BSN 315 PRACTICE HESI EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS LATEST UPDATE
The mother of a newborn asks the nurse why her infant needs the vitamin K
injection. Which information should the nurse provide?
Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract.
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole 20 mg capsule daily. When providing this client with discharge
teaching, the nurse should include which instruction?
take at the same time each day one hour before eating a meal
A client at 30 weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone intramuscularly every 12 hours.
The client asks the nurse why she is receiving betamethasone. Which information
should the nurse use to explain the action of the medication?
stimulates fetal surfactant production
A client receives a new prescription for pentazocine, a mixed opioid agonist-
antagonist after an opioid agonist is discontinued. Which is the advantage for the
client when the new prescription is implemented?
used to decrease substance abuse disorder
The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. Which information should the nurse tell the client?
the infection is difficult to eradicate and requires prolonged therapy for 3 to 6 months
,A client receives a new prescription for an angiotensin-converting enzyme (ACE)
inhibitor. Which client history contraindicates its use?
renal artery stenosis
Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery? (Select all that apply.)
Mood swings, increased weight gain
Dexamethasone is a long-acting glucocorticoid prescribed for neurosurgical procedures
because it suppresses inflammation and has a low sodium-retaining ability, which is
important in averting cerebral edema. However, the medication does produce the
following side effects such as: mood swings, an increase in appetite, resulting in weight
gain, hyperglycemia (serum glucose level above 120 mg/dl) which is related to the
gluconeogenesis properties of corticosteroids, delayed in wound healing related to
immune suppression properties, and complete blood count resulting in a decreased in
WBC and hemoglobin (less than 12mg/dl). When a client is receiving dexamethasone,
they should be monitored for these side effects.
A client is taking sulfisoxazole for a urinary tract infection (UTI) and complains of
nausea and gastric upset since starting the medication. Which additional adverse
reaction should the nurse instruct the client to report?
rash
What pathophysiological action supports the expected outcome for a client with
chronic cancer pain who is treated with imipramine, a tricyclic antidepressant?
, decreases transmission of pain impulses by altering serotonin and norepinephrine
activity at nerve synapses
Which statement by a client warrants further instruction by the nurse about the
changing insulin needs of a diabetic client during pregnancy?
I will increase my insulin dosage by 5 units each month during the first trimester
A client who uses ipratropium reports having nausea, blurred vision, headaches,
and insomnia after using the inhaler. Which action should the nurse
implement first?
withhold medication and report symptoms and vital signs to the healthcare provider
A client is admitted for atrial fibrillation, and the healthcare provider prescribes
disopyramide. After explaining the action of this antidysrhythmic agent, which
complaint should the nurse instruct the client to report?
daily weight gain of 2 pounds
A client is taking cyclosporine for renal allograft rejection prevention. After 9
months of drug therapy, the nurse reviews laboratory data and notes that the
blood urea nitrogen level is 36 mg/dl. What additional finding should the nurse
identify?
creatinine 2.8 mg/dl
The healthcare provider prescribes pyridostigmine bromide tablets for a client
with myasthenia gravis (MG). Which instruction should the nurse provide this
client?
that the medication is not a cure but it does relieve symptoms
WITH COMPLETE SOLUTIONS LATEST UPDATE
The mother of a newborn asks the nurse why her infant needs the vitamin K
injection. Which information should the nurse provide?
Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract.
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole 20 mg capsule daily. When providing this client with discharge
teaching, the nurse should include which instruction?
take at the same time each day one hour before eating a meal
A client at 30 weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone intramuscularly every 12 hours.
The client asks the nurse why she is receiving betamethasone. Which information
should the nurse use to explain the action of the medication?
stimulates fetal surfactant production
A client receives a new prescription for pentazocine, a mixed opioid agonist-
antagonist after an opioid agonist is discontinued. Which is the advantage for the
client when the new prescription is implemented?
used to decrease substance abuse disorder
The healthcare provider prescribes oral antifungal therapy for a client with
onychomycosis. Which information should the nurse tell the client?
the infection is difficult to eradicate and requires prolonged therapy for 3 to 6 months
,A client receives a new prescription for an angiotensin-converting enzyme (ACE)
inhibitor. Which client history contraindicates its use?
renal artery stenosis
Which side effects should the nurse monitor for a client who is receiving
dexamethasone following neurosurgery? (Select all that apply.)
Mood swings, increased weight gain
Dexamethasone is a long-acting glucocorticoid prescribed for neurosurgical procedures
because it suppresses inflammation and has a low sodium-retaining ability, which is
important in averting cerebral edema. However, the medication does produce the
following side effects such as: mood swings, an increase in appetite, resulting in weight
gain, hyperglycemia (serum glucose level above 120 mg/dl) which is related to the
gluconeogenesis properties of corticosteroids, delayed in wound healing related to
immune suppression properties, and complete blood count resulting in a decreased in
WBC and hemoglobin (less than 12mg/dl). When a client is receiving dexamethasone,
they should be monitored for these side effects.
A client is taking sulfisoxazole for a urinary tract infection (UTI) and complains of
nausea and gastric upset since starting the medication. Which additional adverse
reaction should the nurse instruct the client to report?
rash
What pathophysiological action supports the expected outcome for a client with
chronic cancer pain who is treated with imipramine, a tricyclic antidepressant?
, decreases transmission of pain impulses by altering serotonin and norepinephrine
activity at nerve synapses
Which statement by a client warrants further instruction by the nurse about the
changing insulin needs of a diabetic client during pregnancy?
I will increase my insulin dosage by 5 units each month during the first trimester
A client who uses ipratropium reports having nausea, blurred vision, headaches,
and insomnia after using the inhaler. Which action should the nurse
implement first?
withhold medication and report symptoms and vital signs to the healthcare provider
A client is admitted for atrial fibrillation, and the healthcare provider prescribes
disopyramide. After explaining the action of this antidysrhythmic agent, which
complaint should the nurse instruct the client to report?
daily weight gain of 2 pounds
A client is taking cyclosporine for renal allograft rejection prevention. After 9
months of drug therapy, the nurse reviews laboratory data and notes that the
blood urea nitrogen level is 36 mg/dl. What additional finding should the nurse
identify?
creatinine 2.8 mg/dl
The healthcare provider prescribes pyridostigmine bromide tablets for a client
with myasthenia gravis (MG). Which instruction should the nurse provide this
client?
that the medication is not a cure but it does relieve symptoms
