Hesi-exit-exam
Comprehensive Exam
133- Cycl
obenzapr
ine(
Flex
eri
l
)ispr
escr
ibedt
oacl
i
entwi
t
hmul
t
ipl
escl
erosi
sfort
het
reat
mentof
muscl
espas
ms.Forwhi
chc
ommonsi
deefectoft
hismedi
cat
i
ondoest
henur
semoni
t
ort
hecl
i
ent
?
A. Di
arr
hea
B. Dr
ows
inessCor
rect
C. Abdomi
nal
pai
n
D. I
ncr
easedsal
i
vat
i
on
134- Anur
seadmi
ni
st
ersni
t
rogl
ycer
insubl
i
ngual
ytoacl
i
entwi
t
hangi
napect
ori
swhocompl
ai
nsof
ches
tpain.Themedicat
ioni
sinefect
i
ve,sothenurseprepar
est
oadmi
nist
eraseconddose.Bef
ore
admini
st
eri
ngthenit
rogl
ycer
in,whichact
i
ondoest henursemakeapr
ior
it
y?
A. Checki
ngthecl
ient'
sblo
o dpres
s ur
e Cor
rect
B. Obt
aini
ngbl
o
odl
evel
sofcar
diacenzy
mes
C. As
kingt
hecl
i
entwhet
herhehasaheadache
D. Obt
aini
nga12-
leadel
ect
rocar
diogr
am (
ECG)
135- Ci
proflox
aci
nhydr
ochl
ori
de(
Cipr
o)i
spr
escr
ibedt
oacl
i
entwi
t
haur
inar
ytr
acti
nfect
i
on.The
nurse,pr
ovi
di
ngins
truct
i
onabout
themedi
cat
i
on,t
elst
hecl
i
ent
thati
ti
sbes
ttot
aket
hemedi
cat
i
on:
A. Wit
hmilk
B. Wi
t
hanant
aci
d
C. 2hour
saf
t sCor
ermeal rect
D. Wi
t
hal
umi
num hydr
oxi
de
136.
-
Anursepr
ovi
deshomecareins
truct
i
onstoacli
entwit
hcoronar
yarter
ydi
sease(
CAD)whoi sbeing
di
schar
gedfr
om t
hehospi
t
al.Whichstat
ementbythecl
ienti
ndi
cat
esaneedforf
urt
heri
nst
ruct
ion?
,Hesi-exit-exam
A. "
Ine
edt
ocar
rymyni
t
rogl
ycer
inwi
t
hmeatalt
i
mes.
"
B. "
Ine
edt
ocheckmypul
sebef
ore,dur
ing,andaf
terex
erci
se.
"
C. "
Ine
edt
oav
oidf
o
odswi
t
hsat
urat
edf
atsandf
o
odshi
ghi
nchol
est
erol
.
"
D. "
Ine
edt
opar
ti
ci
pat
einaer
obi
candwei
ght
l
if
ti
ngex
erci
set
hre
eti ek."
mesawe Cor
rect
137-Anurseprovi
desi
nfor
mati
ontoacli
entwhowilbeunder
goingendoscopi
cret
rogr
ade
chol
angi
opancreat
ogr
aphy(ERCP).Thenur
setelst
hecli
ent
that
:
A. Therei
snoneedtofast(
NPOs t
atus
)befor
ethepr
ocedure
B. Thegal
bl
ad
deri
seas
il
yremov
eddur
ingt
hispr
ocedur
eifgal
st
onesar
efound
C. Thepr
ocedur
eisper
for
medspeci
fical
ytovi
sual
i
zet
heesophagus,s
tomach,and
duodenum
D. Dyemaybei
nj
ect
eddur
ingt
hepr
ocedur
etoper
mitvi
sual
i
zat
i
onoft
hepancr
eat
i
cand
bi
l
iar
yduct
sCor
rect
138.
I
D:383713175
Acl
ientwhohasundergonekne
e- replacementsurger
ywilbesel
f-
admini
st
eri
ngenoxapar
insodi
um
(
Lovenox)athome.Thenurseteachest hecl
i
entaboutthemedi
cat
ionandtel
sthecli
ent
to:
A. St
oret
hemedicati
oni ntheref
ri
gerator
B. Li
edownt
oadmi
ni
st
ert
hesubcut
aneousi
nj
ect
i
onCor
rect
C. I
nject
themedi
cat
i
oni
ntheup
perout
eraspectoft
hear
m
D. Di
scar
dthemedi
cat
i
oni
fthesol
uti
onap
pear
spal
eyel
ow
139.
I
D:383703667
Anintr
av enousdoseofadenosi
ne(Adenocar
d)i
sprescr
ibedf
oracl
i
enttotr
eatWolf-
Par
kinson-
Whit
es yndr ome.Whi
chpieceofequi
pmentdoesthenursemakeapri
ori
t
yofobtai
ningbefore
admini
steringthemedi
cati
on?
A. Pul
seoxi
meter
B. Car
di orCor
acmoni
t rect
,Hesi-exit-exam
C. Bl
o
od-
pres
sur
ecuff
D. Suct
i
oncat
het
erands
uct
i
onmachi
ne
140.
I
D:383703619
Anurseprovi
desi
nfor
mati
ontoacl
i
entwi t
hcoronaryart
erydisease(
CAD)aboutsmoki
ng-
ces
sat
i
on
measures.Whi
chstat
ementbyt
hecl
ientindi
cat
esane edforfurt
heri
nfor
mat
ion?
A. "Acommunit
ysup
portgroupwi l
helpmequi t
."
B. "
Ishoul
ddr
inkacupofcofe
eifIf
e
elt
heur
get
osmok "or
e.C rect
C. "
Rel
axat
i
onex
erci
seswi
lhel
pcont
rol
myur
get
osmok
e."
D. "
Icant
rychewi
nggum ors
uck
ingonhar
dcandyi
fIf
e
elt
heur
get
osmok
e."
141.
I
D:383708584
Captopr
il(
Capoten)i
sprescr
ibedforahospital
i
zedcli
entwi
t
hhear
tfai
l
ure.Whi
chact
i
oni
sapr
ior
it
y
oncethenursehasadminist
eredthef
ir
stdose?
A. Checki
ngtheclient
'
sapicalheartr
ate
B. Mai
ntai
ni
ngt
hecl
i
entonbedr
es or3hoursCor
tf rect
C. Moni
t
ori
ngt
hecl
i
entf
ori
ncr
easedur
ineout
put
D. Checki
ngt
hecl
i
ent
'
sbr
eat
hsoundsf
ordecr
easedwhe
ezi
ng
142.
I
D:383706680
Acli
entwithheartf
ail
uresud
denlyexper
iencespr
ofounddy
spnea,pal
or ,audi
bl
ewhe
ezi
ng,and
cy
anosis,andthenursesuspect
spulmonaryedema.Thenursewoul
dfir
st:
A. Obtai
napul s
eoximetr
yreading
B. Rai
set
heheadoft
hecl
i
ent
'
sbedCor
rect
C. Admi
ni
st
erados
eofmor
phi
nesul
f
ate
, Hesi-exit-exam
D. Obt
ainaspeci
menf
oranar
ter
ialbl
o
odgasdet
ermi
nat
i
on
143.
I
D:383703665
Thenurseadmi nist
ersint
ravenousmorphi
nesul
fat
etoacli
enti
npul
monar
yedema.Forwhi
ch
i
ntendedefectofthemedicati
ondoesthenursemonit
ort
hecli
ent
?
A. Reli
efofpain
B. Rel
i
efofanxi
etyCor
rect
C. Decr
easedur
ineout
put
D. I
ncr
easedbl
o
odpr
essur
e
4.
14 I
D:383702944
Anursei sprovi
dinghomecareinstr
ucti
onst
oaclientwit
hc or
onaryar
ter
ydisease(
CAD)whowi
l
bedi
s chargedhomeandwi lbet aki
ng1aspir
indail
y.Thenursetelst
hecli
ent:
A. Tostopt
heaspir
inifnauseaoc s
cur Incor
rect
B. Tot
aket
heaspi
ri
nonanempt
yst
omach
C. That
theaspi
ri
nisashor
t-
ter
mtr
eat
mentandwi
lpr
obabl
ybedi
scont
i
nuedi
n2 we
e
k
s
145.
I
D:383713112
Aclientr ecei
vi
ngpar ent
eralnut
ri
ti
on(PN)sud
denlyexperi
encesches
tpainanddyspnea,andthe
nurses uspectsanai remboli
sm.Thenurseimmediat
elypl
acesthecl
ienti
nalat
eralTr
endelenbur
g
posit
ion,ont heleftsi
de.Whatacti
ondoesthenursetakenext
?
A. Auscult
ati
ngheartsounds
B. Cl
ampi
ngt
hei
ntr
avenouscat er
het Cor
rect
C. Checki
ngt
hecl
i
ent
'
sbl
o
odpr
essur
e
Comprehensive Exam
133- Cycl
obenzapr
ine(
Flex
eri
l
)ispr
escr
ibedt
oacl
i
entwi
t
hmul
t
ipl
escl
erosi
sfort
het
reat
mentof
muscl
espas
ms.Forwhi
chc
ommonsi
deefectoft
hismedi
cat
i
ondoest
henur
semoni
t
ort
hecl
i
ent
?
A. Di
arr
hea
B. Dr
ows
inessCor
rect
C. Abdomi
nal
pai
n
D. I
ncr
easedsal
i
vat
i
on
134- Anur
seadmi
ni
st
ersni
t
rogl
ycer
insubl
i
ngual
ytoacl
i
entwi
t
hangi
napect
ori
swhocompl
ai
nsof
ches
tpain.Themedicat
ioni
sinefect
i
ve,sothenurseprepar
est
oadmi
nist
eraseconddose.Bef
ore
admini
st
eri
ngthenit
rogl
ycer
in,whichact
i
ondoest henursemakeapr
ior
it
y?
A. Checki
ngthecl
ient'
sblo
o dpres
s ur
e Cor
rect
B. Obt
aini
ngbl
o
odl
evel
sofcar
diacenzy
mes
C. As
kingt
hecl
i
entwhet
herhehasaheadache
D. Obt
aini
nga12-
leadel
ect
rocar
diogr
am (
ECG)
135- Ci
proflox
aci
nhydr
ochl
ori
de(
Cipr
o)i
spr
escr
ibedt
oacl
i
entwi
t
haur
inar
ytr
acti
nfect
i
on.The
nurse,pr
ovi
di
ngins
truct
i
onabout
themedi
cat
i
on,t
elst
hecl
i
ent
thati
ti
sbes
ttot
aket
hemedi
cat
i
on:
A. Wit
hmilk
B. Wi
t
hanant
aci
d
C. 2hour
saf
t sCor
ermeal rect
D. Wi
t
hal
umi
num hydr
oxi
de
136.
-
Anursepr
ovi
deshomecareins
truct
i
onstoacli
entwit
hcoronar
yarter
ydi
sease(
CAD)whoi sbeing
di
schar
gedfr
om t
hehospi
t
al.Whichstat
ementbythecl
ienti
ndi
cat
esaneedforf
urt
heri
nst
ruct
ion?
,Hesi-exit-exam
A. "
Ine
edt
ocar
rymyni
t
rogl
ycer
inwi
t
hmeatalt
i
mes.
"
B. "
Ine
edt
ocheckmypul
sebef
ore,dur
ing,andaf
terex
erci
se.
"
C. "
Ine
edt
oav
oidf
o
odswi
t
hsat
urat
edf
atsandf
o
odshi
ghi
nchol
est
erol
.
"
D. "
Ine
edt
opar
ti
ci
pat
einaer
obi
candwei
ght
l
if
ti
ngex
erci
set
hre
eti ek."
mesawe Cor
rect
137-Anurseprovi
desi
nfor
mati
ontoacli
entwhowilbeunder
goingendoscopi
cret
rogr
ade
chol
angi
opancreat
ogr
aphy(ERCP).Thenur
setelst
hecli
ent
that
:
A. Therei
snoneedtofast(
NPOs t
atus
)befor
ethepr
ocedure
B. Thegal
bl
ad
deri
seas
il
yremov
eddur
ingt
hispr
ocedur
eifgal
st
onesar
efound
C. Thepr
ocedur
eisper
for
medspeci
fical
ytovi
sual
i
zet
heesophagus,s
tomach,and
duodenum
D. Dyemaybei
nj
ect
eddur
ingt
hepr
ocedur
etoper
mitvi
sual
i
zat
i
onoft
hepancr
eat
i
cand
bi
l
iar
yduct
sCor
rect
138.
I
D:383713175
Acl
ientwhohasundergonekne
e- replacementsurger
ywilbesel
f-
admini
st
eri
ngenoxapar
insodi
um
(
Lovenox)athome.Thenurseteachest hecl
i
entaboutthemedi
cat
ionandtel
sthecli
ent
to:
A. St
oret
hemedicati
oni ntheref
ri
gerator
B. Li
edownt
oadmi
ni
st
ert
hesubcut
aneousi
nj
ect
i
onCor
rect
C. I
nject
themedi
cat
i
oni
ntheup
perout
eraspectoft
hear
m
D. Di
scar
dthemedi
cat
i
oni
fthesol
uti
onap
pear
spal
eyel
ow
139.
I
D:383703667
Anintr
av enousdoseofadenosi
ne(Adenocar
d)i
sprescr
ibedf
oracl
i
enttotr
eatWolf-
Par
kinson-
Whit
es yndr ome.Whi
chpieceofequi
pmentdoesthenursemakeapri
ori
t
yofobtai
ningbefore
admini
steringthemedi
cati
on?
A. Pul
seoxi
meter
B. Car
di orCor
acmoni
t rect
,Hesi-exit-exam
C. Bl
o
od-
pres
sur
ecuff
D. Suct
i
oncat
het
erands
uct
i
onmachi
ne
140.
I
D:383703619
Anurseprovi
desi
nfor
mati
ontoacl
i
entwi t
hcoronaryart
erydisease(
CAD)aboutsmoki
ng-
ces
sat
i
on
measures.Whi
chstat
ementbyt
hecl
ientindi
cat
esane edforfurt
heri
nfor
mat
ion?
A. "Acommunit
ysup
portgroupwi l
helpmequi t
."
B. "
Ishoul
ddr
inkacupofcofe
eifIf
e
elt
heur
get
osmok "or
e.C rect
C. "
Rel
axat
i
onex
erci
seswi
lhel
pcont
rol
myur
get
osmok
e."
D. "
Icant
rychewi
nggum ors
uck
ingonhar
dcandyi
fIf
e
elt
heur
get
osmok
e."
141.
I
D:383708584
Captopr
il(
Capoten)i
sprescr
ibedforahospital
i
zedcli
entwi
t
hhear
tfai
l
ure.Whi
chact
i
oni
sapr
ior
it
y
oncethenursehasadminist
eredthef
ir
stdose?
A. Checki
ngtheclient
'
sapicalheartr
ate
B. Mai
ntai
ni
ngt
hecl
i
entonbedr
es or3hoursCor
tf rect
C. Moni
t
ori
ngt
hecl
i
entf
ori
ncr
easedur
ineout
put
D. Checki
ngt
hecl
i
ent
'
sbr
eat
hsoundsf
ordecr
easedwhe
ezi
ng
142.
I
D:383706680
Acli
entwithheartf
ail
uresud
denlyexper
iencespr
ofounddy
spnea,pal
or ,audi
bl
ewhe
ezi
ng,and
cy
anosis,andthenursesuspect
spulmonaryedema.Thenursewoul
dfir
st:
A. Obtai
napul s
eoximetr
yreading
B. Rai
set
heheadoft
hecl
i
ent
'
sbedCor
rect
C. Admi
ni
st
erados
eofmor
phi
nesul
f
ate
, Hesi-exit-exam
D. Obt
ainaspeci
menf
oranar
ter
ialbl
o
odgasdet
ermi
nat
i
on
143.
I
D:383703665
Thenurseadmi nist
ersint
ravenousmorphi
nesul
fat
etoacli
enti
npul
monar
yedema.Forwhi
ch
i
ntendedefectofthemedicati
ondoesthenursemonit
ort
hecli
ent
?
A. Reli
efofpain
B. Rel
i
efofanxi
etyCor
rect
C. Decr
easedur
ineout
put
D. I
ncr
easedbl
o
odpr
essur
e
4.
14 I
D:383702944
Anursei sprovi
dinghomecareinstr
ucti
onst
oaclientwit
hc or
onaryar
ter
ydisease(
CAD)whowi
l
bedi
s chargedhomeandwi lbet aki
ng1aspir
indail
y.Thenursetelst
hecli
ent:
A. Tostopt
heaspir
inifnauseaoc s
cur Incor
rect
B. Tot
aket
heaspi
ri
nonanempt
yst
omach
C. That
theaspi
ri
nisashor
t-
ter
mtr
eat
mentandwi
lpr
obabl
ybedi
scont
i
nuedi
n2 we
e
k
s
145.
I
D:383713112
Aclientr ecei
vi
ngpar ent
eralnut
ri
ti
on(PN)sud
denlyexperi
encesches
tpainanddyspnea,andthe
nurses uspectsanai remboli
sm.Thenurseimmediat
elypl
acesthecl
ienti
nalat
eralTr
endelenbur
g
posit
ion,ont heleftsi
de.Whatacti
ondoesthenursetakenext
?
A. Auscult
ati
ngheartsounds
B. Cl
ampi
ngt
hei
ntr
avenouscat er
het Cor
rect
C. Checki
ngt
hecl
i
ent
'
sbl
o
odpr
essur
e
