HESI Comprehensive Exam 3
1-Enalapril maleate (Vasotec) is prescribed for a hospitalized patron. Which assessment does
the nurse perform as a priority before administering the medicine?
A. Checking the customer's blood stress
B. Checking the purchaser's peripheral pulses
C. Checking the most current potassium stage
D. Checking the client's consumption-and-output document for the ultimate 24 hours - ANS-A.
Checking the purchaser's blood strain
Checking the patron's blood strain
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat high blood
pressure. One commonplace side impact is postural hypotension. Therefore the nurse would
take a look at the patron's blood stress right away earlier than administering every dose.
Checking the consumer's peripheral pulses, the results of the maximum current potassium
stage, and the intake and output for the previous 24 hours aren't particularly associated with this
mediation.
2-A customer is scheduled to go through an higher gastrointestinal (GI) collection, and the nurse
gives instructions to the customer approximately the check. Which announcement with the aid
of the customer indicates a want for similarly practise?
A. "The test will take about half-hour."
B. "I need to rapid for 8 hours earlier than the check."
C. "I want to drink citrate of magnesia the night time before the check and provide myself a Fleet
enema on the morning of the check."
D. "I need to take a laxative after the check is completed, due to the fact the liquid that I'll need
to drink for the test can be constipating." - ANS-C. "I want to drink citrate of magnesia the night
time before the take a look at and provide myself a Fleet enema on the morning of the test."
An top GI series involves visualization of the esophagus, duodenum, and higher jejunum by way
of using a evaluation medium. It involves swallowing a assessment medium (generally barium),
which is administered in a flavored milkshake. Films are taken at durations during the test,
which takes approximately 30 minutes. No unique training is essential before a GI series, except
that NPO repute must be maintained for 8 hours before the check. After an upper GI collection,
the consumer is prescribed a laxative to hasten elimination of the barium. Barium that remains
in the colon may additionally emerge as tough and difficult to expel, main to fecal impaction.
3-A nurse at the night shift exams a physician's prescriptions and notes that the dose of a
prescribed medicinal drug is better than the normal dose. The nurse calls the physician's
,answering provider and is instructed that the doctor is off for the night time and may be to be
had inside the morning. The nurse must:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-name physician
C. Withhold the medicine until the physician can be reached in the morning
D. Administer the drugs however consult the physician while he turns into to be had - ANS-B.
Ask the answering carrier to contact the on-name doctor
four.An emergency branch (ED) nurse is monitoring a client with suspected acute myocardial
infarction (MI) who's watching for switch to the coronary intensive care unit. The nurse notes the
surprising onset of untimely ventricular contractions (PVCs) on the monitor, tests the
purchaser's carotid pulse, and determines that the PVCs aren't ensuing in perfusion. The
suitable action by the nurse is:
A. Documenting the findings
B. Asking the ED health practitioner to check the purchaser
C. Continuing to monitor the patron's cardiac fame
D. Informing the client that PVCs are expected after an MI - ANS-B. Asking the ED medical
doctor to check the patron
five.NPO fame is imposed 8 hours before the system on a consumer scheduled to go through
electroconvulsive remedy (ECT) at 1 p.M. On the morning of the system, the nurse exams the
purchaser's record and notes that the patron mechanically takes an oral antihypertensive
medicine every morning. The nurse ought to:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medicine with the aid of manner of the intravenous (IV) path
D. Hold the antihypertensive and resume its management at the day after the ECT - ANS-A.
Administer the antihypertensive with a small sip of water
6 A client who these days underwent coronary artery pass graft surgical treatment comes to the
physician's workplace for a follow-up go to. On evaluation, the purchaser tells the nurse that he
is feeling depressed. Which response by means of the nurse is healing?
A. "Tell me greater approximately what you feel."
B. "That's a normal response after this type of surgical treatment."
C. "It will take time, however, I promise you, you'll recover from this depression."
D. "Every customer who has this surgical treatment feels the equal way for about a month." -
ANS-A. "Tell me greater about what you're feeling."
7 A consumer in hard work studies spontaneous rupture of the membranes. The nurse
immediately counts the fetal coronary heart fee (FHR) for 1 complete minute and then
,assessments the amniotic fluid. The nurse notes that the fluid is yellow and has a robust scent.
Which of the following moves ought to be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to screen the purchaser and the FHR - ANS-A. Contacting the health practitioner
Correct
8 A nurse has assisted a physician in putting a imperative venous get admission to tool into a
consumer with a analysis of extreme malnutrition who could be receiving parenteral nutrients
(PN). After insertion of the catheter, the nurse right now plans to:
A. Call the radiography department to acquire a chest x-ray
B. Check the patron's blood glucose degree to serve as a baseline dimension
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse ordinary saline solution through the catheter at a charge of a hundred mL/hr to keep
patency - ANS-A. Call the radiography branch to acquire a chest x-ray
nine A rape sufferer being treated in the emergency department says to the nurse, "I'm certainly
concerned that I've got HIV now." What is the proper reaction by means of the nurse?
A. "HIV is rarely an trouble in rape victims."
B. "Every rape victim is involved about HIV."
C. "You're much more likely to get pregnant than to agreement HIV."
D. "Let's speak about the records which you need to determine your risk of contracting HIV." -
ANS-D. "Let's speak about the records which you need to determine your risk of contracting
HIV."
10 A purchaser is taking prescribed ibuprofen (Motrin), three hundred mg orally 4 instances day
by day, to alleviate joint pain due to rheumatoid arthritis. The client tells the nurse that the
medication is causing nausea and indigestion. The nurse should inform the client to:
A. Contact the doctor
B. Stop taking the medication
C. Take the medication with meals
D. Take the medicine two times a day instead of 4 times - ANS-C. Take the medication with
meals
11 A patron's oral intake of liquids consists of 120 mL on the night shift, 800 mL at the day shift,
and 650 mL on the nighttime shift. The consumer is receiving an intravenous (IV) antibiotic
every 12 hours, diluted in 50 mL of ordinary saline answer. The nurse empties seven-hundred
mL of urine from the purchaser's Foley catheter on the end of the day shift. Thereafter, 500 mL
of urine is emptied on the quit of the night shift and 325 mL at the cease of the night shift.
, Nasogastric tube drainage totals 155 mL for the 24-hour period, and the entire drainage from
the Jackson-Pratt tool is 175 mL. What is the consumer's total intake for the duration of the
24-hour length? Type your solution within the area provided.
Answer: ________mL - ANS-Correct Responses: "1670"
12 Lorazepam (Ativan) 1 mg by way of manner of intravenous (IV) injection (IV push) is
prescribed for a patron for the management of tension. The nurse prepares the medicine as
prescribed and administers the medicine over a duration of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
D. Half-hour - ANS-A. Three mins Correct
thirteen A nurse, conducting an evaluation of a client being seen in the medical institution for
signs and symptoms of a sinus infection, asks the customer approximately medicines that he is
taking. The purchaser tells the nurse that he is taking nefazodone hydrochloride (Serzone). On
the basis of this facts, the nurse determines that the client maximum possibly has a records of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery sickness - ANS-A. Depression
14 Phenelzine sulfate (Nardil) is prescribed for a customer with melancholy. The nurse offers
statistics to the purchaser about the adverse results of the medicine and tells the purchaser to
touch the health practitioner straight away if she reviews:
A. Dry mouth
B. Restlessness
C. Feelings of melancholy
D. Neck stiffness or pain - ANS-D. Neck stiffness or soreness Correct
15 Risperidone (Risperdal) is prescribed for a customer hospitalized inside the intellectual
fitness unit for the remedy of a psychotic disease. Which finding in the client's medical record
might set off the nurse to touch the prescribing health practitioner before administering the
medicine?
A. The patron has a history of cataracts.
B. The customer has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive.
D. The customer is allergic to acetylsalicylic acid (aspirin). - ANS-C. The customer takes a
prescribed antihypertensive.
1-Enalapril maleate (Vasotec) is prescribed for a hospitalized patron. Which assessment does
the nurse perform as a priority before administering the medicine?
A. Checking the customer's blood stress
B. Checking the purchaser's peripheral pulses
C. Checking the most current potassium stage
D. Checking the client's consumption-and-output document for the ultimate 24 hours - ANS-A.
Checking the purchaser's blood strain
Checking the patron's blood strain
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat high blood
pressure. One commonplace side impact is postural hypotension. Therefore the nurse would
take a look at the patron's blood stress right away earlier than administering every dose.
Checking the consumer's peripheral pulses, the results of the maximum current potassium
stage, and the intake and output for the previous 24 hours aren't particularly associated with this
mediation.
2-A customer is scheduled to go through an higher gastrointestinal (GI) collection, and the nurse
gives instructions to the customer approximately the check. Which announcement with the aid
of the customer indicates a want for similarly practise?
A. "The test will take about half-hour."
B. "I need to rapid for 8 hours earlier than the check."
C. "I want to drink citrate of magnesia the night time before the check and provide myself a Fleet
enema on the morning of the check."
D. "I need to take a laxative after the check is completed, due to the fact the liquid that I'll need
to drink for the test can be constipating." - ANS-C. "I want to drink citrate of magnesia the night
time before the take a look at and provide myself a Fleet enema on the morning of the test."
An top GI series involves visualization of the esophagus, duodenum, and higher jejunum by way
of using a evaluation medium. It involves swallowing a assessment medium (generally barium),
which is administered in a flavored milkshake. Films are taken at durations during the test,
which takes approximately 30 minutes. No unique training is essential before a GI series, except
that NPO repute must be maintained for 8 hours before the check. After an upper GI collection,
the consumer is prescribed a laxative to hasten elimination of the barium. Barium that remains
in the colon may additionally emerge as tough and difficult to expel, main to fecal impaction.
3-A nurse at the night shift exams a physician's prescriptions and notes that the dose of a
prescribed medicinal drug is better than the normal dose. The nurse calls the physician's
,answering provider and is instructed that the doctor is off for the night time and may be to be
had inside the morning. The nurse must:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-name physician
C. Withhold the medicine until the physician can be reached in the morning
D. Administer the drugs however consult the physician while he turns into to be had - ANS-B.
Ask the answering carrier to contact the on-name doctor
four.An emergency branch (ED) nurse is monitoring a client with suspected acute myocardial
infarction (MI) who's watching for switch to the coronary intensive care unit. The nurse notes the
surprising onset of untimely ventricular contractions (PVCs) on the monitor, tests the
purchaser's carotid pulse, and determines that the PVCs aren't ensuing in perfusion. The
suitable action by the nurse is:
A. Documenting the findings
B. Asking the ED health practitioner to check the purchaser
C. Continuing to monitor the patron's cardiac fame
D. Informing the client that PVCs are expected after an MI - ANS-B. Asking the ED medical
doctor to check the patron
five.NPO fame is imposed 8 hours before the system on a consumer scheduled to go through
electroconvulsive remedy (ECT) at 1 p.M. On the morning of the system, the nurse exams the
purchaser's record and notes that the patron mechanically takes an oral antihypertensive
medicine every morning. The nurse ought to:
A. Administer the antihypertensive with a small sip of water
B. Withhold the antihypertensive and administer it at bedtime
C. Administer the medicine with the aid of manner of the intravenous (IV) path
D. Hold the antihypertensive and resume its management at the day after the ECT - ANS-A.
Administer the antihypertensive with a small sip of water
6 A client who these days underwent coronary artery pass graft surgical treatment comes to the
physician's workplace for a follow-up go to. On evaluation, the purchaser tells the nurse that he
is feeling depressed. Which response by means of the nurse is healing?
A. "Tell me greater approximately what you feel."
B. "That's a normal response after this type of surgical treatment."
C. "It will take time, however, I promise you, you'll recover from this depression."
D. "Every customer who has this surgical treatment feels the equal way for about a month." -
ANS-A. "Tell me greater about what you're feeling."
7 A consumer in hard work studies spontaneous rupture of the membranes. The nurse
immediately counts the fetal coronary heart fee (FHR) for 1 complete minute and then
,assessments the amniotic fluid. The nurse notes that the fluid is yellow and has a robust scent.
Which of the following moves ought to be the nurse's priority?
A. Contacting the physician
B. Documenting the findings
C. Checking the fluid for protein
D. Continuing to screen the purchaser and the FHR - ANS-A. Contacting the health practitioner
Correct
8 A nurse has assisted a physician in putting a imperative venous get admission to tool into a
consumer with a analysis of extreme malnutrition who could be receiving parenteral nutrients
(PN). After insertion of the catheter, the nurse right now plans to:
A. Call the radiography department to acquire a chest x-ray
B. Check the patron's blood glucose degree to serve as a baseline dimension
C. Hang the prescribed bag of PN and start the infusion at the prescribed rate
D. Infuse ordinary saline solution through the catheter at a charge of a hundred mL/hr to keep
patency - ANS-A. Call the radiography branch to acquire a chest x-ray
nine A rape sufferer being treated in the emergency department says to the nurse, "I'm certainly
concerned that I've got HIV now." What is the proper reaction by means of the nurse?
A. "HIV is rarely an trouble in rape victims."
B. "Every rape victim is involved about HIV."
C. "You're much more likely to get pregnant than to agreement HIV."
D. "Let's speak about the records which you need to determine your risk of contracting HIV." -
ANS-D. "Let's speak about the records which you need to determine your risk of contracting
HIV."
10 A purchaser is taking prescribed ibuprofen (Motrin), three hundred mg orally 4 instances day
by day, to alleviate joint pain due to rheumatoid arthritis. The client tells the nurse that the
medication is causing nausea and indigestion. The nurse should inform the client to:
A. Contact the doctor
B. Stop taking the medication
C. Take the medication with meals
D. Take the medicine two times a day instead of 4 times - ANS-C. Take the medication with
meals
11 A patron's oral intake of liquids consists of 120 mL on the night shift, 800 mL at the day shift,
and 650 mL on the nighttime shift. The consumer is receiving an intravenous (IV) antibiotic
every 12 hours, diluted in 50 mL of ordinary saline answer. The nurse empties seven-hundred
mL of urine from the purchaser's Foley catheter on the end of the day shift. Thereafter, 500 mL
of urine is emptied on the quit of the night shift and 325 mL at the cease of the night shift.
, Nasogastric tube drainage totals 155 mL for the 24-hour period, and the entire drainage from
the Jackson-Pratt tool is 175 mL. What is the consumer's total intake for the duration of the
24-hour length? Type your solution within the area provided.
Answer: ________mL - ANS-Correct Responses: "1670"
12 Lorazepam (Ativan) 1 mg by way of manner of intravenous (IV) injection (IV push) is
prescribed for a patron for the management of tension. The nurse prepares the medicine as
prescribed and administers the medicine over a duration of:
A. 3 minutes
B. 10 seconds
C. 15 seconds
D. Half-hour - ANS-A. Three mins Correct
thirteen A nurse, conducting an evaluation of a client being seen in the medical institution for
signs and symptoms of a sinus infection, asks the customer approximately medicines that he is
taking. The purchaser tells the nurse that he is taking nefazodone hydrochloride (Serzone). On
the basis of this facts, the nurse determines that the client maximum possibly has a records of:
A. Depression
B. Diabetes mellitus
C. Hyperthyroidism
D. Coronary artery sickness - ANS-A. Depression
14 Phenelzine sulfate (Nardil) is prescribed for a customer with melancholy. The nurse offers
statistics to the purchaser about the adverse results of the medicine and tells the purchaser to
touch the health practitioner straight away if she reviews:
A. Dry mouth
B. Restlessness
C. Feelings of melancholy
D. Neck stiffness or pain - ANS-D. Neck stiffness or soreness Correct
15 Risperidone (Risperdal) is prescribed for a customer hospitalized inside the intellectual
fitness unit for the remedy of a psychotic disease. Which finding in the client's medical record
might set off the nurse to touch the prescribing health practitioner before administering the
medicine?
A. The patron has a history of cataracts.
B. The customer has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive.
D. The customer is allergic to acetylsalicylic acid (aspirin). - ANS-C. The customer takes a
prescribed antihypertensive.
