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Fundamentals HESI Exam practice questions
A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV every 24 hours is
scheduled to be administered. The client returns to the unit at
1300. What is the best intervention for the nurse to implement?
Contact the healthcare provider and complete a medication
variance form.
Administer the Levaquin at 1300 and resume the 0900 schedule
in the morning.
Notify the charge nurse and complete an incident report to
explain the missed dose.
Give the missed dose at 1300 and change the schedule to
administer daily at 1300. - ...ANSWER✓✓✓D
To ensure that a therapeutic level of medication is maintained,
the nurse should administer the missed dose as soon as
possible, and revise the administration schedule accordingly to
prevent dangerously increasing the level of the medication in the
bloodstream. The nurse should document the reason for the late
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dose, but contacting the healthcare provider or the charge nurse
are not warranted.
A client is receiving alprazolam (Xanax) 0.75 mg PO bid for
anxiety. Alprazolam is available in 0.5 mg scored tablets. How
many tablets should the nurse administer? (Enter numeric value
only.) - ...ANSWER✓✓✓1.5
Using the formula, Desired / Available x 1 tablet =
0.75 mg / 0.5 mg x 1 = 1.5 tablets
A client receives a prescription for azithromycin (Zithro max) 500
mg PO x 3 days. Azithromycin is available as 250 mg scored
tablets. How many tablets should the nurse administer per dose?
(Enter the numerical value only.) - ...ANSWER✓✓✓2
Using the formula, D/H
500 mg/250 mg = 2 tablets
A client who has a sinus infection is receiving a prescription for
amoxicillin/clavulanate potassium (Augmentin) 500 mg PO q8
hours. The available form is 250 mg amoxicillin/125mg
clavulanate tablets. How many tablets should the nurse
administer for each dose? (Enter numeric value only.) -
...ANSWER✓✓✓2
Using Desired/Available formula:
500 mg/250 mg x 1 tablet = 2
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A client who is 5 foot 5 inches tall and weighs 200 pounds is
scheduled for surgery the next day. Which question is most
important for the nurse to include during the preoperative
assessment?
"What is your daily calorie consumption?"
"What vitamin and mineral supplements do you take?"
"Do you feel that you are overweight?"
"Will a clear liquid diet be okay after surgery?" -
...ANSWER✓✓✓B
In the preoperative assessment, the nurse should assess the
client's use of vitamin and mineral supplements. These products
may impact medications used during the operative period. The
nature of the surgery and anesthesia will determine the need for
a clear liquid diet, rather than the client's preference. Addressing
long-term diet therapy is best done after surgery and recovery.
A client who is a Jehovah's Witness is admitted to the nursing
unit. Which concern should the nurse have for planning care in
terms of the client's beliefs?
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Autopsy of the body is prohibited.
Blood transfusions are forbidden.
Alcohol use in any form is not allowed.
A vegetarian diet must be followed. - ...ANSWER✓✓✓B
Blood transfusions are forbidden in the Jehovah's Witness
religion. Judaism prohibits autopsies and Buddhism forbids the
use of alcohol and drugs. Many of these sects follow a vegetarian
diet, but the direct impact on nursing care concerns beliefs about
transfusions.
A client who is in hospice care reports increasing amounts of
pain. The healthcare provider prescribes an analgesic every four
hours as needed. Which action should the nurse implement?
Give an around-the-clock schedule for administration of
analgesics.
Administer analgesic medication as needed when the pain is
severe.
Provide medication to keep the client sedated and unaware of
stimuli.
Fundamentals HESI Exam practice questions
A client is in the radiology department at 0900 when the
prescription levofloxacin (Levaquin) 500 mg IV every 24 hours is
scheduled to be administered. The client returns to the unit at
1300. What is the best intervention for the nurse to implement?
Contact the healthcare provider and complete a medication
variance form.
Administer the Levaquin at 1300 and resume the 0900 schedule
in the morning.
Notify the charge nurse and complete an incident report to
explain the missed dose.
Give the missed dose at 1300 and change the schedule to
administer daily at 1300. - ...ANSWER✓✓✓D
To ensure that a therapeutic level of medication is maintained,
the nurse should administer the missed dose as soon as
possible, and revise the administration schedule accordingly to
prevent dangerously increasing the level of the medication in the
bloodstream. The nurse should document the reason for the late
,2|Page
dose, but contacting the healthcare provider or the charge nurse
are not warranted.
A client is receiving alprazolam (Xanax) 0.75 mg PO bid for
anxiety. Alprazolam is available in 0.5 mg scored tablets. How
many tablets should the nurse administer? (Enter numeric value
only.) - ...ANSWER✓✓✓1.5
Using the formula, Desired / Available x 1 tablet =
0.75 mg / 0.5 mg x 1 = 1.5 tablets
A client receives a prescription for azithromycin (Zithro max) 500
mg PO x 3 days. Azithromycin is available as 250 mg scored
tablets. How many tablets should the nurse administer per dose?
(Enter the numerical value only.) - ...ANSWER✓✓✓2
Using the formula, D/H
500 mg/250 mg = 2 tablets
A client who has a sinus infection is receiving a prescription for
amoxicillin/clavulanate potassium (Augmentin) 500 mg PO q8
hours. The available form is 250 mg amoxicillin/125mg
clavulanate tablets. How many tablets should the nurse
administer for each dose? (Enter numeric value only.) -
...ANSWER✓✓✓2
Using Desired/Available formula:
500 mg/250 mg x 1 tablet = 2
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A client who is 5 foot 5 inches tall and weighs 200 pounds is
scheduled for surgery the next day. Which question is most
important for the nurse to include during the preoperative
assessment?
"What is your daily calorie consumption?"
"What vitamin and mineral supplements do you take?"
"Do you feel that you are overweight?"
"Will a clear liquid diet be okay after surgery?" -
...ANSWER✓✓✓B
In the preoperative assessment, the nurse should assess the
client's use of vitamin and mineral supplements. These products
may impact medications used during the operative period. The
nature of the surgery and anesthesia will determine the need for
a clear liquid diet, rather than the client's preference. Addressing
long-term diet therapy is best done after surgery and recovery.
A client who is a Jehovah's Witness is admitted to the nursing
unit. Which concern should the nurse have for planning care in
terms of the client's beliefs?
, 4|Page
Autopsy of the body is prohibited.
Blood transfusions are forbidden.
Alcohol use in any form is not allowed.
A vegetarian diet must be followed. - ...ANSWER✓✓✓B
Blood transfusions are forbidden in the Jehovah's Witness
religion. Judaism prohibits autopsies and Buddhism forbids the
use of alcohol and drugs. Many of these sects follow a vegetarian
diet, but the direct impact on nursing care concerns beliefs about
transfusions.
A client who is in hospice care reports increasing amounts of
pain. The healthcare provider prescribes an analgesic every four
hours as needed. Which action should the nurse implement?
Give an around-the-clock schedule for administration of
analgesics.
Administer analgesic medication as needed when the pain is
severe.
Provide medication to keep the client sedated and unaware of
stimuli.
