Evolve Hesi Pharm Actual Complete Exam P a g e |
1
Evolve Hesi Pharm Actual Complete Exam
Version 3 And 4 2025 Test Bank with 350
QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of 30 mcg/min prescribed
for a client in premature labor. How many ml/hr should the nurse set the infusion pump?
A. 30
B. 60
C. 120
D. 180 – C
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orrect Answer :(D) is correct calculation: 180 ml/hr = 500 ml/5 mg × 1mg/1000 mcg × 30 mcg/min × 60
min/hr.
Correct Answer: D
An African-American grandmother tells the nurse that her 4-year-old grandson is suffering with
"miseries." Based on this statement, which focused assessment should the nurse conduct?
A. Inquire about the source and type of pain.
B. Examine the nose for congestion and discharge.
C. Take vital signs for temperature elevation.
D. Explore the abdominal area for distension. –
Correct Answer :Different cultural groups often have their own terms for health conditions. African-
American clients may refer to pain as "the miseries. " Based on understanding this term, the nurse
should conduct a focused assessment on the source and type of pain (A). (B, C, and D) are important,
but do not focus on "miseries" (pain).
Correct Answer: A
The nurse notices that the Hispanic parents of a toddler who returns from surgery offer the child only
the broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and juices,
remain untouched. What explanation is most appropriate for this behavior?
A. The belief is held that the "evil eye" enters the child if anything cold is ingested.
B. After surgery the child probably has refused all foods except broth.
C. Eating broth strengthens the child's innate energy called "chi."
D. Hot remedies restore balance after surgery, which is considered a "cold" condition. –
Correct Answer :Common parental practices and health beliefs among Hispanic, Chinese, Filipino, and
Arab cultures classify diseases, areas of the body, and illnesses as "hot" or "cold" and must be
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balanced to maintain health and prevent illness. The perception that surgery is a "cold" condition
implies that only "hot" remedies, such as soup, should be used to restore the healthy balance within
the body, so (D) is the correct interpretation. (A, B, and C) are not correct interpretations of the noted
behavior. "Chi" is a Chinese belief that an innate energy enters and leaves the body via certain
locations and pathways and maintains health. The "evil eye," or "mal ojo," is believed by many cultures
to be related to the balance of health and illness but is unrelated to dietary practice.
Correct Answer: D
A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the infusion
site. The nurse observes erythema, swelling, and a red streak along the vessel above the IV access site.
Which action should the nurse take at this time?
A. Administer the medication more rapidly using the same IV site.
B. Initiate an alternate site for the IV infusion of the medication.
C. Notify the healthcare provider before administering the next dose.
D. Give the client a PRN dose of aspirin while the medication infuses. –
Correct Answer :A cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotating
the infusion site minimizes the risk of thrombophlebitis, so an alternate infusion site should be initiated
(B) before administering the next dose. Rapid administration (A) of intravenous cephalosporins can
potentiate vessel irritation and increase the risk of thrombophlebitis. (C) is not necessary to initiate an
alternative IV site. Although aspirin has antiinflammatory actions, (D) is not indicated.
Correct Answer: B
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen
seconds, large amounts of thick yellow secretions return. What action should the nurse implement
next?
A. Encourage the client to cough to help loosen secretions.
B. Advise the client to increase the intake of oral fluids.
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C. Rotate the suction catheter to obtain any remaining secretions.
D. Re-oxygenate the client before attempting to suction again. –
Correct Answer :Suctioning should not be continued for longer than ten to fifteen seconds, since the
client's oxygenation is compromised during this time (D). (A, B, and C) may be performed after the
client is re-oxygenated and additional suctioning is performed.
Correct Answer: D
A female client with a nasogastric tube attached to low suction states that she is nauseated. The
nurse assesses that there has been no drainage through the nasogastric tube in the last two hours.
What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. –
Correct Answer :The immediate priority is to determine if the tube is functioning correctly, which
would then relieve the client's nausea. The least invasive intervention, (B), should be attempted first,
followed by (A and C), unless either of these interventions is contraindicated. If these measures are
unsuccessful, the client may require an antiemetic (D).
Correct Answer: B
During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis using a
goniometer. Which finding should the nurse expect to measure?
A. Adequate venous blood flow to the lower extremities.
B. Estimated amount of body fat by an underarm skinfold.
C. Degree of flexion and extension of the client's knee joint.
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1
Evolve Hesi Pharm Actual Complete Exam
Version 3 And 4 2025 Test Bank with 350
QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED
An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of 30 mcg/min prescribed
for a client in premature labor. How many ml/hr should the nurse set the infusion pump?
A. 30
B. 60
C. 120
D. 180 – C
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2
orrect Answer :(D) is correct calculation: 180 ml/hr = 500 ml/5 mg × 1mg/1000 mcg × 30 mcg/min × 60
min/hr.
Correct Answer: D
An African-American grandmother tells the nurse that her 4-year-old grandson is suffering with
"miseries." Based on this statement, which focused assessment should the nurse conduct?
A. Inquire about the source and type of pain.
B. Examine the nose for congestion and discharge.
C. Take vital signs for temperature elevation.
D. Explore the abdominal area for distension. –
Correct Answer :Different cultural groups often have their own terms for health conditions. African-
American clients may refer to pain as "the miseries. " Based on understanding this term, the nurse
should conduct a focused assessment on the source and type of pain (A). (B, C, and D) are important,
but do not focus on "miseries" (pain).
Correct Answer: A
The nurse notices that the Hispanic parents of a toddler who returns from surgery offer the child only
the broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and juices,
remain untouched. What explanation is most appropriate for this behavior?
A. The belief is held that the "evil eye" enters the child if anything cold is ingested.
B. After surgery the child probably has refused all foods except broth.
C. Eating broth strengthens the child's innate energy called "chi."
D. Hot remedies restore balance after surgery, which is considered a "cold" condition. –
Correct Answer :Common parental practices and health beliefs among Hispanic, Chinese, Filipino, and
Arab cultures classify diseases, areas of the body, and illnesses as "hot" or "cold" and must be
P a g e 2 | 98
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3
balanced to maintain health and prevent illness. The perception that surgery is a "cold" condition
implies that only "hot" remedies, such as soup, should be used to restore the healthy balance within
the body, so (D) is the correct interpretation. (A, B, and C) are not correct interpretations of the noted
behavior. "Chi" is a Chinese belief that an innate energy enters and leaves the body via certain
locations and pathways and maintains health. The "evil eye," or "mal ojo," is believed by many cultures
to be related to the balance of health and illness but is unrelated to dietary practice.
Correct Answer: D
A client is receiving a cephalosporin antibiotic IV and complains of pain and irritation at the infusion
site. The nurse observes erythema, swelling, and a red streak along the vessel above the IV access site.
Which action should the nurse take at this time?
A. Administer the medication more rapidly using the same IV site.
B. Initiate an alternate site for the IV infusion of the medication.
C. Notify the healthcare provider before administering the next dose.
D. Give the client a PRN dose of aspirin while the medication infuses. –
Correct Answer :A cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotating
the infusion site minimizes the risk of thrombophlebitis, so an alternate infusion site should be initiated
(B) before administering the next dose. Rapid administration (A) of intravenous cephalosporins can
potentiate vessel irritation and increase the risk of thrombophlebitis. (C) is not necessary to initiate an
alternative IV site. Although aspirin has antiinflammatory actions, (D) is not indicated.
Correct Answer: B
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen
seconds, large amounts of thick yellow secretions return. What action should the nurse implement
next?
A. Encourage the client to cough to help loosen secretions.
B. Advise the client to increase the intake of oral fluids.
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C. Rotate the suction catheter to obtain any remaining secretions.
D. Re-oxygenate the client before attempting to suction again. –
Correct Answer :Suctioning should not be continued for longer than ten to fifteen seconds, since the
client's oxygenation is compromised during this time (D). (A, B, and C) may be performed after the
client is re-oxygenated and additional suctioning is performed.
Correct Answer: D
A female client with a nasogastric tube attached to low suction states that she is nauseated. The
nurse assesses that there has been no drainage through the nasogastric tube in the last two hours.
What action should the nurse take first?
A. Irrigate the nasogastric tube with sterile normal saline.
B. Reposition the client on her side.
C. Advance the nasogastric tube an additional five centimeters.
D. Administer an intravenous antiemetic prescribed for PRN use. –
Correct Answer :The immediate priority is to determine if the tube is functioning correctly, which
would then relieve the client's nausea. The least invasive intervention, (B), should be attempted first,
followed by (A and C), unless either of these interventions is contraindicated. If these measures are
unsuccessful, the client may require an antiemetic (D).
Correct Answer: B
During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis using a
goniometer. Which finding should the nurse expect to measure?
A. Adequate venous blood flow to the lower extremities.
B. Estimated amount of body fat by an underarm skinfold.
C. Degree of flexion and extension of the client's knee joint.
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