HESI COMPLETE EXAM 1 ACTUAL
EXAM QUESTIONS AND VERIFIED
ANSWERS 2026 EXAM GUARANTEED
SUCCESS!!!
A client with asthma receives a prescription for high blood pressure
during a clinic visit. Which prescription should the nurse anticipate the
client to receive that is at least likely to exacerbate asthma? -
ANSWER- Metoprolol tartrate (Lopressor)
Best antihypertensive med for asthmatics. Beta2 blocking agent --
also a cardioselective and less likely to cause bronchoconstriction.
A male client who has been taking propranolol (Inderal) for 18 months
tells the nurse that the healthcare provider discontinued the medication
because his blood pressure has been normal for the past 3 months.
Which instruction should the nurse provide? - ANSWER- Ask the
healthcare provider about tapering the drug dose over the next
week.
HCP discontinued drug BUT measures to prevent rebound cardiac
excitation, such as progressively reducing the dose over 1 or 2
,weeks, should be recommended to prevent rebound tachycardia,
hypertension, and ventricular dysrhythmias.
A client who is taking clonidine ( Catapres, Duraclon) reports
drowsiness. Which additional assessment should the nurse make? -
ANSWER- How long has the client been taking the medication?
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 provides information to direct
additional instruction.
The nurse is preparing to administer atropine, an anticholinergic, to a
client who is scheduled for a cholecystectomy. The client asks the nurse
to explain the reason for the prescribed medication. What response is
best for the nurse to provide? - ANSWER- Decrease the risk of
bradycardia during surgery
Atropine may be prescribed preoperatively to increase the
automaticity of the sinoatrial node and prevent a dangerous
reduction in heart rate during surgical anesthesia.
An 80-year old client is given morphine sulfate for post-op pain. Which
concomitant med should the nurse question that poses a potential
development of urinary retention in this geriatric client? - ANSWER-
Tricyclic antidepressants
,Drugs with anticholinergic properties can exacerbate urinary
retention associated with opioids in the older client.
A client with osteoarthritis is given a new script for a NSAID. The client
asks the nurse, "How is this med different from the acetaminophen I
have been taking?" Which information about the therapeutic action of
NSAIDs should the nurse provide? - ANSWER- Provide anti-
inflammatory response
NSAIDs relieve pain associated with osteoarthritis and differs from
acetaminophen(a non-narcotic & antipyretic). Also potentially
hepatotoxic.
A client with cancer has a history of alcohol abuse and is taking
acetaminophen (Tylenol) for pain. Which organ function is most
important for the nurse to monitor? - ANSWER- Liver
Acetaminophen & alcohol both metabolized in the liver. Pt at risk of
hepatotoxicity & potentially fatal liver damage.
The nurse obtains a heart rate of 92 and a BP of 110/76 prior to
administering a scheduled does of verapamil (Calan) for a client with
atrial flutter. Which action should the nurse implement? - ANSWER-
Administer the dose as prescribed.
, Verapamil slows SA nodal automaticity, delays AV nodal
conduction, slowing ventricular rate & treats atrial flutter. HR is
above 60 and BP is WNL.
A client is admitted to the hospital with a diagnosis of Type 2 diabetes
mellitus and influenza. Which categories of illness should the nurse
develop goals for the client's plan of care? - ANSWER- One chronic
and one acute illness
Adult onset DM is life-long chronic disease. Influenza is acute illness
with short term duration.
Following an emergency Cesarean delivery the nurse encourages the
new mother to breastfed her newborn. The client asks why she should
breastfeed now. Which info should the nurse provide? - ANSWER-
Stimulate contraction of the uterus
Infant suckling breast releases oxytocin by the posterior pituitary
and stimulates the "letdown" reflex. Causing release of colostrum &
contracts the uterus to prevent uterine hemorrhage.
Which intervention should the nurse include in the plan of care for a
female client with severe postpartum depression who is admitted to the
inpatient psychiatric unit? - ANSWER- Supervised and guided visits
with infant.
EXAM QUESTIONS AND VERIFIED
ANSWERS 2026 EXAM GUARANTEED
SUCCESS!!!
A client with asthma receives a prescription for high blood pressure
during a clinic visit. Which prescription should the nurse anticipate the
client to receive that is at least likely to exacerbate asthma? -
ANSWER- Metoprolol tartrate (Lopressor)
Best antihypertensive med for asthmatics. Beta2 blocking agent --
also a cardioselective and less likely to cause bronchoconstriction.
A male client who has been taking propranolol (Inderal) for 18 months
tells the nurse that the healthcare provider discontinued the medication
because his blood pressure has been normal for the past 3 months.
Which instruction should the nurse provide? - ANSWER- Ask the
healthcare provider about tapering the drug dose over the next
week.
HCP discontinued drug BUT measures to prevent rebound cardiac
excitation, such as progressively reducing the dose over 1 or 2
,weeks, should be recommended to prevent rebound tachycardia,
hypertension, and ventricular dysrhythmias.
A client who is taking clonidine ( Catapres, Duraclon) reports
drowsiness. Which additional assessment should the nurse make? -
ANSWER- How long has the client been taking the medication?
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 provides information to direct
additional instruction.
The nurse is preparing to administer atropine, an anticholinergic, to a
client who is scheduled for a cholecystectomy. The client asks the nurse
to explain the reason for the prescribed medication. What response is
best for the nurse to provide? - ANSWER- Decrease the risk of
bradycardia during surgery
Atropine may be prescribed preoperatively to increase the
automaticity of the sinoatrial node and prevent a dangerous
reduction in heart rate during surgical anesthesia.
An 80-year old client is given morphine sulfate for post-op pain. Which
concomitant med should the nurse question that poses a potential
development of urinary retention in this geriatric client? - ANSWER-
Tricyclic antidepressants
,Drugs with anticholinergic properties can exacerbate urinary
retention associated with opioids in the older client.
A client with osteoarthritis is given a new script for a NSAID. The client
asks the nurse, "How is this med different from the acetaminophen I
have been taking?" Which information about the therapeutic action of
NSAIDs should the nurse provide? - ANSWER- Provide anti-
inflammatory response
NSAIDs relieve pain associated with osteoarthritis and differs from
acetaminophen(a non-narcotic & antipyretic). Also potentially
hepatotoxic.
A client with cancer has a history of alcohol abuse and is taking
acetaminophen (Tylenol) for pain. Which organ function is most
important for the nurse to monitor? - ANSWER- Liver
Acetaminophen & alcohol both metabolized in the liver. Pt at risk of
hepatotoxicity & potentially fatal liver damage.
The nurse obtains a heart rate of 92 and a BP of 110/76 prior to
administering a scheduled does of verapamil (Calan) for a client with
atrial flutter. Which action should the nurse implement? - ANSWER-
Administer the dose as prescribed.
, Verapamil slows SA nodal automaticity, delays AV nodal
conduction, slowing ventricular rate & treats atrial flutter. HR is
above 60 and BP is WNL.
A client is admitted to the hospital with a diagnosis of Type 2 diabetes
mellitus and influenza. Which categories of illness should the nurse
develop goals for the client's plan of care? - ANSWER- One chronic
and one acute illness
Adult onset DM is life-long chronic disease. Influenza is acute illness
with short term duration.
Following an emergency Cesarean delivery the nurse encourages the
new mother to breastfed her newborn. The client asks why she should
breastfeed now. Which info should the nurse provide? - ANSWER-
Stimulate contraction of the uterus
Infant suckling breast releases oxytocin by the posterior pituitary
and stimulates the "letdown" reflex. Causing release of colostrum &
contracts the uterus to prevent uterine hemorrhage.
Which intervention should the nurse include in the plan of care for a
female client with severe postpartum depression who is admitted to the
inpatient psychiatric unit? - ANSWER- Supervised and guided visits
with infant.
