Exam (elaborations)
HESI MILESTONE REETAKE EXAM WITH ANSWERS
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HESI MILESTONE REETAKE EXAM WITH ANSWERS
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54 Multiple choice questionsTerm
The primary care provider prescribes nitroglycerin 1/150 g SL for a patient experiencing chest
pain. How should the nurse administer this drug.
62 year old with a high fever from infection
place the drug under the tongue and allow it to dissolve.
approximately 30 minutes before the next dose.
after the patient wakes up from a restful nap1 of 54
Term
lab test results indicate that warfarin anticoagulant therapy is suddenly ineffective in a patient who
has been taking the drug for an extended time. The nurse suspects an interaction with herbal
medication. What type of interaction does the nurse suspect?
reduced glomerular filtration
antagonistic drug interaction
drug incompatibility
antagonistic therapeutic effect2 of 54
Term
how should the nurse dispose of a contaminated needle after administering an injection
explore the the patient the reasons for not wanting to take the medication
place the drug under the tongue and allow it to dissolve.
place the needle in a specially marked, puncture-proof container
place all of the patients medications in the same cup except medications with assessments3 of 54 Term
the nurse prepares a pain injection for a patient but had to check on another patient and asks a
new nurse to give the medication. Which action by the new nurse is best?
do not give the medication
consult the charge nurse for direction
the nurse
written test4 of 54
Term
An order is written for (phenytoin) Dilantin 500 mg IM q3-4h prn for pain. The nurse recognizes
that treatment of pain is not a standard therapeutic indication for this drug. The nurse believes that
the prescriber meant to write for hydromorphone (Dilaudid). What should the nurse do?
have another nurse witness the wasted medication
reduced glomerular filtration
give other prn medications and ignore the order
call the provider to clarify the order5 of 54
Term
the nurse manager is devising a teaching schedule for the staff who are about to begin using a
new type of patient bed in the ICU. Implementation is planned in 6 weeks. When is the best time
for the manager to schedule the teaching session?
absorption
before going into the patients room
immediately
one week before implementation6 of 54 Term
a supervising nurse is watching nurses prepare medications. Which action by one of teh nurses
will the supervising nurse stop immediately?
Do not give the medication
Before going into the patients room
Prepare NPH insulin to be given IV
Have Another nurse witness the wasted Medication7 of 54
Term
what term is used to describe the time it takes for the drug concentration to reach a therapeutic
level in the blood?
duration of action
absorption
onset of action
palliative8 of 54
Term
The PCP prescribes furosemide 40 mg IV to a patient. Which drug name is used in this
prescription?
generic
chemical
trade
palliative9 of 54 Term
During advanced cardiac life support training, a nurse performs defibrillation using a mannequin.
Which teaching strategy is being employed?
written test
demonstration
palliative
simulation10 of 54
Term
Which patient using an inhaler would benefit most from using a spacer?
In 1 week after instructional session, describes the expected actions and adverse reactions
of his medication.
the 72 year old who is seeing four different specialists
a 25 year old with limited coordination of the extremities
administer the next dose as prescribed11 of 54
Term
a patient is prescribed the narcotic hydromorphone (dilaudid). Where should the nurse expect to
retrieve this drug for adminiistration?
have another nurse witness the wasted medication
stock supply cabinet
onset of action
double-locked medication drawer12 of 54
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