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NURS 1023 HESI QUESTIONS WITH COMPLETE SOLUTIONS
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NURS 1023 HESI QUESTIONS WITH COMPLETE SOLUTIONS
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NURS 1023 HESI QUESTIONS WITH COMPLETESOLUTIONS
A client on antidepressant therapy develops hyperthermia,
seizures, and a heart rate of 200 beats per minute. Which
medication would the nurse suspect is responsible for the
condition?
1. Sertraline
2. Asenapine
3. Risperidone
4. Fluphenazine Correct Answer 1. Sertraline
A heart rate of 200 beats per minute indicates cardiac
dysrhythmias. Hyperthermia, seizures, and cardiac dysrhythmias
in a client on antidepressant therapy indicate serotonin syndrome
A client taking escitalopram and St. John's wort should be
assessed for what? Correct Answer Confusion & hyperreflexia
Client is at r/o serotonin syndrome by combining escitalopram
and St. John's wort
A client who smokes heavily is prescribed a high-calorie, high-
protein diet. The nurse would encourage the client to eat foods
that are high in which vitamin?
1. Niacin
2. Thiamine
3. Vitamin C
4. Vitamin B 12 Correct Answer 3. Vitamin C
, Smoking accelerates oxidation of vitamin C (ascorbic acid) in
tissue and blood. As a result, smokers need an additional 35
mg/day.
A client with chronic, undifferentiated schizophrenia is
receiving an antipsychotic medication. For which potentially
irreversible extrapyramidal side effect would the nurse monitor
the client?
1. Torticollis
2. Oculogyric crisis
3. Tardive dyskinesia
4. Pseudoparkinsonism Correct Answer 3. Tardive dyskinesia
Occurs as a late and persistent EPS complication of long-term
antipsychotics therapy. Manifests in abnormal movements of
lips, tongue, and mouth.
A patient is exhibiting rigid extended neck and a thickening
tongue. What statements are true?
1. Continue antipsychotic meds while treating NMS
2. Stop all antipsychotic meds immediately
3. The patient may experience respiratory alkalosis
4. Aggressively treat hyperthermia, if present, w/ cooling
blankets & ice packs Correct Answer 2. Stop all antipsychotic
meds immediately
4. Aggressively treat hyperthermia, if present, w/ cooling
blankets & ice packs
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