HESI Comprehensive Exit Exam

1.Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the nurse perform as a priority before administering the medication? A) Checking the client's blood pressure B) Checking the client's peripheral pulses C) Checking the most recent potassium level D) Checking the client's intake-and-output record for the last 24 hours ANS: A Rationale: Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. One common side effect is postural hypotension. Therefore the nurse would check the client’s blood pressure immediately before administering each dose. Checking the client’s peripheral pulses, the results of the most recent potassium level, and the intake and output for the previous 24 hours are not specifically associated with this mediation. 2.A client is scheduled to undergo an upper gastrointestinal (GI) series, and the nurse provides instructions to the client about the test. Which statement by the client indicates a need for further instruction? A) "The test will take about 30 minutes." B) "I need to fast for 8 hours before the test." C) "I need to drink citrate of magnesia the night before the test and give myself a Fleet enema on the morning of the test." D) "I need to take a laxative after the test is completed, because the liquid that I’ll have to drink for the test can be constipating." ANS: C