HESI MILESTONE EXAM 1 WITH

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HESI MILESTONE EXAM 1 WITH

SOLUTIONS

Question :Which information should the nurse have when

assessing a client for therapeutic effects of a prescribed medication?

a) The client's previous experience with medication.

b) The client's baseline before taking the medication.

c) Expected side effects of the medication.

d) Expected response of the medication.

CORRECT ANSWER :b) The client's baseline before

taking the medication.

Question :The nurse is teaching a client about the

medication treatment for active tuberculosis (TB) infection. The nurse should include which information in the teaching?

• "At least 2 antituberculosis medications will need to be

taken."

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• "You will most likely develop a superinfection from

the antituberculosis medications."

• "Treatment is necessary for just 10 days."
• "Drug sensitivity is not necessary before starting

treatment."

CORRECT ANSWER :a) "At least 2 antituberculosis

medications will need to be taken."

Question :The basic mechanism of action of most diuretic

medications includes which of the following?

a) Increasing the thirst sensation to promote more water

intake by the client

b) Causing vasodilation and increasing blood supply to

the kidneys

c) Blocking sodium and chloride reabsorption

d) Increasing potassium excretion by removing water

from the cells

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CORRECT ANSWER :c) Blocking sodium and chloride

reabsorption

Question :The nurse is administering prescribed

tetracycline. Which client would be appropriate to receive the medication?

a) A female client who is pregnant and has a skin

infection.

b) A 6-year-old client with an ear infection.

c) A teenager with severe acne on the back.

d) A 12-month-old with an eye infection.

CORRECT ANSWER :c) A teenager with severe acne

on the back.

Question :Angiotensin-converting enzyme (ACE)

inhibitors are used to treat which diagnosis?

a) Hypotension

b) Heart failure

c) Stroke

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d) Atrial fibrillation

CORRECT ANSWER :b) Heart failure

Question :Which anticoagulant would be contraindicated

for a client with a vitamin K deficiency?

• enoxaparin (Lovenox)
• apixaban (Eliquis)
• heparin (unfractionated)
• warfarin (Coumadin)

CORRECT ANSWER:d) warfarin (Coumadin)

Question :The nurse is caring for a client taking newly

prescribed first-generation antipsychotic medication. The nurse should monitor the client for which adverse effect that can occur within the first few days?

a) Suicidal ideations

b) Fibromyalgia syndrome