HESI Comprehensive Exit Exam
COMPLETE 132 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client.
Which assessment does the nurse perform as a priority before
administering the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24
hours - ✔✔✔-A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE)
inhibitor used to treat hypertension. One common side effect is
postural hypotension. Therefore the nurse would check the client's
blood pressure immediately before administering each dose.
Checking the client's peripheral pulses, the results of the most
,recent potassium level, and the intake and output for the previous 24
hours are not specifically associated with this mediation.
2-A client is scheduled to undergo an upper gastrointestinal (GI)
series, and the nurse provides instructions to the client about the
test. Which statement by the client indicates a need for further
instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and
give myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the
liquid that I'll have to drink for the test can be constipating." - ✔✔✔-
C. "I need to drink citrate of magnesia the night before the test and
give myself a Fleet enema on the morning of the test."
An upper GI series involves visualization of the esophagus,
duodenum, and upper jejunum by means of the use of a contrast
medium. It involves swallowing a contrast medium (usually barium),
which is administered in a flavored milkshake. Films are taken at
intervals during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that NPO status
must be maintained for 8 hours before the test. After an upper GI
series, the client is prescribed a laxative to hasten elimination of the
barium. Barium that remains in the colon may become hard and
difficult to expel, leading to fecal impaction.
3-A nurse on the evening shift checks a physician's prescriptions
and notes that the dose of a prescribed medication is higher than the
normal dose. The nurse calls the physician's answering service and
,is told that the physician is off for the night and will be available in
the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the
morning
D. Administer the medication but consult the physician when he
becomes available - ✔✔✔-B. Ask the answering service to contact
the on-call physician
4.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:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - ✔✔✔-B.
Asking the ED physician to check the client
14 Phenelzine sulfate (Nardil) is prescribed for a client with
depression. The nurse provides information to the client about the
adverse effects of the medication and tells the client to contact the
physician immediately if she experiences:
, A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness - ✔✔✔-D. Neck stiffness or soreness
Correct
15 Risperidone (Risperdal) is prescribed for a client hospitalized in
the mental health unit for the treatment of a psychotic disorder.
Which finding in the client's medical record would prompt the nurse
to contact the prescribing physician before administering the
medication?
A. The client has a history of cataracts.
B. The client has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive.
D. The client is allergic to acetylsalicylic acid (aspirin). - ✔✔✔-C. The
client takes a prescribed antihypertensive.
16 A client who has been undergoing long-term therapy with an
antipsychotic medication is admitted to the inpatient mental health
unit. Which of the following findings does the nurse, knowing that
long-term use of an antipsychotic medication can cause tardive
dyskinesia, monitor in the client?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion - ✔✔✔-D. Tongue protrusion
COMPLETE 132 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
1-Enalapril maleate (Vasotec) is prescribed for a hospitalized client.
Which assessment does the nurse perform as a priority before
administering the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24
hours - ✔✔✔-A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE)
inhibitor used to treat hypertension. One common side effect is
postural hypotension. Therefore the nurse would check the client's
blood pressure immediately before administering each dose.
Checking the client's peripheral pulses, the results of the most
,recent potassium level, and the intake and output for the previous 24
hours are not specifically associated with this mediation.
2-A client is scheduled to undergo an upper gastrointestinal (GI)
series, and the nurse provides instructions to the client about the
test. Which statement by the client indicates a need for further
instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test and
give myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because the
liquid that I'll have to drink for the test can be constipating." - ✔✔✔-
C. "I need to drink citrate of magnesia the night before the test and
give myself a Fleet enema on the morning of the test."
An upper GI series involves visualization of the esophagus,
duodenum, and upper jejunum by means of the use of a contrast
medium. It involves swallowing a contrast medium (usually barium),
which is administered in a flavored milkshake. Films are taken at
intervals during the test, which takes about 30 minutes. No special
preparation is necessary before a GI series, except that NPO status
must be maintained for 8 hours before the test. After an upper GI
series, the client is prescribed a laxative to hasten elimination of the
barium. Barium that remains in the colon may become hard and
difficult to expel, leading to fecal impaction.
3-A nurse on the evening shift checks a physician's prescriptions
and notes that the dose of a prescribed medication is higher than the
normal dose. The nurse calls the physician's answering service and
,is told that the physician is off for the night and will be available in
the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in the
morning
D. Administer the medication but consult the physician when he
becomes available - ✔✔✔-B. Ask the answering service to contact
the on-call physician
4.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:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI - ✔✔✔-B.
Asking the ED physician to check the client
14 Phenelzine sulfate (Nardil) is prescribed for a client with
depression. The nurse provides information to the client about the
adverse effects of the medication and tells the client to contact the
physician immediately if she experiences:
, A. Dry mouth
B. Restlessness
C. Feelings of depression
D. Neck stiffness or soreness - ✔✔✔-D. Neck stiffness or soreness
Correct
15 Risperidone (Risperdal) is prescribed for a client hospitalized in
the mental health unit for the treatment of a psychotic disorder.
Which finding in the client's medical record would prompt the nurse
to contact the prescribing physician before administering the
medication?
A. The client has a history of cataracts.
B. The client has a history of hypothyroidism.
C. The client takes a prescribed antihypertensive.
D. The client is allergic to acetylsalicylic acid (aspirin). - ✔✔✔-C. The
client takes a prescribed antihypertensive.
16 A client who has been undergoing long-term therapy with an
antipsychotic medication is admitted to the inpatient mental health
unit. Which of the following findings does the nurse, knowing that
long-term use of an antipsychotic medication can cause tardive
dyskinesia, monitor in the client?
A. Fever
B. Diarrhea
C. Hypertension
D. Tongue protrusion - ✔✔✔-D. Tongue protrusion
