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HESI RN PHARMACOLOGY EXIT EXAM WITH NGN|| ACCURATE AND
FREQUENTLY TESTED QUESTIONS AND 100% CORRECT ANSWERS WITH
RATIONALES|| LATEST AND COMPLETE UPDATE WITH EXPERT
VERIFIED SOLUTIONS
The nurse identifies an electrolyte imbalance, a weight gain of 4.4lbs in 24 hours and
an elevated central venous pressure for a pt with full thickness burns. Which
intervention should the nurse implement? - ANSWER: Auscultate for irregular heart
rate.
A nurse who is working in the emergency department triage area is presented with
four clients at the same time. The client presenting with which symptoms require the
most immediate intervention by the nurse? - ANSWER: Chest discomfort one hour
after consuming a large spicy meal.
Which self care measure is most important to include in the plan of care of a pt recently
diagnosed with type 2 diabetes mellitus? - ANSWER: blood glucose monitoring.
In assessing a pt with type 1 diabetes mellitus, the nurse notes that the client's
respirations have changed from 16 breaths/min with a normal depth to 32 breaths/min
and deep. And the pt has become lethargic. Which assessment data should the nurse
obtain next? - ANSWER: blood glucose
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9 is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most likely
cause of ketoacidosis? - ANSWER: had a cold and ear infection for the past two days.
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The nurse assesses a pt who had bilateral total knee replacements four hours ago. The
nurse notes that the dressing on the right knee is saturated with serosanguineous
drainage. What action should the nurse implement? - ANSWER: Determine if the wound
drainage device is functioning correctly.
A pt with chronic kidney disease has an arteriovenous (AV) fistula in the left forearm.
Which observation by the nurse indicates that the fistula is patient? - ANSWER:
Auscultation of a thrill on the left forearm
A client with urge incontinence was treated with onabotulinumtoxinA injections and is
now experiencing urinary retention. Which action should the nurse include in the
client's plan of care? - ANSWER: Remind the pt to practice pelvic floor exercises
regularly.
A pt is admitted with a dx of urolithiasis. Which finding is most important for the
nurse to report to the healthcare provider? - ANSWER: Hematuria that is beginning to
turn pink
The nurse is evaluating the chest drainage system of a patient with a chest tube
inserted to treat a left hemothorax. Which finding requires intervention by the nurse?
- ANSWER: cont. bubbling in the water seal chamber
The nurse is caring for a pt who has chronic obstructive pulmonary disease and chest
pain related to a recent fall. What nursing intervention requires the greatest caution
when caring for a pt with COPD? - ANSWER: administering narcotics for pain relief
The nurse instructs a pt in use of an incentive spirometer. The client performs a return
demonstration as seen in the video. Which action should the nurse take in response to
the return demonstration? - ANSWER: Remind the pt to cough using the spirometer
,3|Page
The healthcare provider prescribes a sepsis protocol for a pt with organ failure caused
by a ruptured appendix. Which intervention is most important for the nurse to include
in the plan of care? - ANSWER: Maintain strict intake and output
A pt diagnosed with calcium kidney stones has a history of gout. A new prescription
for aluminum hydroxide is scheduled to begin at 0730. Which client medication
should the nurse bring to the healthcare provider's attention? - ANSWER: Allopurinol
An adult client is admitted to the ED after falling from a ladder. While waiting to have a
CT scan, the client requests something for a severe headache. When the nurse offers a
prescribed dose of acetaminophen, the pt asks for something stronger. Which
intervention should the nurse implement? - ANSWER: Explain the reason for using only
non-narcotics
The nurse is providing care for a pt with severe peripheral arterial disease. The pt
reports a history of rest ischemia, with leg pain that occurs during the night. Which
action should the nurse take in response to this finding? - ANSWER: Offer cold packs
when pain occurs
When taking a health history, which information collected by the nurse correlates most
directly to a diagnosis of chronic peripheral arterial insufficiency? -
ANSWER: History of intermittent claudication
the nurse assesses a pt being treated for Herpes Zoster (Shingles). Which assessments
should the nurse include when evaluating the effectiveness of treatment? SATA -
ANSWER: Functional ability
skin integrity pain
scale
, 4|Page
A young male client is admitted to rehabilitation following a right above the knee
amputation for a severe traumatic injury. He is in the commons room and anxiously
calls out to the nurse, stating that his right foot is aching. The nurse offers
reassurance and support. Which additional intervention is most important for the nurse
to implement? - ANSWER: encourage discussion of feelings about the loss of his limb
The nurse identifies the presence of clear fluid on the surgical dressing of a client who
just returned to the unit following lumbar spinal surgery. Which action should the nurse
implement immediately? - ANSWER: Test the fluid on the dressing for glucose
An older client with a long history of coronary artery disease, hypertension, and
heart failure arrives in the ED with respiratory distress. The healthcare provider
prescribes furosemide IV. Which therapeutic response to furosemide should the
nurse expect with the acute HR? - ANSWER: Reduced preload.
A young adult visits the clinic reporting symptoms associated with gastritis. Which
information in the pt history is most important for the nurse to address in the teaching?
- ANSWER: consume 10 or more drinks of alcohol every weekend.
The nurse completed the admission assessment of a 3-year-old who is admitted
with bacterial meningitis and hydrocephalus. Which assesses evidence that the
child is experiencing increased intracranial pressure. - ANSWER: sluggish and
unequal pupillary responses
A teenager presents to the emergency dept with palpitations after vaping at a party.
The pt is anxious, fearful, and hyperventilating. The nurse anticipates the developing
acid base imbalance? - ANSWER: respiratory alkalosis
HESI RN PHARMACOLOGY EXIT EXAM WITH NGN|| ACCURATE AND
FREQUENTLY TESTED QUESTIONS AND 100% CORRECT ANSWERS WITH
RATIONALES|| LATEST AND COMPLETE UPDATE WITH EXPERT
VERIFIED SOLUTIONS
The nurse identifies an electrolyte imbalance, a weight gain of 4.4lbs in 24 hours and
an elevated central venous pressure for a pt with full thickness burns. Which
intervention should the nurse implement? - ANSWER: Auscultate for irregular heart
rate.
A nurse who is working in the emergency department triage area is presented with
four clients at the same time. The client presenting with which symptoms require the
most immediate intervention by the nurse? - ANSWER: Chest discomfort one hour
after consuming a large spicy meal.
Which self care measure is most important to include in the plan of care of a pt recently
diagnosed with type 2 diabetes mellitus? - ANSWER: blood glucose monitoring.
In assessing a pt with type 1 diabetes mellitus, the nurse notes that the client's
respirations have changed from 16 breaths/min with a normal depth to 32 breaths/min
and deep. And the pt has become lethargic. Which assessment data should the nurse
obtain next? - ANSWER: blood glucose
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9 is
admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most likely
cause of ketoacidosis? - ANSWER: had a cold and ear infection for the past two days.
,2|Page
The nurse assesses a pt who had bilateral total knee replacements four hours ago. The
nurse notes that the dressing on the right knee is saturated with serosanguineous
drainage. What action should the nurse implement? - ANSWER: Determine if the wound
drainage device is functioning correctly.
A pt with chronic kidney disease has an arteriovenous (AV) fistula in the left forearm.
Which observation by the nurse indicates that the fistula is patient? - ANSWER:
Auscultation of a thrill on the left forearm
A client with urge incontinence was treated with onabotulinumtoxinA injections and is
now experiencing urinary retention. Which action should the nurse include in the
client's plan of care? - ANSWER: Remind the pt to practice pelvic floor exercises
regularly.
A pt is admitted with a dx of urolithiasis. Which finding is most important for the
nurse to report to the healthcare provider? - ANSWER: Hematuria that is beginning to
turn pink
The nurse is evaluating the chest drainage system of a patient with a chest tube
inserted to treat a left hemothorax. Which finding requires intervention by the nurse?
- ANSWER: cont. bubbling in the water seal chamber
The nurse is caring for a pt who has chronic obstructive pulmonary disease and chest
pain related to a recent fall. What nursing intervention requires the greatest caution
when caring for a pt with COPD? - ANSWER: administering narcotics for pain relief
The nurse instructs a pt in use of an incentive spirometer. The client performs a return
demonstration as seen in the video. Which action should the nurse take in response to
the return demonstration? - ANSWER: Remind the pt to cough using the spirometer
,3|Page
The healthcare provider prescribes a sepsis protocol for a pt with organ failure caused
by a ruptured appendix. Which intervention is most important for the nurse to include
in the plan of care? - ANSWER: Maintain strict intake and output
A pt diagnosed with calcium kidney stones has a history of gout. A new prescription
for aluminum hydroxide is scheduled to begin at 0730. Which client medication
should the nurse bring to the healthcare provider's attention? - ANSWER: Allopurinol
An adult client is admitted to the ED after falling from a ladder. While waiting to have a
CT scan, the client requests something for a severe headache. When the nurse offers a
prescribed dose of acetaminophen, the pt asks for something stronger. Which
intervention should the nurse implement? - ANSWER: Explain the reason for using only
non-narcotics
The nurse is providing care for a pt with severe peripheral arterial disease. The pt
reports a history of rest ischemia, with leg pain that occurs during the night. Which
action should the nurse take in response to this finding? - ANSWER: Offer cold packs
when pain occurs
When taking a health history, which information collected by the nurse correlates most
directly to a diagnosis of chronic peripheral arterial insufficiency? -
ANSWER: History of intermittent claudication
the nurse assesses a pt being treated for Herpes Zoster (Shingles). Which assessments
should the nurse include when evaluating the effectiveness of treatment? SATA -
ANSWER: Functional ability
skin integrity pain
scale
, 4|Page
A young male client is admitted to rehabilitation following a right above the knee
amputation for a severe traumatic injury. He is in the commons room and anxiously
calls out to the nurse, stating that his right foot is aching. The nurse offers
reassurance and support. Which additional intervention is most important for the nurse
to implement? - ANSWER: encourage discussion of feelings about the loss of his limb
The nurse identifies the presence of clear fluid on the surgical dressing of a client who
just returned to the unit following lumbar spinal surgery. Which action should the nurse
implement immediately? - ANSWER: Test the fluid on the dressing for glucose
An older client with a long history of coronary artery disease, hypertension, and
heart failure arrives in the ED with respiratory distress. The healthcare provider
prescribes furosemide IV. Which therapeutic response to furosemide should the
nurse expect with the acute HR? - ANSWER: Reduced preload.
A young adult visits the clinic reporting symptoms associated with gastritis. Which
information in the pt history is most important for the nurse to address in the teaching?
- ANSWER: consume 10 or more drinks of alcohol every weekend.
The nurse completed the admission assessment of a 3-year-old who is admitted
with bacterial meningitis and hydrocephalus. Which assesses evidence that the
child is experiencing increased intracranial pressure. - ANSWER: sluggish and
unequal pupillary responses
A teenager presents to the emergency dept with palpitations after vaping at a party.
The pt is anxious, fearful, and hyperventilating. The nurse anticipates the developing
acid base imbalance? - ANSWER: respiratory alkalosis
