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HESI Comprehensive Exam Questions and Answers (Latest Update 2024) 260 Questions
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HESI Comprehensive Exam Questions and Answers (Latest Update 2024) 260 Questions
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HESI Comprehensive Exam Questionsand Answers (Latest Update 2024) 260
Questions
Enalapril maleate is prescribed for a hospitalized client.
Which assessment does the nurse perform as a priority
before administering the medication?
Checking the client's blood pressure
Checking the client's peripheral pulses
Checking the most recent potassium level
Checking the client's intake-and-output record for the last 24
hours - Correct Answer ✅ Checking the client's blood
pressure
Rationale: Enalapril maleate is an angiotensin-converting
enzyme (ACE) inhibitor used to treat hypertension. One
common side effect is postural hypotension. Therefore the
nurse would check the client's blood pressure immediately
before administering each dose. Checking the client's
peripheral pulses, the results of the most recent potassium
level, and the intake and output for the previous 24 hours are
not specifically associated with this mediation.
,HESI Comprehensive Exam Questions
and Answers (Latest Update 2024) 260
Questions
A client is scheduled to undergo an upper gastrointestinal (GI)
series, and the nurse provides instructions to the client about
the test. Which statement by the client indicates a need for
further instruction?
"The test will take about 30 minutes."
"I need to fast for 8 hours before the test."
"I need to drink citrate of magnesia the night before the test
and give myself a Fleet enema on the morning of the test."
"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." - Correct Answer ✅ "I need to drink citrate of
magnesia the night before the test and give myself a Fleet
enema on the morning of the test."
Rationale: No special preparation is necessary before a GI
series, except that NPO (nothing by mouth) status must be
maintained for 8 hours before the test. An upper GI series
involves visualization of the esophagus, duodenum, and
upper jejunum by means of the use of a contrast medium. It
involves swallowing a contrast medium (usually barium),
,HESI Comprehensive Exam Questions
and Answers (Latest Update 2024) 260
Questions
which is administered in a flavored milkshake. Films are taken
at intervals during the test, which takes about 30 minutes.
After an upper GI series, the client is prescribed a laxative to
hasten elimination of the barium. Barium that remains in the
colon may become hard and difficult to expel, leading to fecal
impaction.
A nurse on the evening shift checks a primary health care
provider's prescriptions and notes that the dose of a
prescribed medication is higher than the normal dose. The
nurse calls the primary health care provider's answering
service and is told that the primary health care provider is off
for the night and will be available in the morning. What
should the nurse do next?
Call the nursing supervisor
Ask the answering service to contact the on-call primary
health care provider
Withhold the medication until the primary health care
provider can be reached in the morning
, HESI Comprehensive Exam Questions
and Answers (Latest Update 2024) 260
Questions
Administer the medication but consult the primary health
care provider when he becomes available - Correct Answer
✅ Ask the answering service to contact the on-call primary
health care provider
Rationale: The nurse has a duty to protect the client from
harm. A nurse who believes that a primary health care
provider's prescription may be in error is responsible for
clarifying the prescription before carrying it out. Therefore the
nurse would not administer the medication; instead, the
nurse would withhold the medication until the dose can be
clarified. The nurse would not wait until the next morning to
obtain clarification. It is premature to call the nursing
supervisor.
An emergency 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
perfusing. What is the nurse's most appropriate action?
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