HESI Module 8 with Complete Solutions
A client has a prescription for short-term therapy with enoxaparin . The nurse explains
to the client that this medication is being prescribed for which purpose?
Prevent pain
Relieve back spasms
Increase the client's energy level
Reduce the risk of deep vein thrombosis - ANSWER-Reduce the risk of deep vein
thrombosis
A client has been given a prescription to begin using nitroglycerin transdermal patches
for the management of angina pectoris. What should the nurse tell the client about the
medication?
Place the patch in the area of a skin fold to promote adherence
Apply the patch at the same time each day and leave it in place for 12 to 16 hours as
directed
If the patch becomes dislodged, do not reapply and wait until the next day to apply a
new patch.
Alternate daily dose times between the morning and the evening to prevent the
development of tolerance to the medication - ANSWER-Apply the patch at the same
time each day and leave it in place for 12 to 16 hours as directed
A client has been taking metoprolol. Which finding indicates to the nurse that the
medication is effective?
The client's ankles are swollen.
The client's weight has increased.
The client's blood pressure has decreased.
The client has wheezes in the lower lobes of the lungs. - ANSWER-The client's blood
pressure has decreased.
A client has just undergone insertion of a central venous catheter by the health care
provider at the bedside. Which result would the nurse be sure to check before initiating
infusion of the IV solution that the health care provider has prescribed?
Serum osmolality
Serum electrolytes
Portable chest x-ray
Intake and output record - ANSWER-Portable chest x-ray
A client is receiving heparin sodium by way of continuous IV infusion. For which adverse
effects of the therapy does the nurse assess the client? Select all that apply.
Tinnitus
Tarry stools
Slowed pulse
Bleeding from the gums
Increased blood pressure - ANSWER-Tarry stools
Bleeding from the gums
,A client is receiving intravenous bleomycin sulfate. During administration of the
chemotherapy, nursing assessment is the priority?
Heart rate
Lung sounds
Peripheral pulses
Level of consciousness - ANSWER-Lung sounds
A client is receiving total parenteral nutrition (TPN) with fat emulsion (lipids)
piggybacked to the TPN solution. For which signs of an adverse reaction to the fat
emulsion should the nurse monitor the client? Select all that apply.
Chills
Pallor
Headache
Chest and back pain
Nausea and vomiting
Subnormal temperature - ANSWER-Chills
Headache
Chest and back pain
Nausea and vomiting
A client is taking a folic acid supplement. Which laboratory parameter does the nurse
use to evaluate the effectiveness of this therapy? Select all that apply.
Magnesium
Hemoglobin
Blood glucose
Hematocrit
Alkaline phosphatase - ANSWER-H&H
A client receiving total parenteral nutrition (TPN) requires fat emulsion (lipids), which will
be piggybacked to the TPN solution. On obtaining a bottle of fat emulsion, the nurse
notes that fat globules are floating at the top of the solution. Which action should the
nurse take?
Shake the bottle vigorously
Request a new bottle from the pharmacy
Rotate the bottle gently back and forth to mix the globules
Run the bottle under warm water until the globules disappear - ANSWER-Request a
new bottle from the pharmacy
A client taking hydrochlorothiazide reports to the clinic for follow-up blood tests. For
which side/adverse effect of the medication does the nurse monitor the client's
laboratory results?
Hypokalemia
Hypocalcemia
Hypernatremia
Hypermagnesemia - ANSWER-Hypokalemia
, A client taking metronidazole for the treatment of trichomoniasis vaginalis calls the clinic
nurse to express concern because her urine has turned dark in color. The nurse should
provide which information to the client?
To increase her fluid intake
To discontinue the medication
That darkening of the urine is a harmless side effect
To report to the clinic to see the health care provider - ANSWER-That darkening of the
urine is a harmless side effect
A client who has been taking lisinopril complains to the nurse of a persistent dry cough.
What should the nurse tell the client?
This is a side effect of therapy
He probably has an upper respiratory infection
He needs to have his blood counts checked
A chest x-ray is required because the cough is a sign of heart failure - ANSWER-This is
a side effect of therapy
A client who has undergone adrenalectomy is prescribed prednisone. Which finding
indicates that the client is experiencing an adverse effect of the medication?
Dry mouth
Tarry stools
Hypotension
Hypoglycemia - ANSWER-Tarry stool's
A client who is taking bupropion in an attempt to stop smoking tells a nurse that he has
been doubling the daily dose to make it easier to resist smoking. The nurse warns the
client that doubling the daily dosage is dangerous. Of which adverse effect of the
medication does the nurse warn the client?
Insomnia
Seizures
Weight gain
Orthostatic hypotension - ANSWER-Seizures
A client who needs to receive a blood transfusion has experienced a pruritic rash during
previous transfusions. The client asks the nurse whether it is safe to receive the
transfusion. Which medication does the nurse anticipate will most likely be prescribed
before the transfusion?
Ibuprofen
Acetaminophen
Diphenhydramine
Acetylsalicylic acid - ANSWER-Diphenhydramine
A client with a peripheral intravenous (IV) line in place has a new prescription for
infusion of total parenteral nutrition (TPN), a solution containing 25% glucose. Which
action should be taken by the nurse?
A client has a prescription for short-term therapy with enoxaparin . The nurse explains
to the client that this medication is being prescribed for which purpose?
Prevent pain
Relieve back spasms
Increase the client's energy level
Reduce the risk of deep vein thrombosis - ANSWER-Reduce the risk of deep vein
thrombosis
A client has been given a prescription to begin using nitroglycerin transdermal patches
for the management of angina pectoris. What should the nurse tell the client about the
medication?
Place the patch in the area of a skin fold to promote adherence
Apply the patch at the same time each day and leave it in place for 12 to 16 hours as
directed
If the patch becomes dislodged, do not reapply and wait until the next day to apply a
new patch.
Alternate daily dose times between the morning and the evening to prevent the
development of tolerance to the medication - ANSWER-Apply the patch at the same
time each day and leave it in place for 12 to 16 hours as directed
A client has been taking metoprolol. Which finding indicates to the nurse that the
medication is effective?
The client's ankles are swollen.
The client's weight has increased.
The client's blood pressure has decreased.
The client has wheezes in the lower lobes of the lungs. - ANSWER-The client's blood
pressure has decreased.
A client has just undergone insertion of a central venous catheter by the health care
provider at the bedside. Which result would the nurse be sure to check before initiating
infusion of the IV solution that the health care provider has prescribed?
Serum osmolality
Serum electrolytes
Portable chest x-ray
Intake and output record - ANSWER-Portable chest x-ray
A client is receiving heparin sodium by way of continuous IV infusion. For which adverse
effects of the therapy does the nurse assess the client? Select all that apply.
Tinnitus
Tarry stools
Slowed pulse
Bleeding from the gums
Increased blood pressure - ANSWER-Tarry stools
Bleeding from the gums
,A client is receiving intravenous bleomycin sulfate. During administration of the
chemotherapy, nursing assessment is the priority?
Heart rate
Lung sounds
Peripheral pulses
Level of consciousness - ANSWER-Lung sounds
A client is receiving total parenteral nutrition (TPN) with fat emulsion (lipids)
piggybacked to the TPN solution. For which signs of an adverse reaction to the fat
emulsion should the nurse monitor the client? Select all that apply.
Chills
Pallor
Headache
Chest and back pain
Nausea and vomiting
Subnormal temperature - ANSWER-Chills
Headache
Chest and back pain
Nausea and vomiting
A client is taking a folic acid supplement. Which laboratory parameter does the nurse
use to evaluate the effectiveness of this therapy? Select all that apply.
Magnesium
Hemoglobin
Blood glucose
Hematocrit
Alkaline phosphatase - ANSWER-H&H
A client receiving total parenteral nutrition (TPN) requires fat emulsion (lipids), which will
be piggybacked to the TPN solution. On obtaining a bottle of fat emulsion, the nurse
notes that fat globules are floating at the top of the solution. Which action should the
nurse take?
Shake the bottle vigorously
Request a new bottle from the pharmacy
Rotate the bottle gently back and forth to mix the globules
Run the bottle under warm water until the globules disappear - ANSWER-Request a
new bottle from the pharmacy
A client taking hydrochlorothiazide reports to the clinic for follow-up blood tests. For
which side/adverse effect of the medication does the nurse monitor the client's
laboratory results?
Hypokalemia
Hypocalcemia
Hypernatremia
Hypermagnesemia - ANSWER-Hypokalemia
, A client taking metronidazole for the treatment of trichomoniasis vaginalis calls the clinic
nurse to express concern because her urine has turned dark in color. The nurse should
provide which information to the client?
To increase her fluid intake
To discontinue the medication
That darkening of the urine is a harmless side effect
To report to the clinic to see the health care provider - ANSWER-That darkening of the
urine is a harmless side effect
A client who has been taking lisinopril complains to the nurse of a persistent dry cough.
What should the nurse tell the client?
This is a side effect of therapy
He probably has an upper respiratory infection
He needs to have his blood counts checked
A chest x-ray is required because the cough is a sign of heart failure - ANSWER-This is
a side effect of therapy
A client who has undergone adrenalectomy is prescribed prednisone. Which finding
indicates that the client is experiencing an adverse effect of the medication?
Dry mouth
Tarry stools
Hypotension
Hypoglycemia - ANSWER-Tarry stool's
A client who is taking bupropion in an attempt to stop smoking tells a nurse that he has
been doubling the daily dose to make it easier to resist smoking. The nurse warns the
client that doubling the daily dosage is dangerous. Of which adverse effect of the
medication does the nurse warn the client?
Insomnia
Seizures
Weight gain
Orthostatic hypotension - ANSWER-Seizures
A client who needs to receive a blood transfusion has experienced a pruritic rash during
previous transfusions. The client asks the nurse whether it is safe to receive the
transfusion. Which medication does the nurse anticipate will most likely be prescribed
before the transfusion?
Ibuprofen
Acetaminophen
Diphenhydramine
Acetylsalicylic acid - ANSWER-Diphenhydramine
A client with a peripheral intravenous (IV) line in place has a new prescription for
infusion of total parenteral nutrition (TPN), a solution containing 25% glucose. Which
action should be taken by the nurse?
