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

Name: 2023-2024 HESI RN Pharmacology Actual Exam With Answers (180 Solved Questions)
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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
obese 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 healthy
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 with 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-year-
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 physical 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?

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 facial 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
guideline 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 total
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, and 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 H2O 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 who 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 room 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

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 indicator 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 nurse 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 prevention 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/minute. 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

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 nurse 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 saying, "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 without 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. Absence 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

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 assessments 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 report, 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 home 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 right-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 nurses' 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 about 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 hormone 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 for 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 having 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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2023-2024 HESI RN Pharmacology Actual Exam With Answers (180 Solved Questions)

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