nursing history, the client states, "I am allergic to penicillin." What related allergy to
another type of anti-infective agent should the nurse ask the client about when taking the nursing
history?
a. Aminoglycosides b. Cephalosporins c. Sulfonamides
d. Tetracyclines
, Answer:
b. Cephalosporins
