Evolve Hesi Pharm Actual Exam
Evolve Hesi Pharm Actual Complete Exam 4
Version 1,2,3 And 4 2025 Test Bank with 350
QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES |graded A+
A nurse working in the emergency department admits a client with full-thickness burns to 50%
of the body. Assessment findings indicate high-pitched wheezing, heart rate of 120 beats/min,
and disorientation. Which action should the nurse take first?
A.Insert a large-bore IV for fluid resuscitation.
B.Prepare to assist with maintaining the airway.
C.Cleanse the wounds using sterile technique.
D.Administer an analgesic for pain.
A+ TEST BANK 1
, Evolve Hesi Pharm Actual Exam
B
Rationale:
High-pitched wheezing indicates laryngeal stridor, a sign of laryngeal edema associated with
lung injury. Airway management is the first priority of care (B). (A, C, and D) are all appropriate
interventions in managing the client with a burn but are not as critical as establishing an
airway.
The nurse prepares to administer digoxin (Lanoxin), 0.125 mg PO, to an adult client with heart
failure and notes that the digoxin serum level in the laboratory report is 1 ng/mL. Which action
should the nurse take?
A.Discontinue the digoxin.
B.Notify health care provider.
C.Administer the digoxin.
D.Reverify the digoxin level.
C
Rationale:
A therapeutic range for digoxin is 0.5 to 2 ng/mL (C). The digoxin should be continued to
maintain a therapeutic range (C). The others actions are not indicated for a therapeutic range
(A, B, and D).
The nurse is assessing a client at 20 weeks' gestation. Which measurement should be
compared with the client's current weight to obtain the most accurate data about her weight
gain during pregnancy?
A.Usual prepregnant weight
B.Weight at the first prenatal visit
C.Weight during previous pregnancy
D.Recommended pattern of weight gain
A+ TEST BANK 2
, Evolve Hesi Pharm Actual Exam
A
Rationale:
Comparing the client's current weight with her prepregnant weight (A) allows for the
calculation of weight gain. By the time of the first prenatal visit (B), she may have already
gained weight. (C) may not be relevant to weight gain with the current pregnancy. (D) should
be evaluated based on serial weights, not just a single current weight.
When caring for an 80-year-old client with pneumonia, which finding is of most concern to the
nurse?
A.Decrease in level of consciousness
B.BUN level, 20 mg/dL; creatinine level, 1.0 mg/dL
C.Reports of a dry mouth and lips
D.Fine crackles auscultated in lung bases
A
Rationale:
A decrease in level of consciousness is a sign of decreased oxygenation and requires
immediate intervention (A). The others are expected findings (B, C, and D).
The nurse is caring for a client with respiratory distress whose arterial blood gas (ABG) results
are as follows: pH, 7.33; Pco2,50 mm Hg; Po2, 70 mm Hg; HCO3, 26 mEq/L. How should the
nurse interpret these results?
A.Metabolic acidosis
B.Respiratory alkalosis
C.Metabolic alkalosis
D.Respiratory acidosis
D
Rationale:
A pH <7.25 and Pco2 >45 mm Hg with a normal HCO3 indicates respiratory acidosis (D). The
others are incorrect analyses of the ABGs (A, B, and C).
A+ TEST BANK 3
, Evolve Hesi Pharm Actual Exam
A 12-year-old boy complains to the nurse that he is "short" (4'5" [53 inches]). His twin sister is
5 inches taller than he is (4'10" [58 inches]). Based on these findings, what conclusion should
the nurse reach?
A.The boy is not growing as normally expected.
B.The girl is experiencing a period of unexpected growth.
C.A normal growth spurt occurs in girls 1 to 2 years earlier than boys.
D.Male-female twins are not identical; therefore, their growth cannot be compared.
C
Rationale:
Girls experience a growth spurt at 9.5 to 14.5 years of age and boys at 10.5 to 16 years of age
(C). There are insufficient data to support (A); growth trends must be assessed to reach such
a conclusion. (B) is not unexpected. The fact that the children are twins has less to do with
their growth than the fact that they are male and female (D).
A couple expresses concern and fear prior to having an amniocentesis to determine fetal lung
maturity. To assist them in coping with this situation, which intervention is best for the nurse
to implement?
A.Explain that harm to the fetus is highly unlikely.
B.Answer all their questions regarding the procedure.
C.Encourage them to verbalize their feelings.
D.Show them a video about the procedure.
B
Rationale:
The nurse should allay their concerns by providing information about the procedure and
answering questions (B). This action assists the couple in coping with the situation. (A) may
offer false reassurance. (C) alone does not resolve the couple's fears. Although (D) may be
helpful, it is a passive activity, and the nurse's availability to answer questions is likely to be
most helpful in calming their fears.
A+ TEST BANK 4
Evolve Hesi Pharm Actual Complete Exam 4
Version 1,2,3 And 4 2025 Test Bank with 350
QUESTIONS WITH CORRECT DETAILED
ANSWERS & RATIONALES |graded A+
A nurse working in the emergency department admits a client with full-thickness burns to 50%
of the body. Assessment findings indicate high-pitched wheezing, heart rate of 120 beats/min,
and disorientation. Which action should the nurse take first?
A.Insert a large-bore IV for fluid resuscitation.
B.Prepare to assist with maintaining the airway.
C.Cleanse the wounds using sterile technique.
D.Administer an analgesic for pain.
A+ TEST BANK 1
, Evolve Hesi Pharm Actual Exam
B
Rationale:
High-pitched wheezing indicates laryngeal stridor, a sign of laryngeal edema associated with
lung injury. Airway management is the first priority of care (B). (A, C, and D) are all appropriate
interventions in managing the client with a burn but are not as critical as establishing an
airway.
The nurse prepares to administer digoxin (Lanoxin), 0.125 mg PO, to an adult client with heart
failure and notes that the digoxin serum level in the laboratory report is 1 ng/mL. Which action
should the nurse take?
A.Discontinue the digoxin.
B.Notify health care provider.
C.Administer the digoxin.
D.Reverify the digoxin level.
C
Rationale:
A therapeutic range for digoxin is 0.5 to 2 ng/mL (C). The digoxin should be continued to
maintain a therapeutic range (C). The others actions are not indicated for a therapeutic range
(A, B, and D).
The nurse is assessing a client at 20 weeks' gestation. Which measurement should be
compared with the client's current weight to obtain the most accurate data about her weight
gain during pregnancy?
A.Usual prepregnant weight
B.Weight at the first prenatal visit
C.Weight during previous pregnancy
D.Recommended pattern of weight gain
A+ TEST BANK 2
, Evolve Hesi Pharm Actual Exam
A
Rationale:
Comparing the client's current weight with her prepregnant weight (A) allows for the
calculation of weight gain. By the time of the first prenatal visit (B), she may have already
gained weight. (C) may not be relevant to weight gain with the current pregnancy. (D) should
be evaluated based on serial weights, not just a single current weight.
When caring for an 80-year-old client with pneumonia, which finding is of most concern to the
nurse?
A.Decrease in level of consciousness
B.BUN level, 20 mg/dL; creatinine level, 1.0 mg/dL
C.Reports of a dry mouth and lips
D.Fine crackles auscultated in lung bases
A
Rationale:
A decrease in level of consciousness is a sign of decreased oxygenation and requires
immediate intervention (A). The others are expected findings (B, C, and D).
The nurse is caring for a client with respiratory distress whose arterial blood gas (ABG) results
are as follows: pH, 7.33; Pco2,50 mm Hg; Po2, 70 mm Hg; HCO3, 26 mEq/L. How should the
nurse interpret these results?
A.Metabolic acidosis
B.Respiratory alkalosis
C.Metabolic alkalosis
D.Respiratory acidosis
D
Rationale:
A pH <7.25 and Pco2 >45 mm Hg with a normal HCO3 indicates respiratory acidosis (D). The
others are incorrect analyses of the ABGs (A, B, and C).
A+ TEST BANK 3
, Evolve Hesi Pharm Actual Exam
A 12-year-old boy complains to the nurse that he is "short" (4'5" [53 inches]). His twin sister is
5 inches taller than he is (4'10" [58 inches]). Based on these findings, what conclusion should
the nurse reach?
A.The boy is not growing as normally expected.
B.The girl is experiencing a period of unexpected growth.
C.A normal growth spurt occurs in girls 1 to 2 years earlier than boys.
D.Male-female twins are not identical; therefore, their growth cannot be compared.
C
Rationale:
Girls experience a growth spurt at 9.5 to 14.5 years of age and boys at 10.5 to 16 years of age
(C). There are insufficient data to support (A); growth trends must be assessed to reach such
a conclusion. (B) is not unexpected. The fact that the children are twins has less to do with
their growth than the fact that they are male and female (D).
A couple expresses concern and fear prior to having an amniocentesis to determine fetal lung
maturity. To assist them in coping with this situation, which intervention is best for the nurse
to implement?
A.Explain that harm to the fetus is highly unlikely.
B.Answer all their questions regarding the procedure.
C.Encourage them to verbalize their feelings.
D.Show them a video about the procedure.
B
Rationale:
The nurse should allay their concerns by providing information about the procedure and
answering questions (B). This action assists the couple in coping with the situation. (A) may
offer false reassurance. (C) alone does not resolve the couple's fears. Although (D) may be
helpful, it is a passive activity, and the nurse's availability to answer questions is likely to be
most helpful in calming their fears.
A+ TEST BANK 4
