BSN 315 Practice Hesi Exam Newest 2025
A newborn mother asks the nurse why her baby needs the vitamin K injection. What
information should the nurse include?
Vitamin K synthesizing bacteria are not initially found in the intestinal tract of a
newborn.
2 multiple choice options
A client is diagnosed with peptic ulcer disease and the physician orders esomeprazole
20 mg cap daily. What instruction should the nurse include when providing discharge
teaching to this client?
Take orally at the same time of day, one hour before a meal
2 multiple choice options
We have an expert-written solution to this problem!
The health care provider orders two doses of 12 mg of betamethasone intramuscularly
every 12 hours for a client who is 30 weeks pregnant and in preterm labor. The client
asks the nurse why she is receiving the betamethasone. To describe the medication's
action, which information should the nurse use?
stimulates fetal surfactant production
2 multiple choice options
We have an expert-written solution to this problem!
A client is prescribed a new medication, pentazocine, a mixed opioid agonist-antagonist
after an opioid agonist is discontinued. What is the benefit for the client when the new
medication is initiated?
used to decrease substance abuse disorder
2 multiple choice options
,The health care provider orders oral antifungal therapy for a client diagnosed with
onychomycosis. Which instruction should the nurse provide to the client?
the infection is resistant to treatment and requires long-term therapy up to 3 to 6 months
2 multiple choice options
We have an expert-written solution to this problem!
A client has a new prescription for an ACE inhibitor. For which client history does this
medication contraindicate its use?
renal artery stenosis
3 multiple choice options
We do have a professional solution for this problem!
What side effects should the nurse monitor for a client who is receiving dexamethasone
post-neurosurgery? (Select all that apply.)
Mood changes, weight gain
Dexamethasone is a long-acting glucocorticoid given for neurosurgical cases because it
has anti-inflammation properties with low sodium retention, which is essential to
prevent cerebral edema. However, the medication does produce the following side
effects such as: mood swings, an increase in 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,
the client should be monitored for these side effects.
A client is receiving sulfisoxazole for a UTI and reports nausea and gastric upset since
beginning the medication. What other adverse reaction should the nurse teach the client
to report?
rash
,3 multiple choice options
We have an expert-written solution to this problem!
What is the pathophysiological action that provides the scientific rationale for the
expected outcome for a client with chronic cancer pain who receives the tricyclic
antidepressant imipramine?
decreases transmission of painful impulses by modifying activity of serotonin and
norepinephrine at nerve synapses
2 choice
Which statement by the client indicates the need for further instruction by the nurse
about the changing insulin needs of the diabetic client during pregnancy?
I will increase my insulin dosage by 5 units every month for the first trimester
2 multiple choice choices
A client who takes ipratropium complains of nausea, blurred vision, headache, and
sleeplessness after inhaling the medication. What is the first action the nurse should
take?
Withhold medication and notify health care provider of symptoms and vital signs
2 multiple choice choices
We have an expert solution to this problem!
A client is admitted with atrial fibrillation and the health care provider orders
disopyramide. After teaching the client the action of this antidysrhythmic agent, the
nurse should instruct the client to report which complaint?
Weight gain of 2 pounds daily
2 multiple choice options
A client is receiving cyclosporine to prevent renal allograft rejection. The nurse is
reviewing laboratory data after 9 months of drug therapy and finds that the blood urea
nitrogen level is 36 mg/dl. What other finding would the nurse find?
, creatinine 2.8 mg/dl
2 multiple choice options
The health care provider orders pyridostigmine bromide tablets for a client diagnosed
with myasthenia gravis (MG). What is a specific instruction the nurse should give this
client?
that the medication is not a cure but it does relieve symptoms
2 multiple choice options
We have an expert-written solution to this problem!
The therapeutic action of lactulose when prescribed for a client with hepatic
encephalopathy is to:
Decrease the pH of the colon
2 multiple choice options
A client with Paget's disease is started on calcitonin 500 mcg subcutaneously daily.
During the initial treatment, which is the priority nursing action?
Observe the client for signs of hypersensitivity
2 multiple choice options
A client is starting montelukast PO 10 mg daily in the evening. The client asks the nurse,
"When should I start feeling better?" How should the nurse respond?
peak is 3-4 hours with duration of 24 hours
2 multiple choice options
A client is receiving fentanyl through an epidural infusion. Which side effect can the
nurse expect in the initial 24-hour period of epidural analgesia?
A newborn mother asks the nurse why her baby needs the vitamin K injection. What
information should the nurse include?
Vitamin K synthesizing bacteria are not initially found in the intestinal tract of a
newborn.
2 multiple choice options
A client is diagnosed with peptic ulcer disease and the physician orders esomeprazole
20 mg cap daily. What instruction should the nurse include when providing discharge
teaching to this client?
Take orally at the same time of day, one hour before a meal
2 multiple choice options
We have an expert-written solution to this problem!
The health care provider orders two doses of 12 mg of betamethasone intramuscularly
every 12 hours for a client who is 30 weeks pregnant and in preterm labor. The client
asks the nurse why she is receiving the betamethasone. To describe the medication's
action, which information should the nurse use?
stimulates fetal surfactant production
2 multiple choice options
We have an expert-written solution to this problem!
A client is prescribed a new medication, pentazocine, a mixed opioid agonist-antagonist
after an opioid agonist is discontinued. What is the benefit for the client when the new
medication is initiated?
used to decrease substance abuse disorder
2 multiple choice options
,The health care provider orders oral antifungal therapy for a client diagnosed with
onychomycosis. Which instruction should the nurse provide to the client?
the infection is resistant to treatment and requires long-term therapy up to 3 to 6 months
2 multiple choice options
We have an expert-written solution to this problem!
A client has a new prescription for an ACE inhibitor. For which client history does this
medication contraindicate its use?
renal artery stenosis
3 multiple choice options
We do have a professional solution for this problem!
What side effects should the nurse monitor for a client who is receiving dexamethasone
post-neurosurgery? (Select all that apply.)
Mood changes, weight gain
Dexamethasone is a long-acting glucocorticoid given for neurosurgical cases because it
has anti-inflammation properties with low sodium retention, which is essential to
prevent cerebral edema. However, the medication does produce the following side
effects such as: mood swings, an increase in 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,
the client should be monitored for these side effects.
A client is receiving sulfisoxazole for a UTI and reports nausea and gastric upset since
beginning the medication. What other adverse reaction should the nurse teach the client
to report?
rash
,3 multiple choice options
We have an expert-written solution to this problem!
What is the pathophysiological action that provides the scientific rationale for the
expected outcome for a client with chronic cancer pain who receives the tricyclic
antidepressant imipramine?
decreases transmission of painful impulses by modifying activity of serotonin and
norepinephrine at nerve synapses
2 choice
Which statement by the client indicates the need for further instruction by the nurse
about the changing insulin needs of the diabetic client during pregnancy?
I will increase my insulin dosage by 5 units every month for the first trimester
2 multiple choice choices
A client who takes ipratropium complains of nausea, blurred vision, headache, and
sleeplessness after inhaling the medication. What is the first action the nurse should
take?
Withhold medication and notify health care provider of symptoms and vital signs
2 multiple choice choices
We have an expert solution to this problem!
A client is admitted with atrial fibrillation and the health care provider orders
disopyramide. After teaching the client the action of this antidysrhythmic agent, the
nurse should instruct the client to report which complaint?
Weight gain of 2 pounds daily
2 multiple choice options
A client is receiving cyclosporine to prevent renal allograft rejection. The nurse is
reviewing laboratory data after 9 months of drug therapy and finds that the blood urea
nitrogen level is 36 mg/dl. What other finding would the nurse find?
, creatinine 2.8 mg/dl
2 multiple choice options
The health care provider orders pyridostigmine bromide tablets for a client diagnosed
with myasthenia gravis (MG). What is a specific instruction the nurse should give this
client?
that the medication is not a cure but it does relieve symptoms
2 multiple choice options
We have an expert-written solution to this problem!
The therapeutic action of lactulose when prescribed for a client with hepatic
encephalopathy is to:
Decrease the pH of the colon
2 multiple choice options
A client with Paget's disease is started on calcitonin 500 mcg subcutaneously daily.
During the initial treatment, which is the priority nursing action?
Observe the client for signs of hypersensitivity
2 multiple choice options
A client is starting montelukast PO 10 mg daily in the evening. The client asks the nurse,
"When should I start feeling better?" How should the nurse respond?
peak is 3-4 hours with duration of 24 hours
2 multiple choice options
A client is receiving fentanyl through an epidural infusion. Which side effect can the
nurse expect in the initial 24-hour period of epidural analgesia?
