HESI RN · Medication Administration Test Questions and Answers
Question 1 of 147
The nurse is about to give a rectal suppository to a patient. Which technique would facilitate the administration and absorption of the rectal suppository?
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Question 2 of 147
Before starting therapy with a statin, the following baseline laboratory values should be evaluated:
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Question 3 of 147
What is a common side effect concern with hypertensive medications and all individuals, but especially the elderly?
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Question 4 of 147
The nurse is preparing to start an IV line in a preschool-age child. After applying a eutectic mixture of local anesthetics, what will the nurse do to prepare the child?
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Question 5 of 147
Pregnant patients with asthma may safely use ___ throughout their pregnancy.
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Question 6 of 147
A patient refuses medication. Which is the nurse's first action?
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Question 7 of 147
Where would the procedures and treatments directed by the health care provider be found?
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Question 8 of 147
Your patient has just recently been diagnosed with familial adenomatous polyposis (FAP). This disorder is chronic, progressive, and fatal. There is a genetic test that can tell whether children of parents with the disease will develop it. The test is very accurate. The patient has become divorced and refuses to give you his consent to inform his ex-wife who now has custody of their three children. He threatens to sue you if you reveal elements of his medical care to his ex-wife. What should you do?
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Question 9 of 147
A topical corticosteroid has been prescribed for short-term use on an infant's skin. When planning the use of a topical medication for an infant, what principle should guide the nurse's actions?
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Question 10 of 147
The state of which the drug enters the GIT in Enterohepatic Circulation:
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Question 11 of 147
When administering medication by IV bolus (push), the nurse will occlude the IV line by which method?
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Question 12 of 147
A serious adverse effect of many 'typical' psychotropic medications is:
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Question 13 of 147
A client is admitted to the hospital with a burn injury covering 30% of the body surface area. The nurse anticipates that the client will require which type of dressing for wound care?
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Question 14 of 147
Patient education before starting antidepressant therapy includes:
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Question 15 of 147
Screening for anemia in adults includes:
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Question 16 of 147
A patient is prescribed 250 mg of antibiotics in 200 mL of intravenous fluid over 30 minutes. The correct rate in mL per hour to set the infusion device is
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Question 17 of 147
Mild acne may be initially treated with:
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Question 18 of 147
The vas deferens is part of the ____ system.
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Question 19 of 147
The patient with otitis externa may be treated with:
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Question 20 of 147
A stepwise approach to the pharmacologic management of asthma:
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Question 21 of 147
Insulin is used to treat diabetes mellitus. A major side effect to watch for is low blood sugar. Symptoms of low blood sugar (hypoglycemia) include:
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Question 22 of 147
When instructing the parents of a child who has received immunization in the vastus lateralis, which reaction is most common in the days after the administration?
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Question 23 of 147
The nurse is preparing to discontinue total parenteral nutrition (TPN) therapy for a patient who has been receiving TPN for several days. The nurse will contact the provider to discuss an order for:
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Question 24 of 147
A 34-year-old woman has presented to the clinic for the first time, and the nurse learns that she has been taking Depo Provera for the past 13 years. This aspect of the woman's medical history should prompt what assessment?
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Question 25 of 147
The most common side effect of inhaled corticosteroids is:
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Question 26 of 147
Which of the following statements is true about age and pain?
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Question 27 of 147
A patient was admitted with a diagnosis of a gastrointestinal bleed, the latest of several hospital admissions that have been attributed to his alcohol abuse. The addictions medicine specialist has prescribed disulfiram, which will:
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Question 28 of 147
A patient who will begin taking an antibiotic reports taking several vitamin supplements every day. Which vitamin or mineral will the nurse counsel the patient about during antibiotic therapy?
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Question 29 of 147
A patient's medication administration record includes daily timolol maleate eye drops. The nurse should identify what goal of therapy when planning this patient's care?
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Question 30 of 147
During the implementation phase of the nursing process for medication administration, which procedure is considered essential?
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Question 31 of 147
Topical medications are stored:
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Question 32 of 147
When a woman is taking birth control pills, it is best to:
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Question 33 of 147
A 12-year-old boy has been diagnosed with acute otitis externa. The patient's mother has asked if oral medications might be more effective than ear drops. The nurse should respond in the knowledge that systemic medications for the treatment of otitis externa are only indicated in what circumstances?
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Question 34 of 147
The nurse is teaching a patient about water-soluble vitamins. Which statement by the patient indicates understanding of the teaching?
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Question 35 of 147
Which is a true statement about otitis media?
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Question 36 of 147
The nurse is caring for a pregnant client recently diagnosed with hypothyroidism. The client tells the nurse she does not want to take medications while she is pregnant.
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Question 37 of 147
Which of the following parts of the syringe and needle must be kept sterile when preparing and administering an injection? Select all that apply.
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Question 38 of 147
Miss Knox, a 26-year-old, has returned to the surgical unit post appendectomy. The physician has prescribed intravenous (IV) morphine for pain. According to the Controlled Drugs and Substances Act (CDSA), morphine is classified under which schedule?
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Question 39 of 147
The abbreviation for right eye is
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Question 40 of 147
A client taking warfarin develops hyperuricemia, and the provider orders prednisone for a flare-up of gout. What priority follow-up lab should the nurse seek from the provider?
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Question 41 of 147
Ethel is an 80-year-old woman who was admitted for dehydration. The nurse reports that she is not making 30 mL/hr of urine and the physician orders a bolus of 250 ml to be infused within 30 minutes. What is the correct drip rate for Ethel's infusion?
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Question 42 of 147
A pregnant woman in the ER is having contractions every 3 minutes. What is the most important question to ask her?
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Question 43 of 147
Ongoing monitoring for women on ERT includes:
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Question 44 of 147
What type of order would a physician most likely write to treat the symptoms of a disease?
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Question 45 of 147
A nurse is caring for a client who has a venous leg ulcer on the lower left calf. The nurse notes that the wound has copious amounts of yellow-green purulent drainage with a foul odor. The periwound skin is erythematous, warm, and edematous. The client reports increased pain and fever. What should the nurse do first?
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Question 46 of 147
A patient with type 1 diabetes recently became pregnant. The nurse plans a blood glucose testing schedule for her. What is the recommended monitoring schedule?
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Question 47 of 147
A patient says he prefers to chew rather than swallow his pills. One of the pills has the abbreviation SR behind the name of the medication. The nurse needs to remember which correct instruction regarding how to give this medication?
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Question 48 of 147
You should place your initials in the appropriate 'box' of the Medication Administration Record (MAR) when charting medications.
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Question 49 of 147
What should the nurse include in discharge teaching regarding self-care for a client taking loop or thiazide diuretics?
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Question 50 of 147
A client who is recovering from total knee surgery is preparing for discharge. Which of these statements indicates the client needs further teaching?
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Question 51 of 147
An analgesic medication has been prescribed for a persistent headache. The prescriber has not signed the chart. You should
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Question 52 of 147
Which of the following drugs works by inhibiting the enzyme dihydroorotate dehydrogenase?
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Question 53 of 147
Veins carry blood TO:
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Question 54 of 147
A patient is admitted after experiencing vomiting and diarrhea for several days. The provider orders intravenous lactated Ringer's solution. The nurse understands that this fluid is given for which purpose?
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Question 55 of 147
The pain management nurse, concerned with metabolite accumulation in a patient with decreased creatinine clearance, decides to utilize:
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Question 56 of 147
The term 'duration of action' is best defined as
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Question 57 of 147
A nurse will administer narcotic analgesics with the knowledge that narcotic analgesics are prescribed to:
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Question 58 of 147
If you have a drug that its t1/2=4 hours. when you will each the steady state level :
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Question 59 of 147
A home care nurse provides instructions to a client taking digoxin (Lanoxin) 0.25 mg daily. Which statement by the client indicates a need for further instructions?
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Question 60 of 147
A nurse is assessing a client who has a pressure ulcer on the sacrum. Which finding should the nurse report to the wound care specialist?
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Question 61 of 147
Vivid dreams and nightmares are notable side effects of which of the following drug classes?
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Question 62 of 147
The nurse is assessing a patient who takes warfarin (Coumadin). The nurse notes a heart rate of 92 beats per minute and a blood pressure of 88/78 mm Hg. To evaluate the reason for these vital signs, the nurse will assess which of the following?
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Question 63 of 147
A nurse is evaluating the effectiveness of negative pressure wound therapy (NPWT) on a client with a chronic wound. Which of the following outcomes would indicate that the therapy is successful?
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Question 64 of 147
Mr. Sakiewiec is a 32-year-old man with severe mental retardation who has been institutionalized since childhood. He is noncommunicative and has never been able to verbalize his preferences on any decision. His parents are dead and the institution and a court-appointed guardian manages him. He has developed leukemia that is severe and incurable. Chemotherapy involves significant risk and discomfort and only a small chance of prolonging his survival. What should be done in terms of his medical treatment?
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Question 65 of 147
The nurse is teaching a patient who has hypertension about long-term management of the disease with alpha blocker therapy. The patient reports typically consuming 1 to 2 glasses of wine each evening with meals. How will the nurse respond?
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Question 66 of 147
Medications are typically started for angina patients when:
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Question 67 of 147
To reduce mortality, all patients with angina, regardless of class, should be on:
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Question 68 of 147
Which of the following is given for mental depression?
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Question 69 of 147
An adult patient is suspected of having an androgen deficiency and has spoken with his primary care provider about the possibility of treatment with testosterone. The use of testosterone would be most complicated by the presence of what preexisting health problem?
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Question 70 of 147
Diagnostic criteria for diabetes include:
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Question 71 of 147
Initial treatment of medication overuse headache includes:
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Question 72 of 147
You have a patient who is an HIV-positive physician. He has recently found out that he is HIV-positive. He is very concerned about confidentiality and you are the only one who knows he is HIV-positive. He asks you who you are legally obligated to inform. What should you tell him?
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Question 73 of 147
A client is being treated for acute congestive heart failure (CHF) and the client's vital signs are as follows: BP 85/50 mm Hg; pulse, 96 bpm; respirations, 26 cpm. The physician prescribes digoxin (Lanoxin). To evaluate a therapeutic effectiveness of this medication, the nurse would expect which of the following changes in the client's vital signs?
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Question 74 of 147
When adding medications to a bag of intravenous (IV) fluid, the nurse will use which method to mix the solution?
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Question 75 of 147
A patient who is taking an oral narcotic for pain relief tells the nurse he is constipated. What is this common response to narcotics called?
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Question 76 of 147
Which of the following is the most commonly diverted medication, according to the Drug Enforcement Administration?
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Question 77 of 147
when managing pain in a patient who cannot communicate with words? Select all that apply.
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Question 78 of 147
The nurse is caring for a newly admitted patient who will receive digoxin to treat a cardiac dysrhythmia. The patient takes hydrochlorothiazide (HydroDIURIL) and reports regular use of over-the-counter laxatives. Before administering the first dose of digoxin, the nurse will review the patient's electrolytes with careful attention to the levels of which electrolytes?
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Question 79 of 147
A patient is receiving dabigatran, 150 mg twice daily, for atrial fibrillation. Which condition would be a concern if the patient were to receive this dose?
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Question 80 of 147
When the total daily insulin dose is split and given twice daily, which of the following rules may be followed?
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Question 81 of 147
Purple glove syndrome is a side effect of which of these drugs?
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Question 82 of 147
Which statement about the therapeutic range of a drug is correct?
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Question 83 of 147
The nurse is teaching a patient who will begin taking furosemide. The nurse learns that the patient has just begun a 2-week course of a steroid medication. What will the nurse recommend?
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Question 84 of 147
A client with arterial insufficiency has an arterial ulcer on the dorsum of the foot. Which assessment finding should alert the nurse to a potential complication?
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Question 85 of 147
The nurse understands that a bronchodilator would be most therapeutic in which situation?
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Question 86 of 147
While preparing medications, the nurse knows one of the drug is an acidic medication. In which area does the nurse anticipate the drug will be absorbed?
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Question 87 of 147
A distinguishing feature of a cluster headache is that it occurs:
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Question 88 of 147
The nurse is administering medications to several patients. Which action should the nurse take?
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Question 89 of 147
A nurse is caring for a client who was recently started on lithium and is training a new nurse. What comment by the new nurse would require further teaching?
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Question 90 of 147
A patient was admitted to the emergency room with acute alcohol intoxication and has been diagnosed with alcohol abuse after subsequent assessment and treatment. What are the goals of long-term treatment of this patient's substance abuse disorder?
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Question 91 of 147
Children with AIDS may be treated with all of the following except:
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Question 92 of 147
Glucose-elevating agents exert their actions by:
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Question 93 of 147
Which part of a syringe is pushed to move the fluid out?
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Question 94 of 147
NSAID' stands for 'NonSteroidal Anti-Inflammatory Drugs.' These are used to:
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Question 95 of 147
Match the function with the letter indicating the system listed: Urine production & excretion
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Question 96 of 147
Which of the following drugs works by inhibiting HIV integrase, thereby preventing DNA strand transfer from the viral genome?
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Question 97 of 147
Angiotensin-converting enzyme (ACE) inhibitors treat hypertension because they:
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Question 98 of 147
The nurse is caring for two patients with the same last name. In this situation which right of medication administration is the priority to reduce the chance of an error?
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Question 99 of 147
If considering starting a patient on the nucleoside reverse transcriptase inhibitor abacavir, the following testing is recommended prior to prescribing:
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Question 100 of 147
When a medication is discontinued permanently, it must be:
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Question 101 of 147
A client has an arterial ulcer on the left lower leg. The nurse observes that the ulcer has a pale pink base, minimal drainage, and no signs of infection. What is an appropriate dressing for this ulcer?
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Question 102 of 147
The nurse transcribes an order to administer Valium 10 mg IV stat. This order is correctly interpreted by the nurse to mean it should be provided how? (Select one that does not apply.)
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Question 103 of 147
What is the duration of SERM use for menopausal issues?
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Question 104 of 147
Which advantage(s) does the unit dose drug distribution system include? (Select one that does not apply.)
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Question 105 of 147
A patient is prescribed oral iron supplementation. What should the nurse tell the patient to do while on this treatment?
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Question 106 of 147
Women who are taking an oral contraceptive containing the progesterone may require monitoring of:
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Question 107 of 147
Often an asthma 'attack' occurs because of something a person inhales (pollen, smoke) that inflames the tubes leading to the lungs. A medication that treats this inflammation is:
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HESI RN · Medication Administration Test Questions and Answers
Question 108 of 147
Which is known as the fifth vital sign?
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Question 109 of 147
A nurse is providing instructions to a client regarding quinapril hydrochloride (Accupril). The nurse tells the client:
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Question 110 of 147
If a patient with gastroesophageal reflux disease who is taking a proton pump inhibitor daily is not improving, the plan of care would be:
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Question 111 of 147
The nurse is monitoring a patient taking furosemide for heart failure. Which electrolyte imbalance must the nurse be alert for?
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HESI RN · Medication Administration Test Questions and Answers
Question 112 of 147
A young mother is seen in the clinic with her young children. It is May, and the family is planning to go to the beach for vacation. Which of the following aspects of patient teaching is most important?
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HESI RN · Medication Administration Test Questions and Answers
Question 113 of 147
The most common adverse reaction to insulin therapy is:
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Question 114 of 147
A 2-year-old child is to receive eardrops. The nurse is teaching the parent about giving the eardrops. Which statement reflects the proper technique for administering eardrops to this child?
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Question 115 of 147
The nurse is teaching a nursing student about giving liquid medications. Which statement by the student indicates understanding of the teaching?
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Question 116 of 147
The nurse has an order to administer an intramuscular (IM) immunization to a 2-month-old child. Which site is considered the best choice for this injection?
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Question 117 of 147
The nurse is preparing to administer a rectal suppository antiparetic medication. Which action by the nurse is correct?
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HESI RN · Medication Administration Test Questions and Answers
Question 118 of 147
If any of the '7 rights of Medication Administration' don't match, you will:
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Question 119 of 147
The nurse is preparing to administer an injection into the deltoid muscle of an adult patient weighing approximately 160 lb. Which needle size and length will the nurse choose?
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Question 120 of 147
A 45-year-old patient is diagnosed with lumbar radiculopathy. The patient's pain is not well controlled by an opioid medication. Which medication class does the pain management nurse identify as being the first-line, adjuvant medication for this diagnosis?
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Question 121 of 147
The goal of treatment of diabetes mellitus is normal:
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Question 122 of 147
A 69-year-old female patient has been diagnosed with malignant melanoma. The care team has collaborated with the patient and her family and agreed on a plan of care that includes administration of interferon alfa-2b. After administering interferon alfa-2b, the oncology nurse should anticipate that the patient may develop which of the following adverse effects?
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Question 123 of 147
A patient with type 2 diabetes is scheduled for an MRI with contrast dye and is taking metformin. What should the nurse do?
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Question 124 of 147
A patient is being administered chemotherapeutic agents for the treatment of cancer. Which of the following blood cells will be stimulated by the colony-stimulating factors in response to the effects of the chemotherapy?
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Question 125 of 147
A nurse is caring for a client with a diagnosis of rheumatoid arthritis who is receiving sulindac (Clinoril) 150 mg po twice daily. Which finding would indicate to the nurse that the client is experiencing a side effect related to the medication?
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Question 126 of 147
A handwritten prescription for a controlled substance must include which of the following?
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Question 127 of 147
A patient has an order for metoprolol. Prior to medication administration, what does the nurse need to assess?
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Question 128 of 147
When discussing with a patient the different start methods used for oral combined contraceptives, the advantage of a Sunday start over the other start methods is:
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Question 129 of 147
If you pour more liquid medication into the measuring cup than is needed, you:
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HESI RN · Medication Administration Test Questions and Answers
Question 130 of 147
The abbreviation for kilograms is
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HESI RN · Medication Administration Test Questions and Answers
Question 131 of 147
The abbreviation for tbsp or TBSP is
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HESI RN · Medication Administration Test Questions and Answers
Question 132 of 147
What effect does metoprolol have on the heart?
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HESI RN · Medication Administration Test Questions and Answers
Question 133 of 147
A nurse is assessing a client who has a wound on the abdomen. The nurse observes that the wound edges are approximated, there is minimal drainage, and granulation tissue is visible. How should the nurse document this wound?
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Question 134 of 147
What is the desired mixed of T3 to T4 drug levels in newly diagnosed endocrine patients?
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Question 135 of 147
A patient indicates a 'significant allergy' to Percocet on an admission report. The PRN list for pain management lists several drugs and looks like the example below (the checkmarks indicate the prescriber's endorsed orders). What's your next step? If the patient cannot take Percocet, administer fentanyl 50 mcg x 1; may repeat in 15 minutes one time only; Oxycodone with APAP x1 as needed one time only; Tramadol 50 mg PRN for pain; Acetaminophen with Codeine #3 PRN for pain; Dilaudid 2 mg PO x1 if oxycodone/APAP is ineffective.
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Question 136 of 147
When educating a patient about the proper administration of a loop diuretic, which instruction will the nurse include?
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Question 137 of 147
A patient asks the nurse why the provider has ordered a transdermal form of a medication. How will the nurse respond?
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Question 138 of 147
When a medication is an injectable, like insulin, it may be given by:
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Question 139 of 147
A nurse is teaching a mother how to administer nystatin to her 2-month-old child in the treatment of oral candidiasis. Which of the following is an appropriate instruction given by the nurse to the mother?
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Question 140 of 147
The nurse is checking an 8-year-old child who has attention deficit/hyperactivity disorder (ADHD) into a clinic for an annual well-child visit. The child takes methylphenidate HCl (Ritalin). Which assessments are especially important for this child?
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Question 141 of 147
The function of the eye's lacrimal gland is to:
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Question 142 of 147
Which example best demonstrates safe drug administration by the nurse?
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Question 143 of 147
If you find that you are giving a PRN medication regularly (at least every day), you should:
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Question 144 of 147
Which drug is used to reduce intraocular pressure?
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HESI RN · Medication Administration Test Questions and Answers
Question 145 of 147
Drugs used to treat diabetic peripheral neuropathy include:
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Question 146 of 147
Diagnosis of HIV infection is based on:
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Question 147 of 147
The patient with chronic venous insufficiency and venous stasis ulcers will often have:
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