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

2023-2024 HESI RN Pharmacology Actual Exam With Answers helps you get exam-ready by offering real exam questions and step-by-step solutions.

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    HESI RN PHARMACOLOGY WITH ACTUAL EXAM QUESTIONS WITH ANSWERS 2023/2024 11. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client whose prescribed activity is bedrest with bedside commode use. The UAP reports to the nurse that the client is so ob ese that the UAP feels unable to safely assist the client in transferring from the bed to the bedside commode. How should the nurse respond? - - answer - c. Advice the client to maintain bedrest so that safety can be ensured. 12. A nurse determines that more than 25% of the students at a middle school are overweight. The nurse presents the information at the parent - teacher meeting. What action is most important for the nurse to include in the meeting? - - answer - c. Distribute a shopping list of suggested healt hy snack items. 13. After several months of chronic fatigue, morning stiffness, and join pain, a young adult is diagnosed with rheumatoid arthritis, and the healthcare provider prescribes prednisone. Which education should the nurse provide the client wit h regard to taking prednisone? - - answer - c. If sequential doses are missed, notify the healthcare provider. 14. The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the nurse's immediate attention? - - answer - c. An 18 - ye ar - old client with antisocial behavior who is being yelled at by other clients 15. The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms? - - answer - b. Ear pain and fever. 16. A client arrives for an annual physica l exam and complains of having calf pain. The client's health history reveals peripheral atrial disease. Which question should the nurse ask the client about expected finding related to chronic arterial symptoms? - - answer - b. Does the calf pain occur when walking short distances?

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    17. The nurse is preparing to send a client to the cardiac catheterization lab for an angioplasty. Which client report is most important for them to explore further prior to the start of the procedure? - - answer - d. Experience faci al swelling after eating crab. 18. The nurse is assessing a 4 - year - old child with eczema. The child's skin is dry and scaly, and the mother reports that the child frequently scratches the lesions on the skin to the point of causing bleeding. Which guideli ne is indicated for care of this child? - - answer - b. Apply baby lotion to the skin twice daily. 1. A male client with stomach cancer returns to the unit following a tota l gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client's heart rate is 155 beats/minute, an d his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? - - answer - d. Increase the infusion rate of Lactated Ringer's solution. 2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right pneumothorax. Chest tubes were inserted in the emergency 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 H2 O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red blood is measured in the collection chamber. Which intervention should the nurse implement? - - answer - a. Add sterile water to the suction control chamber. 3. A client w ho received hemodialysis yesterday is experiencing a blood pressure of 200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen saturation on r oom air of 89%. Which action should the nurse take first? - - answer - c. Begin supplemental oxygen. 4. A client with Addison's crisis is admitted for treatment with adrenal cortical supplementation. Based on the client's admitting diagnosis, which

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    findings require immediate action by the nurse? (Select all that apply) - - answer - Headache and tremors Irregular heart rate pallor and diaphoresis 5. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indica tor of hydration that the nurse should report to the healthcare provider? - - answer - d. Skin tenting occurs when the client's forearm is pinched. 6. After an inservice about electronic health record (EHR) security and safeguarding client information, the n urse observes a colleague going home with printed copies of client information in a uniform pocket. Which action should the nurse take? - - answer - a. File a detailed incident report with the specific hiring facility. 7. The nurse is evaluating a tertiary p revention program for clients with cardiovascular disease implemented in a rural health clinic. Which outcome indicate the program is effective? - - answer - c. Clients who incurred disease complications promptly received rehabilitation . 8. The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who uses oxygen at 2 L/minute per nasal cannula continuously. The nurse observes that the client is having increased shortness of breath with respirations at 23 breaths/m inute. Which action should the nurse implement first? - - answer - d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula. 9. Which statement by a client who is 24 hours post - subtotal thyroidectomy requires an immediate investigation by the nurse? - - 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 the emergency department because of a COPD exacerbation. This client is struggling to breathe and the healthcare team is preparing for endotracheal intubation. The spouse's wife, who is 30 years younger than the 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 the healthcare provider of the client's wishes . 19. A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing. What action should the nurse take first? - - answer - d. Match ID bands of all infants and mothers on the unit. 20. While providing a health history, a female client tells the clinic nurse that she frequently thinks about hurting herself. Which question is most important for the n urse to ask? - - answer - c. "Have you thought about taking your life?" 21. A college student brings a dorm roommate to the campus clinic because the roommate has been talking to someone who is not present. The client tells the nurse that the voices are sayi ng, "kill, kill." What question should the nurse ask the client next? - - answer - c. "Are you planning to obey the voices?" 22. The nurse is developing a plan of care for a client who reports tingling of 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 skin on the lower legs will be intact at the next clinical visit. 23. When conducting diet teaching for a client who was diagnosed with hypertension, which food should the nurse encourage the client to eat? (select all that apply.) - - answer - a. . Fruits witho ut sauce c. Fresh or frozen vegetables without sauce. 24. A client with bacterial meningitis is receiving phenytoin. Which assessment finding indication to the nurse that the client is experiencing a therapeutic response to the phenytoin? - - answer - c. Abs ence of seizure activity for the duration of treatment. 25. The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. Which behaviors indicate the

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    client understands how to maintain balance safely? (Select all 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 recurring transient ischemic attacks. Neurological serial assessme nts for the past 24 hours were within normal limits. One day after admission, the client suddenly becomes confused and combative indicating impaired mental status (IMS). What intervention should the nurse implement first? - - answer - b. Reduce environmental stimuli. 27. The charge nurse in an extended care facility is organizing unit activities for the day. Which action may be safely delegated to the practical nurse (PN)? - - answer - Establish blood pressure parameters for client monitoring 28. During shift r eport, the charge nurse receives notice of several problems. Which problem should the nurse address first? - - answer - d. A bucket of water was spilled in the hallway. 29. An older adult client with chronic emphysema is admitted to the emergency room from h ome with acute onset of weakness, palpitations, and vomiting. Which information is most important for the nurse to obtain during the initial interview? - - answer - Recent compliance with prescribed medications 30. The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is weak and begins coughing while attempting to drink 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 ri ght - sided weakness calls for assistance with ambulating 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 a recent onset of dementia. The nurse notes that in the evening this client often becomes restless, confused, and agitated. Which intervention is

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    most important for the nurse to implement? - - answer - b. Ensure that the client is assigned to a room close to the nurse s' station. 33. The nurse is caring for a client who is having a sickle cell crisis. What intervention 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 ab out preeclampsia. Which finding are indicators of preeclampsia and should be reported to the healthcare provider? (select all that apply.) - - answer - Blurred vision Headache. swollen hands 35. A new nurse preparing to irrigate an intravenous catheter is attaching a 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 h ormone secretion (SIDH) is admitted with hyponatremia. Which intervention is most important for the nurse to include in the plan of care to protect the client from injury? - - answer - Initiate seizure precautions. 37. The nurse is assigned to provide care f or a client who is scheduled for a laparoscopic cholecystectomy in two hours, at 0900, what nursing action is most important? - - answer - Confirm that the client has been NPO since midnight. 38. The nurse is conducing a visual screening of a group of older adults. Which finding should the nurse report to the healthcare provider immediately? - - answer - d. Cloudy opacity of the crystalline lens. 39. A 15 - year - old male client was recently diagnosed with type 1 diabetes mellitus. He tells the nurse that he is ha ving difficulty adhering to his meal plan when he is with his friends. What nursing intervention is best for the nurse to implement? - - answer - d. Assist him in identifying popular fast foods that are within his meal plan for diabetes.

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