HESI Practice questions

Question 16

HESI Practice questions. A client with intermittent claudication is taking pentoxifylline. Which assessment should the nurse perform to determine the effectiveness of the medication?

A. Monitor numeric pain intensity scale.
B. Evaluate level of consciousness.
C. Measure hourly urinary output.
D. Auscultate bowel sounds.

Question 17

A client with a history of severe rheumatoid arthritis is taking methotrexate and is now prescribed adalimumab. Which instruction should the nurse provide the client?

A. Undergo annual eye examinations.
B. Avoid crowds and people who are sick.
C. Obtain routine vaccinations as scheduled.
D. Have a chest x-ray prior to your first dose.

Question 12

A client with asthma receives a prescription for montelukast. Which information should the nurse include in the client’s teaching?

A. Montelukast will help repair damaged tissue in the base of the lungs.
B. The medication will contract the smooth muscles located in the respiratory tract.
C. The medication will prophylactically limit the inflammatory response to allergens.
D. Montelukast will increase the production of mucus in the lungs.

Question 14

A client is prescribed ferrous sulfate elixir. Which instruction should the nurse provide this client about taking the liquid medication?

A. Use a straw to ingest.
B. Swallow undiluted.
C. Take with a glass of milk.
D. Mix with an antacid.

Question 15

A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in the client’s plan of care?

A. Limit the intake of foods high in potassium.
B. Monitor skin for excessive bruising.
C. Replace salt with a salt substitute.
D. Cover your skin before going outside.

Question 11

The nurse is preparing to administer dihydroergotamine to a client with a migraine headache. Which information should the nurse obtain prior to administering the medication?

A. History of depression or suicidal ideation.
B. Administration of sumatriptan within 24 hours.
C. Results for serum creatinine tests.
D. Previous allergic reaction to almotriptan.

Question 10

A client who is taking bethanechol for urinary retention develops a bethanechol overdose. The client has bronchospasm, hypotension, profuse salivation, and tearing. Which medication should the nurse prepare to administer?

A. Phenylephrine.
B. Succinylcholine.
C. Atropine.
D. Albuterol.

Question 7

A client with a history of hallucinations and delusions is taking haloperidol. Which finding requires further investigation by the nurse to determine if the client is experiencing extrapyramidal side effects (EPS)?

A. Paresthesia.
B. Analgesia.
C. Akathisia.
D. Kinesthesia.

Question (Sucralfate)

The nurse is caring for a client receiving a prescription for sucralfate to treat a peptic ulcer. Which instruction should the nurse provide during discharge education?

A. Continue with normal dose schedule after missing a dose.
B. Administer an additional dose if a dose is missed.
C. Schedule doses with each meal and at bedtime.
D. Take on an empty stomach at least 1 hour before meals.

Question (HIV Therapy)

The nurse is teaching a client who has been diagnosed with HIV regarding the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?

A. Antiretroviral medication prevents the transmission of the virus.
B. The viral load can be decreased to an undetectable level.
C. The medications can decrease acquired immunodeficiency syndrome (AIDS) related complications.
D. HIV infection is not cured by the antiretroviral regimen.

Question 18

The nurse is caring for a client receiving a prescription for paroxetine who suddenly exhibits restlessness, tachycardia, fever, and elevated blood pressure. Which action should the nurse implement first?

A. Obtain a cooling blanket from the hospital central supply.
B. Withhold the next dose and contact the healthcare provider.
C. Document the findings in the electronic medical record.
D. Give a PRN dose for benzodiazepine and acetaminophen.

Question 19

A client who is taking an oral dose of a tetracycline reports gastrointestinal (GI) upset. Which snack should the nurse instruct the client to take with the tetracycline? HESI Practice questions

A. A cold cereal with skim milk.
B. Toasted wheat bread and jelly.
C. Cheese and crackers.
D. Fruit-flavored yogurt.

Question 20

On admission, the healthcare provider (HCP) prescribes a broad spectrum antibiotic for a client with a gram-negative infection. Before administering the first dose, it is most important for the nurse to implement which prescription?

A. Monitor for signs of sodium and fluid retention.
B. Irrigation and topical antibiotic application to wound area.
C. Wound and blood specimens for culture and sensitivity.
D. Complete blood count and serum electrolytes.

Question 21

A client receives a new prescription for levothyroxine. Which statement made by the client indicates to the nurse that education was effective?

A. Consume foods that are high in iodine.
B. Administer levothyroxine at bed time.
C. Take medication on an empty stomach.
D. Avoid the use of iron supplements.

Question 22

The nurse is teaching a client with type 1 diabetes mellitus about the onset, peak, and duration of a new prescription for glargine insulin. If the insulin is self administered at 2100, when is the client likely to experience hypoglycemia?

A. Shortly after midnight.
B. Midmorning.
C. No peak occurs.
D. Midafternoon.

Question 23

Which assessment findings require follow-up? Select all that apply.

A. Pain 8 on a 0 to 10 scale
B. Blood pressure: 138/82 mm Hg
C. Alert and oriented to person, place, time and situation
D. Temperature: 98.8°F (37.1°C)
E. IV site without redness or swelling
F. Respirations: 28 breaths/minute
G. Taking shallow breaths
H. Heart rate: 92 beats/minute

Question 24

The nurse is linking the client’s symptoms to the most likely pharmacologic treatment. The most appropriate medication class to treat the client’s presentation is:

A. Bronchodilators
B. Opioid analgesics
C. Antacids

Question 25

The nurse needs to determine the priority assessment before administering morphine. Before administering morphine, the most important assessment to perform is to check the client’s:

A. Temperature
B. Heart rate
C. Respiratory rate
D. Blood pressure

Question 35

A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication?

A Trouble sleeping.
B Unexplained weight loss.
C Recent oral intake.
D Difficulty with urination.

Question 36

The nurse administers acetylcysteine to a client with thick mucous and a nonproductive cough. To evaluate the effectiveness of the medication, which question should the nurse ask the client?

A “Are you experiencing any pain when you cough?”
B “How much phlegm are you coughing up?”
C “Are you still coughing?”
D “What color is the mucous?”

Question 37

A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

A Apply the cream to the area for 2 weeks.
B Cover the site with an occlusive dressing.
C Limit exposure to direct sunlight.
D Use the cream only on intact skin.

Question 38

The nurse is preparing to administer the client’s morning dose of digoxin. Which action should the nurse take prior to administering the digoxin?

A Verify that the urine output exceeds 30 mL per hour.
B Obtain a left radial pulse rate for a full 30 seconds.
C Listen to the heart at the left 5th intercostal space.
D Check the client for signs of orthostatic hypotension.

Question 39

A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing “heartburn.” How should the nurse respond?

A Advise the client to go to the nearest emergency department.
B Ask the client to describe how she takes the medication.
C Remind the client to take the medication with plenty of water.
D Suggest use of an antacid two hours after the medication.

Question 40

A client receives a new prescription for somatropin. Which information provided by the client indicates a need for further education by the nurse?

A Store unused vials at room temperature.
B Discard the medication if the solution is cloudy.
C Rotate injection sites to minimize discomfort.
D Administer the medication subcutaneously.

Question 41

A client who uses transdermal contraceptive, calls to the clinic because she forgot to apply a new patch three days ago. Which instruction should the nurse provide to the client?

A Wait until Sunday to apply the new patch and use the same site.
B If a pregnancy test is negative, apply the next patch immediately.
C Wait until the last day of your next menstrual period to apply the patch.
D Apply the new patch today and use a backup method for 7 days.

Question 42 of 60

A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and the blood pressure is 138/86 mm Hg. A transdermal nitroglycerin patch was applied 30 minutes¹ ago to the right upper chest. Which act²ion should the nurse take³?

A. Reassure the client that the patch will begin to take effect within a few minutes.
B. Leave the patch in place and administer a PRN dose of sublingual nitroglycerin.
C. Obtain another transdermal patch and position it on the client’s left upper chest.
D. Withhold further doses of nitroglycerin until contacting the healthcare provider.

Question 43 of 60

Case Study Context: 22-year-old with chronic asthma. Symptoms: abdominal pain, vomiting, diarrhea (3 days), headache, dizziness. Vital signs: HR 160, RR 28, BP 100/60. Cardiac monitor: run of Ventricular Tachycardia (VT). Medications: daily inhaled corticosteroid, extended-release theophylline every 12 hours, albuterol rescue inhaler, and a recent course of antibiotics.

Complete the following table by selecting the correct Action, Condition, and Parameter: HESI Practice questions

Actions to Take	Potential Conditions	Parameters to Monitor
Hold theophylline	Drug toxicity	Theophylline blood levels

Actions to Take:
- Assess medication interactions
- Administer albuterol
- Hold theophylline
- Give a bolus of IV fluids
- Assess allergies
Potential Conditions:
- Cardiopulmonary arrest
- Hypovolemic shock
- Drug toxicity
- Allergic reaction
Parameters to Monitor:
- Theophylline blood levels
- Oxygen saturation
- Respiratory rate
- Serum electrolyte levels
- Cardiac rhythm

Question 44 of 60

When administering medications to a group of clients, which medication would entail close client monitoring for development of acute kidney injury (AKI)?

A Lorazepam.
B Vancomycin.
C Sucralfate.
D Digoxin.

Question 45 of 60

The nurse is administering sodium polystyrene sulfonate to a client in acute kidney injury (AKI). Which laboratory finding indicates that the medication has been effective?

Reference Range: Glucose [74 to 106 mg/dL (4.1 to 5.9 mmol/L)] Hemoglobin [14 to 18 g/dL (140 to 180 g/L)] Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)] Ammonia [10 to 80 µg/dL (6 to 47 µmol/dL)]

A Serum ammonia level of 30 µg/dL (17.62 µmol /dL).
B Hemoglobin level of 13.5 g/dL (135 g/L).
C Serum potassium level of 3.8 mEq/L (3.8 mmol/L).
D Serum glucose level of 120 mg/dL (6.7 mmol/L).

Question 46 of 60

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

A Those with allergies to chamomile, ragweed, or yarrow should not take feverfew.
B Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew.
C Increased anxiety and nervousness have been reported by those taking feverfew.
D Feverfew may interact with aspirin or nonsteroidal antiinflammatory drugs (NSAIDs).

Question 47 of 60

A client receives a prescription for allopurinol. Which information provided by the client requires additional instruction by the nurse?

A Reduce caffeine and acidic intake.
B Consume 2 liters of water daily.
C Double the dose if a dose is missed.
D Avoid taking on an empty stomach.

Question 49 of 60

The healthcare provider (HCP) prescribes streptomycin 200 mg IM every 12 hours. The vial is labeled, “Streptomycin 1 gram/2.5 mL”. How many mL should the nurse administer? (Enter numerical value only. (If rounding is required, round to the nearest tenth.)

0.5

Question 50 of 60

A male client who has erectile dysfunction (ED) recently received a new prescription for sildenafil citrate. During a clinic visit, the client reports the onset of nasal congestion, dizziness, nausea, and dyspepsia. Which nursing assessment takes priority?

A Assess for the presence of muscle or back pain.
B Palpate abdomen for distention or tenderness.
C Auscultate and compare breath sounds bilaterally.
D Measure blood pressure while lying and standing.

Question 51 of 60

The nurse prepares to administer a scheduled dose of labetalol 100 mg PO to a client with hypertension. The client’s vital signs are reported as a temperature of 99° F (37.2° C), heart rate 48 beats/minute, respirations 16 breaths/minute, and a blood pressure of 150/90 mm Hg. Which action should the nurse take?

A Administer the dose and monitor the client’s blood pressure regularly.
B Apply a telemetry monitor before administering the dose.
C Assess for orthostatic hypotension before administering the dose.
D Withhold the scheduled dose and notify the healthcare provider (HCP).

Question 52 of 60

A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional education is needed?

A Rinses the mouth after each use.
B Stores the medication at room temperature.
C Attaches spacer device to the inhaler.
D Primes the inhaler with 7 pumps.

Question 53 of 60

A 68-year-old male client is admitted with a severe headache. His history includes type 2 diabetes mellitus (DM) and hypertension. The nurse reviews the client’s record and administers the 1000 medications.

(Note: Based on the provided matching table task, the correct responses for the assessment of Minoxidil are:)

Dizziness while sitting up: Nontherapeutic Side Effect
Pain rated at 1 on a 0 to 10 scale: Therapeutic Result
Mouth dryness: Unrelated Finding
Blood glucose 218 mg/dL: Unrelated Finding
Heart rate 99 beats/minute: Nontherapeutic Side Effect
Blood pressure 162/111 mm Hg: Therapeutic Result
Urine output 600 mL: Unrelated Finding

HESI Practice questions.

Isaura K

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