RN HESI EXIT Exam WITH 300
Questions AND ANSWERS
Fluticasone propionate (Advair) and albuterol (Ventolin HFA),
administered by inhalation twice daily, are prescribed for a client
with asthma. The nurse, providing information to the client about
administration of the medication, tells the...
Fluticasone propionate (Advair) and albuterol (Ventolin HFA),
administered by inhalation twice daily, are prescribed for a client
with asthma. The nurse, providing information to the client about
administration of the medication, tells the client to use the: -
ANSWER-Albuterol several minutes before inhaling the
fluticasone propionate
A nurse, conducting an assessment of a client being seen in the
clinic for symptoms of a sinus infection, asks the client about
medications that he is taking. The client tells the nurse that he is
taking nefazodone hydrochloride (Serzone). On the basis of this
information, the nurse determines that the client most likely has a
history of: - ANSWER-Depression
A female client admitted to the mental health unit tells the nurse
that she cannot leave the house without checking to be sure that
she has shut off the coffee maker and unplugged her curling iron.
The client states that she even leaves the house, gets into her
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car, and then has to go back into the house to check these
appliances again and that these behaviors are interfering with her
work and social commitments. With which of the following anxiety
disorders does the nurse associate this client's symptoms? -
ANSWER-Obsessive-compulsive disorder
A client who is taking lithium carbonate (Lithobid) complains of
mild nausea, voiding in large volumes, and thirst. On assessment,
the nurse notes that the client is complaining of mild thirst. On the
basis of these findings, the nurse should: - ANSWER-Document
the findings
A nurse is teaching a client with angina pectoris who is being
discharged from the hospital about managing chest pain at home.
Which statement by the client indicates a need for further
teaching? - ANSWER-"If I get chest pain, I should put 3
nitroglycerin tablets under my tongue and then go to the
emergency department if that doesn't work."
Although previously well controlled with glyburide (Diabeta), a
client's fasting blood glucose has been running 180 to 200 mg/dL.
On reviewing the client's record, which medication, recently
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added to the client's regimen, does the nurse recognize as a
possible contributor to the hyperglycemia? - ANSWER-Lithium
carbonate (Lithobid)
Colchicine has been prescribed for a client with a diagnosis of
gout, and the nurse provides information to the client about the
medication. Which statement by the client indicates to the nurse
that the client understands the information? - ANSWER-"I need to
stop the medication and call my doctor if I have severe diarrhea."
A postoperative client with deep-vein thrombosis is at risk for
pulmonary embolism. For which characteristic sign or symptom of
this complication does the nurse monitor the client? - ANSWER-
Pleuritic chest pain
A nurse provides dietary instructions to a client with osteoporosis
who has sustained a fracture about foods that will promote
healing. The nurse tells the client that it is best to consume foods
that are high in: - ANSWER-Vitamin C
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Methylergonovine (Methergine) is prescribed for a client to control
postpartum bleeding. Which action does the nurse take before
administering the medication? - ANSWER-Checking the client's
blood pressure
A nurse is providing instruction in how to perform Kegel exercises
to a client with stress incontinence. The nurse tells the client to: -
ANSWER-Tighten the pelvic muscles for a slow count of 10, then
relax for a slow count of 10
A nurse is providing information to a client with diabetes insipidus
who will be taking desmopressin acetate (DDAVP) by way of the
nasal route. For which of the following occurrences does the
nurse tell the client to contact the physician? - ANSWER-
Headache and nausea
A nurse is assigned to conduct an admission assessment of a
client with a diagnosis of bipolar disorder. What does the nurse
plan to do first? - ANSWER-Establish a trusting nurse-client
relationship
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