Hesi Exit Exam Review and Study Module Comprehensive with 132 Questions and Answers Graded A

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Comprehensive Exam1-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 clien... t's blood pressure CorrectB. Checking the client's peripheral pulsesC.Checking the most recent potassium levelD.Checking the client's intake-and-output record for the last 24 hoursA 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." CorrectD. "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."2-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 supervisorB.Ask the answering service to contact the on-call physician CorrectC.Withhold the medication until the physician can be reached in the morningD.Administer the medication but consult the physician when he becomes available4.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 findingsB.Asking the ED physician to check the client CorrectC. Continuing to monitor the client's cardiac statusD. Informing the client that PVCs are expected after an MI5.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:A.Administer the antihypertensive with a small sip of water CorrectB Withhold the antihypertensive and administer it at bedtimeC. Administer the medication by way of the intravenous (IV) routeDHold the antihypertensive and resume its administration on the day after the ECT6 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?A. "Tell me more about what you’re feeling." CorrectB."That’s a normal response after this type of surgery."C."It will take time, but, I promise you, you will get over this depression."D.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?A.Contacting the physician CorrectB.Documenting the findingsC.hecking the fluid for proteinD Continuing to monitor the client and the FHR A nurse has assisted a physician in inserting a central venous access device into a client with a diagnosis of severe malnutrition who will be receiving parenteral nutrition (PN). After insertion of the catheter, the nurse immediately plans to:ACall the radiography department to obtain a chest x-ray CorrectB. Check the client's blood glucose level to serve as a baseline measurementC. Hang the prescribed bag of PN and start the infusion at the prescribed rateD.Infuse normal saline solution through the catheter at a rate of 100 mL/hr to maintain patency [Show More]

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