PN HESI EXIT EXAM REVISION PACK
Evaluation 12
Contents
Advanced Pharmacology............................................................................................................................................................................................3
Toxicology & Overdose Management........................................................................................................................................................................6
Community Health Nursing........................................................................................................................................................................................9
,Gerontological Nursing............................................................................................................................................................................................10
Hospice & Palliative Care.........................................................................................................................................................................................11
Legal & Ethical Scenarios.........................................................................................................................................................................................14
HESI Exit Exam Priority Challenges..........................................................................................................................................................................16
, Questions 276–300
Advanced Pharmacology
Question 276
A client receiving vancomycin reports ringing in the ears. What should the nurse do first?
A. Document the finding as expected
B. Assess for ototoxicity and notify the provider
C. Administer the next dose immediately
D. Encourage increased caffeine intake
Answer: B
Rationale:
Vancomycin can cause ototoxicity. Tinnitus should be reported promptly.
Question 277
A client taking metformin is scheduled for a CT scan with IV contrast. What action is anticipated?
A. Continue metformin without interruption
B. Hold metformin as prescribed before and after contrast administration
C. Double the dose afterward
D. Administer insulin automatically
Answer: B
Rationale:
Metformin may need to be temporarily withheld because contrast can affect kidney function and increase the risk
of lactic acidosis.
Evaluation 12
Contents
Advanced Pharmacology............................................................................................................................................................................................3
Toxicology & Overdose Management........................................................................................................................................................................6
Community Health Nursing........................................................................................................................................................................................9
,Gerontological Nursing............................................................................................................................................................................................10
Hospice & Palliative Care.........................................................................................................................................................................................11
Legal & Ethical Scenarios.........................................................................................................................................................................................14
HESI Exit Exam Priority Challenges..........................................................................................................................................................................16
, Questions 276–300
Advanced Pharmacology
Question 276
A client receiving vancomycin reports ringing in the ears. What should the nurse do first?
A. Document the finding as expected
B. Assess for ototoxicity and notify the provider
C. Administer the next dose immediately
D. Encourage increased caffeine intake
Answer: B
Rationale:
Vancomycin can cause ototoxicity. Tinnitus should be reported promptly.
Question 277
A client taking metformin is scheduled for a CT scan with IV contrast. What action is anticipated?
A. Continue metformin without interruption
B. Hold metformin as prescribed before and after contrast administration
C. Double the dose afterward
D. Administer insulin automatically
Answer: B
Rationale:
Metformin may need to be temporarily withheld because contrast can affect kidney function and increase the risk
of lactic acidosis.
