BSN 315 PRACTICE HESI EXAM QUESTIONS AND ANSWERS
GRADED A+ 100% VERIFIED.
1. The mother of a newborn asks the nurse why her infant needs the vitamin
K injection. Which information should the nurse provide? ANS >>> Bacteria that
synthe- size vitamin K are not present in the newborn's intestinal tract.
2. A client is diagnosed with peptic ulcer disease and receives a prescription
for esomeprazole 20 mg capsule daily. When providing this client with dis-
charge teaching, the nurse should include which instruction? ANS >>> take at
the same time each day one hour before eating a meal
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, 3. A client at 30 weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone intramuscularly every 12
hours. The client asks the nurse why she is receiving betamethasone. Which
information should the nurse use to explain the action of the medication?
ANS >>> - stimulates fetal surfactant production
4. A client receives a new prescription for pentazocine, a mixed opioid ago-
nist-antagonist after an opioid agonist is discontinued. Which is the advantage
for the client when the new prescription is implemented? ANS >>> used to
decrease substance abuse disorder
5. The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. Which information should the nurse tell the client? ANS >>>
the infec- tion is difficult to eradicate and requires prolonged therapy for 3 to 6
months
6. A client receives a new prescription for an angiotensin-converting enzyme
(ACE) inhibitor. Which client history contraindicates its use? ANS >>> renal
artery stenosis
7. Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery? (Select all that apply.) ANS >>> Mood
swings, increased weight gain
Dexamethasone is a long-acting glucocorticoid prescribed for neurosurgical proce-
dures because it suppresses inflammation and has a low sodium-retaining ability,
which is important in averting cerebral edema. However, the medication does
produce the following side effects such as ANS >>> mood swings, an increase in
mailto:https://www.stuvia.com/user/techgrades
, appetite, resulting in weight gain, hyperglycemia (serum glucose level above 120
mg/dl) which is related to the gluconeogenesis properties of corticosteroids,
delayed in wound healing related to immune suppression properties, and complete
blood count resulting in a decreased in WBC and hemoglobin (less than 12mg/dl).
When a client is receiving dexamethasone, they should be monitored for these side
effects.
8. A client is taking sulfisoxazole for a urinary tract infection (UTI) and com-
plains of nausea and gastric upset since starting the medication. Which addi-
tional adverse reaction should the nurse instruct the client to report? ANS
>>> rash
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, 9. What pathophysiological action supports the expected outcome for a client
with chronic cancer pain who is treated with imipramine, a tricyclic anti-
depressant? ANS >>> decreases transmission of pain impulses by altering
serotonin and norepinephrine activity at nerve synapses
10. Which statement by a client warrants further instruction by the nurse
about the changing insulin needs of a diabetic client during pregnancy? ANS
>>> I will increase my insulin dosage by 5 units each month during the first
trimester
11. A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
nurse implement first? ANS >>> withhold medication and report symptoms and
vital signs to the healthcare provider
12. A client is admitted for atrial fibrillation, and the healthcare provider
prescribes disopyramide. After explaining the action of this antidysrhythmic
agent, which complaint should the nurse instruct the client to report? ANS
>>> daily weight gain of 2 pounds
13. A client is taking cyclosporine for renal allograft rejection prevention. After
9 months of drug therapy, the nurse reviews laboratory data and notes that the
blood urea nitrogen level is 36 mg/dl. What additional finding should the nurse
identify? ANS >>> creatinine 2.8 mg/dl
mailto:https://www.stuvia.com/user/techgrades
GRADED A+ 100% VERIFIED.
1. The mother of a newborn asks the nurse why her infant needs the vitamin
K injection. Which information should the nurse provide? ANS >>> Bacteria that
synthe- size vitamin K are not present in the newborn's intestinal tract.
2. A client is diagnosed with peptic ulcer disease and receives a prescription
for esomeprazole 20 mg capsule daily. When providing this client with dis-
charge teaching, the nurse should include which instruction? ANS >>> take at
the same time each day one hour before eating a meal
mailto:https://www.stuvia.com/user/techgrades
, 3. A client at 30 weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone intramuscularly every 12
hours. The client asks the nurse why she is receiving betamethasone. Which
information should the nurse use to explain the action of the medication?
ANS >>> - stimulates fetal surfactant production
4. A client receives a new prescription for pentazocine, a mixed opioid ago-
nist-antagonist after an opioid agonist is discontinued. Which is the advantage
for the client when the new prescription is implemented? ANS >>> used to
decrease substance abuse disorder
5. The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. Which information should the nurse tell the client? ANS >>>
the infec- tion is difficult to eradicate and requires prolonged therapy for 3 to 6
months
6. A client receives a new prescription for an angiotensin-converting enzyme
(ACE) inhibitor. Which client history contraindicates its use? ANS >>> renal
artery stenosis
7. Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery? (Select all that apply.) ANS >>> Mood
swings, increased weight gain
Dexamethasone is a long-acting glucocorticoid prescribed for neurosurgical proce-
dures because it suppresses inflammation and has a low sodium-retaining ability,
which is important in averting cerebral edema. However, the medication does
produce the following side effects such as ANS >>> mood swings, an increase in
mailto:https://www.stuvia.com/user/techgrades
, appetite, resulting in weight gain, hyperglycemia (serum glucose level above 120
mg/dl) which is related to the gluconeogenesis properties of corticosteroids,
delayed in wound healing related to immune suppression properties, and complete
blood count resulting in a decreased in WBC and hemoglobin (less than 12mg/dl).
When a client is receiving dexamethasone, they should be monitored for these side
effects.
8. A client is taking sulfisoxazole for a urinary tract infection (UTI) and com-
plains of nausea and gastric upset since starting the medication. Which addi-
tional adverse reaction should the nurse instruct the client to report? ANS
>>> rash
mailto:https://www.stuvia.com/user/techgrades
, 9. What pathophysiological action supports the expected outcome for a client
with chronic cancer pain who is treated with imipramine, a tricyclic anti-
depressant? ANS >>> decreases transmission of pain impulses by altering
serotonin and norepinephrine activity at nerve synapses
10. Which statement by a client warrants further instruction by the nurse
about the changing insulin needs of a diabetic client during pregnancy? ANS
>>> I will increase my insulin dosage by 5 units each month during the first
trimester
11. A client who uses ipratropium reports having nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should the
nurse implement first? ANS >>> withhold medication and report symptoms and
vital signs to the healthcare provider
12. A client is admitted for atrial fibrillation, and the healthcare provider
prescribes disopyramide. After explaining the action of this antidysrhythmic
agent, which complaint should the nurse instruct the client to report? ANS
>>> daily weight gain of 2 pounds
13. A client is taking cyclosporine for renal allograft rejection prevention. After
9 months of drug therapy, the nurse reviews laboratory data and notes that the
blood urea nitrogen level is 36 mg/dl. What additional finding should the nurse
identify? ANS >>> creatinine 2.8 mg/dl
mailto:https://www.stuvia.com/user/techgrades
