NRSG 245 HESI Practice Exams WITH |\ |\ |\ |\ |\ |\
ANSWERS
A client prescribed risperidone 10 mg/day for the past three
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
months is being admitted to the hospital. Which physical
|\ |\ |\ |\ |\ |\ |\ |\ |\
assessment findings should the nurse report to the healthcare
|\ |\ |\ |\ |\ |\ |\ |\ |\
provider?
-Anorexia.
-Drowsiness and lethargy. |\ |\
-Tremors and muscle twitching. |\ |\ |\
-Dry mouth, and constipation. - CORRECT ANSWERS ✔✔Tremors
|\ |\ |\ |\ |\ |\ |\ |\
and muscle twitching.
|\ |\
The nurse receives a unit of blood from the blood bank for a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
postoperative client who is currently in the X-ray department.|\ |\ |\ |\ |\ |\ |\ |\ |\
Which action should the nurse implement?
|\ |\ |\ |\ |\
-Return the blood to the blood bank for refrigeration within 30
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes.
-Hang the blood transfusion as soon as the client returns to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit.
-Store the blood bag in the nursing unit's refrigerator until the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client returns. |\
,-Take the unit of blood to the X-ray department to initiate the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
transfusion. - CORRECT ANSWERS ✔✔Return the blood to the |\ |\ |\ |\ |\ |\ |\ |\ |\
blood bank for refrigeration within 30 minutes.
|\ |\ |\ |\ |\ |\
A client is administered an injection of medroxyprogesterone
|\ |\ |\ |\ |\ |\ |\ |\
acetate (Depo-Provera). Which physical finding should the nurse
|\ |\ |\ |\ |\ |\ |\ |\
instruct the client is an expected side effect of the medication?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-Leg or calf pain.
|\ |\ |\
-Headaches or visual changes. |\ |\ |\
-Vaginal bleeding or spotting. |\ |\ |\
-Jaundice or angioedema. - CORRECT ANSWERS ✔✔Vaginal|\ |\ |\ |\ |\ |\ |\
bleeding or spotting. |\ |\
A male client with meningitis is prescribed cefotaxime (Claforan)
|\ |\ |\ |\ |\ |\ |\ |\ |\
IV and asks the nurse why he cannot receive an oral drug, such
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as cefaclor (Ceclor) or cefadroxil (Duricef), that he has taken
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
before for infections. How should the nurse respond when
|\ |\ |\ |\ |\ |\ |\ |\ |\
considering the actions of cephalosporins? |\ |\ |\ |\
-Cefazolin (Ancef) is another IV antibiotic that can be prescribed.
|\ |\ |\ |\ |\ |\ |\ |\ |\
-Cefaclor (Ceclor) is a good alternative to suggest to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
healthcare provider. |\
-Cefadroxil (Duricef) is usually prescribed when the IV is |\ |\ |\ |\ |\ |\ |\ |\ |\
discontinued.
-Cefotaxime (Claforan) provides therapeutic CNS concentrations. |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Cefotaxime (Claforan) provides
|\ |\ |\ |\ |\ |\ |\
therapeutic CNS concentrations. |\ |\
, The healthcare provider (HCP) prescribes a medication for an
|\ |\ |\ |\ |\ |\ |\ |\ |\
older adult client who is reporting insomnia, and the HCP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
instructs the client to return in two weeks. The nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
question which prescription? |\ |\
-Zolpidem (Ambien) 10 milligrams orally at bedtime.|\ |\ |\ |\ |\ |\
-Eszopiclone (Lunesta) 10 milligrams orally at bedtime. |\ |\ |\ |\ |\ |\
-Temazepam (Restoril) 7.5 milligrams orally at bedtime. |\ |\ |\ |\ |\ |\
-Ramelteon (Rozerem) 8 milligrams orally at bedtime. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Eszopiclone (Lunesta) 10 milligrams orally at
|\ |\ |\ |\ |\ |\ |\
bedtime.
A mother of a child prescribed methylphenidate hydrochloride for
|\ |\ |\ |\ |\ |\ |\ |\
attention-deficit hyperactivity disorder (ADHD) informs the
|\ |\ |\ |\ |\ |\ |\
school nurse she administers the medication at bedtime. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\
instructions should the nurse recommend? |\ |\ |\ |\
-Continue administering the medication dose at bedtime.
|\ |\ |\ |\ |\ |\
-Give the medication when the child arrives at school.
|\ |\ |\ |\ |\ |\ |\ |\
-The medication should be taken with meals.
|\ |\ |\ |\ |\ |\
-Administer the medication at least six hours before bedtime. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Administer the medication at least six
|\ |\ |\ |\ |\ |\ |\ |\
hours before bedtime. |\ |\
A client prescribed cyclosporine for the past nine months to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevent renal allograft rejection has a blood urea nitrogen level of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS
A client prescribed risperidone 10 mg/day for the past three
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
months is being admitted to the hospital. Which physical
|\ |\ |\ |\ |\ |\ |\ |\ |\
assessment findings should the nurse report to the healthcare
|\ |\ |\ |\ |\ |\ |\ |\ |\
provider?
-Anorexia.
-Drowsiness and lethargy. |\ |\
-Tremors and muscle twitching. |\ |\ |\
-Dry mouth, and constipation. - CORRECT ANSWERS ✔✔Tremors
|\ |\ |\ |\ |\ |\ |\ |\
and muscle twitching.
|\ |\
The nurse receives a unit of blood from the blood bank for a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
postoperative client who is currently in the X-ray department.|\ |\ |\ |\ |\ |\ |\ |\ |\
Which action should the nurse implement?
|\ |\ |\ |\ |\
-Return the blood to the blood bank for refrigeration within 30
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes.
-Hang the blood transfusion as soon as the client returns to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit.
-Store the blood bag in the nursing unit's refrigerator until the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client returns. |\
,-Take the unit of blood to the X-ray department to initiate the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
transfusion. - CORRECT ANSWERS ✔✔Return the blood to the |\ |\ |\ |\ |\ |\ |\ |\ |\
blood bank for refrigeration within 30 minutes.
|\ |\ |\ |\ |\ |\
A client is administered an injection of medroxyprogesterone
|\ |\ |\ |\ |\ |\ |\ |\
acetate (Depo-Provera). Which physical finding should the nurse
|\ |\ |\ |\ |\ |\ |\ |\
instruct the client is an expected side effect of the medication?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-Leg or calf pain.
|\ |\ |\
-Headaches or visual changes. |\ |\ |\
-Vaginal bleeding or spotting. |\ |\ |\
-Jaundice or angioedema. - CORRECT ANSWERS ✔✔Vaginal|\ |\ |\ |\ |\ |\ |\
bleeding or spotting. |\ |\
A male client with meningitis is prescribed cefotaxime (Claforan)
|\ |\ |\ |\ |\ |\ |\ |\ |\
IV and asks the nurse why he cannot receive an oral drug, such
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
as cefaclor (Ceclor) or cefadroxil (Duricef), that he has taken
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
before for infections. How should the nurse respond when
|\ |\ |\ |\ |\ |\ |\ |\ |\
considering the actions of cephalosporins? |\ |\ |\ |\
-Cefazolin (Ancef) is another IV antibiotic that can be prescribed.
|\ |\ |\ |\ |\ |\ |\ |\ |\
-Cefaclor (Ceclor) is a good alternative to suggest to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
healthcare provider. |\
-Cefadroxil (Duricef) is usually prescribed when the IV is |\ |\ |\ |\ |\ |\ |\ |\ |\
discontinued.
-Cefotaxime (Claforan) provides therapeutic CNS concentrations. |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Cefotaxime (Claforan) provides
|\ |\ |\ |\ |\ |\ |\
therapeutic CNS concentrations. |\ |\
, The healthcare provider (HCP) prescribes a medication for an
|\ |\ |\ |\ |\ |\ |\ |\ |\
older adult client who is reporting insomnia, and the HCP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
instructs the client to return in two weeks. The nurse should
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
question which prescription? |\ |\
-Zolpidem (Ambien) 10 milligrams orally at bedtime.|\ |\ |\ |\ |\ |\
-Eszopiclone (Lunesta) 10 milligrams orally at bedtime. |\ |\ |\ |\ |\ |\
-Temazepam (Restoril) 7.5 milligrams orally at bedtime. |\ |\ |\ |\ |\ |\
-Ramelteon (Rozerem) 8 milligrams orally at bedtime. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Eszopiclone (Lunesta) 10 milligrams orally at
|\ |\ |\ |\ |\ |\ |\
bedtime.
A mother of a child prescribed methylphenidate hydrochloride for
|\ |\ |\ |\ |\ |\ |\ |\
attention-deficit hyperactivity disorder (ADHD) informs the
|\ |\ |\ |\ |\ |\ |\
school nurse she administers the medication at bedtime. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\
instructions should the nurse recommend? |\ |\ |\ |\
-Continue administering the medication dose at bedtime.
|\ |\ |\ |\ |\ |\
-Give the medication when the child arrives at school.
|\ |\ |\ |\ |\ |\ |\ |\
-The medication should be taken with meals.
|\ |\ |\ |\ |\ |\
-Administer the medication at least six hours before bedtime. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Administer the medication at least six
|\ |\ |\ |\ |\ |\ |\ |\
hours before bedtime. |\ |\
A client prescribed cyclosporine for the past nine months to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevent renal allograft rejection has a blood urea nitrogen level of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
