HESI RN PHARMACOLOGY EXAM LATEST 2024/2025
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
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.
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.
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.
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
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.
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.
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.
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.
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."
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.
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.
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.
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.
After several months of chronic fatigue, morning stiffness, and join pain, a
young adult is diagnosed with rheumatoid arthritis, and the healthcare
provider prescribes prednisone. Which education should the nurse provide
the client with regard to taking prednisone? -ANSWER c. If sequential
doses are missed, notify the healthcare provider.
The psychiatric nurse is caring for clients on an adolescent unit. Which
client requires the nurse's immediate attention? -ANSWER c. An 18-year-
old client with antisocial behavior who is being yelled at by other clients
The nurse caring for a child with mononucleosis can expect the child to
exhibit which symptoms? -ANSWER b. Ear pain and fever.
A client arrives for an annual physical exam and complains of having calf
pain. The client's health history reveals peripheral atrial disease. Which
question should the nurse ask the client about expected finding related to
chronic arterial symptoms? -ANSWER b. Does the calf pain occur when
walking short distances?
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
further prior to the start of the procedure? -ANSWER d. Experience facial
swelling after eating crab.
, 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 bleeding. Which guideline is
indicated for care of this child? -ANSWER b. Apply baby lotion to the skin
twice daily.
. 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? -ANSWER d. Match ID bands of all infants and
mothers on the unit.
While providing a health history, a female client tells the clinic nurse that
she frequently thinks about hurting herself. Which question is most
important for the nurse to ask? -ANSWER c. "Have you thought about
taking your life?"
. A college student brings a dorm roommate to the campus clinic because
the roommate has been talking to someone 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? -ANSWER c. "Are you planning to obey the
voices?"
The nurse is developing a plan of care for a client who reports tingling of
the feet and who is newly diagnosed with peripheral vascular disease.
Which outcome should the nurse include in the plan of care for this client? -
ANSWER d. The client's skin on the lower legs will be intact at the next
clinical visit.
When conducting diet teaching for a client who was diagnosed with
hypertension, which food should the nurse encourage the client to eat?
(select all that apply.) -ANSWER a. . Fruits without sauce
c. Fresh or frozen vegetables without sauce.
. A client with bacterial meningitis is receiving phenytoin. Which
assessment finding indication to the nurse that the client is experiencing a
therapeutic response to the phenytoin? -ANSWER c. Absence of seizure
activity for the duration of treatment.
. The nurse observes a client prepare a meal in the kitchen of a
rehabilitation facility prior to discharge. Which behaviors indicate the client
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A++
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.
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.
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.
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
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.
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.
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.
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.
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."
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.
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.
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.
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.
After several months of chronic fatigue, morning stiffness, and join pain, a
young adult is diagnosed with rheumatoid arthritis, and the healthcare
provider prescribes prednisone. Which education should the nurse provide
the client with regard to taking prednisone? -ANSWER c. If sequential
doses are missed, notify the healthcare provider.
The psychiatric nurse is caring for clients on an adolescent unit. Which
client requires the nurse's immediate attention? -ANSWER c. An 18-year-
old client with antisocial behavior who is being yelled at by other clients
The nurse caring for a child with mononucleosis can expect the child to
exhibit which symptoms? -ANSWER b. Ear pain and fever.
A client arrives for an annual physical exam and complains of having calf
pain. The client's health history reveals peripheral atrial disease. Which
question should the nurse ask the client about expected finding related to
chronic arterial symptoms? -ANSWER b. Does the calf pain occur when
walking short distances?
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
further prior to the start of the procedure? -ANSWER d. Experience facial
swelling after eating crab.
, 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 bleeding. Which guideline is
indicated for care of this child? -ANSWER b. Apply baby lotion to the skin
twice daily.
. 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? -ANSWER d. Match ID bands of all infants and
mothers on the unit.
While providing a health history, a female client tells the clinic nurse that
she frequently thinks about hurting herself. Which question is most
important for the nurse to ask? -ANSWER c. "Have you thought about
taking your life?"
. A college student brings a dorm roommate to the campus clinic because
the roommate has been talking to someone 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? -ANSWER c. "Are you planning to obey the
voices?"
The nurse is developing a plan of care for a client who reports tingling of
the feet and who is newly diagnosed with peripheral vascular disease.
Which outcome should the nurse include in the plan of care for this client? -
ANSWER d. The client's skin on the lower legs will be intact at the next
clinical visit.
When conducting diet teaching for a client who was diagnosed with
hypertension, which food should the nurse encourage the client to eat?
(select all that apply.) -ANSWER a. . Fruits without sauce
c. Fresh or frozen vegetables without sauce.
. A client with bacterial meningitis is receiving phenytoin. Which
assessment finding indication to the nurse that the client is experiencing a
therapeutic response to the phenytoin? -ANSWER c. Absence of seizure
activity for the duration of treatment.
. The nurse observes a client prepare a meal in the kitchen of a
rehabilitation facility prior to discharge. Which behaviors indicate the client
