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HESI comp exam 1 Questions and Answers |100% Pass

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  • HESI Comprehensive

HESI comp exam 1 Questions and Answers |100% Pass A client with asthma receives a prescription for high blood pressure during a clinic visit. Which prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma? - Answer-Metoprolol tartrate (Lopresso...

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  • October 5, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HESI Comprehensive
  • HESI Comprehensive
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EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




HESI comp exam 1 Questions and
Answers |100% Pass

A client with asthma receives a prescription for high blood pressure during a clinic visit. Which

prescription should the nurse anticipate the client to receive that is at least likely to exacerbate asthma?

- Answer✔✔-Metoprolol tartrate (Lopressor)




Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a cardioselective and less likely to

cause bronchoconstriction.


A male client who has been taking propranolol (Inderal) for 18 months tells the nurse that the healthcare

provider discontinued the medication because his blood pressure has been normal for the past 3

months. Which instruction should the nurse provide? - Answer✔✔-Ask the healthcare provider about

tapering the drug dose over the next week.




HCP discontinued drug BUT measures to prevent rebound cardiac excitation, such as progressively

reducing the dose over 1 or 2 weeks, should be recommended to prevent rebound tachycardia,

hypertension, and ventricular dysrhythmias.


A client who is taking clonidine ( Catapres, Duraclon) reports drowsiness. Which additional assessment

should the nurse make? - Answer✔✔-How long has the client been taking the medication?




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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


Drowsiness can occur in the early weeks of treatment with clonidine and with continued use becomes

less intense, so the length of time the client has been on the medication provides information to direct

additional instruction.


The nurse is preparing to administer atropine, an anticholinergic, to a client who is scheduled for a

cholecystectomy. The client asks the nurse to explain the reason for the prescribed medication. What

response is best for the nurse to provide? - Answer✔✔-Decrease the risk of bradycardia during surgery




Atropine may be prescribed preoperatively to increase the automaticity of the sinoatrial node and

prevent a dangerous reduction in heart rate during surgical anesthesia.


An 80-year old client is given morphine sulfate for post-op pain. Which concomitant med should the

nurse question that poses a potential development of urinary retention in this geriatric client? -

Answer✔✔-Tricyclic antidepressants




Drugs with anticholinergic properties can exacerbate urinary retention associated with opioids in the

older client.


A client with osteoarthritis is given a new script for a NSAID. The client asks the nurse, "How is this med

different from the acetaminophen I have been taking?" Which information about the therapeutic action

of NSAIDs should the nurse provide? - Answer✔✔-Provide anti-inflammatory response




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,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


NSAIDs relieve pain associated with osteoarthritis and differs from acetaminophen(a non-narcotic &

antipyretic). Also potentially hepatotoxic.


A client with cancer has a history of alcohol abuse and is taking acetaminophen (Tylenol) for pain. Which

organ function is most important for the nurse to monitor? - Answer✔✔-Liver




Acetaminophen & alcohol both metabolized in the liver. Pt at risk of hepatotoxicity & potentially fatal

liver damage.


The nurse obtains a heart rate of 92 and a BP of 110/76 prior to administering a scheduled does of

verapamil (Calan) for a client with atrial flutter. Which action should the nurse implement? - Answer✔✔-

Administer the dose as prescribed.




Verapamil slows SA nodal automaticity, delays AV nodal conduction, slowing ventricular rate & treats

atrial flutter. HR is above 60 and BP is WNL.


A client is admitted to the hospital with a diagnosis of Type 2 diabetes mellitus and influenza. Which

categories of illness should the nurse develop goals for the client's plan of care? - Answer✔✔-One

chronic and one acute illness




Adult onset DM is life-long chronic disease. Influenza is acute illness with short term duration.




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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


Following an emergency Cesarean delivery the nurse encourages the new mother to breastfed her

newborn. The client asks why she should breastfeed now. Which info should the nurse provide? -

Answer✔✔-Stimulate contraction of the uterus




Infant suckling breast releases oxytocin by the posterior pituitary and stimulates the "letdown" reflex.

Causing release of colostrum & contracts the uterus to prevent uterine hemorrhage.


Which intervention should the nurse include in the plan of care for a female client with severe

postpartum depression who is admitted to the inpatient psychiatric unit? - Answer✔✔-Supervised and

guided visits with infant.




Structured visits provide an opportunity for the mother and infant to bond and should be facilitated and

encouraged according to the client's pace of progress.


A 16-year-old male client is admitted to the hospital after falling off a bike and sustaining a fractured

bone. The HCP explains the surgery needed to immobilize the fracture. Which action should be

implemented to obtain a valid informed consent? - Answer✔✔-Obtain the permission of the custodial

parent for the surgery.




Pt is a minor and cannot legally sign his own consent unless he is an emancipated minor. Consent should

be obtained from the guardian, custodial parent.




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