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RN HESI PHARMACOLOGY EXIT EXAM WITH NGN VERSION 1, 2 &3 ||
ACCURATE AND FREQUENTLY TESTED QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS
VERSION A
A client arrives at the emergency department describing chest pain that began three
hours earlier which has not subsided. To assess the quality of the clients chest pain.
Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. - ANSWER: B) Ask the client to
describe the pain.
An adolescent who was diagnosed with type one diabetes Molite us at the age of nine, is
admitted to the hospital in diabetic keto acidosis. Which occurrence is the most likely
cause of the keto acidosis?
A) Ate an extra peanut butter sandwich before gym class.
B) Incorrectly administered too much insulin.
C) Had a cold and ear infection for the past two days.
D) Skipped eating lunch while at school. - ANSWER: C) Had a cold and ear
infection for the past two days.
When is it most important for the nurse to assess a pregnant client's deep tendon
reflexes?
A) Within the first trimester of pregnancy.
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B) When the client has ankle edema.
C) During admission to labor and delivery.
D) If the client has an elevated blood pressure. - ANSWER: D) If the client has an
elevated blood pressure.
NGN: The client has returned to work at in accounting firm and has started going to a
grief support group. She reports she is seeking care from a healthcare professional
because her father is worried about her. The client says she only gets 2 to 3 hours of
sleep due to nightmares about the crash. She informed that exercising right after work
helps her get better sleep and to relax. She feels that she is "jumpy" after the accident,
especially when she is in the car. She also stated, "I feel so sad that I can't seem to feel
anything at all". In addition to her father, the client has a large family and friend
support system. She denies alcohol or drug use.
(highlight areas in the above paragraph that the nurse should...) - ANSWER: -she only
gets 2 to 3 hours of sleep due to nightmares about the crash.
-She feels that she is "jumpy" after the accident, especially when she is in the car.
- "I feel so sad that I can't seem to feel anything at all"
The client is a 26 year old female who was in a car accident six months ago that killed
her mother, husband, and two year old son. She and her father were the only survivors
of the crash. She is seeking care for depression.
The client is exhibiting symptoms of related to
and . - ANSWER: Post traumatic stress
disorder , experiencing a life-threatening event , losing a loved one.
NGN: Orders, diagnosis, depression and posttraumatic stress disorder.
Diphenhydramine 12.5 mg PO every night at sleep. BuspironeHydrochloride 7.5 mg PO
twice a day.
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(how can the nurse build a therapeutic relationship with the client? Select all that apply)
A) The nurse can show no emotion when talking to the client.
B) The nurse can be open honest and sincere.
C) The nurse can talk as much as needed to get the client talking.
D) The nurse can focus energy on the client.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection. - ANSWER: B) the nurse can be
open, honest and sincere.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
NGN: The client has returned to work at in accounting firm and has started going to a
grief support group. She reports she is seeking care from a healthcare professional
because her father is worried about her. The client says she only gets 2 to 3 hours of
sleep due to nightmares about the crash. She informed that exercising right after work
helps her get better sleep and to relax. She feels that she is "jumpy" after the accident,
especially when she is in the car. She also stated, "I feel so sad that I can't seem to feel
anything at all". In addition to her father, the client has a large family and friend
support system. She denies alcohol or drug use. The client states, "I don't want to kill
myself, but sometimes I wish I had died in the crash."
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
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C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting. - ANSWER: B) Withhold the medication until the
dosage can be confirmed.
The charge nurse is making assignments for one practical nurse and three registered
nurses who are caring for neurologically compromised clients. Which client with which
change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - ANSWER: B) Viral
meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan of
care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - ANSWER: A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note to a
teacher at school. On the second day of hospitalization, the nurse asked the client to
meet with the treatment team. After the team meeting, the client leaves in tears and
goes to their room. Which nursing intervention is best?
RN HESI PHARMACOLOGY EXIT EXAM WITH NGN VERSION 1, 2 &3 ||
ACCURATE AND FREQUENTLY TESTED QUESTIONS AND 100%
CORRECT ANSWERS WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS
VERSION A
A client arrives at the emergency department describing chest pain that began three
hours earlier which has not subsided. To assess the quality of the clients chest pain.
Which approach for the nurse use?
A) Provide a numeric pain scale.
B) Ask the client to describe the pain.
C) Identify effective pain relief measures.
D) Observe body language and movement. - ANSWER: B) Ask the client to
describe the pain.
An adolescent who was diagnosed with type one diabetes Molite us at the age of nine, is
admitted to the hospital in diabetic keto acidosis. Which occurrence is the most likely
cause of the keto acidosis?
A) Ate an extra peanut butter sandwich before gym class.
B) Incorrectly administered too much insulin.
C) Had a cold and ear infection for the past two days.
D) Skipped eating lunch while at school. - ANSWER: C) Had a cold and ear
infection for the past two days.
When is it most important for the nurse to assess a pregnant client's deep tendon
reflexes?
A) Within the first trimester of pregnancy.
,2|Page
B) When the client has ankle edema.
C) During admission to labor and delivery.
D) If the client has an elevated blood pressure. - ANSWER: D) If the client has an
elevated blood pressure.
NGN: The client has returned to work at in accounting firm and has started going to a
grief support group. She reports she is seeking care from a healthcare professional
because her father is worried about her. The client says she only gets 2 to 3 hours of
sleep due to nightmares about the crash. She informed that exercising right after work
helps her get better sleep and to relax. She feels that she is "jumpy" after the accident,
especially when she is in the car. She also stated, "I feel so sad that I can't seem to feel
anything at all". In addition to her father, the client has a large family and friend
support system. She denies alcohol or drug use.
(highlight areas in the above paragraph that the nurse should...) - ANSWER: -she only
gets 2 to 3 hours of sleep due to nightmares about the crash.
-She feels that she is "jumpy" after the accident, especially when she is in the car.
- "I feel so sad that I can't seem to feel anything at all"
The client is a 26 year old female who was in a car accident six months ago that killed
her mother, husband, and two year old son. She and her father were the only survivors
of the crash. She is seeking care for depression.
The client is exhibiting symptoms of related to
and . - ANSWER: Post traumatic stress
disorder , experiencing a life-threatening event , losing a loved one.
NGN: Orders, diagnosis, depression and posttraumatic stress disorder.
Diphenhydramine 12.5 mg PO every night at sleep. BuspironeHydrochloride 7.5 mg PO
twice a day.
,3|Page
(how can the nurse build a therapeutic relationship with the client? Select all that apply)
A) The nurse can show no emotion when talking to the client.
B) The nurse can be open honest and sincere.
C) The nurse can talk as much as needed to get the client talking.
D) The nurse can focus energy on the client.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection. - ANSWER: B) the nurse can be
open, honest and sincere.
E) The nurse can communicate acceptance of the client as she is
F) The nurse can establish a meaningful connection.
NGN: The client has returned to work at in accounting firm and has started going to a
grief support group. She reports she is seeking care from a healthcare professional
because her father is worried about her. The client says she only gets 2 to 3 hours of
sleep due to nightmares about the crash. She informed that exercising right after work
helps her get better sleep and to relax. She feels that she is "jumpy" after the accident,
especially when she is in the car. She also stated, "I feel so sad that I can't seem to feel
anything at all". In addition to her father, the client has a large family and friend
support system. She denies alcohol or drug use. The client states, "I don't want to kill
myself, but sometimes I wish I had died in the crash."
When preparing to administer a prescribed medication to a homeless client at a
community psychiatric clinic. The client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action should the nurse take?
A) Inform the client that he may refuse the medication and document whether or
not the client takes it.
B) Withhold the medication until the dosage can be confirmed.
, 4|Page
C) Explain to the client that the dosage has been changed.
D) Tell the client to take the medication then verify the dosage at the next
healthcare team meeting. - ANSWER: B) Withhold the medication until the
dosage can be confirmed.
The charge nurse is making assignments for one practical nurse and three registered
nurses who are caring for neurologically compromised clients. Which client with which
change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101 S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale score changed from 10 to 7.
D) Myxedema, whose blood pressure change from 80/50 to 70/40. - ANSWER: B) Viral
meningitis whose temperature change from 101 S to 102F.
The nurse is caring for a client with pneumonia who now develops initial signs of
septic shock and multi organ failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the nurse to include in the plan of
care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level. - ANSWER: A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because of writing a suicide note to a
teacher at school. On the second day of hospitalization, the nurse asked the client to
meet with the treatment team. After the team meeting, the client leaves in tears and
goes to their room. Which nursing intervention is best?
