HESI MILESTONE #1 Practice Exam 23
Questions and Answers GRADED A+
Which information should the nurse have when assessing a client for therapeutic
effects of a prescribed medication?
a) The client's previous experience with medication.
b) The client's baseline before taking the medication.
c) Expected side effects of the medication.
d) Expected response of the medication. -
✔️b) The client's baseline before taking the medication.
The nurse is teaching a client about the medication treatment for active tuberculosis
(TB) infection. The nurse should include which information in the teaching?
a) "At least 2 antituberculosis medications will need to be taken."
b) "You will most likely develop a superinfection from the antituberculosis
medications."
c) "Treatment is necessary for just 10 days."
d) "Drug sensitivity is not necessary before starting treatment." -
✔️a) "At least 2 antituberculosis medications will need to be taken."
The basic mechanism of action of most diuretic medications includes which of the
following?
a) Increasing the thirst sensation to promote more water intake by the client
b) Causing vasodilation and increasing blood supply to the kidneys
c) Blocking sodium and chloride reabsorption
d) Increasing potassium excretion by removing water from the cells -
✔️c) Blocking sodium and chloride reabsorption
The nurse is administering prescribed tetracycline. Which client would be appropriate
to receive the medication?
a) A female client who is pregnant and has a skin infection.
b) A 6-year-old client with an ear infection.
c) A teenager with severe acne on the back.
d) A 12-month-old with an eye infection. -
✔️c) A teenager with severe acne on the back.
Angiotensin-converting enzyme (ACE) inhibitors are used to treat which diagnosis?
a) Hypotension
b) Heart failure
, c) Stroke
d) Atrial fibrillation -
✔️b) Heart failure
Which anticoagulant would be contraindicated for a client with a vitamin K
deficiency?
a) enoxaparin (Lovenox)
b) apixaban (Eliquis)
c) heparin (unfractionated)
d) warfarin (Coumadin) -
✔️d) warfarin (Coumadin)
The nurse is caring for a client taking newly prescribed first-generation antipsychotic
medication. The nurse should monitor the client for which adverse effect that can
occur within the first few days?
a) Suicidal ideations
b) Fibromyalgia syndrome
c) Tardive dyskinesia
d) Acute dystonia -
✔️c) Tardive dyskinesia
The mnemonic SLUDGE is used to remember the signs and symptoms for the life-
threatening adverse effect of which type of medication?
a) Cholinesterase inhibitors
b) Antipsychotics
c) Antiepileptics
d) Adrenergic Agonists -
✔️a) Cholinesterase inhibitors
The nurse is evaluating the effects of prescribed phenytoin (Dilantin) for a client who
has been taking the medication for six months. The nurse should assess the client
for which outcome?
a) Increased sensation in peripheries.
b) Reduced seizure activity.
c) Decrease in body mass index.
d) Improved activity tolerance. -
✔️b) Reduced seizure activity.
The nurse is teaching a client diagnosed with Alzheimer's disease and the client's
spouse about medication treatment. Which information should the nurse include?
a) "The medication will reverse the symptoms for as long as you take the
medication."
b) "Moderate to severe stages of the disease are prevented by the medication."
c) "You will not become confused and forgetful if you take the medication daily."
d) "The decline in functioning from the disease will be slowed from the medication." -
Questions and Answers GRADED A+
Which information should the nurse have when assessing a client for therapeutic
effects of a prescribed medication?
a) The client's previous experience with medication.
b) The client's baseline before taking the medication.
c) Expected side effects of the medication.
d) Expected response of the medication. -
✔️b) The client's baseline before taking the medication.
The nurse is teaching a client about the medication treatment for active tuberculosis
(TB) infection. The nurse should include which information in the teaching?
a) "At least 2 antituberculosis medications will need to be taken."
b) "You will most likely develop a superinfection from the antituberculosis
medications."
c) "Treatment is necessary for just 10 days."
d) "Drug sensitivity is not necessary before starting treatment." -
✔️a) "At least 2 antituberculosis medications will need to be taken."
The basic mechanism of action of most diuretic medications includes which of the
following?
a) Increasing the thirst sensation to promote more water intake by the client
b) Causing vasodilation and increasing blood supply to the kidneys
c) Blocking sodium and chloride reabsorption
d) Increasing potassium excretion by removing water from the cells -
✔️c) Blocking sodium and chloride reabsorption
The nurse is administering prescribed tetracycline. Which client would be appropriate
to receive the medication?
a) A female client who is pregnant and has a skin infection.
b) A 6-year-old client with an ear infection.
c) A teenager with severe acne on the back.
d) A 12-month-old with an eye infection. -
✔️c) A teenager with severe acne on the back.
Angiotensin-converting enzyme (ACE) inhibitors are used to treat which diagnosis?
a) Hypotension
b) Heart failure
, c) Stroke
d) Atrial fibrillation -
✔️b) Heart failure
Which anticoagulant would be contraindicated for a client with a vitamin K
deficiency?
a) enoxaparin (Lovenox)
b) apixaban (Eliquis)
c) heparin (unfractionated)
d) warfarin (Coumadin) -
✔️d) warfarin (Coumadin)
The nurse is caring for a client taking newly prescribed first-generation antipsychotic
medication. The nurse should monitor the client for which adverse effect that can
occur within the first few days?
a) Suicidal ideations
b) Fibromyalgia syndrome
c) Tardive dyskinesia
d) Acute dystonia -
✔️c) Tardive dyskinesia
The mnemonic SLUDGE is used to remember the signs and symptoms for the life-
threatening adverse effect of which type of medication?
a) Cholinesterase inhibitors
b) Antipsychotics
c) Antiepileptics
d) Adrenergic Agonists -
✔️a) Cholinesterase inhibitors
The nurse is evaluating the effects of prescribed phenytoin (Dilantin) for a client who
has been taking the medication for six months. The nurse should assess the client
for which outcome?
a) Increased sensation in peripheries.
b) Reduced seizure activity.
c) Decrease in body mass index.
d) Improved activity tolerance. -
✔️b) Reduced seizure activity.
The nurse is teaching a client diagnosed with Alzheimer's disease and the client's
spouse about medication treatment. Which information should the nurse include?
a) "The medication will reverse the symptoms for as long as you take the
medication."
b) "Moderate to severe stages of the disease are prevented by the medication."
c) "You will not become confused and forgetful if you take the medication daily."
d) "The decline in functioning from the disease will be slowed from the medication." -
