HESI RN Pharmacology Exam 1 2025 update

HESI RN Pharmacology Exam 1 2025 update 1. A male client with stomach cancer re- turns to the unit following a total gastrec- tomy. He has a nasogastric tube to suc- tion 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? 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 bub- bling 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? 3. A client who received hemodialysis yesterday is experiencing a blood pres- sure of 200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting shortness of breath, bilateral 2+ ped- al edema, and an oxygen saturation on room air of 89%. Which action should the nurse take first? 4. A client with Addison's crisis is ad- mitted for treatment with adrenal cortical supplementation. Based on the client's admitting diagnosis, which findings re- d. Increase the infusion rate of Lactated Ringer's solution. a. Add sterile water to the suction control chamber. c. Begin supplemental oxygen. quire immediate action by the nurse? (Select all that apply) 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? 6. After an inservice about electronic health record (EHR) security and safe- guarding 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? 7. The nurse is evaluating a tertiary pre- vention program for clients with cardio- vascular disease implemented in a rural health clinic. Which outcome indicate the program is effective? 8. The nurse is caring for a client with chronic obstructive pulmonary dis- ease (COPD) who uses oxygen at 2 L/minute per nasal cannula continuously. The nurse observes that the client is hav- ing increased shortness of breath with respirations at 23 breaths/minute. Which action should the nurse implement first? 9. Which statement by a client who is 24 hours post-subtotal thyroidectomy re- quires an immediate investigation by the nurse? 10. An older adult male who is in his early 70's is admitted to the emergency department because of a COPD exacer- bation. This client is struggling to breathe and the healthcare team is preparing for Headache and tremors Irregular heart rate pallor and diaphoresis d. Skin tenting occurs when the client's forearm is pinched. a. File a detailed incident report with the specific hiring facility. c. Clients who incurred disease compli- cations promptly received rehabilitation. d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula. When I get out of bed quickly, I feel a little dizzy." endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the nurse to stop the proce- dure and provide the nurse a copy of the client's living will. Which action should the nurse take? 11. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client whose prescribed ac- tivity 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 trans- ferring from the bed to the bedside com- mode. How should the nurse respond? 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 meet- ing. What action is most important for the nurse to include in the meeting? 13. After several months of chronic fa- tigue, morning stiffness, and join pain, a young adult is diagnosed with rheuma- toid arthritis, and the healthcare provider prescribes prednisone. Which education should the nurse provide the client with regard to taking prednisone? 14. The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the nurse's immediate at- tention? 15. The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms? 16. A client arrives for an annual phys- ical exam and complains of having calf b. Notify the healthcare provider of the client's wishes. c. Advice the client to maintain bedrest so that safety can be ensured. c. Distribute a shopping list of suggested healthy snack items. c. If sequential doses are missed, notify the healthcare provider. c. An 18-year-old client with antisocial behavior who is being yelled at by other clients b. Ear pain and fever. pain. The client's health history reveals peripheral atrial disease. Which question should the nurse ask the client about ex- pected finding related to chronic arterial symptoms? 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 fur- ther prior to the start of the procedure? 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 bleed- ing. Which guideline is indicated for care of this child? 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? 20. While providing a health history, a fe- male client tells the clinic nurse that she frequently thinks about hurting herself. Which question is most important for the nurse to ask? 21. A college student brings a dorm roommate to the campus clinic because the roommate has been talking to some- one 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? 22. The nurse is developing a plan of care for a client who reports tingling of the feet and who is newly diagnosed b. Does the calf pain occur when walking short distances? d. Experience facial swelling after eating crab. b. Apply baby lotion to the skin twice daily. d. Match ID bands of all infants and moth- ers on the unit. c. "Have you thought about taking your life?" c. "Are you planning to obey the voices?" with peripheral vascular disease. Which outcome should the nurse include in the plan of care for this client? 23. When conducting diet teaching for a client who was diagnosed with hyperten- sion, which food should the nurse en- courage the client to eat? (select all that apply.) 24. A client with bacterial meningitis is receiving phenytoin. Which assessment finding indication to the nurse that the client is experiencing a therapeutic re- sponse to the phenytoin? 25. The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. Which behav- iors indicate the client understands how to maintain balance safely? (Select all that apply) 26. An older client is admitted to the hospital because of recurring transient ischemic attacks. Neurological serial as- sessments for the past 24 hours were within normal limits. One day after admis- sion, the client suddenly becomes con- fused and combative indicating impaired mental status (IMS). What intervention should the nurse implement first? 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)? 28. During shift report, the charge nurse receives notice of several problems. Which problem should the nurse address first? d. The client's skin on the lower legs will be intact at the next clinical visit. a. . Fruits without sauce c. Fresh or frozen vegetables without sauce. c. Absence of seizure activity for the du- ration of treatment. a. Brings a heavy can close to body be- fore lifting. b. Locks knees while preparing food on the counter. b. Reduce environmental stimuli. Establish blood pressure parameters for client monitoring d. A bucket of water was spilled in the hallway. 29. An older adult client with chronic emphysema is admitted to the emer- gency room from home with acute onset of weakness, palpitations, and vomiting. Which information is most important for the nurse to obtain during the initial inter- view? 30. The nurse is feeding an older adult who was admitted with aspira- tion pneumonia. The client is weak and begins coughing while attempting to drink through a straw. Which intervention should the nurse implement? 31. A male client with right-sided weak- ness calls for assistance with ambulating to the bathroom. What action should the nurse implement? 32. An older client is admitted to the psychiatric unit for assessment of a re- cent onset of dementia. The nurse