HESI Comprehensive Exit EXAM QUESTIONS AND
ANSWERS GRADED A+ ASSURED SUCCESS NEW
UPDATE 2025/2026 (MULTIPLE CHOICES) WITH
RATIONALES.
1-
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does
xz xz xz xz xz xz xz xz xz xz xz x
the nurse perform as a priority before administering the medication?
z xz xz xz xz xz xz xz xz xz
A. Checking the client's blood pressure
xz xz xz xz xz
B. Checking the client's peripheral pulses
xz xz xz xz xz
C. Checking the most recent potassium level
xz xz xz xz xz xz
D. Checking the client's intake-and-output record for the last 24 hours - ans-
xz xz xz xz xz xz xz xz xz xz xz xz
A. Checking the client's blood pressure
xz xz xz xz xz
Checking the client's blood pressure xz xz xz xz xz
Enalapril maleate is an angiotensin- xz xz xz xz
converting enzyme (ACE) inhibitor used to treat hypertension. One common side effect is p
xz xz xz xz xz xz xz xz xz xz xz xz xz
ostural hypotension. Therefore the nurse would check the client's blood pressure immediat
xz xz xz xz xz xz xz xz xz xz xz
ely before administering each dose. Checking the client's peripheral pulses, the results of t
xz xz xz xz xz xz xz xz xz xz xz xz xz
he most recent potassium level, and the intake and output for the previous 24 hours are not
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
specifically associated with this mediation. xz xz xz xz
2-
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provid
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
es instructions to the client about the test. Which statement by the client indicates a need for
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
further instruction?
xz xz
A. "The test will take about 30 minutes."
xz xz xz xz xz xz xz
B. "I need to fast for 8 hours before the test."
xz xz xz xz xz xz xz xz xz xz
C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enem
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
a on the morning of the test."
xz xz xz xz xz xz xz
D. "I need to take a laxative after the test is completed, because the liquid that I'll have to dri
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nk for the test can be constipating." - ans-
xz xz xz xz xz xz xz xz
C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enem
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
a on the morning of the test."
xz xz xz xz xz xz
An upper GI series involves visualization of the esophagus, duodenum, and upper jejunum
xz xz xz xz xz xz xz xz xz xz xz xz xz
by means of the use of a contrast medium. It involves swallowing a contrast medium (usuall
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
y barium), which is administered in a flavored milkshake. Films are taken at intervals during
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
the test, which takes about 30 minutes. No special preparation is necessary before a GI seri
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
,es, except that NPO status must be maintained for 8 hours before the test. After an upper GI
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
series, the client is prescribed a laxative to hasten elimination of the barium. Barium that re
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
mains in the colon may become hard and difficult to expel, leading to fecal impaction.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
3-
A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
prescribed medication is higher than the normal dose. The nurse calls the physician's answ
xz xz xz xz xz xz xz xz xz xz xz xz xz
ering service and is told that the physician is off for the night and will be available in the morn
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ing. The nurse should: xz xz xz
A. Call the nursing supervisor
xz xz xz xz
B. Ask the answering service to contact the on-call physician
xz xz xz xz xz xz xz xz xz
C. Withhold the medication until the physician can be reached in the morning
xz xz xz xz xz xz xz xz xz xz xz xz
D. Administer the medication but consult the physician when he becomes available - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz
B. Ask the answering service to contact the on-call physician
xz xz xz xz xz xz xz xz xz
4.An emergency department (ED) nurse is monitoring a client with suspected acute myocar
xz xz xz xz xz xz xz xz xz xz xz xz
dial infarction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse no
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
tes the sudden onset of premature ventricular contractions (PVCs) on the monitor, checks t
xz xz xz xz xz xz xz xz xz xz xz xz xz
he client's carotid pulse, and determines that the PVCs are not resulting in perfusion. The a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ppropriate action by the nurse is: xz xz xz xz xz
A. Documenting the findings
xz xz xz
B. Asking the ED physician to check the client
xz xz xz xz xz xz xz xz
C. Continuing to monitor the client's cardiac status
xz xz xz xz xz xz xz
D. Informing the client that PVCs are expected after an MI - ans-
xz xz xz xz xz xz xz xz xz xz xz xz
B. Asking the ED physician to check the client
xz xz xz xz xz xz xz xz
5.NPO status is imposed 8 hours before the procedure on a client scheduled to undergo ele
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ctroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks t xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
he client's record and notes that the client routinely takes an oral antihypertensive medicati
xz xz xz xz xz xz xz xz xz xz xz xz xz
on each morning. The nurse should:
xz xz xz xz xz
A. Administer the antihypertensive with a small sip of water
xz xz xz xz xz xz xz xz xz
B. Withhold the antihypertensive and administer it at bedtime
xz xz xz xz xz xz xz xz
C. Administer the medication by way of the intravenous (IV) route
xz xz xz xz xz xz xz xz xz xz
D. Hold the antihypertensive and resume its administration on the day after the ECT - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
A. Administer the antihypertensive with a small sip of water
xz xz xz xz xz xz xz xz xz
6 A client who recently underwent coronary artery bypass graft surgery comes to the physic
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ian's office for a follow- xz xz xz xz
up visit. On assessment, the client tells the nurse that he is feeling depressed. Which respo
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nse by the nurse is therapeutic?
xz xz xz xz xz
A. "Tell me more about what you're feeling."
xz xz xz xz xz xz xz xz
B. "That's a normal response after this type of surgery."
xz xz xz xz xz xz xz xz xz
,C. "It will take time, but, I promise you, you will get over this depression."
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
D. "Every client who has this surgery feels the same way for about a month." - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
A. "Tell me more about what you're feeling."
xz xz xz xz xz xz xz
7 A client in labor experiences spontaneous rupture of the membranes. The nurse immedia
xz xz xz xz xz xz xz xz xz xz xz xz xz
tely counts the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. Th
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
e nurse notes that the fluid is yellow and has a strong odor. Which of the following actions sh
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ould be the nurse's priority? xz xz xz xz
A. Contacting the physician
xz xz xz
B. Documenting the findings
xz xz xz
C. Checking the fluid for protein
xz xz xz xz xz
D. Continuing to monitor the client and the FHR - ans-A. Contacting the physician Correct
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
8 A nurse has assisted a physician in inserting a central venous access device into a client
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
with a diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After i
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nsertion of the catheter, the nurse immediately plans to: xz xz xz xz xz xz xz xz
A. Call the radiography department to obtain a chest x-ray
xz xz xz xz xz xz xz xz xz
B. Check the client's blood glucose level to serve as a baseline measurement
xz xz xz xz xz xz xz xz xz xz xz xz
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
D. Infuse normal saline solution through the catheter at a rate of 100 mL/
xz xz xz xz xz xz xz xz xz xz xz xz xz
hr to maintain patency - ans-A. Call the radiography department to obtain a chest x-ray
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
9 A rape victim being treated in the emergency department says to the nurse, "I'm really wor
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ried that I've got HIV now." What is the appropriate response by the nurse?
xz xz xz xz xz xz xz xz xz xz xz xz xz
A. "HIV is rarely an issue in rape victims."
xz xz xz xz xz xz xz xz
B. "Every rape victim is concerned about HIV."
xz xz xz xz xz xz xz
C. "You're more likely to get pregnant than to contract HIV."
xz xz xz xz xz xz xz xz xz xz
D. "Let's talk about the information that you need to determine your risk of contracting HIV."
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
- ans-
xz
D. "Let's talk about the information that you need to determine your risk of contracting HIV."
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
10 A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily, to relieve j
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
oint pain resulting from rheumatoid arthritis. The client tells the nurse that the medication is
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
causing nausea and indigestion. The nurse should tell the client to:
xz xz xz xz xz xz xz xz xz xz
A. Contact the physician
xz xz xz
B. Stop taking the medication
xz xz xz xz
C. Take the medication with food
xz xz xz xz xz
D. Take the medication twice a day instead of four times - ans-
xz xz xz xz xz xz xz xz xz xz xz xz
C. Take the medication with food
xz xz xz xz xz
11 A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day shift,
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
and 650 mL on the evening shift. The client is receiving an intravenous (IV) antibiotic every
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
, 12 hours, diluted in 50 mL of normal saline solution. The nurse empties 700 mL of urine fro
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
m the client's Foley catheter at the end of the day shift. Thereafter, 500 mL of urine is emptie
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
d at the end of the evening shift and 325 mL at the end of the night shift. Nasogastric tube dr
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ainage totals 155 mL for the 24-hour period, and the total drainage from the Jackson-
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Pratt device is 175 mL. What is the client's total intake during the 24-hour period?
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
Type your answer in the space provided.
xz xz xz xz xz xz xz
Answer: ________mL - ans-Correct Responses: "1670" xz xz xz xz xz
12 Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed for
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
a client for the management of anxiety. The nurse prepares the medication as prescribed a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nd administers the medication over a period of:
xz xz xz xz xz xz xz
A. 3 minutes xz xz
B. 10 seconds xz xz
C. 15 seconds xz xz
D. 30 minutes - ans-A. 3 minutes Correct
xz xz xz xz xz xz xz
13 A nurse, conducting an assessment of a client being seen in the clinic for symptoms of a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
sinus infection, asks the client about medications that he is taking. The client tells the nurse
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
that he is taking nefazodone hydrochloride (Serzone). On the basis of this information, the
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nurse determines that the client most likely has a history of:
xz xz xz xz xz xz xz xz xz xz
A. Depression xz
B. Diabetes mellitus
xz xz
C. Hyperthyroidism
xz
D. Coronary artery disease - ans-A. Depression
xz xz xz xz xz xz
14 Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse provides
xz xz xz xz xz xz xz xz xz xz xz xz xz x
information to the client about the adverse effects of the medication and tells the client to co
z xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ntact the physician immediately if she experiences:
xz xz xz xz xz xz
A. Dry mouth xz xz
B. Restlessness xz
C. Feelings of depression
xz xz xz
D. Neck stiffness or soreness - ans-D. Neck stiffness or soreness Correct
xz xz xz xz xz xz xz xz xz xz xz
15 Risperidone (Risperdal) is prescribed for a client hospitalized in the mental health unit fo
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
r the treatment of a psychotic disorder. Which finding in the client's medical record would pr
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ompt the nurse to contact the prescribing physician before administering the medication?
xz xz xz xz xz xz xz xz xz xz xz
A. The client has a history of cataracts.
xz xz xz xz xz xz xz
B. The client has a history of hypothyroidism.
xz xz xz xz xz xz xz
C. The client takes a prescribed antihypertensive.
xz xz xz xz xz xz xz
D. The client is allergic to acetylsalicylic acid (aspirin). - ans-
xz xz xz xz xz xz xz xz xz xz
C. The client takes a prescribed antihypertensive.
xz xz xz xz xz xz
ANSWERS GRADED A+ ASSURED SUCCESS NEW
UPDATE 2025/2026 (MULTIPLE CHOICES) WITH
RATIONALES.
1-
Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does
xz xz xz xz xz xz xz xz xz xz xz x
the nurse perform as a priority before administering the medication?
z xz xz xz xz xz xz xz xz xz
A. Checking the client's blood pressure
xz xz xz xz xz
B. Checking the client's peripheral pulses
xz xz xz xz xz
C. Checking the most recent potassium level
xz xz xz xz xz xz
D. Checking the client's intake-and-output record for the last 24 hours - ans-
xz xz xz xz xz xz xz xz xz xz xz xz
A. Checking the client's blood pressure
xz xz xz xz xz
Checking the client's blood pressure xz xz xz xz xz
Enalapril maleate is an angiotensin- xz xz xz xz
converting enzyme (ACE) inhibitor used to treat hypertension. One common side effect is p
xz xz xz xz xz xz xz xz xz xz xz xz xz
ostural hypotension. Therefore the nurse would check the client's blood pressure immediat
xz xz xz xz xz xz xz xz xz xz xz
ely before administering each dose. Checking the client's peripheral pulses, the results of t
xz xz xz xz xz xz xz xz xz xz xz xz xz
he most recent potassium level, and the intake and output for the previous 24 hours are not
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
specifically associated with this mediation. xz xz xz xz
2-
A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provid
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
es instructions to the client about the test. Which statement by the client indicates a need for
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
further instruction?
xz xz
A. "The test will take about 30 minutes."
xz xz xz xz xz xz xz
B. "I need to fast for 8 hours before the test."
xz xz xz xz xz xz xz xz xz xz
C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enem
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
a on the morning of the test."
xz xz xz xz xz xz xz
D. "I need to take a laxative after the test is completed, because the liquid that I'll have to dri
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nk for the test can be constipating." - ans-
xz xz xz xz xz xz xz xz
C. "I need to drink citrate of magnesia the night before the test and give myself a Fleet enem
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
a on the morning of the test."
xz xz xz xz xz xz
An upper GI series involves visualization of the esophagus, duodenum, and upper jejunum
xz xz xz xz xz xz xz xz xz xz xz xz xz
by means of the use of a contrast medium. It involves swallowing a contrast medium (usuall
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
y barium), which is administered in a flavored milkshake. Films are taken at intervals during
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
the test, which takes about 30 minutes. No special preparation is necessary before a GI seri
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
,es, except that NPO status must be maintained for 8 hours before the test. After an upper GI
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
series, the client is prescribed a laxative to hasten elimination of the barium. Barium that re
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
mains in the colon may become hard and difficult to expel, leading to fecal impaction.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
3-
A nurse on the evening shift checks a physician's prescriptions and notes that the dose of a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
prescribed medication is higher than the normal dose. The nurse calls the physician's answ
xz xz xz xz xz xz xz xz xz xz xz xz xz
ering service and is told that the physician is off for the night and will be available in the morn
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ing. The nurse should: xz xz xz
A. Call the nursing supervisor
xz xz xz xz
B. Ask the answering service to contact the on-call physician
xz xz xz xz xz xz xz xz xz
C. Withhold the medication until the physician can be reached in the morning
xz xz xz xz xz xz xz xz xz xz xz xz
D. Administer the medication but consult the physician when he becomes available - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz
B. Ask the answering service to contact the on-call physician
xz xz xz xz xz xz xz xz xz
4.An emergency department (ED) nurse is monitoring a client with suspected acute myocar
xz xz xz xz xz xz xz xz xz xz xz xz
dial infarction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse no
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
tes the sudden onset of premature ventricular contractions (PVCs) on the monitor, checks t
xz xz xz xz xz xz xz xz xz xz xz xz xz
he client's carotid pulse, and determines that the PVCs are not resulting in perfusion. The a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ppropriate action by the nurse is: xz xz xz xz xz
A. Documenting the findings
xz xz xz
B. Asking the ED physician to check the client
xz xz xz xz xz xz xz xz
C. Continuing to monitor the client's cardiac status
xz xz xz xz xz xz xz
D. Informing the client that PVCs are expected after an MI - ans-
xz xz xz xz xz xz xz xz xz xz xz xz
B. Asking the ED physician to check the client
xz xz xz xz xz xz xz xz
5.NPO status is imposed 8 hours before the procedure on a client scheduled to undergo ele
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ctroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks t xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
he client's record and notes that the client routinely takes an oral antihypertensive medicati
xz xz xz xz xz xz xz xz xz xz xz xz xz
on each morning. The nurse should:
xz xz xz xz xz
A. Administer the antihypertensive with a small sip of water
xz xz xz xz xz xz xz xz xz
B. Withhold the antihypertensive and administer it at bedtime
xz xz xz xz xz xz xz xz
C. Administer the medication by way of the intravenous (IV) route
xz xz xz xz xz xz xz xz xz xz
D. Hold the antihypertensive and resume its administration on the day after the ECT - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
A. Administer the antihypertensive with a small sip of water
xz xz xz xz xz xz xz xz xz
6 A client who recently underwent coronary artery bypass graft surgery comes to the physic
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ian's office for a follow- xz xz xz xz
up visit. On assessment, the client tells the nurse that he is feeling depressed. Which respo
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
nse by the nurse is therapeutic?
xz xz xz xz xz
A. "Tell me more about what you're feeling."
xz xz xz xz xz xz xz xz
B. "That's a normal response after this type of surgery."
xz xz xz xz xz xz xz xz xz
,C. "It will take time, but, I promise you, you will get over this depression."
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
D. "Every client who has this surgery feels the same way for about a month." - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
A. "Tell me more about what you're feeling."
xz xz xz xz xz xz xz
7 A client in labor experiences spontaneous rupture of the membranes. The nurse immedia
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tely counts the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. Th
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e nurse notes that the fluid is yellow and has a strong odor. Which of the following actions sh
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ould be the nurse's priority? xz xz xz xz
A. Contacting the physician
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B. Documenting the findings
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C. Checking the fluid for protein
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D. Continuing to monitor the client and the FHR - ans-A. Contacting the physician Correct
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8 A nurse has assisted a physician in inserting a central venous access device into a client
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with a diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After i
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nsertion of the catheter, the nurse immediately plans to: xz xz xz xz xz xz xz xz
A. Call the radiography department to obtain a chest x-ray
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B. Check the client's blood glucose level to serve as a baseline measurement
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C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
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D. Infuse normal saline solution through the catheter at a rate of 100 mL/
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hr to maintain patency - ans-A. Call the radiography department to obtain a chest x-ray
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9 A rape victim being treated in the emergency department says to the nurse, "I'm really wor
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ried that I've got HIV now." What is the appropriate response by the nurse?
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A. "HIV is rarely an issue in rape victims."
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B. "Every rape victim is concerned about HIV."
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C. "You're more likely to get pregnant than to contract HIV."
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D. "Let's talk about the information that you need to determine your risk of contracting HIV."
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- ans-
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D. "Let's talk about the information that you need to determine your risk of contracting HIV."
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10 A client is taking prescribed ibuprofen (Motrin), 300 mg orally four times daily, to relieve j
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oint pain resulting from rheumatoid arthritis. The client tells the nurse that the medication is
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causing nausea and indigestion. The nurse should tell the client to:
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A. Contact the physician
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B. Stop taking the medication
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C. Take the medication with food
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D. Take the medication twice a day instead of four times - ans-
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C. Take the medication with food
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11 A client's oral intake of liquids includes 120 mL on the night shift, 800 mL on the day shift,
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and 650 mL on the evening shift. The client is receiving an intravenous (IV) antibiotic every
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, 12 hours, diluted in 50 mL of normal saline solution. The nurse empties 700 mL of urine fro
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m the client's Foley catheter at the end of the day shift. Thereafter, 500 mL of urine is emptie
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d at the end of the evening shift and 325 mL at the end of the night shift. Nasogastric tube dr
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ainage totals 155 mL for the 24-hour period, and the total drainage from the Jackson-
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Pratt device is 175 mL. What is the client's total intake during the 24-hour period?
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Type your answer in the space provided.
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Answer: ________mL - ans-Correct Responses: "1670" xz xz xz xz xz
12 Lorazepam (Ativan) 1 mg by way of intravenous (IV) injection (IV push) is prescribed for
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a client for the management of anxiety. The nurse prepares the medication as prescribed a
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nd administers the medication over a period of:
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A. 3 minutes xz xz
B. 10 seconds xz xz
C. 15 seconds xz xz
D. 30 minutes - ans-A. 3 minutes Correct
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13 A nurse, conducting an assessment of a client being seen in the clinic for symptoms of a
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sinus infection, asks the client about medications that he is taking. The client tells the nurse
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that he is taking nefazodone hydrochloride (Serzone). On the basis of this information, the
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nurse determines that the client most likely has a history of:
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A. Depression xz
B. Diabetes mellitus
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C. Hyperthyroidism
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D. Coronary artery disease - ans-A. Depression
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14 Phenelzine sulfate (Nardil) is prescribed for a client with depression. The nurse provides
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information to the client about the adverse effects of the medication and tells the client to co
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ntact the physician immediately if she experiences:
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A. Dry mouth xz xz
B. Restlessness xz
C. Feelings of depression
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D. Neck stiffness or soreness - ans-D. Neck stiffness or soreness Correct
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15 Risperidone (Risperdal) is prescribed for a client hospitalized in the mental health unit fo
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r the treatment of a psychotic disorder. Which finding in the client's medical record would pr
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ompt the nurse to contact the prescribing physician before administering the medication?
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A. The client has a history of cataracts.
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B. The client has a history of hypothyroidism.
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C. The client takes a prescribed antihypertensive.
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D. The client is allergic to acetylsalicylic acid (aspirin). - ans-
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C. The client takes a prescribed antihypertensive.
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