Evolve Comprehensive Exam (Hesi) 1 / HESI RN COMPASS EXIT EXAM V2
QUESTIONS & ANSWERS LATEST UPDATE
Study online at https://quizlet.com/_h11upn
1. A client with asthma Metoprolol Tartrate( Lopressor)
receives a prescrip-
tion for high blood The best antihypertensive agent for clients with asthma is metoprolol (Lo-
pressure during a pressor) (C), a beta2 blocking agent which is also cardioselective and less
clinic visit. Which likely to cause bronchoconstriction.
prescription should
-Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and
the nurse anticipate
increase asthmatic symptoms.
the client to receive
-Although carteolol (B) is a beta blocking agent and an effective antihyper-
that is at least likely
tensive agent used in managing angina, it can increase a client's risk for
to exacerbate asth-
bronchoconstriction due to its nonselective beta blocker action.
ma?
-Propranolol (D) also blocks the beta2 receptors in the lungs, causing bron-
A. Pindolol (Visken). choconstriction, and is not indicated in clients with asthma and other obstruc-
B. Carteolol (Ocu- tive pulmonary disorders.
press).
C. Metoprolol tar-
trate (Lopressor).
D. Propranolol hy-
drochloride (Inder-
al).
2. A male client who Ask the health care provider about tapering the drug dose over the next
has been taking pro- week.
pranolol ( inder-
al) for 18 months Although the healthcare provider discontinued the propranolol, measures to
tells the nurse the prevent rebound cardiac excitation, such as progressively reducing the dose
healthcare provider over one to two weeks (C), should be recommended to prevent rebound
discontinued the tachycardia, hypertension, and ventricular dysrhythmias. Abrupt cessation (A
medication because and B) of the beta-blocking agent may precipitate tachycardia and rebound
his blood pressure hypertension, so gradual weaning should be recommended.
has been normal
, Evolve Comprehensive Exam (Hesi) 1 / HESI RN COMPASS EXIT EXAM V2
QUESTIONS & ANSWERS LATEST UPDATE
Study online at https://quizlet.com/_h11upn
for the past three
months. Which in-
struction should the
use provide?
3. A client who is How long has the client been taking the medication
taking clonidine (
Catapres, Duraclon) Drowsiness can occur in the early weeks of treatment with clonidine and with
reports drowsiness. continued use becomes less intense, so the length of time the client has been
Which additional as- on the medication (A) provides information to direct additional instruction.
sessment should (B, C, and D) are not relevant.
the nurse make?
4. The nurse is prepar- Decrease the risk of bradycardia during surgery
ing to admister
atropine, an anti- Atropine may be prescribed preoperatively to increase the automaticity of the
cholinergic, to a sinoatrial node and prevent a dangerous reduction in heart rate (B) during
client who is sched- surgical anesthesia. (A, C and D) do not address the therapeutic action of
uled for a cholecys- atropine use perioperatively.
tectomy. The client
asks the nurse to ex-
plain th reason for
the prescribed med-
ication. What re-
sponse is best for
the nurse to pro-
vide?
5. An 80 year old client Tricyclic antidepressants
is given morphine
sulphate for postop- Drugs with anticholinergic properties, such as tricyclic antidepressants (C),
can exacerbate urinary retention associated with opioids in the older client.
, Evolve Comprehensive Exam (Hesi) 1 / HESI RN COMPASS EXIT EXAM V2
QUESTIONS & ANSWERS LATEST UPDATE
Study online at https://quizlet.com/_h11upn
erative pain. Which Although tricyclic antidepressants and antihistamines with opioids can exac-
concomitant med- erbate urinary retention, the concurrent use of (A and B) with opioids do not.
ication should the Nonsteroidal antiinflammatory agents (D) can increase the risk for bleeding,
nurse question that but do not increase urinary retention with opioids (D).
poses a potential
development of ur-
niary retention in
this geriatric client. ?
6. The nurse obtains a Admister the dose as prescribed
heart rate of 92 and
a blood pressure of Verapamil slows sinoatrial (SA) nodal automaticity, delays atrioventricular (AV)
110/76 prior to ad- nodal conduction, which slows the ventricular rate, and is used to treat atrial
ministering a sched- flutter, so (A) should be implemented, based on the client's heart rate and
uled dose of ver- blood pressure. (B and C) are not indicated. (D) delays the administration of
apamil (Calan) for the scheduled dose.
a client with atrial
flutter Which action
should the nurse
implement?
7. following an emer- Stimulate contraction of the uterus
gency Cesarean de-
livery the nurse en- When the infant suckles at the breast, oxytocin is released by the posteri-
courages the new or pituitary to stimulates the "letdown" reflex, which causes the release of
mother to breastfed colostrum, and contracts the uterus (C) to prevent uterine hemorrhage. (A
her newborn . the and B) do not support the client's need in the immediate period after the
client asks why she emergency delivery. Although maternal-newborn bonding (D) is facilitated
should breastfeed by early breastfeeding, the priority is uterine contraction stimulation.
now. Which info
, Evolve Comprehensive Exam (Hesi) 1 / HESI RN COMPASS EXIT EXAM V2
QUESTIONS & ANSWERS LATEST UPDATE
Study online at https://quizlet.com/_h11upn
should the nurse
provide?
8. The nurse identi- Eat 50% of six small meals each day by the end of the week
fies a clients needs
and formulates th Short-term goals should be realistic and attainable and should have a time-
nursing problem of line of 7 to 10 days before discharge. (A) meets those criteria. (B) is nurse-ori-
" Imbalancee nutri- ented. (C) may be beyond the capabilities of a confused client. (D) is a
tion: Less than body long-term goal.
requirements, relat-
ed to mental im-
pairment and de-
creased intkae, as
evidence by increas-
ing confusion and
weight loss of more
than 30 pounds over
the last 6 months.
" which short-term
goal is best for this
client?
9. the nursie is car- Drinks 240 mL of fluid five times during the shift.
ing for a client
who is unable to The nurse should evaluate the client's outcome by observing the client's
void. The plan of performance of each expected behavior, so drinking 240 mL of fluid five or six
care establishes an times during the shift (D) indicates a fluid intake of 1200 to 1440 mL, which
objective for the meets the objective of at least 1000 mL during the designated period. (A)
client to ingest at uses the term "adequate," which is not quantified. (B) is not the objective,
least 1000 mL of which establishes an intake of at least 1000 mL. (C) is not an evaluation of the
fluid between 7:00 specific fluid intake.
QUESTIONS & ANSWERS LATEST UPDATE
Study online at https://quizlet.com/_h11upn
1. A client with asthma Metoprolol Tartrate( Lopressor)
receives a prescrip-
tion for high blood The best antihypertensive agent for clients with asthma is metoprolol (Lo-
pressure during a pressor) (C), a beta2 blocking agent which is also cardioselective and less
clinic visit. Which likely to cause bronchoconstriction.
prescription should
-Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and
the nurse anticipate
increase asthmatic symptoms.
the client to receive
-Although carteolol (B) is a beta blocking agent and an effective antihyper-
that is at least likely
tensive agent used in managing angina, it can increase a client's risk for
to exacerbate asth-
bronchoconstriction due to its nonselective beta blocker action.
ma?
-Propranolol (D) also blocks the beta2 receptors in the lungs, causing bron-
A. Pindolol (Visken). choconstriction, and is not indicated in clients with asthma and other obstruc-
B. Carteolol (Ocu- tive pulmonary disorders.
press).
C. Metoprolol tar-
trate (Lopressor).
D. Propranolol hy-
drochloride (Inder-
al).
2. A male client who Ask the health care provider about tapering the drug dose over the next
has been taking pro- week.
pranolol ( inder-
al) for 18 months Although the healthcare provider discontinued the propranolol, measures to
tells the nurse the prevent rebound cardiac excitation, such as progressively reducing the dose
healthcare provider over one to two weeks (C), should be recommended to prevent rebound
discontinued the tachycardia, hypertension, and ventricular dysrhythmias. Abrupt cessation (A
medication because and B) of the beta-blocking agent may precipitate tachycardia and rebound
his blood pressure hypertension, so gradual weaning should be recommended.
has been normal
, Evolve Comprehensive Exam (Hesi) 1 / HESI RN COMPASS EXIT EXAM V2
QUESTIONS & ANSWERS LATEST UPDATE
Study online at https://quizlet.com/_h11upn
for the past three
months. Which in-
struction should the
use provide?
3. A client who is How long has the client been taking the medication
taking clonidine (
Catapres, Duraclon) Drowsiness can occur in the early weeks of treatment with clonidine and with
reports drowsiness. continued use becomes less intense, so the length of time the client has been
Which additional as- on the medication (A) provides information to direct additional instruction.
sessment should (B, C, and D) are not relevant.
the nurse make?
4. The nurse is prepar- Decrease the risk of bradycardia during surgery
ing to admister
atropine, an anti- Atropine may be prescribed preoperatively to increase the automaticity of the
cholinergic, to a sinoatrial node and prevent a dangerous reduction in heart rate (B) during
client who is sched- surgical anesthesia. (A, C and D) do not address the therapeutic action of
uled for a cholecys- atropine use perioperatively.
tectomy. The client
asks the nurse to ex-
plain th reason for
the prescribed med-
ication. What re-
sponse is best for
the nurse to pro-
vide?
5. An 80 year old client Tricyclic antidepressants
is given morphine
sulphate for postop- Drugs with anticholinergic properties, such as tricyclic antidepressants (C),
can exacerbate urinary retention associated with opioids in the older client.
, Evolve Comprehensive Exam (Hesi) 1 / HESI RN COMPASS EXIT EXAM V2
QUESTIONS & ANSWERS LATEST UPDATE
Study online at https://quizlet.com/_h11upn
erative pain. Which Although tricyclic antidepressants and antihistamines with opioids can exac-
concomitant med- erbate urinary retention, the concurrent use of (A and B) with opioids do not.
ication should the Nonsteroidal antiinflammatory agents (D) can increase the risk for bleeding,
nurse question that but do not increase urinary retention with opioids (D).
poses a potential
development of ur-
niary retention in
this geriatric client. ?
6. The nurse obtains a Admister the dose as prescribed
heart rate of 92 and
a blood pressure of Verapamil slows sinoatrial (SA) nodal automaticity, delays atrioventricular (AV)
110/76 prior to ad- nodal conduction, which slows the ventricular rate, and is used to treat atrial
ministering a sched- flutter, so (A) should be implemented, based on the client's heart rate and
uled dose of ver- blood pressure. (B and C) are not indicated. (D) delays the administration of
apamil (Calan) for the scheduled dose.
a client with atrial
flutter Which action
should the nurse
implement?
7. following an emer- Stimulate contraction of the uterus
gency Cesarean de-
livery the nurse en- When the infant suckles at the breast, oxytocin is released by the posteri-
courages the new or pituitary to stimulates the "letdown" reflex, which causes the release of
mother to breastfed colostrum, and contracts the uterus (C) to prevent uterine hemorrhage. (A
her newborn . the and B) do not support the client's need in the immediate period after the
client asks why she emergency delivery. Although maternal-newborn bonding (D) is facilitated
should breastfeed by early breastfeeding, the priority is uterine contraction stimulation.
now. Which info
, Evolve Comprehensive Exam (Hesi) 1 / HESI RN COMPASS EXIT EXAM V2
QUESTIONS & ANSWERS LATEST UPDATE
Study online at https://quizlet.com/_h11upn
should the nurse
provide?
8. The nurse identi- Eat 50% of six small meals each day by the end of the week
fies a clients needs
and formulates th Short-term goals should be realistic and attainable and should have a time-
nursing problem of line of 7 to 10 days before discharge. (A) meets those criteria. (B) is nurse-ori-
" Imbalancee nutri- ented. (C) may be beyond the capabilities of a confused client. (D) is a
tion: Less than body long-term goal.
requirements, relat-
ed to mental im-
pairment and de-
creased intkae, as
evidence by increas-
ing confusion and
weight loss of more
than 30 pounds over
the last 6 months.
" which short-term
goal is best for this
client?
9. the nursie is car- Drinks 240 mL of fluid five times during the shift.
ing for a client
who is unable to The nurse should evaluate the client's outcome by observing the client's
void. The plan of performance of each expected behavior, so drinking 240 mL of fluid five or six
care establishes an times during the shift (D) indicates a fluid intake of 1200 to 1440 mL, which
objective for the meets the objective of at least 1000 mL during the designated period. (A)
client to ingest at uses the term "adequate," which is not quantified. (B) is not the objective,
least 1000 mL of which establishes an intake of at least 1000 mL. (C) is not an evaluation of the
fluid between 7:00 specific fluid intake.
