315 HESI EXAM WITH CORRECT
ANSWERS 2025
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to
report? ( correct answers ) Involuntary movement
A client is scheduled for a CT scan with contrast to evaluate for pulmonary
embolism. Which information in the clients history requires follow-up by the
nurse? ( correct answers ) Takes metformin for type 2 diabetes mellitus
A client recently diagnosed with multiple sclerosis who self-administers beta-
1a interferon reports feeling increasingly depressed. Which action should the
nurse implement? ( correct answers ) Notify the healthcare provider of
the findings immediately
A female with a history of peptic ulcer disease receives a prescription for
misoprostol. What information provided shows need for further teaching?
( correct answers ) Use condoms and a backup method of birth control to
prevent pregnancy
Which of the following agents would increase sedation caused by morphine?
A. ethanol
B. diazepam
C. chlorpromazine
D. clomipramine
GRADED A+
,E. All of the above ( correct answers ) All of the above
A nurse is caring for a pregnant patient who needs treatment for rosacea.
The patient asks the nurse about using topical corticosteroids for treatment.
Which of the following information should the nurse provide this patient?
( correct answers ) There is no safety evidence of this medication during
pregnancy, so it should be avoided.
After starting an IV dose of sulfamethoxazole (Bactrim), the nurse notes that
the patient is having difficulty breathing, his face is flushed, and he
complains of back pain. Which type of hypersensitivity reaction is this patient
most likely experiencing? ( correct answers ) Anaphylactic
Which of the following is considered a contraindication for administration of
Furosemide (Lasix)? ( correct answers ) Decrease urine output
A nurse is preparing to administer a dose of warfarin to a patient. Based on
the nurses knowledge of this drug, the nurse knows to monitor for which of
the following side effects? ( correct answers ) Black stools
The home care nurse visits a client recently diagnosed with diabetes mellitus
who is taking Humulin NPH insulin daily. The client asks the nurse how to
store the unopened vials of insulin. The nurse should tell the client to take
which action? ( correct answers ) Refrigerate the insulin
The nurse is teaching a client how to mix regular insulin and NPH insulin in
the same syringe. Which action, if performed by the client, indicates the
need for further teaching? ( correct answers ) Withdraws the NPH insulin
first
The camp nurse asks the children preparing to swim in the lake if they have
applied sunscreen. The nurse reminds the children that chemical sunscreens
are most effective when applied at which time? ( correct answers ) At
least 30 minutes before exposure to the sun
GRADED A+
, A client with severe acne is seen in the clinic and the HCP prescribes
isotretinoin. The nurse reviews the clients medication record and would
contact the HCP if the client is also taking which medication? ( correct
answers ) Vitamin A
Isotretinoin is prescribed for a client with severe acne. Before administration
of this medication, the nurse anticipates that which laboratory test will be
prescribed? ( correct answers ) Total cholesterol level
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse
monitors the client, knowing that which finding indicates the presence of
systemic toxicity from this medication? ( correct answers ) tinnitus
The nurse is scheduling a client's antibiotic peak and trough levels with the
laboratory personnel. What is the best schedule for drawing the trough level?
( correct answers ) Instruct the laboratory to draw the trough immediately
before the next scheduled dose.
To evaluate whether the administration of an antihypertensive medication
has caused a therapeutic effect, which action should the nurse implement?
( correct answers ) Compare the client's blood pressure before and after the
client takes the medication
A client taking linezolid (Zyvox) at home for an infected foot ulcer calls the
home care nurse to report the onset of watery diarrhea. What intervention
should the nurse implement? ( correct answers ) Instruct the client to
obtain a stool specimen to be taken to the laboratory for analysis.
Dopamine (Intropin) is administered to a client who is hypotensive. Which
finding should the nurse identify as a therapeutic response? ( correct
answers ) Increase in urine output
In addition to nitrate therapy, a client is receiving nifedipine (Procardia) 10
mg PO every 6 hours. The nurse should plan to observe for which common
side effect of this treatment regimen? ( correct answers ) Hypotension
GRADED A+
ANSWERS 2025
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to
report? ( correct answers ) Involuntary movement
A client is scheduled for a CT scan with contrast to evaluate for pulmonary
embolism. Which information in the clients history requires follow-up by the
nurse? ( correct answers ) Takes metformin for type 2 diabetes mellitus
A client recently diagnosed with multiple sclerosis who self-administers beta-
1a interferon reports feeling increasingly depressed. Which action should the
nurse implement? ( correct answers ) Notify the healthcare provider of
the findings immediately
A female with a history of peptic ulcer disease receives a prescription for
misoprostol. What information provided shows need for further teaching?
( correct answers ) Use condoms and a backup method of birth control to
prevent pregnancy
Which of the following agents would increase sedation caused by morphine?
A. ethanol
B. diazepam
C. chlorpromazine
D. clomipramine
GRADED A+
,E. All of the above ( correct answers ) All of the above
A nurse is caring for a pregnant patient who needs treatment for rosacea.
The patient asks the nurse about using topical corticosteroids for treatment.
Which of the following information should the nurse provide this patient?
( correct answers ) There is no safety evidence of this medication during
pregnancy, so it should be avoided.
After starting an IV dose of sulfamethoxazole (Bactrim), the nurse notes that
the patient is having difficulty breathing, his face is flushed, and he
complains of back pain. Which type of hypersensitivity reaction is this patient
most likely experiencing? ( correct answers ) Anaphylactic
Which of the following is considered a contraindication for administration of
Furosemide (Lasix)? ( correct answers ) Decrease urine output
A nurse is preparing to administer a dose of warfarin to a patient. Based on
the nurses knowledge of this drug, the nurse knows to monitor for which of
the following side effects? ( correct answers ) Black stools
The home care nurse visits a client recently diagnosed with diabetes mellitus
who is taking Humulin NPH insulin daily. The client asks the nurse how to
store the unopened vials of insulin. The nurse should tell the client to take
which action? ( correct answers ) Refrigerate the insulin
The nurse is teaching a client how to mix regular insulin and NPH insulin in
the same syringe. Which action, if performed by the client, indicates the
need for further teaching? ( correct answers ) Withdraws the NPH insulin
first
The camp nurse asks the children preparing to swim in the lake if they have
applied sunscreen. The nurse reminds the children that chemical sunscreens
are most effective when applied at which time? ( correct answers ) At
least 30 minutes before exposure to the sun
GRADED A+
, A client with severe acne is seen in the clinic and the HCP prescribes
isotretinoin. The nurse reviews the clients medication record and would
contact the HCP if the client is also taking which medication? ( correct
answers ) Vitamin A
Isotretinoin is prescribed for a client with severe acne. Before administration
of this medication, the nurse anticipates that which laboratory test will be
prescribed? ( correct answers ) Total cholesterol level
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse
monitors the client, knowing that which finding indicates the presence of
systemic toxicity from this medication? ( correct answers ) tinnitus
The nurse is scheduling a client's antibiotic peak and trough levels with the
laboratory personnel. What is the best schedule for drawing the trough level?
( correct answers ) Instruct the laboratory to draw the trough immediately
before the next scheduled dose.
To evaluate whether the administration of an antihypertensive medication
has caused a therapeutic effect, which action should the nurse implement?
( correct answers ) Compare the client's blood pressure before and after the
client takes the medication
A client taking linezolid (Zyvox) at home for an infected foot ulcer calls the
home care nurse to report the onset of watery diarrhea. What intervention
should the nurse implement? ( correct answers ) Instruct the client to
obtain a stool specimen to be taken to the laboratory for analysis.
Dopamine (Intropin) is administered to a client who is hypotensive. Which
finding should the nurse identify as a therapeutic response? ( correct
answers ) Increase in urine output
In addition to nitrate therapy, a client is receiving nifedipine (Procardia) 10
mg PO every 6 hours. The nurse should plan to observe for which common
side effect of this treatment regimen? ( correct answers ) Hypotension
GRADED A+
