Comprhensive Hesi Exam. 2019-2020 100% COMPLETE SOLUTIONS DOWNLOAD TO SCORE OUTSTANDING GRADE A

1.ID: 383711499

Enalapril maleate (Vasotec) is prescribed for a hospitalized client. Which assessment doesthe 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'sintake-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

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