HESI 145 QUE dox

HESI 145 QUE

Questions1.

Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment does the nurse perform as a priority before administering the medication?

  Checking the client's blood pressure

  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

2.

A client is scheduled to undergo an upper gastrointestinal (GI) series, and the licensed practical nurse reinforces 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."

  "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."

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:

  Call the nursing supervisor

  Ask the answering service to contact the on-call physician

  Withhold the medication until the physician can be reached in the morning

  Administer the medication but consult the physician when he becomes available

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:

  Documenting the findings

  Asking the ED physician to check the client

  Continuing to monitor the client's cardiac status

  Informing the client that PVCs are expected after an MI

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:

  Administer the antihypertensive with a small sip of water

  Withhold the antihypertensive and administer it at bedtime

  Administer the medication by way of the intravenous (IV) route

  Hold the antihypertensive and resume its administration on the day after the ECT

6.

A client who recently underwent coronary artery bypass graft surgery comes to the physician's office for a follow-up visit. On assessment, the client tells the nurse that he is feeling depressed. Which response by the nurse is therapeutic?

  "Tell me more about what you’re feeling."

  "That’s a normal response after this type of surgery."

  "It will take time, but, I promise you, you will get over this depression."

  "Every client who has this surgery feels the same way for about a month."

7.

A client in labor experiences spontaneous rupture of the membranes. The nurse immediately counts the fetal heart rate (FHR) for 1 full minute and then checks the amniotic fluid. The nurse notes that the fluid is yellow and has a strong odor. Which of the following actions should be the nurse’s priority?

  Contacting the physician

  Documenting the findings

  Checking the fluid for protein

  Continuing to monitor the client and the FHR

8.

A nurse helps provide an educational session to community members about cancer of the cervix. The nurse informs the group members that an early sign of this type of cancer is:

  Dark, foul-smelling vaginal drainage