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Hesi latest exam due aug/sep 2024 questions and answers
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Hesi latest exam due aug/sep 2024 questions andanswers
1 - ✔✔ANSW✔✔..A client is diagnosed with tuberculosis associated with human
immunodeficiency virus infection. What crucial laboratory test results should the nurse
review before antitubercular pharmacotherapy is started?
1 Liver function studies
2 Pulmonary function studies
3 Electrocardiogram and echocardiogram
4 White blood cell (WBC) count and sedimentation rate
1 - ✔✔ANSW✔✔..A client is receiving antibiotics and antifungal medications for the
treatment of a recurring vaginal infection. What should the nurse encourage the client to
do to compensate for the effect of these medications?
1 Eat yogurt with active cultures daily.
2 Avoid spicy foods.
3 Drink more fruit juices.
4 Take a multivitamin every day
1 - ✔✔ANSW✔✔..A client newly diagnosed with type 2 diabetes is receiving glyburide
and asks the nurse how this drug works. What mechanism of action does the nurse
provide?
1 Stimulates the pancreas to produce insulin
2 Accelerates the liver's release of stored glycogen
3 Increases glucose transport across the cell membrane
4 Lowers blood glucose in the absence of pancreatic function
1 - ✔✔ANSW✔✔..A client who has been prescribed tetracycline continues the course of
treatment during the first trimester of pregnancy. Which teratogenic effect may occur in
the fetus?
1 Bone anomalies
2 Central nervous system malformations
3 Facial malformations
4 Internal organ defects
1 - ✔✔ANSW✔✔..A client will be taking nitrofurantoin 50 mg orally every evening at
home to manage recurrent urinary tract infections. What instructions should the nurse
give to the client?
1 Increase the intake of fluids.
2 Strain the urine for crystals and stones.
,3 Stop the drug if urinary output increases.
4 Maintain the exact time schedule for taking the drug
1 - ✔✔ANSW✔✔..A client with a new diagnosis of type 1 diabetes is told that lifelong
insulin will be needed. The client becomes agitated and says, "I am scared of shots. If
that is my only option, I'll just have to go into a coma and die!" What is the nurse's best
response?
1 "Injections are not the only option available for insulin."
2 "It won't be so bad; you will get used to it if you will only try."
3 "This is one of those times when you need to act like an adult."
4 "Clients have the right to refuse treatment, but I need you to sign this form that
removes us from liability for your decision."
1 - ✔✔ANSW✔✔..A client with diabetes asks how exercise will affect insulin and dietary
needs. What information does the nurse share about insulin and exercise?
1 "Exercise increases the need for carbohydrates and decreases the need for insulin."
2 "Exercise increases the need for insulin and increases the need for carbohydrates."
3 "Regular physical activity decreases the need for insulin and decreases the need for
carbohydrates."
4 "Intensive physical activity decreases the need for carbohydrates but does not affect
the need for insulin."
1 - ✔✔ANSW✔✔..A client with tuberculosis is to begin combination therapy with
isoniazid, rifampin, pyrazinamide, and streptomycin. The client says, "I've never had to
take so much medication for an infection before." How will the nurse respond?
1 "This type of organism is difficult to destroy."
2 "Streptomycin prevents side effects of the other drugs."
3 "You'll only need to take the medications for a couple of weeks."
4 "Aggressive therapy is needed because the infection is well advanced."
1 - ✔✔ANSW✔✔..A client with type 1 diabetes self-administers NPH insulin every
morning at 8 am. The nurse evaluates that the client understands the action of the
insulin when the client identifies which time range as the highest risk for hypoglycemia?
1. 2 pm to 8 pm
2. 8 pm to noon
3. 9 am to 10 am
4. 10 am to 11 am
1 - ✔✔ANSW✔✔..A healthcare provider prescribes an antibiotic intravenous piggyback
twice a day for a client with an infection. The healthcare provider prescribes peak and
trough levels 48 and 72 hours after initiation of the therapy. The client asks the nurse
why there is a need for so many blood tests. What reason does the nurse provide?
1 "They determine adequate dosage levels of the drug."
2 "They detect if you are having an allergic reaction to the drug."
3 "The tests permit blood culture specimens to be obtained when the drug is at its
lowest level."
, 4 "These allow comparison of your fever to when the blood level of the antibiotic is at its
highest."
1 - ✔✔ANSW✔✔..A mother complains that her child's teeth have become yellow in
color. With prolonged use, which medication may be responsible for the child's
condition?
1 Tetracycline
2 Promethazine
3 Chloramphenicol
4 Fluoroquinolones
1 - ✔✔ANSW✔✔..Loratadine, 10 mg by mouth once a day in the morning, is prescribed
for a 15-year-old girl with hay fever. The girl tells the school nurse that she is concerned
that she will be sleepy for a quiz the next day. How should the nurse respond?
1 By explaining that this medication rarely causes drowsiness
2 By advising her to take half a tablet in the morning before school
3 By suggesting that she skip the next day's dose if she can tolerate the hay fever
4 By recommending that she call the allergist for a prescription containing a stimulant
1 - ✔✔ANSW✔✔..Which first line medication would the nurse state is used to treat
anaphylactic reactions?
1 Epinephrine
2 Norepinephrine
3 Dexamethasone
4 Diphenhydramine
1 - ✔✔ANSW✔✔..Which statement regarding treatment with interferon indicates that
the client understands the nurse's teaching?
1 "I will drink 2 to 3 quarts (2 to 3 liters) of fluid a day."
2 "Any reconstituted solution must be discarded in 1 week."
3 "I can continue driving my car as long as I have the stamina."
4 "While taking this medicine I should be able to continue my usual activity."
1,2,3 - ✔✔ANSW✔✔..A client with gastroesophageal reflux disease (GERD) receives a
prescription for an H2 receptor antagonist. Which medications are within the
classification of an H2 receptor antagonist? Select all that apply
1 Nizatidine
2 Ranitidine
3 Famotidine
4 Lansoprazole
5 Metoclopramide
1,2,3,4,5 - ✔✔ANSW✔✔..A nurse is preparing to administer insulin to a client with
diabetes. In which order should the nurse perform the actions associated with insulin
administration?
Correct
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