2/14/26, 7:45 PM Evolve Comprehensive Exam (Hesi) 1 Flashcards | Quizlet
Evolve Comprehensive Exam (Hesi) 1
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Terms in this set (124)
A client with asthma receives a Metoprolol Tartrate( Lopressor)
prescription for high blood
pressure during a clinic visit. Which The best antihypertensive agent for clients with
prescription should the nurse asthma is metoprolol (Lopressor) (C), a beta2
anticipate the client to receive that blocking agent which is also cardioselective and
is at least likely to exacerbate less likely to cause bronchoconstriction.
asthma?
-Pindolol (A) is a beta2 blocker that can cause
A. Pindolol (Visken). bronchoconstriction and increase asthmatic
B. Carteolol (Ocupress). symptoms.
C. Metoprolol tartrate (Lopressor). -Although carteolol (B) is a beta blocking agent
D. Propranolol hydrochloride and an effective antihypertensive agent used in
(Inderal). managing angina, it can increase a client's risk for
bronchoconstriction due to its nonselective beta
blocker action.
-Propranolol (D) also blocks the beta2 receptors
in the lungs, causing bronchoconstriction, and is
not indicated in clients with asthma and other
obstructive pulmonary disorders.
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A male client who has been taking Ask the health care provider about tapering the
propranolol ( inderal) for 18 months drug dose over the next week.
tells the nurse the healthcare
provider discontinued the Although the healthcare provider discontinued
medication because his blood the propranolol, measures to prevent rebound
pressure has been normal for the cardiac excitation, such as progressively reducing
past three months. Which the dose over one to two weeks (C), should be
instruction should the use provide? recommended to prevent rebound tachycardia,
hypertension, and ventricular dysrhythmias.
Abrupt cessation (A and B) of the beta-blocking
agent may precipitate tachycardia and rebound
hypertension, so gradual weaning should be
recommended.
A client who is taking clonidine ( How long has the client been taking the
Catapres, Duraclon) reports medication
drowsiness. Which additional
assessment should the nurse make? Drowsiness can occur in the early weeks of
treatment with clonidine and with continued use
becomes less intense, so the length of time the
client has been on the medication (A) provides
information to direct additional instruction. (B, C,
and D) are not relevant.
The nurse is preparing to admister Decrease the risk of bradycardia during surgery
atropine, an anticholinergic, to a
client who is scheduled for a Atropine may be prescribed preoperatively to
cholecystectomy. The client asks increase the automaticity of the sinoatrial node
the nurse to explain th reason for and prevent a dangerous reduction in heart rate
the prescribed medication. What (B) during surgical anesthesia. (A, C and D) do
response is best for the nurse to not address the therapeutic action of atropine
provide? use perioperatively.
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,2/14/26, 7:45 PM Evolve Comprehensive Exam (Hesi) 1 Flashcards | Quizlet
An 80 year old client is given Tricyclic antidepressants
morphine sulphate for
postoperative pain. Which Drugs with anticholinergic properties, such as
concomitant medication should the tricyclic antidepressants (C), can exacerbate
nurse question that poses a urinary retention associated with opioids in the
potential development of urniary older client. Although tricyclic antidepressants
retention in this geriatric client. ? and antihistamines with opioids can exacerbate
urinary retention, the concurrent use of (A and B)
with opioids do not. Nonsteroidal
antiinflammatory agents (D) can increase the risk
for bleeding, but do not increase urinary
retention with opioids (D).
The nurse obtains a heart rate of 92 Admister the dose as prescribed
and a blood pressure of 110/76
prior to administering a scheduled Verapamil slows sinoatrial (SA) nodal
dose of verapamil (Calan) for a automaticity, delays atrioventricular (AV) nodal
client with atrial flutter Which action conduction, which slows the ventricular rate, and
should the nurse implement? is used to treat atrial flutter, so (A) should be
implemented, based on the client's heart rate and
blood pressure. (B and C) are not indicated. (D)
delays the administration of the scheduled dose.
following an emergency Cesarean Stimulate contraction of the uterus
delivery the nurse encourages the
new mother to breastfed her When the infant suckles at the breast, oxytocin is
newborn . the client asks why she released by the posterior pituitary to stimulates
should breastfeed now. Which info the "letdown" reflex, which causes the release of
should the nurse provide? colostrum, and contracts the uterus (C) to
prevent uterine hemorrhage. (A and B) do not
support the client's need in the immediate period
after the emergency delivery. Although maternal-
newborn bonding (D) is facilitated by early
breastfeeding, the priority is uterine contraction
stimulation.
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The nurse identifies a clients needs Eat 50% of six small meals each day by the end of
and formulates th nursing problem the week
of " Imbalancee nutrition: Less than
body requirements, related to Short-term goals should be realistic and
mental impairment and decreased attainable and should have a timeline of 7 to 10
intkae, as evidence by increasing days before discharge. (A) meets those criteria.
confusion and weight loss of more (B) is nurse-oriented. (C) may be beyond the
than 30 pounds over the last 6 capabilities of a confused client. (D) is a long-
months. " which short-term goal is term goal.
best for this client?
the nursie is caring for a client who Drinks 240 mL of fluid five times during the shift.
is unable to void. The plan of care
establishes an objective for the The nurse should evaluate the client's outcome
client to ingest at least 1000 mL of by observing the client's performance of each
fluid between 7:00 am and 3:30pm. expected behavior, so drinking 240 mL of fluid
Which client response should the five or six times during the shift (D) indicates a
nurse document that indicates a fluid intake of 1200 to 1440 mL, which meets the
successful outcome? objective of at least 1000 mL during the
designated period. (A) uses the term "adequate,"
which is not quantified. (B) is not the objective,
which establishes an intake of at least 1000 mL.
(C) is not an evaluation of the specific fluid intake.
a client who has active tuberculosis Assign the client to a negative air-flow room
( TB) is admitted to the medical unit.
What action is most important for Active tuberculosis requires implementation of
the nurse to implement? airborne precautions, so the client should be
assigned to a negative pressure air-flow room
(D). Although (A and C) should be implemented
for clients in isolation with contact precautions, it
is most important that air flow from the room is
minimized when the client has TB. (B) should be
implemented when the client leaves the isolation
environment.
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Evolve Comprehensive Exam (Hesi) 1
Save
Terms in this set (124)
A client with asthma receives a Metoprolol Tartrate( Lopressor)
prescription for high blood
pressure during a clinic visit. Which The best antihypertensive agent for clients with
prescription should the nurse asthma is metoprolol (Lopressor) (C), a beta2
anticipate the client to receive that blocking agent which is also cardioselective and
is at least likely to exacerbate less likely to cause bronchoconstriction.
asthma?
-Pindolol (A) is a beta2 blocker that can cause
A. Pindolol (Visken). bronchoconstriction and increase asthmatic
B. Carteolol (Ocupress). symptoms.
C. Metoprolol tartrate (Lopressor). -Although carteolol (B) is a beta blocking agent
D. Propranolol hydrochloride and an effective antihypertensive agent used in
(Inderal). managing angina, it can increase a client's risk for
bronchoconstriction due to its nonselective beta
blocker action.
-Propranolol (D) also blocks the beta2 receptors
in the lungs, causing bronchoconstriction, and is
not indicated in clients with asthma and other
obstructive pulmonary disorders.
https://quizlet.com/1143883211/evolve-comprehensive-exam-hesi-1-flash-cards/?new 1/39
,2/14/26, 7:45 PM Evolve Comprehensive Exam (Hesi) 1 Flashcards | Quizlet
A male client who has been taking Ask the health care provider about tapering the
propranolol ( inderal) for 18 months drug dose over the next week.
tells the nurse the healthcare
provider discontinued the Although the healthcare provider discontinued
medication because his blood the propranolol, measures to prevent rebound
pressure has been normal for the cardiac excitation, such as progressively reducing
past three months. Which the dose over one to two weeks (C), should be
instruction should the use provide? recommended to prevent rebound tachycardia,
hypertension, and ventricular dysrhythmias.
Abrupt cessation (A and B) of the beta-blocking
agent may precipitate tachycardia and rebound
hypertension, so gradual weaning should be
recommended.
A client who is taking clonidine ( How long has the client been taking the
Catapres, Duraclon) reports medication
drowsiness. Which additional
assessment should the nurse make? Drowsiness can occur in the early weeks of
treatment with clonidine and with continued use
becomes less intense, so the length of time the
client has been on the medication (A) provides
information to direct additional instruction. (B, C,
and D) are not relevant.
The nurse is preparing to admister Decrease the risk of bradycardia during surgery
atropine, an anticholinergic, to a
client who is scheduled for a Atropine may be prescribed preoperatively to
cholecystectomy. The client asks increase the automaticity of the sinoatrial node
the nurse to explain th reason for and prevent a dangerous reduction in heart rate
the prescribed medication. What (B) during surgical anesthesia. (A, C and D) do
response is best for the nurse to not address the therapeutic action of atropine
provide? use perioperatively.
https://quizlet.com/1143883211/evolve-comprehensive-exam-hesi-1-flash-cards/?new 2/39
,2/14/26, 7:45 PM Evolve Comprehensive Exam (Hesi) 1 Flashcards | Quizlet
An 80 year old client is given Tricyclic antidepressants
morphine sulphate for
postoperative pain. Which Drugs with anticholinergic properties, such as
concomitant medication should the tricyclic antidepressants (C), can exacerbate
nurse question that poses a urinary retention associated with opioids in the
potential development of urniary older client. Although tricyclic antidepressants
retention in this geriatric client. ? and antihistamines with opioids can exacerbate
urinary retention, the concurrent use of (A and B)
with opioids do not. Nonsteroidal
antiinflammatory agents (D) can increase the risk
for bleeding, but do not increase urinary
retention with opioids (D).
The nurse obtains a heart rate of 92 Admister the dose as prescribed
and a blood pressure of 110/76
prior to administering a scheduled Verapamil slows sinoatrial (SA) nodal
dose of verapamil (Calan) for a automaticity, delays atrioventricular (AV) nodal
client with atrial flutter Which action conduction, which slows the ventricular rate, and
should the nurse implement? is used to treat atrial flutter, so (A) should be
implemented, based on the client's heart rate and
blood pressure. (B and C) are not indicated. (D)
delays the administration of the scheduled dose.
following an emergency Cesarean Stimulate contraction of the uterus
delivery the nurse encourages the
new mother to breastfed her When the infant suckles at the breast, oxytocin is
newborn . the client asks why she released by the posterior pituitary to stimulates
should breastfeed now. Which info the "letdown" reflex, which causes the release of
should the nurse provide? colostrum, and contracts the uterus (C) to
prevent uterine hemorrhage. (A and B) do not
support the client's need in the immediate period
after the emergency delivery. Although maternal-
newborn bonding (D) is facilitated by early
breastfeeding, the priority is uterine contraction
stimulation.
https://quizlet.com/1143883211/evolve-comprehensive-exam-hesi-1-flash-cards/?new 3/39
, 2/14/26, 7:45 PM Evolve Comprehensive Exam (Hesi) 1 Flashcards | Quizlet
The nurse identifies a clients needs Eat 50% of six small meals each day by the end of
and formulates th nursing problem the week
of " Imbalancee nutrition: Less than
body requirements, related to Short-term goals should be realistic and
mental impairment and decreased attainable and should have a timeline of 7 to 10
intkae, as evidence by increasing days before discharge. (A) meets those criteria.
confusion and weight loss of more (B) is nurse-oriented. (C) may be beyond the
than 30 pounds over the last 6 capabilities of a confused client. (D) is a long-
months. " which short-term goal is term goal.
best for this client?
the nursie is caring for a client who Drinks 240 mL of fluid five times during the shift.
is unable to void. The plan of care
establishes an objective for the The nurse should evaluate the client's outcome
client to ingest at least 1000 mL of by observing the client's performance of each
fluid between 7:00 am and 3:30pm. expected behavior, so drinking 240 mL of fluid
Which client response should the five or six times during the shift (D) indicates a
nurse document that indicates a fluid intake of 1200 to 1440 mL, which meets the
successful outcome? objective of at least 1000 mL during the
designated period. (A) uses the term "adequate,"
which is not quantified. (B) is not the objective,
which establishes an intake of at least 1000 mL.
(C) is not an evaluation of the specific fluid intake.
a client who has active tuberculosis Assign the client to a negative air-flow room
( TB) is admitted to the medical unit.
What action is most important for Active tuberculosis requires implementation of
the nurse to implement? airborne precautions, so the client should be
assigned to a negative pressure air-flow room
(D). Although (A and C) should be implemented
for clients in isolation with contact precautions, it
is most important that air flow from the room is
minimized when the client has TB. (B) should be
implemented when the client leaves the isolation
environment.
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