2024 HESI Pharmacology Nursing Exit Exam –
Version 1 (V1): Next-Gen New Format (All Q&A)
,*** Photo of quiet injecting insulin into outter thigh.
A) Demonstrate correct selection of the injection site.
B) Advise the client to change the angle of the needle.
C) Observe the injection site for signs of lipodystrophy.
D) Provide a pair of exam gloves for the client to wear. - CORRECT ANSWERS-A)
Demonstrate correct selection of the injection site.
A child newly diagnosed with sickle cell anemia is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to
discharge?
A) Instructions about how much fluid the child to drink daily.
B) Referral for social services for the child and family.
C) Signs of addiction to opioid pain medications.
D) Information about nonpharmaceutical pain relief measures. - CORRECT ANSWERS-
A) Instructions about how much fluid the child to drink daily.
A client admitted with COPD exacerbation is receiving assisted ventilation with CPAP.
The clients vital signs are an oral temperature 98.8 F, a heart rate of 118 bpm, a
respiratory rate of 46 breaths per minute, and a blood pressure of 176/92. While
completing the pulmonary assessment, the clients oxygen saturation rating is 78% and
he is difficult to arouse. Which action should the nurse implement?
A) Increase the oxygen delivery by 10%.
B) Administer PRN nebulizer treatment.
C) Complete neurological assessment.
D) Prepare for rapid sequence intubation. - CORRECT ANSWERS-D) Prepare for rapid
sequence intubation.
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. - CORRECT ANSWERS-B) Ask the client to
describe the pain.
,A client develops your to Caria on the trunk and neck shortly after a secondary infusion
of pepper Sillen is initiated. In which order should the nurse implement these
interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report. - CORRECT ANSWERS-Stop the infusion.
Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
A client experiencing an acute dystonic reaction presents with a laryngeal spasm.
Which treatment should the nurse prepare?
A) IV administration of benztropine.
B) IV administration of isotonic crystalloid fluid.
C) PO administration of lorazepam.
D) PO administration of divalproex. - CORRECT ANSWERS-A) IV administration of
benztropine.
A client is being urgently transported to radiology for a CT scan after a sudden decrease
in level of consciousness. The client is orally intubated and has a left lateral chest tube
of 20 cm section. Which action is most important for the nurse to take?
A) Secure the chest tube to the stretcher for transport.
B) Keep the chest tube container below the site of insertion.
C) Administer a PRN pain management prior to transport.
D) Mark the amount of chest drainage on the container. - CORRECT ANSWERS-B)
Keep the chest tube container below the site of insertion.
A client is receiving IV fluids by gravity infusion and exhibit signs of fluid volume
overload. When assessing the clients IV delivery system, where should the nurse
assess first? - CORRECT ANSWERS-A
I can't see all the pics. Use the clamp on the IV tubing.
A client is receiving methylamine 800 mg PO three times a day. Which assessment
should the nurse perform to assess the effectiveness of the medication?
A) Bowel patterns.
B) Pupillary response.
C) Peripheral pulses.
D) Oxygen saturation. - CORRECT ANSWERS-A) Bowel patterns.
, Ulcerative colitis medication that helps reduce inflammation in the G.I..
A client receives a prescription for Aceta medicine 1000 mg PO every eight hours PRN
for pain. The bottle is labeled acetaminophen for oral suspension, US P 500 mg per 15
mL. How many tablespoons should the nurse administer with each dose? (Enter
numerical value only.) - CORRECT ANSWERS-2
15 mL per tablespoon
A client who is 65 kg receives a prescription for lorazepam 44 mcg/kg IV to be
administered 20 minutes before a scheduled procedure. The medication is available in 2
mg/mL vial. How many milliliters should the nurse administer? (Enter numerical value
only. If rounding is required, round to the nearest 10th) - CORRECT ANSWERS-1.4
A client who is receiving zidovudine reports the appearance of pinpoint, red, brown
spots on the skin. Which result should the nurse report to the healthcare provider?
A) Skin biopsy.
B) Complete blood count.
C) Allergy test.
D) Electromyography. - CORRECT ANSWERS-B) Complete blood count.
Petechiae can occur due to low platelet counts. Zidovudine is used for HIV and can
cause hematological toxicity, anemia neutropenia.
A client with a history of hypertension and diabetes mellitus is admitted with
uncontrolled a fib. The healthcare provider prefers synchronized cardioversion and
prescribed a stat dose of dronedarone 400 mg PO. Which assessment finding warrants
immediate intervention by the nurse?
A) Proximal a fib.
B) Third-degree heart block.
C) Elevated mean arterial pressure.
D) Premature ventricular beats. - CORRECT ANSWERS-B) Third-degree heart block.
A client with a history of type one diabetes mellitus and asthma is readmitted to the unit
for the third time in two months with a current fasting blood sugar of 325. The client
describes to the nurse of not understanding why the blood glucose level continues to be
out of control. Which intervention should the nurse implement? SATA.
A) Ask the client if they want a different manufacturers glucose monitoring device.
B) Determine if the client is using a new insulin needle each administration.
C) Evaluate the clients asthma medication's that can elevate the blood glucose.
D) Have the client describe a typical day at work, home, and social activities.
Version 1 (V1): Next-Gen New Format (All Q&A)
,*** Photo of quiet injecting insulin into outter thigh.
A) Demonstrate correct selection of the injection site.
B) Advise the client to change the angle of the needle.
C) Observe the injection site for signs of lipodystrophy.
D) Provide a pair of exam gloves for the client to wear. - CORRECT ANSWERS-A)
Demonstrate correct selection of the injection site.
A child newly diagnosed with sickle cell anemia is being discharged from the hospital.
Which information is most important for the nurse to provide the parents prior to
discharge?
A) Instructions about how much fluid the child to drink daily.
B) Referral for social services for the child and family.
C) Signs of addiction to opioid pain medications.
D) Information about nonpharmaceutical pain relief measures. - CORRECT ANSWERS-
A) Instructions about how much fluid the child to drink daily.
A client admitted with COPD exacerbation is receiving assisted ventilation with CPAP.
The clients vital signs are an oral temperature 98.8 F, a heart rate of 118 bpm, a
respiratory rate of 46 breaths per minute, and a blood pressure of 176/92. While
completing the pulmonary assessment, the clients oxygen saturation rating is 78% and
he is difficult to arouse. Which action should the nurse implement?
A) Increase the oxygen delivery by 10%.
B) Administer PRN nebulizer treatment.
C) Complete neurological assessment.
D) Prepare for rapid sequence intubation. - CORRECT ANSWERS-D) Prepare for rapid
sequence intubation.
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. - CORRECT ANSWERS-B) Ask the client to
describe the pain.
,A client develops your to Caria on the trunk and neck shortly after a secondary infusion
of pepper Sillen is initiated. In which order should the nurse implement these
interventions?
Document reaction of the drug.
Contact the healthcare provider.
Assess vital signs.
Stop the infusion.
Initiate an adverse event report. - CORRECT ANSWERS-Stop the infusion.
Assess vital signs.
Contact the healthcare provider.
Initiate an adverse event report.
Document reaction to drug.
A client experiencing an acute dystonic reaction presents with a laryngeal spasm.
Which treatment should the nurse prepare?
A) IV administration of benztropine.
B) IV administration of isotonic crystalloid fluid.
C) PO administration of lorazepam.
D) PO administration of divalproex. - CORRECT ANSWERS-A) IV administration of
benztropine.
A client is being urgently transported to radiology for a CT scan after a sudden decrease
in level of consciousness. The client is orally intubated and has a left lateral chest tube
of 20 cm section. Which action is most important for the nurse to take?
A) Secure the chest tube to the stretcher for transport.
B) Keep the chest tube container below the site of insertion.
C) Administer a PRN pain management prior to transport.
D) Mark the amount of chest drainage on the container. - CORRECT ANSWERS-B)
Keep the chest tube container below the site of insertion.
A client is receiving IV fluids by gravity infusion and exhibit signs of fluid volume
overload. When assessing the clients IV delivery system, where should the nurse
assess first? - CORRECT ANSWERS-A
I can't see all the pics. Use the clamp on the IV tubing.
A client is receiving methylamine 800 mg PO three times a day. Which assessment
should the nurse perform to assess the effectiveness of the medication?
A) Bowel patterns.
B) Pupillary response.
C) Peripheral pulses.
D) Oxygen saturation. - CORRECT ANSWERS-A) Bowel patterns.
, Ulcerative colitis medication that helps reduce inflammation in the G.I..
A client receives a prescription for Aceta medicine 1000 mg PO every eight hours PRN
for pain. The bottle is labeled acetaminophen for oral suspension, US P 500 mg per 15
mL. How many tablespoons should the nurse administer with each dose? (Enter
numerical value only.) - CORRECT ANSWERS-2
15 mL per tablespoon
A client who is 65 kg receives a prescription for lorazepam 44 mcg/kg IV to be
administered 20 minutes before a scheduled procedure. The medication is available in 2
mg/mL vial. How many milliliters should the nurse administer? (Enter numerical value
only. If rounding is required, round to the nearest 10th) - CORRECT ANSWERS-1.4
A client who is receiving zidovudine reports the appearance of pinpoint, red, brown
spots on the skin. Which result should the nurse report to the healthcare provider?
A) Skin biopsy.
B) Complete blood count.
C) Allergy test.
D) Electromyography. - CORRECT ANSWERS-B) Complete blood count.
Petechiae can occur due to low platelet counts. Zidovudine is used for HIV and can
cause hematological toxicity, anemia neutropenia.
A client with a history of hypertension and diabetes mellitus is admitted with
uncontrolled a fib. The healthcare provider prefers synchronized cardioversion and
prescribed a stat dose of dronedarone 400 mg PO. Which assessment finding warrants
immediate intervention by the nurse?
A) Proximal a fib.
B) Third-degree heart block.
C) Elevated mean arterial pressure.
D) Premature ventricular beats. - CORRECT ANSWERS-B) Third-degree heart block.
A client with a history of type one diabetes mellitus and asthma is readmitted to the unit
for the third time in two months with a current fasting blood sugar of 325. The client
describes to the nurse of not understanding why the blood glucose level continues to be
out of control. Which intervention should the nurse implement? SATA.
A) Ask the client if they want a different manufacturers glucose monitoring device.
B) Determine if the client is using a new insulin needle each administration.
C) Evaluate the clients asthma medication's that can elevate the blood glucose.
D) Have the client describe a typical day at work, home, and social activities.
