HESI RN Exit Exam 2023
Study online at https://quizlet.com/_gysv9u
1. Enalapril maleate (Vasotec) is prescribed for a A) Checking the client's blood pres-
hospitalized client. Which assessment does the sure
nurse perform as a priority before administer-
ing the medication? Rationale--enalapril maleate is an an-
A) Checking the client's blood pressure giotensin-converting enzyme (ACE)
B) checking the client's peripheral pulses inhibitor used to treat hypertension.
C) checking the most recent potassium level One common side effect is postur-
D) checking the client's intake and output al hypotension. Therefore the nurse
record for the last 24 hours would check the client's blood pres-
sure immediately before administer-
ing each dose.
2. A client is scheduled to undergo an upper gas- C) "I need to drink citrate of magne-
trointestinal (GI) series, and the nurse provides sia the night before the test and give
instructions to the client about the test. Which myself a Fleet enema on the morning
statement by the client indicates a need for of the test."
further instruction?
Rationale
A) "The test will take about 30 minutes" An upper GI series involves visual-
B) "I need to fast for 8 hours before the test" ization of the esophagus, duodenum,
C) "I need to drink citrate of magnesia the night and upper
before the test and give myself a Fleet enema jejunum by means of the use of a con-
on the morning of the test." trast medium. It involves swallowing a
D) "I need to take a laxative after the test is contrast
completed, because the liquid that I'll have to medium (usually barium), which is
drink for the test can be constipating." 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
, HESI RN Exit Exam 2023
Study online at https://quizlet.com/_gysv9u
for 8 hours
before the test. After an upper GI se-
ries, the client is prescribed a laxative
to hasten
elimination of the barium. Barium that
remains in the colon may become
hard and
difficult to expel, leading to fecal im-
paction.
3. A nurse on the evening shift checks a physi- B) Ask the answering service to con-
cian's prescriptions and notes that the dose tact the on-call physician
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 off for the night and will be available the next
morning. The nurse should:
A) call the nursing supervisor
B) Ask the answering service to contact the
on-call physician
C) Withhold the medication until the physician
can be reached in the morning
D) Administer the medication but consult the
physician when he becomes available
4. An emergency department (ED) nurse is moni- B. Asking the ED physician to check the
toring a client with suspected acute client
myocardial infarction (MI) who is awaiting
transfer to the coronary intensive care unit.
The nurse notes the sudden onset of prema-
ture ventricular contractions (PVCs) on the
monitor, checks the client's carotid pulse, and
Study online at https://quizlet.com/_gysv9u
1. Enalapril maleate (Vasotec) is prescribed for a A) Checking the client's blood pres-
hospitalized client. Which assessment does the sure
nurse perform as a priority before administer-
ing the medication? Rationale--enalapril maleate is an an-
A) Checking the client's blood pressure giotensin-converting enzyme (ACE)
B) checking the client's peripheral pulses inhibitor used to treat hypertension.
C) checking the most recent potassium level One common side effect is postur-
D) checking the client's intake and output al hypotension. Therefore the nurse
record for the last 24 hours would check the client's blood pres-
sure immediately before administer-
ing each dose.
2. A client is scheduled to undergo an upper gas- C) "I need to drink citrate of magne-
trointestinal (GI) series, and the nurse provides sia the night before the test and give
instructions to the client about the test. Which myself a Fleet enema on the morning
statement by the client indicates a need for of the test."
further instruction?
Rationale
A) "The test will take about 30 minutes" An upper GI series involves visual-
B) "I need to fast for 8 hours before the test" ization of the esophagus, duodenum,
C) "I need to drink citrate of magnesia the night and upper
before the test and give myself a Fleet enema jejunum by means of the use of a con-
on the morning of the test." trast medium. It involves swallowing a
D) "I need to take a laxative after the test is contrast
completed, because the liquid that I'll have to medium (usually barium), which is
drink for the test can be constipating." 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
, HESI RN Exit Exam 2023
Study online at https://quizlet.com/_gysv9u
for 8 hours
before the test. After an upper GI se-
ries, the client is prescribed a laxative
to hasten
elimination of the barium. Barium that
remains in the colon may become
hard and
difficult to expel, leading to fecal im-
paction.
3. A nurse on the evening shift checks a physi- B) Ask the answering service to con-
cian's prescriptions and notes that the dose tact the on-call physician
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 off for the night and will be available the next
morning. The nurse should:
A) call the nursing supervisor
B) Ask the answering service to contact the
on-call physician
C) Withhold the medication until the physician
can be reached in the morning
D) Administer the medication but consult the
physician when he becomes available
4. An emergency department (ED) nurse is moni- B. Asking the ED physician to check the
toring a client with suspected acute client
myocardial infarction (MI) who is awaiting
transfer to the coronary intensive care unit.
The nurse notes the sudden onset of prema-
ture ventricular contractions (PVCs) on the
monitor, checks the client's carotid pulse, and
