1
HESI Comprehensive Exit
Final Exam Question and
Answer
o Enalapril maleate is prescribed for a
hospitalized client. Which assessment does
the nurse perform as a priority before
administering the medi- cation?Checking the
client's blood pressure
o A client is scheduled to undergo an upper
gastrointestinal (GI) series, and the nurse
provides instructions to the client about the
[Type here] [Type here] [Type here]
, 2
test. Which statement by the client indicates a
need for further instruction?
o "I need to drink citrate of magnesia the night
before the test and give myself a Fleet enema
on the morning of the test."
o A nurse on the evening shift checks a health
care provider's prescriptions and notes that the
dose of a prescribed medication is higher than
the normal dose. The nurse calls the health care
provider's answering service and is told that the
health care provider is off for the night and will
be available in the morning. The nurse should:
Ask the answering service to contact the on-call
health care provider
[Type here] [Type here] [Type here]
, 3
o An emergency department (ED) nurse is
monitoring a client with suspected acute
myocardial infarction (MI) who is awaiting
transfer to the coronary intensive care unit. The
nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor,
checks the client's carotid pulse, and determines
that the PVCs are not resulting in perfusion. The
appropriate action by the nurse is: Asking the
ED health care provider to check the client
o NPO status is imposed 8 hours before the
procedure on a client scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the
morn- ing of the procedure, the nurse checks
the client's record and notes that the client
[Type here] [Type here] [Type here]
, 4
routinely takes an oral antihypertensive
medication each morning. The nurse should:
Administer the antihypertensive with a small
sip of water
o A client who recently underwent coronary
artery bypass graft surgery comes to the health
care provider's office for a follow-up visit. On
assess- ment, the client tells the nurse that he is
feeling depressed. Which response by the nurse
is therapeutic? "Tell me more about what
you're feeling."
o A client in labor experiences spontaneous
rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR)
[Type here] [Type here] [Type here]
HESI Comprehensive Exit
Final Exam Question and
Answer
o Enalapril maleate is prescribed for a
hospitalized client. Which assessment does
the nurse perform as a priority before
administering the medi- cation?Checking the
client's blood pressure
o A client is scheduled to undergo an upper
gastrointestinal (GI) series, and the nurse
provides instructions to the client about the
[Type here] [Type here] [Type here]
, 2
test. Which statement by the client indicates a
need for further instruction?
o "I need to drink citrate of magnesia the night
before the test and give myself a Fleet enema
on the morning of the test."
o A nurse on the evening shift checks a health
care provider's prescriptions and notes that the
dose of a prescribed medication is higher than
the normal dose. The nurse calls the health care
provider's answering service and is told that the
health care provider is off for the night and will
be available in the morning. The nurse should:
Ask the answering service to contact the on-call
health care provider
[Type here] [Type here] [Type here]
, 3
o An emergency department (ED) nurse is
monitoring a client with suspected acute
myocardial infarction (MI) who is awaiting
transfer to the coronary intensive care unit. The
nurse notes the sudden onset of premature
ventricular contractions (PVCs) on the monitor,
checks the client's carotid pulse, and determines
that the PVCs are not resulting in perfusion. The
appropriate action by the nurse is: Asking the
ED health care provider to check the client
o NPO status is imposed 8 hours before the
procedure on a client scheduled to undergo
electroconvulsive therapy (ECT) at 1 p.m. On the
morn- ing of the procedure, the nurse checks
the client's record and notes that the client
[Type here] [Type here] [Type here]
, 4
routinely takes an oral antihypertensive
medication each morning. The nurse should:
Administer the antihypertensive with a small
sip of water
o A client who recently underwent coronary
artery bypass graft surgery comes to the health
care provider's office for a follow-up visit. On
assess- ment, the client tells the nurse that he is
feeling depressed. Which response by the nurse
is therapeutic? "Tell me more about what
you're feeling."
o A client in labor experiences spontaneous
rupture of the membranes. The nurse
immediately counts the fetal heart rate (FHR)
[Type here] [Type here] [Type here]
