HESI QUESTIONS

1. An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse knows

that the purpose of this medication is to

A. Decrease production of gastric secretions.

B. Produce an adherent barrier over the ulcer.

C. Correct Maintain a gastric pH of 3.5 or above.

D. Decrease gastric motor activity.

2. In evaluating the effects of lactulose (Cephulac), which outcome would indicate that the

drug is performing as intended?

A. An increase in urine output.

B. Correct. Two or three soft stools per day.

C. Watery, diarrhea stools

D. Increased serum bilirubin.

3. The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with congestive

heart failure. Which intervention should the nurse implement prior to administering the

digoxin? The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed with

congestive heart failure. Which intervention should the nurse implement prior to

administering the digoxin?

a. Observe respiratory rate and depth.

b. Correct Assess the serum potassium level.

c. Obtain the client's blood pressure.

d. Monitor the serum glucose level.

4. Following the administration of sublingual nitroglycerin to a client experiencing an acute

anginal attack, which assessment finding indicates to the nurse that the desired effect has

been achieved?

A. Correct Client states chest pain is relieved.

B. Client's pulse decreases from 120 to 90.

C. Client's systolic blood pressure decreases from 180 to 90.

D. Client's SaO2 level increases from 92% to 96%.

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5. A client with congestive heart failure (CHF) is being discharged with a new prescription

for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's

discharge instruction should include reporting which problem to the healthcare provider?

A. Weight loss.

B. Correct Dizziness.

C. Muscle cramps.

D. Dry mucous membranes.

6. A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows

that the action of this drug is to:

A. Decrease the amount of thyroid-stimulating hormone circulating in the blood.

B. Increase the amount of thyroid-stimulating hormone circulating in the blood.

C. Increase the amount of T4 and decrease the amount of T3 produced by the thyroid.

D. Inhibit synthesis of T3 and T4 by the thyroid gland.

7. A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which

observation by the nurse would indicate that the desired outcome of the medication is being

achieved?

A. Decreased blood pressure.

B. Correct Lessening of tremors.

C. Increased salivation.

D. Increased attention span.

8. Following heparin treatment for a pulmonary embolism, a client is being discharged with a

prescription for warfarin (Coumadin). In conducting discharge teaching, the nurse advises

the client to have which diagnostic test monitored regularly after discharge?

A. Perfusion scan.

B. Correct Prothrombin Time (PT/INR).

C. Activated partial thromboplastin (APTT).

D. Serum Coumadin level (SCL).

9. A postoperative client has been receiving a continuous IV infusion of meperidine (Demerol)

35 mg/hr for four days. The client has a PRN prescription for Demerol 100 mg PO q3h. The

nurse notes that the client has become increasingly restless, irritable and confused, stating

that there are bugs all over the walls. What action should the nurse take first?

A. Administer a PRN dose of the PO meperidine (Demerol).

B. Administer naloxone (Narcan) IV per PRN protocol.

C. Correct Decrease the IV infusion rate of the meperidine (Demerol) per protocol.

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