HESI Comprehensive Exit Exam
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering
the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours: A.
Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor
used to treat hypertension. One common side effect is postural
hypotension. Therefore the nurse would check the client's blood
pressure immediately before administering each dose. Checking the
client's peripheral pulses, the results of the most recent potassium level,
and the intake and output for the previous 24 hours are not specifically
associated with this mediation.
A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times
daily, to relieve joint pain resulting from rheumatoid arthritis. The client
tells the nurse that the medication is causing nausea and indigestion.
The nurse should tell the client to:
A. Contact the physician
B. Stop taking the medication
,C. Take the medication with food
D. Take the medication twice a day instead of four times: C. Take the
medication with food 11. 11 A client's oral intake of liquids includes 120
mL on the night shift, 800 mL on the day shift, and 650 mL on the
evening shift. The client is receiving an intravenous (IV) antibiotic
every 12 hours, diluted in 50 mL of normal saline solution. The nurse
empties 700 mL of urine from the client's Foley catheter at the end of
the day shift. Thereafter, 500 mL of urine is emptied at the end of the
evening shift and 325 mL at the end of the night shift. Nasogastric tube
drainage totals 155 mL for the 24-hour period, and the total drainage
from the Jackson-Pratt device is 175 mL. What is the client's total
intake during the 24-hour period? Type your answer in the space
provided.
Answer: ________mL: Correct Responses: "1670"
Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is
prescribed for a client for the management of anxiety. The nurse
prepares the medication as prescribed and administers the medication
over a period of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
D. 30 minutes: A. 3 minutes Correct
,A nurse, conducting an assessment of a client being seen in the clinic for
symptoms of a sinus infection, asks the client about medications that he
is taking. The client tells the nurse that he is taking nefazodone
hydrochloride (Serzone). On the basis of this information, the nurse
determines that the client most likely has a history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease: A. Depression
Phenelzine sulfate (Nardil) is prescribed for a client with depression. The
nurse provides information to the client about the adverse effects of the
medication and tells the client to contact the physician immediately if she
experiences:
A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness: D. Neck stiffness or soreness Correct
Risperidone (Risperdal) is prescribed for a client hospitalized in the
mental health unit for the treatment of a psychotic disorder. Which finding
, in the client's medical record would prompt the nurse to contact the
prescribing physician before administering the medication?
A. The client has a history of cataracts.
B. The client has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive.
D. The client is allergic to acetylsalicylic acid (aspirin).: C. The client takes
a prescribed antihypertensive.
A client who has been undergoing long-term therapy with an
antipsychotic medication is admitted to the inpatient mental health unit.
Which of the following findings does the nurse, knowing that long-term
use of an antipsychotic medication can cause tardive dyskinesia, monitor
in the client?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion: D. Tongue protrusion
A nurse is reviewing the record of a client scheduled for
electroconvulsive therapy (ECT). Which of the following diagnoses, if
noted on the client's record, would indicate a need to contact the
physician who is scheduled to perform the ECT?
A. Recent stroke
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which
assessment does the nurse perform as a priority before administering
the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24 hours: A.
Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor
used to treat hypertension. One common side effect is postural
hypotension. Therefore the nurse would check the client's blood
pressure immediately before administering each dose. Checking the
client's peripheral pulses, the results of the most recent potassium level,
and the intake and output for the previous 24 hours are not specifically
associated with this mediation.
A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times
daily, to relieve joint pain resulting from rheumatoid arthritis. The client
tells the nurse that the medication is causing nausea and indigestion.
The nurse should tell the client to:
A. Contact the physician
B. Stop taking the medication
,C. Take the medication with food
D. Take the medication twice a day instead of four times: C. Take the
medication with food 11. 11 A client's oral intake of liquids includes 120
mL on the night shift, 800 mL on the day shift, and 650 mL on the
evening shift. The client is receiving an intravenous (IV) antibiotic
every 12 hours, diluted in 50 mL of normal saline solution. The nurse
empties 700 mL of urine from the client's Foley catheter at the end of
the day shift. Thereafter, 500 mL of urine is emptied at the end of the
evening shift and 325 mL at the end of the night shift. Nasogastric tube
drainage totals 155 mL for the 24-hour period, and the total drainage
from the Jackson-Pratt device is 175 mL. What is the client's total
intake during the 24-hour period? Type your answer in the space
provided.
Answer: ________mL: Correct Responses: "1670"
Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is
prescribed for a client for the management of anxiety. The nurse
prepares the medication as prescribed and administers the medication
over a period of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
D. 30 minutes: A. 3 minutes Correct
,A nurse, conducting an assessment of a client being seen in the clinic for
symptoms of a sinus infection, asks the client about medications that he
is taking. The client tells the nurse that he is taking nefazodone
hydrochloride (Serzone). On the basis of this information, the nurse
determines that the client most likely has a history of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery disease: A. Depression
Phenelzine sulfate (Nardil) is prescribed for a client with depression. The
nurse provides information to the client about the adverse effects of the
medication and tells the client to contact the physician immediately if she
experiences:
A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness: D. Neck stiffness or soreness Correct
Risperidone (Risperdal) is prescribed for a client hospitalized in the
mental health unit for the treatment of a psychotic disorder. Which finding
, in the client's medical record would prompt the nurse to contact the
prescribing physician before administering the medication?
A. The client has a history of cataracts.
B. The client has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive.
D. The client is allergic to acetylsalicylic acid (aspirin).: C. The client takes
a prescribed antihypertensive.
A client who has been undergoing long-term therapy with an
antipsychotic medication is admitted to the inpatient mental health unit.
Which of the following findings does the nurse, knowing that long-term
use of an antipsychotic medication can cause tardive dyskinesia, monitor
in the client?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion: D. Tongue protrusion
A nurse is reviewing the record of a client scheduled for
electroconvulsive therapy (ECT). Which of the following diagnoses, if
noted on the client's record, would indicate a need to contact the
physician who is scheduled to perform the ECT?
A. Recent stroke
