1|Page
HESI PHARMACOLOGY RN EXIT EXAM WITH
NGNVERSION 1|| ACCURATE AND FREQUENTLY
TESTED QUESTIONS AND 100% CORRECT ANSWERS
WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS||
SURE PASS!!
A client with Type 1 diabetes mellitus and a large draining ulcer of the right foot is
admitted with a suspected Staphylococcus aureus infection. Which interventions
should the nurse implement? (Select all that apply)
A. Monitor the client's white blood cell count
B. Explain the purpose of a low bacteria diet
C. Send wound drainage for culture and sensitivity
D. Institute contact precautions for staff and visitors
E. Use standard precautions and wear a mask - ANSWER: A. Monitor the client's
white blood cell count
C. Send wound drainage for culture and sensitivity
D. Institute contact precautions for staff and visitors
The nurse is managing 4 clients in the intensive care unit who are mechanically
ventilated. After performing a quick visual assessment, the nurse should prioritize
care for the client who is exhibiting which finding?
A. An audible voice when client is trying to communicate
B. High pressure alarm sounds when client is coughing
C. Restrained and restless with a low volume alarm sounding
D. Diminished breath sounds in the right posterior base - ANSWER: C. Restrained
and restless with a low volume alarm sounding
,2|Page
A male client tells the nurse that he is concerned that he may have a stomach ulcer,
because he is experiencing heartburn and a dull gnawing pain that is relieved when
he eats. Which is the best response by the nurse?
A. Instruct the client that these mild symptoms can generally be controlled with
changes in his diet
B. Advise the client that he needs to seek immediate medical evaluation and
treatment of these symptoms
C. Encourage the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
D. Assure the client that his symptoms may only reflect reflux, since ulcer pain is
not relieved with food - ANSWER: C. Encourage the client to obtain a complete
physical exam, since these symptoms are consistent with an ulcer
The nurse is evaluating the diet teaching of a client with hypertension. What dinner
selection indicates that the client understands the dietary recommendations for
hypertension?
A. Grilled steak, baked potato with sour cream, green beans, coffee, and raisin
cream pie
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
C. Tomato soup, grilled cheese sandwich, pickles, skim milk, and lemon meringue
pie
D. Beef stir fry, fried rice, egg drop soup, diet soda, and pumpkin pie - ANSWER:
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
The nurse is completing the admission assessment of a 3-year old who is admitted
with bacterial meningitis and hydrocephalus. Which assessment finding is
evidence that the child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
,3|Page
D. Blood pressure fluctuations and syncope - ANSWER: B. Sluggish and unequal
pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain
and an elevated serum amylase. Which additional information is the client most
likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - ANSWER: A.
Abdominal pain decreases when lying supine
A client is admitted with a diagnosis of urolithiasis. Which finding is most
important for the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - ANSWER: D. Hematuria that is
beginning to turn pink
Three days after initiating parenteral fluids for a newborn with a ventricular septal
defect (VSD), the nurse assesses an increase in heart rate and blood pressure.
Which intervention is most important for the nurse to implement?
A. View the graph of daily weights
B. Restrict intake of oral fluids
C. Assess bilateral lung sounds
D. Decrease IV flow rate - ANSWER: B. Restrict intake of oral fluids
, 4|Page
During an admission assessment, a client reports currently using heroin. Which
information is most important for the nurse to consider in the plan of care?
A. History of suicide attempts
B. Feelings of disorientation
C. Undiagnosed social anxiety symptoms (SAD)
D. Family history of schizophrenia - ANSWER: A. History of suicide attempts
The healthcare provider prescribes penicillin G benzathine 2,400,000 units
intramuscularly for a client who has a postoperative wound infection. The prefilled
syringe is labeled, penicillin G benzathine 1,200,000 units/2mL. How many mL
should the nurse administer to this client? - ANSWER: 4mL
A client who experienced a cerebrovascular accident (CVA) is aphasic and has left
sided paralysis. Which nurse should be responsible for coordinating the
progression of this client's care?
A. Nurse case manager
B. Adult nurse practitioner
C. Neurology unit supervisor
D. Risk management nurse - ANSWER: B. Adult nurse practitioner
A client who is admitted with complications related to hypopituitarism is
diaphoretic and hypotensive. Which assessment finding warrants immediate
intervention by the nurse? - ANSWER: Lethargy
A client with postpartum depression, who is admitted to the behavioral health unit,
refuses to leave her room or eat meals. In addition to maintaining physical safety,
which short-term goal should the nurse include in the plan of care?
A. Sleeps at least 6 hours per night
B. Consumes 3 meals and 1500 mL of fluid per day
HESI PHARMACOLOGY RN EXIT EXAM WITH
NGNVERSION 1|| ACCURATE AND FREQUENTLY
TESTED QUESTIONS AND 100% CORRECT ANSWERS
WITH RATIONALES|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS||
SURE PASS!!
A client with Type 1 diabetes mellitus and a large draining ulcer of the right foot is
admitted with a suspected Staphylococcus aureus infection. Which interventions
should the nurse implement? (Select all that apply)
A. Monitor the client's white blood cell count
B. Explain the purpose of a low bacteria diet
C. Send wound drainage for culture and sensitivity
D. Institute contact precautions for staff and visitors
E. Use standard precautions and wear a mask - ANSWER: A. Monitor the client's
white blood cell count
C. Send wound drainage for culture and sensitivity
D. Institute contact precautions for staff and visitors
The nurse is managing 4 clients in the intensive care unit who are mechanically
ventilated. After performing a quick visual assessment, the nurse should prioritize
care for the client who is exhibiting which finding?
A. An audible voice when client is trying to communicate
B. High pressure alarm sounds when client is coughing
C. Restrained and restless with a low volume alarm sounding
D. Diminished breath sounds in the right posterior base - ANSWER: C. Restrained
and restless with a low volume alarm sounding
,2|Page
A male client tells the nurse that he is concerned that he may have a stomach ulcer,
because he is experiencing heartburn and a dull gnawing pain that is relieved when
he eats. Which is the best response by the nurse?
A. Instruct the client that these mild symptoms can generally be controlled with
changes in his diet
B. Advise the client that he needs to seek immediate medical evaluation and
treatment of these symptoms
C. Encourage the client to obtain a complete physical exam, since these symptoms
are consistent with an ulcer
D. Assure the client that his symptoms may only reflect reflux, since ulcer pain is
not relieved with food - ANSWER: C. Encourage the client to obtain a complete
physical exam, since these symptoms are consistent with an ulcer
The nurse is evaluating the diet teaching of a client with hypertension. What dinner
selection indicates that the client understands the dietary recommendations for
hypertension?
A. Grilled steak, baked potato with sour cream, green beans, coffee, and raisin
cream pie
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
C. Tomato soup, grilled cheese sandwich, pickles, skim milk, and lemon meringue
pie
D. Beef stir fry, fried rice, egg drop soup, diet soda, and pumpkin pie - ANSWER:
B. Baked pork chops, applesauce, corn on the cob, 1% milk, and key-lime pie
The nurse is completing the admission assessment of a 3-year old who is admitted
with bacterial meningitis and hydrocephalus. Which assessment finding is
evidence that the child is experiencing increased intracranial pressure (ICP)?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
,3|Page
D. Blood pressure fluctuations and syncope - ANSWER: B. Sluggish and unequal
pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain
and an elevated serum amylase. Which additional information is the client most
likely to report to the nurse?
A. Abdominal pain decreases when lying supine
B. Pain lasts an hour and leaves the abdomen tender
C. Right upper quadrant pain refers to right scapula
D. Drinks alcohol until intoxicated at least twice weekly. - ANSWER: A.
Abdominal pain decreases when lying supine
A client is admitted with a diagnosis of urolithiasis. Which finding is most
important for the nurse to report to the healthcare provider?
A. Volume of each voiding is more than 300mL
B. Serum potassium that is elevated
C. Relief of flank pain that radiated into the groin
D. Hematuria that is beginning to turn pink - ANSWER: D. Hematuria that is
beginning to turn pink
Three days after initiating parenteral fluids for a newborn with a ventricular septal
defect (VSD), the nurse assesses an increase in heart rate and blood pressure.
Which intervention is most important for the nurse to implement?
A. View the graph of daily weights
B. Restrict intake of oral fluids
C. Assess bilateral lung sounds
D. Decrease IV flow rate - ANSWER: B. Restrict intake of oral fluids
, 4|Page
During an admission assessment, a client reports currently using heroin. Which
information is most important for the nurse to consider in the plan of care?
A. History of suicide attempts
B. Feelings of disorientation
C. Undiagnosed social anxiety symptoms (SAD)
D. Family history of schizophrenia - ANSWER: A. History of suicide attempts
The healthcare provider prescribes penicillin G benzathine 2,400,000 units
intramuscularly for a client who has a postoperative wound infection. The prefilled
syringe is labeled, penicillin G benzathine 1,200,000 units/2mL. How many mL
should the nurse administer to this client? - ANSWER: 4mL
A client who experienced a cerebrovascular accident (CVA) is aphasic and has left
sided paralysis. Which nurse should be responsible for coordinating the
progression of this client's care?
A. Nurse case manager
B. Adult nurse practitioner
C. Neurology unit supervisor
D. Risk management nurse - ANSWER: B. Adult nurse practitioner
A client who is admitted with complications related to hypopituitarism is
diaphoretic and hypotensive. Which assessment finding warrants immediate
intervention by the nurse? - ANSWER: Lethargy
A client with postpartum depression, who is admitted to the behavioral health unit,
refuses to leave her room or eat meals. In addition to maintaining physical safety,
which short-term goal should the nurse include in the plan of care?
A. Sleeps at least 6 hours per night
B. Consumes 3 meals and 1500 mL of fluid per day
