NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+
Critical Care Comprehensive Exam 1
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
least likely to exacerbate asthma?
A. Carteolol (Ocupress).
B. Propranolol hydrochloride (Inderal).
C. Pindolol (Visken). Incorrect
D. Metoprolol tartrate (Lopressor). Correct
The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a
beta2 blocking agent which is also cardioselective and less likely to cause
bronchoconstriction. Pindolol (A)
is a beta2 blocker that can cause bronchoconstriction and increase asthmatic
carteolol (B) is a beta blocking agent and an effective antihypertensive agent used in
managing angina, it can increase a client's risk for bronchoconstriction due to its
nonselective beta blocker action. Propranolol (D) also blocks the beta2 receptors in the
lungs, causing bronchoconstriction, and is not indicated in clients with asthma and
other obstructive pulmonary disorders.
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 three months. Which instruction should the nurse provide?
A. Obtain another antihypertensive prescription to avoid withdrawal symptoms.
B. Stop the medication and keep an accurate record of blood pressure.
C. Report any uncomfortable symptoms after stopping the medication.
D. Ask the healthcare provider about tapering the drug dose over the next week.
NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+ 1
,NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+
Correct
Although the healthcare provider discontinued the propranolol, measures to prevent
rebound cardiac excitation, such as progressively reducing the dose over one to two
weeks (C), should be recommended to prevent rebound tachycardia, hypertension, and
ventricular dysrhythmias. Abrupt cessation (A and B) of the beta-blocking agent may
precipitate tachycardia and rebound hypertension, so gradual weaning should be
recommended. (D) is not indicated.
9.ID: 6974873583
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?
A. One chronic and one acute illness. Correct
B. Two acute illnesses.
C. One acute and one infectious illness. Incorrect
D. Two chronic illnesses.
The plan of care should include goals that are specific for chronic and acute illnesses.
Adult-onset diabetes is a life-long chronic disease, whereas influenza is an acute illness
with a short term duration (C). (A, B, and D) do not include the correct duration
categories for this situation.
10.ID: 6974877914
Following an emergency Cesarean delivery, the nurse encourages the new mother to
breastfeed her newborn. The client asks why she should breastfeed now. Which
information should the nurse provide?
A. Stimulate contraction of the uterus. Correct
NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+ 2
,NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+
B. Initiate the lactation process.
C. Facilitate maternal-infant bonding.
D. Prevent neonatal hypoglycemia.
When the infant suckles at the breast, oxytocin is released by the posterior pituitary to
stimulates the "letdown" reflex, which causes the release of colostrum, and contracts
the uterus (C) to prevent uterine hemorrhage. (A and B) do not support the client's need
in the immediate period after the
NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+ 3
, NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+
emergency delivery. Although maternal-newborn bonding (D) is facilitated by early
breastfeeding, the priority is uterine contraction stimulation.
11.ID: 6974875104
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?
A. Restrict visitors who irritate the client.
B. Full rooming-in for the infant and mother.
C. Supervised and guided visits with infant. Correct
D. Daily visits with her significant other.
Structured visits (C) provide an opportunity for the mother and infant to bond and
should be facilitated and encouraged according to the client's pace of progress. (A) is
unrealistic and may not be safe for the baby or the client. (B) is an unrealistic
expectation. Although daily visits may provide support, the significant other may not
be able to be there every day (D) based on other family responsibilities.
12.ID: 6974873535
A 16-year-old male client is admitted to the hospital after falling off a bike and
sustaining a fractured bone. The healthcare provider explains the surgery needed to
immobilize the fracture. Which action should be implemented to obtain a valid
informed consent?
A. Obtain the permission of the custodial parent for the surgery. Correct
B. Notify the non-custodial parent to also sign a consent form.
C. Instruct the client sign the consent before giving medications.
D. Obtain the signature of the client’s stepfather for the surgery. Incorrect
The client is a minor and cannot legally sign his own consent unless he is an
NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+ 4
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+
Critical Care Comprehensive Exam 1
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
least likely to exacerbate asthma?
A. Carteolol (Ocupress).
B. Propranolol hydrochloride (Inderal).
C. Pindolol (Visken). Incorrect
D. Metoprolol tartrate (Lopressor). Correct
The best antihypertensive agent for clients with asthma is metoprolol (Lopressor) (C), a
beta2 blocking agent which is also cardioselective and less likely to cause
bronchoconstriction. Pindolol (A)
is a beta2 blocker that can cause bronchoconstriction and increase asthmatic
carteolol (B) is a beta blocking agent and an effective antihypertensive agent used in
managing angina, it can increase a client's risk for bronchoconstriction due to its
nonselective beta blocker action. Propranolol (D) also blocks the beta2 receptors in the
lungs, causing bronchoconstriction, and is not indicated in clients with asthma and
other obstructive pulmonary disorders.
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 three months. Which instruction should the nurse provide?
A. Obtain another antihypertensive prescription to avoid withdrawal symptoms.
B. Stop the medication and keep an accurate record of blood pressure.
C. Report any uncomfortable symptoms after stopping the medication.
D. Ask the healthcare provider about tapering the drug dose over the next week.
NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+ 1
,NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+
Correct
Although the healthcare provider discontinued the propranolol, measures to prevent
rebound cardiac excitation, such as progressively reducing the dose over one to two
weeks (C), should be recommended to prevent rebound tachycardia, hypertension, and
ventricular dysrhythmias. Abrupt cessation (A and B) of the beta-blocking agent may
precipitate tachycardia and rebound hypertension, so gradual weaning should be
recommended. (D) is not indicated.
9.ID: 6974873583
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?
A. One chronic and one acute illness. Correct
B. Two acute illnesses.
C. One acute and one infectious illness. Incorrect
D. Two chronic illnesses.
The plan of care should include goals that are specific for chronic and acute illnesses.
Adult-onset diabetes is a life-long chronic disease, whereas influenza is an acute illness
with a short term duration (C). (A, B, and D) do not include the correct duration
categories for this situation.
10.ID: 6974877914
Following an emergency Cesarean delivery, the nurse encourages the new mother to
breastfeed her newborn. The client asks why she should breastfeed now. Which
information should the nurse provide?
A. Stimulate contraction of the uterus. Correct
NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+ 2
,NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+
B. Initiate the lactation process.
C. Facilitate maternal-infant bonding.
D. Prevent neonatal hypoglycemia.
When the infant suckles at the breast, oxytocin is released by the posterior pituitary to
stimulates the "letdown" reflex, which causes the release of colostrum, and contracts
the uterus (C) to prevent uterine hemorrhage. (A and B) do not support the client's need
in the immediate period after the
NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+ 3
, NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+
emergency delivery. Although maternal-newborn bonding (D) is facilitated by early
breastfeeding, the priority is uterine contraction stimulation.
11.ID: 6974875104
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?
A. Restrict visitors who irritate the client.
B. Full rooming-in for the infant and mother.
C. Supervised and guided visits with infant. Correct
D. Daily visits with her significant other.
Structured visits (C) provide an opportunity for the mother and infant to bond and
should be facilitated and encouraged according to the client's pace of progress. (A) is
unrealistic and may not be safe for the baby or the client. (B) is an unrealistic
expectation. Although daily visits may provide support, the significant other may not
be able to be there every day (D) based on other family responsibilities.
12.ID: 6974873535
A 16-year-old male client is admitted to the hospital after falling off a bike and
sustaining a fractured bone. The healthcare provider explains the surgery needed to
immobilize the fracture. Which action should be implemented to obtain a valid
informed consent?
A. Obtain the permission of the custodial parent for the surgery. Correct
B. Notify the non-custodial parent to also sign a consent form.
C. Instruct the client sign the consent before giving medications.
D. Obtain the signature of the client’s stepfather for the surgery. Incorrect
The client is a minor and cannot legally sign his own consent unless he is an
NURS 4025HESI Critical Care Comprehensive
Exam1 QUESTIONS & ANSWERS BEST EXAM
SOLUTION GUARANTEED SUCCESS LATEST UPDATE
2022/2023 GRADED A+ 4
