2023-2024 HESI RN Pharmacology Actual Exam With Answers (180 Solved Questions)

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HESI RN PHARMACOLOGYWITH ACTUAL EXAM QUESTIONS WITHANSWERS 2023/202411. An unlicensed assistive personnel (UAP) is assigned to providepersonal care for a client whose prescribed activity is bedrest withbedside commode use. The UAP reports to the nurse that the client is soobese that the UAP feels unable to safely assist the client in transferringfrom the bed to the bedside commode. How should the nurse respond?--answer-c. Advice the client to maintain bedrest so that safety can beensured.12. A nurse determines that morethan 25% of the students at a middleschool are overweight. The nurse presents the information at the parent-teacher meeting. What action is most important for the nurse to include inthe meeting?--answer-c. Distribute a shopping list of suggested healthysnack items.13. After several months of chronic fatigue, morning stiffness, and joinpain, a young adult is diagnosed with rheumatoid arthritis, and thehealthcare provider prescribes prednisone. Which education should thenurse provide the client with regard to taking prednisone?--answer-c. Ifsequential doses are missed, notify the healthcare provider.14. The psychiatric nurse is caring for clients on an adolescent unit. Whichclient requires the nurse's immediate attention?--answer-c. An 18-year-old client with antisocial behavior who is being yelled at by other clients15. The nurse caring for a child with mononucleosis can expect the child toexhibit which symptoms?--answer-b. Ear pain and fever.16. A client arrives for an annual physical exam and complains of havingcalf pain. The client's health history reveals peripheral atrial disease.Which question should the nurse ask the client about expected findingrelated to chronic arterial symptoms?--answer-b. Does the calf painoccur whenwalking short distances?

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17. The nurse is preparing to send a client to the cardiac catheterizationlab for an angioplasty. Which client report is most important for them toexplore further prior to the start of the procedure?--answer-d.Experience facial swelling after eating crab.18. The nurse is assessing a 4-year-old child with eczema. The child's skinis dry and scaly, and the mother reports that the child frequentlyscratches the lesions on the skin to the point of causing bleeding. Whichguideline is indicated for care of this child?--answer-b. Apply baby lotionto the skin twice daily.1. A male client with stomach cancer returns to the unit following a totalgastrectomy. He has a nasogastric tube to suction and is receivingLactated Ringer's solution at 75 mL/hour IV. One hour after admission tothe unit, the nurse notes 300 mL of blood in the suction canister, theclient's heart rate is 155 beats/minute, and his blood pressure is 78/48mmHg. In addition to reporting the finding to the surgeon. Which actionshould the nurse implement first?--answer-d. Increase the infusion rateof Lactated Ringer's solution.2. an adult male who fell 20 feet from the roofof this home has multipleinjuries, including a right pneumothorax. Chest tubes were inserted in theemergency department prior to his transfer to the intensive care unit(ICU). the nurse notes that the suction control chamber is bubbling at the-10 cm H2O mark, with fluctuation in the water seal, and over the pasthour 75 ml of bright red blood is measured in the collection chamber.Which intervention should the nurse implement?--answer-a. Add sterilewater to the suction control chamber.3. A client who received hemodialysis yesterday is experiencing a bloodpressure of 200/100 mmHg, heart rate 110 beats/minute, and respiratoryrate 36 breaths/minute. The client is manifesting shortness of breath,bilateral 2+ pedal edema, and an oxygen saturation on room air of 89%.Which action should the nurse take first?--answer-c. Beginsupplemental oxygen.4. A client with Addison's crisis is admitted for treatment with adrenalcortical supplementation. Based on the client's admitting diagnosis, which

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findingsrequire immediate action by the nurse? (Select all that apply)--answer-Headache and tremorsIrregular heart ratepallor and diaphoresis5. An older client is admitted with fluid volume deficit and dehydration.Which assessment finding is the best indicator of hydration that the nurseshould report to the healthcare provider?--answer-d. Skin tenting occurswhen the client's forearm is pinched.6. After an inservice about electronic health record (EHR) security andsafeguarding client information, the nurse observes a colleague goinghome with printed copies of client information in a uniform pocket. Whichaction should the nurse take?--answer-a. File a detailed incident reportwith the specific hiring facility.7. The nurse is evaluating a tertiary prevention program for clients withcardiovascular disease implemented in a rural health clinic. Whichoutcome indicate the program is effective?--answer-c. Clients whoincurred disease complications promptly received rehabilitation.8. The nurse is caring for a client with chronic obstructive pulmonarydisease (COPD) who uses oxygen at 2 L/minute per nasal cannulacontinuously. The nurse observes that the client is having increasedshortness of breath with respirations at 23 breaths/minute. Which actionshould the nurse implement first?--answer-d. Assess the deliverymechanism of the oxygen tank, tubing, and cannula.9. Which statement by a client who is 24 hours post-subtotalthyroidectomy requires an immediate investigation by thenurse?--answer-When I get out of bed quickly, I feel a little dizzy."10. An older adult male who is in his early 70's is admitted to theemergency department because of a COPD exacerbation. This client isstruggling to breathe and the healthcare teamis preparing forendotracheal intubation. The spouse's wife, who is 30 years younger thanthe client, asks the nurse to stop the procedure and provide the nurse a

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copy of the client's living will. Which action should the nurse take?--answer-b. Notify thehealthcare provider of the client's wishes.19. A new mother on the postpartum unit runs out of the room screamingthat her newborn infant's crib is empty and the baby is missing. Whataction should thenurse take first?--answer-d. Match ID bands of allinfants and mothers on the unit.20. While providing a health history, a female client tells the clinic nursethat she frequently thinks about hurting herself. Which question is mostimportant for the nurse to ask?--answer-c. "Have you thought abouttaking your life?"21. A college student brings a dorm roommate to the campus clinicbecause the roommate has been talking to someone who is not present.The client tells the nurse that the voices are saying, "kill, kill." Whatquestion should the nurse ask the client next?--answer-c. "Are youplanning to obey the voices?"22. The nurse is developing a plan of care for a client who reports tinglingof the feet and who is newly diagnosed with peripheral vascular disease.Which outcome should the nurse include in the plan of care for this client?--answer-d. The client's skinon the lower legs will be intact at the nextclinical visit.23. When conducting diet teaching for a client who was diagnosed withhypertension, which food should the nurse encourage the client to eat?(select all that apply.)--answer-a. . Fruits without saucec. Fresh or frozen vegetables without sauce.24. A client with bacterial meningitis is receiving phenytoin. Whichassessment finding indication to the nurse that the client is experiencing atherapeutic response to the phenytoin?--answer-c. Absence of seizureactivity for the duration of treatment.25. The nurse observes a client prepare a meal in the kitchen of arehabilitation facility prior to discharge. Which behaviors indicate the

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client understands how to maintain balance safely? (Selectall that apply)--answer-a. Brings a heavy can close to body before lifting.b. Locks knees while preparing food on the counter.26. An older client is admitted to the hospital because of recurringtransient ischemic attacks. Neurological serial assessments for the past24 hours were within normal limits. One day after admission, the clientsuddenly becomes confused and combative indicating impaired mentalstatus (IMS). What intervention should the nurse implement first?--answer-b. Reduce environmentalstimuli.27. The charge nurse in an extended care facility is organizing unitactivities for the day. Which action may be safely delegated to the practicalnurse (PN)?--answer-Establish blood pressure parameters for clientmonitoring28. During shift report, the charge nurse receives notice of severalproblems. Which problem should the nurse address first?--answer-d. Abucket of water was spilled in the hallway.29. An older adult client with chronic emphysema is admitted to theemergency room from home with acute onset of weakness, palpitations,and vomiting. Which information is most important for the nurse to obtainduring the initial interview?--answer-Recent compliance with prescribedmedications30. The nurse is feeding an older adult who wasadmitted with aspirationpneumonia. The client is weak and begins coughing while attempting todrink through a straw. Which intervention should the nurse implement?--answer-b. Monitor the client when using a straw for liquids.31. A male client with right-sided weakness calls for assistance withambulating to the bathroom. What action should the nurse implement?--answer-b. Stand on the client's right side as he walks.32. An older client is admitted to the psychiatric unit for assessment of arecentonset of dementia. The nurse notes that in the evening this clientoften becomes restless, confused, and agitated. Which intervention is

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most important for the nurse to implement?--answer-b. Ensure that theclient is assigned to a room close to the nurses' station.33. The nurse is caring for a client who is having a sickle cell crisis. Whatintervention should the nurse include in this client's plan of care?--answer-Ensure adequate IV and oral fluid intake.34. The nurse is teaching a primigravida about preeclampsia. Whichfinding are indicators of preeclampsia and should be reported to thehealthcare provider? (select all that apply.)--answer-Blurred visionHeadache.swollen hands35. A new nurse preparing to irrigate an intravenous catheter is attachinga 24-gauge needle. Which action should the charge nurse implement?--answer-b. Direct the nurse to change the IV tubing.36. A client with syndrome of inappropriate antidiuretic hormone secretion(SIDH) is admitted with hyponatremia. Which intervention is mostimportant for the nurse to include in the plan of care to protect the clientfrom injury?--answer-Initiate seizure precautions.37. The nurse is assigned to provide care for a client who is scheduled fora laparoscopic cholecystectomy in two hours, at 0900, what nursing actionis most important?--answer-Confirm that the client has been NPO sincemidnight.38. The nurse is conducing a visual screening of a group of olderadults.Which finding should the nurse report to the healthcare providerimmediately?--answer-d. Cloudy opacity of the crystalline lens.39. A 15-year-old male client was recently diagnosed with type 1 diabetesmellitus. He tells the nurse that he is having difficulty adhering to his mealplan when he is with his friends. What nursing intervention is best for thenurse to implement?--answer-d. Assist him in identifying popular fastfoods that are within his meal plan for diabetes.

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