1
1. 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:
A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension.
One common side ettect 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. 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.": 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."
An upper GI series involves visualization of the esophagus, duodenum, and upper jejunum by
, 2
HESI COMPREHENSIVE EXIT EXAM ACTUAL EXAM QUESTIONS WITH VERIFIED
ANSWERS A READY GRADED A+
means of the use of a contrast medium. It involves swallowing a contrast medium (usually barium),
which is administered in a flavored
milkshake. Films are taken at intervals during the test, which takes about 30 minutes. No special
preparation is necessary
, 3
, 4
HESI COMPREHENSIVE EXIT EXAM ACTUAL EXAM QUESTIONS WITH VERIFIED
ANSWERS A READY GRADED A+
before a GI series, except that NPO status must be maintained for 8 hours before the test. After an
upper GI series, the client is prescribed a laxative to hasten elimination of the barium. Barium that
remains in the colon may become hard and diflcult to expel, leading to fecal impaction.
3. 3-A nurse on the evening shift checks a physician's prescriptions
and notes that the dose of a prescribed medication is higher than
the normal dose. The nurse calls the physician's answering service
and is told that the physician is off for the night and will be
available in the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the
morning
D. Administer the medication but consult the physician when he
becomes available: B. Ask the answering service to contact the on-call physician
4. 4.An emergency department (ED) nurse is monitoring a client
with suspected acute myocardial infarction (MI) who is awaiting
transfer to the coronary in- tensive care unit. The nurse notes
the sudden onset of premature ventricular contractions (PVCs) on
the monitor, checks the client's carotid pulse, and deter- mines that
the PVCs are not resulting in perfusion. The appropriate action
by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI: B. Asking the
ED physician to check the client
1. 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:
A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension.
One common side ettect 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. 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.": 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."
An upper GI series involves visualization of the esophagus, duodenum, and upper jejunum by
, 2
HESI COMPREHENSIVE EXIT EXAM ACTUAL EXAM QUESTIONS WITH VERIFIED
ANSWERS A READY GRADED A+
means of the use of a contrast medium. It involves swallowing a contrast medium (usually barium),
which is administered in a flavored
milkshake. Films are taken at intervals during the test, which takes about 30 minutes. No special
preparation is necessary
, 3
, 4
HESI COMPREHENSIVE EXIT EXAM ACTUAL EXAM QUESTIONS WITH VERIFIED
ANSWERS A READY GRADED A+
before a GI series, except that NPO status must be maintained for 8 hours before the test. After an
upper GI series, the client is prescribed a laxative to hasten elimination of the barium. Barium that
remains in the colon may become hard and diflcult to expel, leading to fecal impaction.
3. 3-A nurse on the evening shift checks a physician's prescriptions
and notes that the dose of a prescribed medication is higher than
the normal dose. The nurse calls the physician's answering service
and is told that the physician is off for the night and will be
available in the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the
morning
D. Administer the medication but consult the physician when he
becomes available: B. Ask the answering service to contact the on-call physician
4. 4.An emergency department (ED) nurse is monitoring a client
with suspected acute myocardial infarction (MI) who is awaiting
transfer to the coronary in- tensive care unit. The nurse notes
the sudden onset of premature ventricular contractions (PVCs) on
the monitor, checks the client's carotid pulse, and deter- mines that
the PVCs are not resulting in perfusion. The appropriate action
by the nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI: B. Asking the
ED physician to check the client
