HEALTH
ASSESSMENT
HESI RN
Q&A
, ADVANCED HEALTH ASSESSMENT HESI RN
QUESTIONS AND ANSWERS
1. An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse knows
that the purpose of this medication is to
A. Decrease production of gastric secretions.
B. Produce an adherent barrier over the ulcer.
C. Correct Maintain a gastric pH of 3.5 or above.
D. Decrease gastric motor activity.
2. In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the
drug is performing as intended?
A. An increase in urine output.
B. Correct. Two or three soft stools per day.
C. Watery, diarrhea stools
D. Increased serum bilirubin.
3. The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with congestive
heart failure. Which intervention should the nurse implement prior to administering the
digoxin? The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with
congestive heart failure. Which intervention should the nurse implement prior to
administering the digoxin?
a. Observe respiratory rate and depth.
b. Correct Assess the serum potassium level.
c. Obtain the client's blood pressure.
d. Monitor the serum glucose level.
4. Following the administration of sublingual nitroglycerin to a client experiencing an acute
anginal attack, which assessment finding indicates to the nurse that the desired effect has
been achieved?
A. Correct Client states chest pain is relieved.
B. Client's pulse decreases from 120 to 90.
C. Client's systolic blood pressure decreases from 180 to 90.
D. Client's SaO2 level increases from 92% to 96%.
5. A client with congestive heart failure (CHF) is being discharged with a new prescription for
the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's
discharge instruction should include reporting which problem to the healthcare provider?