MDA 224 2018 HESI EXIT EXAM V3 (NEW) Answers Provided

. A client with diabetes has a blood sugar is 306 this morning. After the nurse reports this lab result and the client's symptoms of excessive hunger and thirst, what would the nurse expect the health care provider to order? A) Orange juice B) Regular insulin C) NPH Insulin D) Repeat blood sugar level The correct answer is B: Regular insulin 32. The nurse is planning to administer otic drops to a 6 year-old child. Which of the following is the correct procedure? A) Hold the pinna up and back to instill the drops B) Place several drops in the outer ear C) Insert cotton in the outer ear after giving medication D) Assist the child to lie on the affected side afterwards The correct answer is A: Hold the pinna up and back to instill the drops 33. A 1 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? A) Use aseptic technique during dressing changes B) Maintain central line catheter integrity C) Monitor serum glucose levels D) Check results of liver function tests The correct answer is C: Monitor serum glucose levels 34. Today's prothrombin time for a client receiving Coumadin is 20 (normal range listed by the lab is 10-14). What is the appropriate nursing action? A) Notify the health care provider immediately B) Recognize that this is a therapeutic level C) Observe the client for hematoma development D) Assess for bleeding at gums or IV sites The correct answer is B: Recognize that this is a therapeutic level 35. The nurse administered intravenous gamma globulin to an 18 month-old child with AIDS. The parent asks why this medication is being given. What is the nurse’s best response? A) "It will slow down the replication of the virus." B) "This medication will improve your child's overall health status." C) "This medication is used to prevent bacterial infections." D) "It will increase the effectiveness of the other medications your child receives." The correct answer is C: "This medication is used to prevent bacterial infections." 36. The nurse is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse's immediate attention? A) Temperature of 37.5 degrees Celsius B) Urine output of 300 cc in 4 hours C) Poor skin turgor D) Blood glucose of 350 mg/dl The correct answer is D: Blood glucose of 350 mg/dl 37. The nurse is teaching a client with asthma about the correct use of the Azmacort (triamcinolone) inhaler. Which of the following statements, if made by the client, would indicate that the teaching was effective? A) "The inhaler can be used whenever I feel short of breath." B) "I should rinse my mouth after using the inhaler." C) "If I forget a dose, I can double up on the next dose." D) I should not use a spacer with my Azmacort. The correct answer is B: "I should rinse my mouth after using the inhaler." 38. A client is admitted to the hospital because of heart failure and digoxin toxicity. At home, the client was taking digoxin (Lanoxin) and furosemide (Lasix). Which symptom would the nurse anticipate finding on the initial assessment? * A) Muscle weakness and cramping B) Confusion C) Blood in the urine D) Tinnitis The correct answer is A: Muscle weakness and cramping 39. The nurse admits a client with hypertension who complains of dizziness after taking diltiazem (Cardizem). Which of the following is the most important information for the nurse to assess? A) Schedule for taking medicine B) Daily intake of potassium C) Activity and rest patterns D) Baseline heart rate Review Information: The correct answer is A: Schedule for taking medicine 40. Which of the following classifications of medications would be most often used for clients with schizophrenia? A) Anti-depressants B) Mood stabilizers C) Anxiolytics D) Neuroleptics The correct answer is D: Neuroleptics 41. A hospitalized 8 month-old infant is receiving digoxin for the treatment of Tetralogy of Fallot. Prior to administering the next dose of medication, the parent reports that the baby has vomited one time, just after breakfast. The heart rate is 62. What is the initial response of the nurse? A) Give the dose after lunch B) Reduce the next dose by half C) Double the next dose * D) Hold the medication The correct answer is D: Hold the medication 42. A child is treated with edetate calcium disodium (Calcium EDTA) for lead poisoning. Which of these should the nurse assess first ? A) Serum potassium level B) Blood calcium level C) Urinary output D) Deep tendon reflexes The correct answer is C: Urinary output 43. The nurse is assessing a client who has taken haldol (Haloperidol) for several months. Which of the following is a side effect of this medication and must be reported immediately to the health care provider? A) Muscle flaccidity B) Dystonic reaction C) Mood swings D) Dry, harsh cough The correct answer is B: Dystonic reaction 44. The nurse is caring for a client with renal calculi. Which health care provider order would be a priority? A) Morphine sulfate as client controlled analgesia B) Push oral fluids and keep vein open C) Continuous warm compresses to the flank area D) Intravenous antibiotics The correct answer is A: Morphine sulfate as client controlled analgesia 45. A client with angina has been instructed about the use of sublingual nitroglycerin. Which of the following statements made to the nurse indicates a need for further teaching? A) "I will rest briefly right after taking 1 tablet." B) "I can take 2-3 tablets at once if I have severe pain." C) "I'll call the doctor if pain continues after 3 tablets 5 minutes apart." D) "I understand that the medication should be kept in the dark bottle." The correct answer is B: "I can take 2-3 tablets at once if I have severe pain." 46. The nurse is teaching administration of albuterol inhalation to an adult with asthma. Which of the following demonstrates proper teaching? A) "Use this medication at bedtime to promote rest." B) "Discontinue the inhalation if you are dizzy." C) "Inhale this medication after other asthma sprays." D) "Notify the health care provider if you need the drug more often." The correct answer is D: "Notify the health care provider if you need the drug more often." 47. A hospitalized 8 month-old is receiving gentamicin (Cidomycin). In monitoring the infant for drug toxicity, the nurse should review which laboratory results first? A) Blood urea nitrogen B) Thyroxin levels C) Growth hormone levels D) Platelet counts The correct answer is A: Blood urea nitrogen