BSN 246 HESI RN Specialty Health Assessment Exam V3 (Latest Update 2024 / 2025) Questions and Verified Answers | 100% Correct | Grade A - Nightingale
Question:
The registered nurse (RN) reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client on ...
BSN 246 HESI RN Specialty Health
Assessment Exam V3 (Latest Update
) Questions and Verified
Answers | 100% Correct | Grade A -
Nightingale
Question:
The registered nurse (RN) reviews the new prescription, phenelzine (Nardil),
a monoamine oxidase inhibitor (MAOI), for a client on the psychiatric unit
with depression. Which information is most important for the RN to assess?
a) Consumption of any alcohol or tyramine-rich foods.
b) Complaints of nausea or vomiting.
c) Therapeutic serum drug levels.
d) Blood pressure and pulse prior to taking each dose.
Answer:
Consumption of any alcohol or tyramine-rich foods.
Rationale
The consumption of any type of tyramine containing foods such as aged
cheeses, fermented fruits and vegetables, smoked or cured meats, dark wines
and other alcoholic products should be avoided when a client is prescribed a
MAOIs due to the a food-drug interaction causing a hypertensive crisis which
can lead to a hemorrhagic stroke.
,Question:
The registered nurse (RN) is caring for a client who has taken atenolol for 2
years. The healthcare provider recently changed the medication to enalaprilto
manage the client's blood pressure. Which instruction should the RN provide
the client regarding the new medication?
a) Take the medication at bedtime.
b) Report presence of increased bruising.
c) Check pulse before taking medication.
d) Rise slowly when getting out of bed or chair.
Answer:
Rise slowly when getting out of bed or chair.
Rationale
The client's new medication is an angiotensin-converting enzyme (ACE)
inhibitor, which has the side effect oforthostatic hypotension. Instructing the
client to rise slowly from a sitting or lying down position is important to teach
the client to avoid dizziness and potentially falling.
Question:
The registered nurse (RN) is caring for a client with acute pancreatitis and
assesses the admission laboratory results. What laboratory value should the
RN anticipate being elevated with this diagnosis?
a) Triglycerides.
b) Amylase.
c) Creatinine.
d) Uric acid.
Answer:
Amylase.
,Rationale
An elevated amylase level is associated with acute pancreatitis.
Question:
The registered nurse (RN) is caring for a young adult who is having an oral
glucose tolerance tests (OGTT). Which laboratory result should the RN assess
as a normal value for the two hour postprandial result?
a) 140 mg/dl.
b) 160 mg/dl.
c) 180 mg/dl.
d) 200 mg/dl.
Answer:
140 mg/dl.
Rationale
The two hour postprandial level should be less 140 mg/dl for a young adult
client.
Question:
While reviewing the client's electronic medical record (EMR), the registered
nurse (RN) assesses a client who is at risk for a possible interaction with an
over-the-counter (OTC) decongestant. Which client health history should the
RN report to the healthcare provider concerning the OTC medication? (Select
all that apply).
, Select all that apply
a) Type I diabetes mellitus (DM).
b) Closed angle glaucoma.
c) Chronic hypertension.
d) Rheumatoid arthritis.
e) Crohn's disease.
Answer:
Closed angle glaucoma.
Chronic hypertension.
Rationale
OTC decongestants can increase intraocular pressure and should be avoided
in clients with closed angle glaucoma. Decongestants also can increase the
heart rate and elevate blood pressure which can impact the client's
management of chronic hypertension.
Question:
An older client is admitted to the hospital with severe diarrhea. The registered
nurse (RN) is completing an assessment and notes the client has dry mucous
membranes and poor skin turgor. Which assessment data should the RN
gather to determine if the client has a fluid volume deficit?
a) Lower extremity edema.
b) Orthostatic hypotension.
c) Elevated blood pressure.
d) Cheyne-Stokes respirations.
Answer:
Orthostatic hypotension.
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