HESI EXIT COMPREHENSIVE EXAM 2023 NEWEST 132 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

HESI EXIT
COMPREHENSIVE
EXAM 2023 NEWEST
132 QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) |ALREADY
GRADED A+
1-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 client's blood pressure
B. Checking the client's peripheral pulses
C. Checking the most recent potassium level
D. Checking the client's intake-and-output
record for the last 24 hours - ANSWER-A.
Checking the client's blood pressure
Checking the client's blood pressure
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-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?
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."
D. "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." -
ANSWER-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."
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-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 supervisor
B. Ask the answering service to contact the oncall physician
C. Withhold the medication until the physician
can be reached in the morning
D. Administer the medication but consult the
physician when he becomes available -
ANSWER-B. Ask the answering service to
contact the on-call physician