BSN 246 HESI RN Specialty Health Assessment Exam V3 (Latest Update 2024 / 2025) Questions and Verified Answers | 100% Correct | Grade A - Nightingale
Question:
The registered nurse (RN) reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client on the psychiatric unit with depression. Which information is most important for the RN to assess?
a) Consumption of any alcohol or tyramine-rich foods.
b) Complaints of nausea or vomiting.
c) Therapeutic serum drug levels.
d) Blood pressure and pulse prior to taking each dose.
Answer:
Consumption of any alcohol or tyramine-rich foods.
Rationale The consumption of any type of tyramine containing foods such as aged cheeses, fermented fruits and vegetables, smoked or cured meats, dark wines and other alcoholic products should be avoided when a client is prescribed a MAOIs due to the a food-drug interaction causing a hypertensive crisis which can lead to a hemorrhagic stroke.
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Question:
The registered nurse (RN) is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalaprilto manage the client's blood pressure. Which instruction should the RN provide the client regarding the new medication?
a) Take the medication at bedtime.
b) Report presence of increased bruising.
c) Check pulse before taking medication.
d) Rise slowly when getting out of bed or chair.
Answer:
Rise slowly when getting out of bed or chair.
Rationale The client's new medication is an angiotensin-converting enzyme (ACE) inhibitor, which has the side effect oforthostatic hypotension. Instructing the client to rise slowly from a sitting or lying down position is important to teach the client to avoid dizziness and potentially falling.
Question:
The registered nurse (RN) is caring for a client with acute pancreatitis and assesses the admission laboratory results. What laboratory value should the RN anticipate being elevated with this diagnosis?
a) Triglycerides.
b) Amylase.
c) Creatinine.
d) Uric acid.
Answer:
Amylase. 2 / 4
Rationale An elevated amylase level is associated with acute pancreatitis.
Question:
The registered nurse (RN) is caring for a young adult who is having an oral glucose tolerance tests (OGTT). Which laboratory result should the RN assess as a normal value for the two hour postprandial result?
- 140 mg/dl.
- 160 mg/dl.
- 180 mg/dl.
- 200 mg/dl.
Answer:
140 mg/dl.
Rationale The two hour postprandial level should be less 140 mg/dl for a young adult client.
Question:
While reviewing the client's electronic medical record (EMR), the registered nurse (RN) assesses a client who is at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client health history should the RN report to the healthcare provider concerning the OTC medication? (Select all that apply). 3 / 4
Select all that apply
a) Type I diabetes mellitus (DM).
b) Closed angle glaucoma.
c) Chronic hypertension.
d) Rheumatoid arthritis.
e) Crohn's disease.
Answer:
Closed angle glaucoma.Chronic hypertension.
Rationale OTC decongestants can increase intraocular pressure and should be avoided in clients with closed angle glaucoma. Decongestants also can increase the heart rate and elevate blood pressure which can impact the client's management of chronic hypertension.
Question:
An older client is admitted to the hospital with severe diarrhea. The registered nurse (RN) is completing an assessment and notes the client has dry mucous membranes and poor skin turgor. Which assessment data should the RN gather to determine if the client has a fluid volume deficit?
a) Lower extremity edema.
b) Orthostatic hypotension.
c) Elevated blood pressure.
d) Cheyne-Stokes respirations.
Answer:
Orthostatic hypotension.
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