Explain the "A" in ACE. Correct Answer: Ask:
- Take threats seriously
- Confront the problem directly
- Talk openly about suicide (DA PAM 600-24, 3-7)
Explain the "C" in the acronym ACE. Correct Answer: Care:
- Care for the person
- Remove any means that could be used for self-injury
- Acti...
HESI Comprehensive Exam A Practice Questions & Answers
11. Which finding indicates a need to contact the health care provider before the nurse
administers metformin (Glucophage)?
a) The patient’s blood glucose level is 174 mg/dL.
b) The patient is scheduled for a chest x-ray in an hour.
c) The patient has gained 2 lb (0.9 kg) in the past 24 hours.
d) The patient’s blood urea nitrogen (BUN) level is 52 mg/dL.
ANS: D
The BUN indicates possible renal failure, and metformin should not be used in patients with
renal failure. The other findings are not contraindications to the use of metformin.
12. A patient who has diabetes and reported burning foot pain at night receives a new
prescription. Which information should the nurse teach the patient about amitriptyline ?
a) Amitriptyline decreases the depression caused by your foot pain.
b) Amitriptyline helps prevent transmission of pain impulses to the brain.
c) Amitriptyline corrects some of the blood vessel changes that cause pain.
d) Amitriptyline improves sleep and makes you less aware of nighttime pain.
ANS: B
Tricyclic antidepressants (TCAs) decrease the transmission of pain impulses to the spinal cord
and brain. TCAs also improve sleep quality and are used for depression, but that is not the major
purpose for their use in diabetic neuropathy. The blood vessel changes that contribute to
neuropathy are not affected by TCAs.
13. A patient who has type 2 diabetes is being prepared for an elective coronary angiogram.
Which information would the nurse anticipate might lead to rescheduling the test?
a) The patient’s most recent A1C was 6.5%.
b) The patient’s blood glucose is 128 mg/dL.
c) The patient took the prescribed metformin today.
d) The patient took the prescribed captopril this morning.
ANS: C
To avoid lactic acidosis, metformin should be discontinued a day or 2 before the coronary
angiogram and should not be used for 48 hours after IV contrast media are administered. The
other patient data will also be reported but do not indicate any need to reschedule the procedure.
14. Which action by a patient indicates that the home health nurse’s teaching about glargine and
regular insulin has been successful?
a) The patient administers the glargine 30 minutes before each meal.
This study source was downloaded by 100000869052700 from CourseHero.com on 07-22-2023 06:33:49 GMT -05:00
, b) The patient’s family prefills the syringes with the mix of insulins weekly.
c) The patient discards the open vials of glargine and regular insulin after 4 weeks.
d) The patient draws up the regular insulin and then the glargine in the same syringe.
ANS: C
Insulin can be stored at room temperature for 4 weeks. Glargine should not be mixed with
other insulins or prefilled and stored. Short-acting regular insulin is administered before
meals, and glargine is given once daily.
15. A patient with diabetes rides a bicycle to and from work every day. Which site should
the nurse teach the patient to use to administer the morning insulin?
a. thigh.
b. buttock.
c. abdomen.
d. upper arm.
ANS: C
Patients should be taught not to administer insulin into a site that will be exercised because
exercise will increase the rate of absorption. The thigh, buttock, and arm are all exercised
by riding a bicycle.
16. The nurse is interviewing a new patient with diabetes who takes rosiglitazone (Avandia).
Which information would the nurse anticipate resulting in the health care provider
discontinuing the medication?
a) The patient’s blood pressure is 154/92.
b) The patient’s blood glucose is 86 mg/dL.
c) The patient reports a history of emphysema.
d) The patient has chest pressure when walking.
ANS: D
Rosiglitazone can cause myocardial ischemia. The nurse should immediately notify the
health care provider and expect orders to discontinue the medication. A blood glucose level
of 86 mg/ dL indicates a positive effect from the medication. Hypertension and a history of
emphysema do not contraindicate this medication.
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HESI PN COMPREHENSIVE EXIT EXAM (14 VERSIONS) (NEWEST - 2021) |
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