HESI MILESTONE 1 EXAM QUESTIONS AND CORRECT ANSWERS Which information should the nurse have when assessing a client for therapeutic effects of a prescribed medication? a) The client's previous experience with medication. b) The client's baseline before taking the medication. c) Expected side effects of the medication. d) Expected response of the medication. CORRECT ANSWER - b) The client's baseline before taking the medication. The nurse is teaching a client about the me dication treatment for active tuberculosis (TB) infection. The nurse should include which information in the teaching? a) "At least 2 antituberculosis medications will need to be taken." b) "You will most likely develop a superinfection from the antituber culosis medications." c) "Treatment is necessary for just 10 days." d) "Drug sensitivity is not necessary before starting treatment." CORRECT ANSWER - a) "At least 2 antituberculosis medications will need to be taken." The basic mechanism of action of most diuretic medications includes which of the following? a) Increasing the thirst sensation to promote more water intake by the client b) Causing vasodilation and increasing blood supply to the kidneys c) Blocking sodium and chloride reabsorption d) Increas ing potassium excretion by removing water from the cells CORRECT ANSWER - c) Blocking sodium and chloride reabsorption The nurse is administering prescribed tetracycline. Which client would be appropriate to receive the medication? a) A female client who is pregnant and has a skin infection. b) A 6 -year -old client with an ear infection. c) A teenager with severe acne on the back. d) A 12 -month -old with an eye infection. CORRECT ANSWER - c) A teenager with severe acne on the back. Angiotensin -converting enzyme (ACE) inhibitors are used to treat which diagnosis? a) Hypotension b) Heart failure c) Stroke d) Atrial fibrillation CORRECT ANSWER - b) Heart failure Which anticoagulant would be contraindicated for a client with a vitamin K de ficiency? a) enoxaparin (Lovenox) b) apixaban (Eliquis) c) heparin (unfractionated) d) warfarin (Coumadin) CORRECT ANSWER - d) warfarin (Coumadin) The nurse is caring for a client taking newly prescribed first -generation antipsychotic medication. The nurs e should monitor the client for which adverse effect that can occur within the first few days? a) Suicidal ideations b) Fibromyalgia syndrome c) Tardive dyskinesia d) Acute dystonia CORRECT ANSWER - c) Tardive dyskinesia The mnemonic SLUDGE is used to remember the signs and symptoms for the life -
threatening adverse effect of which type of medication? a) Cholinesterase inhibitors b) Antipsychotics c) Antiepileptics d) Adrenergic Agonists CORRECT ANSWER - a) Cholinesterase i nhibitors The nurse is evaluating the effects of prescribed phenytoin (Dilantin) for a client who has been taking the medication for six months. The nurse should assess the client for which outcome? a) Increased sensation in peripheries. b) Reduced seizu re activity. c) Decrease in body mass index. d) Improved activity tolerance. CORRECT ANSWER - b) Reduced seizure activity. The nurse is teaching a client diagnosed with Alzheimer's disease and the client's spouse about medication treatment. Which informati on should the nurse include? a) "The medication will reverse the symptoms for as long as you take the medication."
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