HESI EXIT COMPREHENSIVE EXAM A, B AND C (3
LATEST VERSIONS)2024-2025 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS
Terms in this set (132)
1-Enalapril maleate A. Checking the client's blood pressure
(Vasotec) is prescribed for a
hospitalized client. Which Checking the client's blood pressure
assessment does the nurse Enalapril maleate is an angiotensin-converting enzyme
perform as a priority before (ACE) inhibitor used to treat hypertension. One common
administering the side effect is postural hypotension. Therefore the nurse
medication? would check the client's blood pressure immediately
before administering each dose. Checking the client's
A. Checking the client's peripheral pulses, the results of the most recent
blood pressure potassium level, and the intake and output for the
B. Checking the client's previous 24 hours are not specifically associated with
peripheral pulses this mediation.
C. Checking the most
recent potassium level
D. Checking the client's
intake-and-output record
for the last 24 hours
,2-A client is scheduled to C. "I need to drink citrate of magnesia the night before
undergo an upper the test and give myself a Fleet enema on the morning
gastrointestinal (GI) series, of the test."
and the nurse provides
instructions to the client An upper GI series involves visualization of the
about the test. Which esophagus, duodenum, and upper jejunum by means of
statement by the client the use of a contrast medium. It involves swallowing a
indicates a need for further contrast medium (usually barium), which is administered
instruction? in a flavored milkshake. Films are taken at intervals during
the test, which takes about 30 minutes. No special
A. "The test will take about preparation is necessary before a GI series, except that
30 minutes." NPO status must be maintained for 8 hours before the
B. "I need to fast for 8 hours test. After an upper GI series, the client is prescribed a
before the test." laxative to hasten elimination of the barium. Barium that
C. "I need to drink citrate of remains in the colon may become hard and difficult to
magnesia the night before expel, leading to fecal impaction.
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."
,3-A nurse on the evening B. Ask the answering service to contact the on-call
shift checks a physician's physician
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
, 4.An emergency B. Asking the ED physician to check the client
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
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