HESI COMPREHENSIVE EXIT EXAM 2023 -2024 QUESTIONS WITH ANSWERS A+ GRADE 100% PASS GUARANTEED
1. 1-Enalapril maleate (Vasotec) is prescribed for a
... [Show More] hospitalized client. Which assessment does the nurse perform as a priority before administering the medica- tion?
A. Checking the client's blood pressure
B. Checking the client's peripher- al pulses
C. Checking the most recent potassium level
D. Checking the client's in- take-and-output record for the last 24 hours
A. Checking the client's blood pressure
Checking the client's blood pressure Enalapril maleate is an an-
giotensin-converting enzyme (ACE) in- hibitor used to treat hypertension. One common side effect is postural hypoten- sion. Therefore the nurse would check the client's blood pressure immediately before administering each dose. Check- ing 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.
2. 2-A client is scheduled to under- go an upper gastrointestinal (GI) series, and the nurse provides in- structions to the client about the test. Which statement by the client indicates a need for further in- struction?
A. "The test will take about 30 minutes."
B. "I need to fast for 8 hours be- fore the test."
C. "I need to drink citrate of mag- nesia 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."
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 visualiza- tion of the esophagus, duodenum, and upper jejunum by means of the use of a contrast medium. It involves swal-
lowing a contrast medium (usually bari- um), which is administered in a flavored milkshake. Films are taken at intervals during the test, which takes about 30 minutes. No special preparation is nec- essary before a GI series, except that 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. Bar- ium that remains in the colon may be- come hard and difficult to expel, leading to fecal impaction.
3. 3-A nurse on the evening shift checks a physician's prescrip- tions 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 physi- cian 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 be- comes available
B. Ask the answering service to contact the on-call physician
4. 4.An emergency department (ED) nurse is monitoring a client with suspected acute myocardial in- farction (MI) who is awaiting transfer to the coronary intensive care unit. The nurse notes the sudden onset of premature ven- tricular 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
B. Asking the ED physician to check the client [Show Less]