HESI RN EXIT EXAM Test Bank Questions & Answers ||
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A woman with an anxiety disorder calls her obstetrician's office and tells the
nurse of increased anxiety since the normal vaginal delivery of her son three
weeks ago. Since
she is breastfeeding, she stopped taking her antianxiety medications, but thinks
she may need to start taking them again because of her increased anxiety.
What response is best for the nurse to provide this woman?
a. Describe the transmission of drugs to the infant through breast milk
b. Encourage her to use stress relieving alternatives, such as deep breathing
exercises
c. Inform her that some antianxiety medications are safe to take while
breastfeeding
d. Explain that anxiety is a normal response for the mother of a 3-week-old.
Inform her that some antianxiety medications are safe to take while
breastfeeding Rationale: There are several antianxiety medications that are not
contraindicated for
breastfeeding mothers. The woman is apparently aware that drugs can be
transmitted through breast milk, so A is not helpful. C might be helpful, but
the client's history
suggest that nonpharmacological methods of anxiety management do not
produce the best outcome. (D) the mother's history places her at risk for
severe anxiety.
,An older male client with a history of type 1 diabetes has not felt well the past
few days and arrives at the clinic with abdominal cramping and vomiting. He is
lethargic,
moderately, confused, and cannot remember when he took his last dose of insulin
or ate last. What action should the nurse implement first?
a. obtain a serum potassium level
b. administer the client's usual dose of insulin
c. assess pupillary response to light
d. Start an intravenous (IV) infusion of normal saline
Start an intravenous (IV) infusion of normal saline
Rationale: the nurse should first start an intravenous infusion of normal saline
to replace the fluids and electrolytes because the client has been vomiting, and
it is unclear when he last ate or took insulin. The symptoms of confusion,
lethargy, vomiting, and abdominal cramping are all suggestive of
hyperglycemia, which also contributes to diuresis and
fluid electrolyte imbalance.
,A client who received multiple antihypertensive medications experiences
syncope due to a drop in blood pressure to 70/40. What is the rationale for
the nurse's decision to
hold the client's scheduled antihypertensive medication?
a. Increased urinary clearance of the multiple medications has produced
diuresis and lowered the blood pressure
b. The antagonistic interaction among the various blood pressure
medications has reduced their effectiveness
c. The additive effect of multiple medications has caused the blood pressure to
drop too low.
d. The synergistic effect of the multiple medications has resulted in drug
toxicity and resulting hypotension.
The additive effect of multiple medications has caused the blood pressure to
drop too low
Rationale: When medication with a similar action are administered, an additive
effect occurs that is the sum of the effects of each of the medication. In this
case, several medications that all lower the blood pressure, when administer
together, resulted in hypotension.
, Which client is at the greatest risk for developing delirium?
a. An adult client who cannot sleep due to constant pain.
b. an older client who attempted 1 month ago
c. a young adult who takes antipsychotic medications twice a day
d. a middle-aged woman who uses a tank for supplemental oxygen
An adult client who cannot sleep due to constant pain.
Rationale: Client who are in constant pain ad have difficulty sleeping or
resting are at high risk for delirium. Supplemental oxygen may cause
confusion. B is taking medication so is not at high risk of delirium.
Which intervention should the nurse include in a long-term plan of care for a
client with Chronic Obstructive Pulmonary Disease (COPD)?
a. Reduce risks factors for infection
b. Administer high flow oxygen during sleep
c. Limit fluid intake to reduce secretions
d. Use diaphragmatic breathing to achieve better exhalation
Reduce risks factors for infection
Rationale: Interventions aimed at reducing the risk factors of infections should be
included in the plan of care COPD client are at particular risk for respiratory
infection. Prevention and early detection of infections are necessary.
Most Recent Exam Actual Complete Real Exam
Questions And Correct Answers (Verified Answers)
Already Graded A+ | Guaranteed Success!! Newest
Exam | Just Released 2026-2027
A woman with an anxiety disorder calls her obstetrician's office and tells the
nurse of increased anxiety since the normal vaginal delivery of her son three
weeks ago. Since
she is breastfeeding, she stopped taking her antianxiety medications, but thinks
she may need to start taking them again because of her increased anxiety.
What response is best for the nurse to provide this woman?
a. Describe the transmission of drugs to the infant through breast milk
b. Encourage her to use stress relieving alternatives, such as deep breathing
exercises
c. Inform her that some antianxiety medications are safe to take while
breastfeeding
d. Explain that anxiety is a normal response for the mother of a 3-week-old.
Inform her that some antianxiety medications are safe to take while
breastfeeding Rationale: There are several antianxiety medications that are not
contraindicated for
breastfeeding mothers. The woman is apparently aware that drugs can be
transmitted through breast milk, so A is not helpful. C might be helpful, but
the client's history
suggest that nonpharmacological methods of anxiety management do not
produce the best outcome. (D) the mother's history places her at risk for
severe anxiety.
,An older male client with a history of type 1 diabetes has not felt well the past
few days and arrives at the clinic with abdominal cramping and vomiting. He is
lethargic,
moderately, confused, and cannot remember when he took his last dose of insulin
or ate last. What action should the nurse implement first?
a. obtain a serum potassium level
b. administer the client's usual dose of insulin
c. assess pupillary response to light
d. Start an intravenous (IV) infusion of normal saline
Start an intravenous (IV) infusion of normal saline
Rationale: the nurse should first start an intravenous infusion of normal saline
to replace the fluids and electrolytes because the client has been vomiting, and
it is unclear when he last ate or took insulin. The symptoms of confusion,
lethargy, vomiting, and abdominal cramping are all suggestive of
hyperglycemia, which also contributes to diuresis and
fluid electrolyte imbalance.
,A client who received multiple antihypertensive medications experiences
syncope due to a drop in blood pressure to 70/40. What is the rationale for
the nurse's decision to
hold the client's scheduled antihypertensive medication?
a. Increased urinary clearance of the multiple medications has produced
diuresis and lowered the blood pressure
b. The antagonistic interaction among the various blood pressure
medications has reduced their effectiveness
c. The additive effect of multiple medications has caused the blood pressure to
drop too low.
d. The synergistic effect of the multiple medications has resulted in drug
toxicity and resulting hypotension.
The additive effect of multiple medications has caused the blood pressure to
drop too low
Rationale: When medication with a similar action are administered, an additive
effect occurs that is the sum of the effects of each of the medication. In this
case, several medications that all lower the blood pressure, when administer
together, resulted in hypotension.
, Which client is at the greatest risk for developing delirium?
a. An adult client who cannot sleep due to constant pain.
b. an older client who attempted 1 month ago
c. a young adult who takes antipsychotic medications twice a day
d. a middle-aged woman who uses a tank for supplemental oxygen
An adult client who cannot sleep due to constant pain.
Rationale: Client who are in constant pain ad have difficulty sleeping or
resting are at high risk for delirium. Supplemental oxygen may cause
confusion. B is taking medication so is not at high risk of delirium.
Which intervention should the nurse include in a long-term plan of care for a
client with Chronic Obstructive Pulmonary Disease (COPD)?
a. Reduce risks factors for infection
b. Administer high flow oxygen during sleep
c. Limit fluid intake to reduce secretions
d. Use diaphragmatic breathing to achieve better exhalation
Reduce risks factors for infection
Rationale: Interventions aimed at reducing the risk factors of infections should be
included in the plan of care COPD client are at particular risk for respiratory
infection. Prevention and early detection of infections are necessary.
