HESI Milestone 1 Exam New 2025 Latest Version
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The nurse is teaching a client about the medication 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 antituberculosis 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 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 inhibitors
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 seizure activity.
c) Decrease in body mass index.
d) Improved activity tolerance. ----------- Correct Answer ------------ b) Reduced seizure activity.
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) Increasing 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 deficiency?
a) enoxaparin (Lovenox)
b) apixaban (Eliquis)
c) heparin (unfractionated)
d) warfarin (Coumadin) ----------- Correct Answer ------------ d) warfarin (Coumadin)
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 caring for a client taking newly prescribed first-generation antipsychotic medication. The
nurse 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 nurse is teaching a client diagnosed with Alzheimer's disease and the client's spouse about medication
treatment. Which information should the nurse include?
a) "The medication will reverse the symptoms for as long as you take the medication."
b) "Moderate to severe stages of the disease are prevented by the medication."
c) "You will not become confused and forgetful if you take the medication daily."
d) "The decline in functioning from the disease will be slowed from the medication." ----------- Correct
Answer ------------ d) "The decline in functioning from the disease will be slowed from the medication."
Muscle relaxants cause which adverse effect?
a) Decreased gastrointestinal motility
b) Nephrotoxicity
c) Dysrhythmias
d) Central nervous system depression ----------- Correct Answer ------------ d) Central nervous system
depression
The nurse should consider providing which type of medication whenever a client is receiving prescribed
, opioids for a few days?
a) antihistamine
b) anticholinergic agent
c) diuretic
d) stimulant laxative ----------- Correct Answer ------------ d) stimulant laxative
Which medication is the first-line medication for treating a migraine attack?
a) methadone (Methadose)
b) morphine
c) sumatriptan (Imitrex)
d) caffeine ----------- Correct Answer ------------ c) sumatriptan (Imitrex)
Which information is correct about fluoroquinolones?
a) Penicillin is considered a fluoroquinolone.
b) Fluoroquinolones are broad-spectrum agents.
c) Side effects are usually severe.
d) They are used to treat fungal infections. ----------- Correct Answer ------------ b) Fluoroquinolones are
broad-spectrum agents.
The nurse is administering a prescribed vasodilator to a client. The nurse should monitor the client for
which adverse effect?
a) increased urine output
b) light-headedness
c) decreased pulse
d) dry cough ----------- Correct Answer ------------ b) light-headedness
Alpha-adrenergic antagonist medications can produce which therapeutic effect?
a) Bronchodilation
b) Improved cardiac output
c) Vasodilation
d) Nasal decongestion ----------- Correct Answer ------------ c) Vasodilation
Absorption, distribution, metabolism, and excretion of medication passage describes the phases of which
of the following?
Which information should the nurse be aware of when administering prescribed medications to older
adult clients?
-Adverse drug reactions rarely occur in the older adult.
-Older adults are often more sensitive to medications.
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