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NURS125 Practice HESI Exam Questions And Answers
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NURS125 Practice HESI Exam Questions AndAnswers 2024-2025
Which of the following nursing actions is the priority when chelation therapy is
administered for a toddler-age client?
A. VITAL SIGNS
B. URINE OUTPUT
C. BEHAVIORAL ASSESSMENT
D. EDUCATION TO REDUCE LEAD EXPOSURE -Answer B. URINE OUTPUT
Adequate urinary output must be ensured with administration of calcium EDTA, the
medication used for chelation therapy. Children receiving the drug intramuscularly must
be able to maintain adequate oral intake of fluids. Priority nursing actions when
providing chelation therapy do not include monitoring vital signs, conducting a
behavioral assessment and providing education to reduce lead exposure.
A 67-year-old client receives an influenza A diagnosis. The client has asthma. Which
medication would the nurse recommend not be given to this client?
A. Ribavirin
B. Zanamivir
C. Oseltamivir
D. Amantadine - Answer B. Zanamivir
Zanamivir is used judiciously in asthma or COPD clients and in older adults. Ribavirin is
used to treat severe influenza B. Oseltamivir can be used in the treatment for influenza
A and B. Amantadine can be used for the treatment of influenza A.
,Which first line medication would the nurse say is used to treat anaphylactic reactions?
A. Epinephrine
B. Norepinephrine
C. Dexamethasone
D. Diphenhydramine - Answer A. Epinephrine
Epinephrine is the first line drug for the treatment of anaphylactic reactions. The
supportive drug used in treating anaphylactic reactions is norepinephrine.
Diphenhydramine and dexamethasone are second line drugs used in the treatment of
anaphylactic reactions.
A mother complains that her child's teeth have turned yellow. Which medication could
be causing this condition with prolonged use?
A. Tetracycline
B. Promethazine
C. Chloramphenicol
D. Fluoroquinolones - Answer A. Tetracycline
Tetracycline causes staining of developing teeth when given to neonates and infants.
Promethazine causes respiratory depression in children less than age 2 years.
Chloramphenicol causes Gray baby syndrome, and fluoroquinolones can cause tendon
rupture in pediatric clients.
Desired outcomes that the nurse anticipates with the administration of a nonsteroidal
antiinflammatory agent include selecting all that apply.
A. Diuresis
B. Analgesia
, C. Antipyresis
D. Bronchodilation
E. Anticoagulation
F. Reduced inflammation - Answer A. Pain relief, B. Antipyresis, F. Reduced
inflammation
Prostaglandins accumulate in the injured site, stimulating pain; NSAIDs block the
enzyme cyclooxygenase isoforms COX-1 and COX-2, thereby blocking prostaglandin
synthesis and contributing to analgesia. NSAIDs block COX-2, thus inducing antipyresis
(reduction of fever). NSAIDs block COX-2, thus reducing inflammation. NSAIDs do not
cause the side effect of diuresis. Of greater importance is that NSAIDs may cause the
adverse effects of reversible renal ischemia and renal insufficiency in clients with heart
failure, cirrhosis, or hypovolemia. Bronchodilation is not a side effect of NSAIDs.
Anticoagulation is an adverse effect, not a desired result; NSAIDs can affect platelet
function by inhibiting thromboxane, an aggregating agent, leading to bleeding.
A client is receiving a course of chemotherapy for tuberculosis that includes rifampin.
The nurse considers the teaching regarding rifampin to be effective when the client
reports which of the following?
A. "I should increase my fluid intake while taking this drug."
B. "I can expect this medication to turn my urine orange-colored."
C. "I will have to have my hearing checked while I am taking this drug.
D. "I could develop a skin rash because this medication has been known to cause that
side effect." B. "I could expect my urine to turn orange from this medication.
Rifampin imparts an orange color to body fluids, such as sweat, tears, and urine. Large
amounts of fluid intake need not be encouraged because the drug is not nephrotoxic.
Ototoxicity refers to damage to the eighth cranial nerve. This is not a side effect of
rifampin but rather a side effect of streptomycin sulfate, another medication used in the
treatment of tuberculosis. A skin rash is not a side effect of rifampin.
Which of the following statements related to interferon therapy indicates that the client
has understood the nurse's teaching?
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