HESI EXIT COMPREHENSIVE EXAM 2023-2024
100+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (NIGHTINGALE
COLLEGE NURSING) |A+ GRADED|
1-Enalapril maleate (Vasotec) is prescribed for a hospitalized
client. Which assessment does the nurse perform as a priority
before administering the medication?
A. Checking the client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output record for the last 24
hours - ANSWER--A. Checking the client's blood pressure
Checking the client's blood pressure
Enalapril maleate is an angiotensin-converting enzyme (ACE)
inhibitor used to treat hypertension. One common side effect is
postural hypotension. Therefore the nurse would check the
client's blood pressure immediately before administering each
dose. Checking the client's peripheral pulses, the results of the
most recent potassium level, and the intake and output for the
previous 24 hours are not specifically associated with this
mediation.
, HESI EXIT COMPREHENSIVE EXAM 2023-2024
100+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (NIGHTINGALE
COLLEGE NURSING) |A+ GRADED|
2-A client is scheduled to undergo an upper gastrointestinal (GI)
series, and the nurse provides instructions to the client about the
test. Which statement by the client indicates a need for further
instruction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours before the test."
C. "I need to drink citrate of magnesia the night before the test
and give myself a Fleet enema on the morning of the test."
D. "I need to take a laxative after the test is completed, because
the liquid that I'll have to drink for the test can be constipating." -
ANSWER--C. "I need to drink citrate of magnesia the night before
the test and give myself a Fleet enema on the morning of the
test."
An upper GI series involves visualization of the esophagus,
duodenum, and upper jejunum by means of the use of a contrast
medium. It involves swallowing a contrast medium (usually
barium), which is administered in a flavored milkshake. Films are
taken at intervals during the test, which takes about 30 minutes.
No special preparation is necessary before a GI series, except that
, HESI EXIT COMPREHENSIVE EXAM 2023-2024
100+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (NIGHTINGALE
COLLEGE NURSING) |A+ GRADED|
NPO status must be maintained for 8 hours before the test. After
an upper GI series, the client is prescribed a laxative to hasten
elimination of the barium. Barium that remains in the colon may
become hard and difficult to expel, leading to fecal impaction.
3-A nurse on the evening shift checks a physician's prescriptions
and notes that the dose of a prescribed medication is higher than
the normal dose. The nurse calls the physician's answering service
and is told that the physician is off for the night and will be
available in the morning. The nurse should:
A. Call the nursing supervisor
B. Ask the answering service to contact the on-call physician
C. Withhold the medication until the physician can be reached in
the morning
D. Administer the medication but consult the physician when he
becomes available - ANSWER--B. Ask the answering service to
contact the on-call physician
, HESI EXIT COMPREHENSIVE EXAM 2023-2024
100+ QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (NIGHTINGALE
COLLEGE NURSING) |A+ GRADED|
4.An emergency department (ED) nurse is monitoring a client with
suspected acute myocardial infarction (MI) who is awaiting
transfer to the coronary intensive care unit. The nurse notes the
sudden onset of premature ventricular contractions (PVCs) on the
monitor, checks the client's carotid pulse, and determines that the
PVCs are not resulting in perfusion. The appropriate action by the
nurse is:
A. Documenting the findings
B. Asking the ED physician to check the client
C. Continuing to monitor the client's cardiac status
D. Informing the client that PVCs are expected after an MI -
ANSWER--B. Asking the ED physician to check the client
5.NPO status is imposed 8 hours before the procedure on a client
scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m.
On the morning of the procedure, the nurse checks the client's
record and notes that the client routinely takes an oral
antihypertensive medication each morning. The nurse should:
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