HESI RN Exit Exam / PHARMACOLOGY RN
HESI EXIT EXAM 2024VERSION 4 /HESI
RN PHARMACOLOGY EXIT EXAM VERSION
4 COMPLETE ALL 156 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES VERIFIED ANSWERS
ALREADY GRADED A+
,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? -
CORRECT 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? - CORRECT 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? - CORRECT
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) - CORRECT
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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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
HESI EXIT EXAM 2024VERSION 4 /HESI
RN PHARMACOLOGY EXIT EXAM VERSION
4 COMPLETE ALL 156 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES VERIFIED ANSWERS
ALREADY GRADED A+
,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? -
CORRECT 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? - CORRECT 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? - CORRECT
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) - CORRECT
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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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
