2025 HESI Pharmacology Version 1 (v1) Exit Exam

1. A nurse is caring for a client with Diabetes Insipidus (DI). Which data warrants the most immediate intervention by the nurse? - a. Serum sodium of 185 mEq/L 2. The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this diagnosis? - upper mid abdominal gnawing and burning pain 3. The nurse assesses a client who is newly diagnoses with hyperthyroidism and observes that the clients’ eyeballs are protuberant, causing a wide eyed appearance and eye discomfort. Based on this finding, which action should the nurse include in this client plan or care? - obtain a prescription for artificial tear drops 4. To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral Sclerosis (ALS), what interventions should the nurse implement? (Select all that apply) - Teach the client breathing exercises, Perform chest physiotherapy Encourage use of incentive spirometer 5. A client is hospitalized with heart failure. which intervention should the nurse implement to improve ventilation and reduce venous return - place client in high fowler position 6. A female client who was involved in a motor vehicle collision is admitted with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that her distal pulses are diminished in the left foot. Which interventions should the nurse implement? (Select all that apply.) - Verify pedal pulses using a doppler pulse device Monitor left leg for pain, pallor, paresthesia, paralysis, pressure Evaluate the application of the splint to the left leg 7. The healthcare provider prescribes diagnostic tests for a client whose chest x-ray indicates pneumonia. which diagnostic test should the nurse review for implementation in the most therapeutic treatment of the pneumonia - sputum culture and sensitivity 8. A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough with thickened tenacious mucous, and the inability to walk up a flight of stairs without experiencing breathlessness. Which action is most important for the nurse to instruct the client about self-care? - Increase the daily intake of oral fluids to liquefy secretions 9. The nurse observes an increase number of blood clots in the drainage tubing of a client with continuous bladder irrigation following a transurethral resection of the prostate (TURP). What is the best initial nursing action? - Provide additional oral fluid intake (Also, with TURP you must know that 3 liters of water a day is needed) or increase the flow of the bladder irragation 10. Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. which action should the nurse implement first? - assess pulses with vascular dopler 11. The nurse is planning care for an older adult male who experienced a cerebrovascular accident several weeks ago. Because of his expressive aphasia, the client often becomes frustrated with the nursing staff. Which intervention should the nurse implement? - Encourage client's use of picture charts 12. A client arrives to the medical surgical unit 4 hours after a trans- urethral resection of the prostate. A triple lumen catheter for a continuous bladder irrigation with normal saline is infusing and the nurse observes dark, pink, tinged outflow with blood clots in the tubing and collection bad. Which action should the nurse take? - monitoring catheter drainage