NEW GENERATION ATI COMPREHENSIVE HESI EXAMS 2023 | REAL EXAMS
WITH CORRECT ANSWERS
1.ID: 383711499
Enalapril maleate (Vasotec) is prescribed for a
... [Show More] hospitalized client. Which assessment does the
nurse perform as a priority before administering the medication?
Checking the client's blood pressure
Correct Checking the client's peripheral
pulses Checking the most recent
potassium level
Checking the client's intake-and-output record for the last 24 hours
Rationale: 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.
2.ID: 383744011
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?
"The test will take about 30 minutes."
"I need to fast for 8 hours before the test."
"I need to drink citrate of magnesia the night before the test and give myself a Fleet enema
on the morning of the test." Correct
"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."
Rationale: 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 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.ID: 383705015
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:
Call the nursing supervisor
Ask the answering service to contact the on-call physician Correct [Show Less]