NURSING 270 : Hesi Exit Comprehensive Exam

Comprehensive Exam


133- Cyclobenzaprine(Flexeril)isprescribedtoa
clientwithmultiplesclerosisforthetreatmento
f
musclespasms.Forwhichcommonsideeffectofthism
edicationdoesthenursemonitortheclient?
A. Diarrhea

B. Drowsines
s Correct

C. Abdominalpain

D. Increasedsalivation


Anurseadministersnitroglycerinsublingualy
134-
toaclientwithanginapectoriswhocomplainsof
chestpain.Themedicationisineffective,sothenu
rsepreparestoadministeraseconddose.Before
administeringthenitroglycerin,whichactiondo
esthenursemakeapriority?
A. Checkingtheclient'sblo dpresureCorrect

B. Obtainingblo dlevelsofcardiacenzymes

C. Askingtheclientwhetherhehasaheadache

D. Obtaininga12-leadelectrocardiogram
(ECG)



135- Ciprofloxacinhydrochloride(Cipro)isprescri
bedtoaclientwithaurinarytractinfection.The
nurse,providinginstructionabouthemedication
,telstheclienthatitisbestotakethemedication
:
A. Withmilk

B. Withanantacid

C. 2hoursaftermeal
s Correct

D. Withaluminum hydroxide



136.-
Anurseprovideshomecareinstructionstoaclient
withcoronaryarterydisease(CAD)whoisbeing
dischargedfrom
thehospital.Whichstatementbytheclientindica
tesane dforfurtherinstruction?

, A. "Ine
dtocarrymynitroglycerinwithmeataltime
s."

B. "Ine
dtocheckmypulsebefore,during,andaftere
xercise."

C. "Ine dtoavoidfo
dswithsaturatedfatsandfo
dshighincholesterol."

D. "Ine "
dtoparticipateinaerobicandweightliftin
gexercisethre timesawe k.Correct




137-
Anurseprovidesinformationtoaclientwhowilbeun
dergoingendoscopicretrograde
cholangiopancreatography(ERCP).Thenursetels
theclienthat:
A. Thereisnone
dtofast(NPOstatus)beforetheprocedure

B. Thegalblad
eriseasilyremovedduringthisprocedureifg
alstonesarefound

C. Theprocedureisperformedspecificalytovisu

alizetheesophagus,stomach,and duodenum
D. Dyemaybeinjectedduringtheproceduretope
rmitvisualizationofthepancreaticand

biliarydu
s

ct.Correct

138ID:3837131

75
Aclientwhohasundergonekne -
replacementsurgerywilbeself-
administeringenoxaparinsodium
(Lovenox)athome.Thenurseteachestheclientabou
themedicationandtelsthecliento:
A. Storethemedicationintherefrigerator

B. Liedowntoadministerthesubcutaneousinje
ctionCorrect

, C. Injecthemedicationintheup
erouteraspectofthearm

D. Discardthemedicationifthesolutionap
earspaleyelow



. ID:383703667
139
Anintravenousdoseofadenosine(Adenocard)ispre
scribedforaclientotreatWolff-Parkinson-
Whitesyndrome.Whichpieceofequipmentdoesthenu
rsemakeapriorityofobtainingbefore
administeringthemedication?
A. Pulseoximeter

B. Cardiacmonito
r Correct

, C. Blo d-presurecuff

D. Suctioncatheterandsuctionmachine



. ID:383703619
140
Anurseprovidesinformationtoaclientwithcorona
ryarterydisease(CAD)aboutsmoking-cesation
measures.Whichstatementbytheclientindicates
ane dforfurtherinformation?
A. "Acommunitysup ortgroupwilhelpmequit."

B. "Ishoulddrinkacupofcoffe ifIfe
"
ltheurgetosmoke.Correct

C. "Relaxationexerciseswilhelpcontrolmyur
getosmoke."

D. "Icantrychewinggum
orsuckingonhardcandyifIfe
ltheurgetosmoke."




. ID:383708584
141
Captopril(Capoten)isprescribedforahospitaliz
edclientwithheartfailure.Whichactionisaprior
ity oncethenursehasadministeredthefirstdose?
A. Checkingtheclient'sapicalheartrate

B. Maintainingtheclientonbedrestfor3hour
s
Correct

C. Monitoringtheclientforincreasedurineou
tput

D. Checkingtheclient'sbreathsoundsfordecr
easedwhe zing



. ID:383706680
142
Aclientwithheartfailuresud
enlyexperiencesprofounddyspnea,palor,audible
whe zing,and
cyanosis,andthenursesuspectspulmonaryedema.T
henursewouldfirst:
A. Obtainapulseoximetryreading

B. Raisetheheadoftheclient'sbedCorrect

C. Administeradoseofmorphinesulfate