NGN HESI RN PHARMACOLOGY
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
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.
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.
Exam Study Guide – Practice
Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
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.
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.
