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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Document preview page 1

2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 1

Document preview content for 2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions)

2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions)

Master important exam concepts with 2019 HESI RN Pharmacology Exit Exam Version 4 With Answers, featuring past test questions.

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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 1 preview image2018 HESI EXIT V41.The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Whichnursing intervention is appropriate for this child?A)Make certain the child is maintained in correct body alignment.B)Be sure the traction weights touch the end of the bed.C)Adjust the head and foot of the bed for the child's comfortD)Release the traction for 15-20 minutes every 6 hours PRN.The correct answer is A: Make certain the child is maintained in correct body alignment.2.The nurse is assessing a healthy child at the 2 year check up. Which of thefollowing should the nurse report immediately to the health care provider?A)Height and weight percentiles vary widelyB)Growth pattern appears to have slowedC)Recumbent and standing height are differentD)Short term weight changes are unevenThe correct answer is A: Height and weight percentiles vary widely3.The parents of a 2 year-old child report that he has been holding his breath wheneverhe has temper tantrums. What is the best action by the nurse?A)Teach the parents how to perform cardiopulmonary resuscitationB)Recommend that the parents give in when he holds his breath to prevent anoxiaC)Advise the parents to ignore breath holding because breathing will begin as a reflexD)Instruct the parents on how to reason with the child about possible harmful effectsThe correct answer is C: Advise the parents to ignore breath holding because breathingwill begin as a reflex4.The nurse is assessing a client in the emergency room. Which statement suggests thatthe problem is acute angina?A)"My pain is deep in my chest behind my sternum."B)"When I sit up the pain gets worse."C)"As I take a deep breath the pain gets worse."D)"The pain is right here in my stomach area."
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 2 preview image
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 3 preview imageThe correct answer is A: "My pain is deep in my chest behind my sternum.".5.The nurse is assessing the mental status of a client admitted with possible organic braindisorder. Which of these questions will best assess the function of the client's recent
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 4 preview imagememory?A)"Name the year." "What season is this?" (pause for answer after each question)B)"Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Nowcontinue to subtract 7 from the new number."C)"I am going to say the names of three things and I want you to repeat them after me:blue, ball, pen."D)"What is this on my wrist?" (point to your watch) Then ask, "What is the purpose ofit?"The correct answer is C: "I am going to say the names of three things and I want you torepeat them after me: blue, ball, pen."6.In planning care for a 6 month-old infant, what must the nurse provide to assist in thedevelopment of trust?A)FoodB)WarmthC)SecurityD)ComfortThe correct answer is C: Security7.A nurse has just received a medication order which is not legible. Which statement bestreflects assertive communication?A)"I cannot give this medication as it is written. I have no idea of what you mean."B)"Would you please clarify what you have written so I am sure I am reading itcorrectly?"C)"I am having difficulty reading your handwriting. It would save me time if you wouldbe more careful."D)"Please print in the future so I do not have to spend extra time attempting to read yourwriting."The correct answer is B) "Would you please clarify what you have written so I am sure Iamreading it correctly?"8.What is the most important consideration when teaching parents how to reduce risks inthe home?A)Age and knowledge level of the parentsB)Proximity to emergency servicesC)Number of children in the homeD)Age of children in the homeThe correct answer is D: Age of children in the home
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 5 preview image9.A 35 year-old client with sickle cell crisis is talking on the telephone but stops as thenurse enters the room to request something for pain. The nurse shouldA)Administer a placeboB)Encourage increased fluid intakeC)Administer the prescribed analgesiaD)Recommend relaxation exercises for pain controlThe correct answer is C: Administer the prescribed analgesia10.While caring for a toddler with croup, which initial sign of croup requires the nurse'simmediate attention?A)Respiratory rate of 42B)Lethargy for the past hourC)Apical pulse of 54D)Coughing up copious secretionsThe correct answer is A: Respiratory rate of 3011.A client is admitted with low T3 and T4 levels and an elevated TSH level. On initialassessment, the nurse would anticipate which of the following assessment findings?A)LethargyB)Heat intoleranceC)DiarrheaD)Skin eruptionsThe correct answer is A: Lethargy12.The emergency room nurse admits a child who experienced a seizure at school. Thefather comments that this is the first occurrence, and denies any family history ofepilepsy. What is the best response by the nurse?A)"Do not worry. Epilepsy can be treated with medications."B)"The seizure may or may not mean your child has epilepsy."C)"Since this was the first convulsion, it may not happen again."D)"Long term treatment will prevent future seizures."The correct answer is B: "The seizure may or may not mean your child has epilepsy."13.Alcohol and drug abuse impairs judgment and increases risk taking behavior. Whatnursing diagnosis best applies?A)Risk for injuryB)Risk for knowledge deficit
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 6 preview imageC)Altered thought processD)Disturbance in self-esteemThe correct answer is A: Risk for injury14.The nurse is caring for a 10 month-old infant who is has oxygen via mask. It isimportant for the nurse to maintain patency of which of these areas?A)MouthB)Nasal passagesC)Back of throatD)BronchialsThe correct answer is B: Nasal passages15.The nurse is providing instructions for a client with pneumonia. What is the mostimportant information to convey to the client?A)"Take at least 2 weeks off from work."B)"You will need another chest x-ray in 6 weeks."C)"Take your temperature every day."D)"Complete all of the antibiotic even if your findings decrease."The correct answer is D: "Complete all of the antibiotic even if your findings decrease."16.When counseling a 6 year old who is experiencing enuresis, what must the nurseunderstand about the pathophysiological basis of this disorder?A)Has no clear etiologyB)May be associated with sleep phobiaC)Has a definite genetic linkD)Is a sign of willful misbehaviorThe correct answer is A: Has no clear etiology17.The nurse is discussing negativism with the parents of a 30 month-old child. Howshould the nurse tell the parents to best respond to this behavior?A)Reprimand the child and give a 15 minute "time out"B)Maintain a permissive attitude for this behaviorC)Use patience and a sense of humor to deal with this behaviorD)Assert authority over the child through limit settingThe correct answer is C: Use patience and a sense of humor to deal with this behavior18.The nurse is talking by telephone with a parent of a 4 year-old child who haschickenpox. Which of the following demonstrates appropriate teaching by the nurse?A)Chewable aspirin is the preferred analgesic
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 7 preview imageB)Topical cortisone ointment relieves itchingC)Papules, vesicles, and crusts will be present at one timeD)The illness is only contagious prior to lesion eruptionThe correct answer is C: Papules, vesicles, and crusts will be present at one time19.The nurse is assigned to a client who has heart failure . During the morning roundsthe nurse sees the client develop sudden anxiety, diaphoresis and dyspnea. The nurseauscultates, crackles bilaterally.Which nursing intervention should be performed first?A)Take the client's vital signsB)Place the client in a sitting position with legs danglingC)Contact the health care providerD)Administer the PRN anti anxiety agentThe correct answer is B: Place the client in a sitting position with legs dangling20.The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct theparents toA)Dress the child warmly to avoid chillingB)Keep the child away from other children for the duration of the rashC)Clean the affected areas with tepid water and detergentD)Wrap the child's hand in mittens or socks to prevent scratchingThe correct answer is D: Wrap the child''s hand in mittens or socks to prevent scratching21.A recovering alcoholic asked the nurse, "Will it be ok for me to just drink at specialfamily gatherings?" Which initial response by the nurse would be best?A)"A recovering person has to be very careful not to lose control, therefore, confine yourdrinking just at family gatherings."B)"At your next AA meeting discuss the possibility of limited drinking withyour sponsor."C)"A recovering person needs to get in touch with their feelings. Do you want a drink?"D)"A recovering person cannot return to drinking without starting the addiction processover."The correct answer is D: "The recovering person cannot return to drinking withoutstarting the addiction process over."22.In taking the history of a pregnant woman, which of the following would the nurserecognize as the primary contraindication for breast feeding?A)Age 40 yearsB)Lactose intolerance
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 8 preview imageC)Family history of breast cancerD)Uses cocaine on weekendsThe correct answer is D: Uses cocaine on weekends23.A client is receiving nitroprusside IV for the treatment of acute heart failure withpulmonary edema. What diagnostic lab value should the nurse monitor in relation to thismedication?A)PotassiumB)Arterial blood gassesC)Blood urea nitrogenD)ThiocyanateThe correct answer is D: Thiocyanate24.A victim of domestic violence tells the batterer she needs a little time away. Howwould the nurse expect that the batterer might respond?A)With acceptance and views thevictim’scomment as an indication that their marriageis in troubleB)With fear of rejection causing increased rage toward the victimC)With a new commitment to seek counseling to assist with their marital problemsD)With relief, and welcomes the separation as a means to have some personal timeThe correct answer is B: With fear of rejection causing increased rage toward the victim25.A postpartum mother is unwilling to allow the father to participate in the newborn'scare, although he is interested in doing so. She states, "I am afraid the baby will beconfused about who the mother is. Baby raising is for mothers, not fathers." The nurse'sinitial intervention should be what focus?A)Discuss with the mother sharing parenting responsibilitiesB)Set time aside to get the mother to express her feelings and concernsC)Arrange for the parents to attend infant care classesD)Talk with the father and help him accept the wife's decisionThe correct answer is B: Set time aside to get the mother to express her feelings andconcerns26.A client with emphysema visits the clinic. While teaching about proper nutrition, thenurse should emphasize that the clientA)Eat foods high in sodium increases sputum liquefactionB)Use oxygen during meals improves gas exchangeC)Perform exercise after respiratory therapy enhances appetiteD)Cleanse the mouth of dried secretions reduces risk of infection
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 9 preview imageThe correct answer is B: Use oxygen during meals improves gas exchange27.Which of theseparents’ commentfor a newborn would most likely reveal an initialfinding of a suspected pyloric stenosis?A)I noticed a little lump a little above the belly button.B)The baby seems hungry all the time.C)Mild vomiting that progressed to vomiting shooting across the room.D)Irritation and spitting up immediately after feedings.The correct answer is C: Mild emesis progressing to projectile vomiting28.The nurse is assessing a child for clinical manifestations of iron deficiency anemia.Which factor would the nurse recognize as cause for the findings?A)Decreased cardiac outputB)Tissue hypoxiaC)Cerebral edemaD)Reduced oxygen saturationThe correct answer is B: Tissue hypoxia29.The nurse would expect the cystic fibrosis client to receive supplemental pancreaticenzymes along with a dietA)High in carbohydrates and proteinsB)Low in carbohydrates and proteinsC)High in carbohydrates, low in proteinsD)Low in carbohydrates, high in proteinsThe correct answer is A: High in carbohydrates and proteins30.In evaluating the growth of a 12 month-old child, which of these findings would thenurse expect to be present in the infant?A)Increased 10% in heightB)2 deciduous teethC)Tripled the birth weightD)Head > chest circumferenceThe correct answer is C: Tripled the birth weight31.A Hispanic client in the postpartum period refuses the hospital food because it is"cold." The best initial action by the nurse is toA)Have the unlicensed assistive personnel (UAP) reheat the food if the client wishes
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 10 preview imageB)Ask the client what foods are acceptable or badC)Encourage her to eat for healing and strengthD)Schedule the dietitian to meet with the client as soon as possibleThe correct answer is B: Ask the client what foods are acceptable32.The father of an 8 month-old infant asks the nurse if his infant's vocalizations arenormal for his age. Which of the following would the nurse expect at this age?A)CooingB)Imitation of soundsC)Throaty soundsD)LaughterThe correct answer is B: Imitation of Sounds33.The nurse should recognize that physical dependence is accompanied by whatfindings when alcohol consumption is first reduced or ended?A)SeizuresB)WithdrawalC)CravingD)Marked toleranceThe correct answer is B: Withdrawal34.Immediately following an acute battering incident in a violent relationship, thebatterer may respond to thepartner’sinjuries byA)Seeking medical help for the victim's injuriesB)Minimizing the episode and underestimating thevictim’sinjuriesC)Contacting a close friend and asking for helpD)Being very remorseful and assisting the victim with medical careThe correct answer is B: Minimizing the episode and underestimating thevictim’sinjuries35.The nurse is planning to give a 3 year-old child oral digoxin. Which of the followingis the best approach by the nurse?A)"Do you want to take this pretty red medicine?"B)"You will feel better if you take your medicine."C)"This is your medicine, and you must take it all right now."D)"Would you like to take your medicine from a spoon or a cup?"The correct answer is D: "Would you like to take your medicine from a spoon or a cup?"
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 11 preview image36.In planning care for a child diagnosed with minimal change nephrotic syndrome, thenurse should understand the relationship between edema formation andA)Increased retention of albumin in the vascular systemB)Decreased colloidal osmotic pressure in the capillariesC)Fluid shift from interstitial spaces into the vascular spaceD)Reduced tubular reabsorption of sodium and waterThe correct answer is B: Decreased colloidal osmotic pressure in the capillaries37.An eighteen month-old has been brought to the emergency room with irritability,lethargy over 2 days, dry skin and increased pulse. Based upon the evaluation of theseinitial findings, the nurse would assess the child for additional findings ofA)SepticemiaB)DehydrationC)HypokalemiaD)HypercalcemiaThe correct answer is B: Dehydration38.A client who has been drinking for five years states that he drinks when he gets upsetabout "things" such as being unemployed or feeling like life is not leading anywhere. Thenurse understands that the client is using alcohol as a way to deal withA)Recreational and social needsB)Feelings of angerC)Life’sstressorsD)Issues of guilt and disappointmentThe correct answer is C:Life’sstressors39.The nurse is monitoring the contractions of a woman in labor. A contraction isrecorded as beginning at 10:00 A.M. and ending at 10:01 A.M. Another begins at10:15A.M. What is the frequency of the contractions?A)14 minutesB)10 minutesC)15 minutesD)Nine minutesThe correct answer is C: 15 minutes40.The nurse is performing an assessment on a child with severe airway obstruction.Which finding would the nurse anticipate finding?A)Retractions in the intercostal tissues of the thorax
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2019 HESI RN Pharmacology Exit Exam Version 4 With Answers (160 Solved Questions) - Page 12 preview imageB)Chest pain aggravated by respiratory movementC)Cyanosis and mottling of the skinD)Rapid, shallow respirationsThe correct answer is A: Retractions in the soft tissues of the thorax41.During the evaluation phase for a client, the nurse should focus onA)All finding of physical and psychosocial stressors of the client and in the familyB)The client's status, progress toward goal achievement, and ongoing re-evaluationC)Setting short and long-term goals to insure continuity of care from hospital to homeD)Select interventions that are measurable and achievable within selected timeframesThe correct answer is B: The client''s status, progress toward goal achievement, andongoing re evaluation42.The school nurse suspects that a third grade child might have Attention DeficitHyperactivity Disorder. Prior to referring the child for further evaluation, the nurseshouldA)Observe the child's behavior on at least 2 occasionsB)Consult with the teacher about how to control impulsivityC)Compile a history of behavior patterns and developmental accomplishmentsD)Compare the child's behavior with classic signs and symptomsThe correct answer is C: Compile a history of behavior patterns and developmentalaccomplishments43.Which of the actions suggested to the RN by the PN during a planning conference fora 10 month-old infant admitted 2 hours ago with bacterial meningitis would be acceptableto add to the plan ofcare?A)Measure head circumferenceB)Place in airborne isolationC)Provide passive range of motionD)Provide an over-the-crib protective topThe correct answer is A: Measure head circumference44.A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratoryresults, the nurse would expect to find elevation in which of the following values?A)Blood urea nitrogenB)Acid phosphataseC)Bilirubin
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