HESI Milestone Exam Study Guide With
Multiple Choice Questions And Rationalized Answers
Graded A+
1. Two hours after taking the first dose of penicillin, a client arrives at the emergency
department complaining of feeling ill, exhibiting hives, having difficulty breathing, and
experiencing hypotension.The nurse will develop an immediate plan of care based on which
finding?
A.Severe acute anaphylactic response
B.Side reaction that should resolve
C.Idiosyncratic reaction D.Cumulative
drug response
A: Rationale: Anaphylaxis related to penicillin can cause a life-threatening allergic response
characterized by bronchospasm, laryngeal edema, and a precipitous drop in blood pressure.This
client's ingestion of penicillin and presenting clinical picture indicate the client is having an
acute reaction with respiratory difficulty. Options B,
1/
,C, and D are other physiologic responses to medications, but immediate action is required for a
potential loss of airway, breathing, and circulation.
2. Which response best supports the observations that the nurse identifies in a client who is
experiencing a placebo effect?
A.Beneficial response or cure for disease B.Behavioral or psychotropic
responses C.Malingering or drug-seeking behaviors D.Psychological
response to inert medication
D: Rationale:The placebo effect is a response in the client that is caused by the psychological
impact of taking an inert drug that has no biochemical properties. A placebo effect can be
therapeutic, negative, or ineffective but provides no cure or benefit to the client's progress.The
placebo effect may evoke behavioral changes but does not affect neurochemical psychotropic chang
Malingering and drug seeking are behaviors that a client exhibits to obtain treatment for
nonexistent disorders or obtain prescription medications.
3. A mother brings her 18-month-old child to the community health center because the child
has had "bad diarrhea" for the last 3 days. She states, "I bought some of this liquid at the
pharmacy and gave my child a half-ounce." The nurse sees that the bottle contains loperamide.
What is the next nursing action?
A. Tell the mother never to give this drug to her toddler.
2/
, B. Ask if any other siblings have experienced diarrhea.
C. Take the child's oral and tympanic temperatures.
D.Ask the mother when the child last voided.
D: Rationale: Determining when the child last voided is most important because urine output is
decreased with dehydration and an 18-month-old with a 3-day history
3/
Multiple Choice Questions And Rationalized Answers
Graded A+
1. Two hours after taking the first dose of penicillin, a client arrives at the emergency
department complaining of feeling ill, exhibiting hives, having difficulty breathing, and
experiencing hypotension.The nurse will develop an immediate plan of care based on which
finding?
A.Severe acute anaphylactic response
B.Side reaction that should resolve
C.Idiosyncratic reaction D.Cumulative
drug response
A: Rationale: Anaphylaxis related to penicillin can cause a life-threatening allergic response
characterized by bronchospasm, laryngeal edema, and a precipitous drop in blood pressure.This
client's ingestion of penicillin and presenting clinical picture indicate the client is having an
acute reaction with respiratory difficulty. Options B,
1/
,C, and D are other physiologic responses to medications, but immediate action is required for a
potential loss of airway, breathing, and circulation.
2. Which response best supports the observations that the nurse identifies in a client who is
experiencing a placebo effect?
A.Beneficial response or cure for disease B.Behavioral or psychotropic
responses C.Malingering or drug-seeking behaviors D.Psychological
response to inert medication
D: Rationale:The placebo effect is a response in the client that is caused by the psychological
impact of taking an inert drug that has no biochemical properties. A placebo effect can be
therapeutic, negative, or ineffective but provides no cure or benefit to the client's progress.The
placebo effect may evoke behavioral changes but does not affect neurochemical psychotropic chang
Malingering and drug seeking are behaviors that a client exhibits to obtain treatment for
nonexistent disorders or obtain prescription medications.
3. A mother brings her 18-month-old child to the community health center because the child
has had "bad diarrhea" for the last 3 days. She states, "I bought some of this liquid at the
pharmacy and gave my child a half-ounce." The nurse sees that the bottle contains loperamide.
What is the next nursing action?
A. Tell the mother never to give this drug to her toddler.
2/
, B. Ask if any other siblings have experienced diarrhea.
C. Take the child's oral and tympanic temperatures.
D.Ask the mother when the child last voided.
D: Rationale: Determining when the child last voided is most important because urine output is
decreased with dehydration and an 18-month-old with a 3-day history
3/
