PHARMACOLOGY RN HESI EXIT VERSION A 2024 ACTUAL EXAM ALL 250 QUESTIOS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+|| BRAND NEW!!

PHARMACOLOGY RN HESI EXIT
VERSION A 2024 ACTUAL EXAM
ALL 250 QUESTIOS AND
CORRECT DETAILED ANSWERS
|ALREADY GRADED A+|| BRAND
NEW!!
A young adult visits the client reporting symptoms associated with gastritis. Which
information in the client's history is most important for the nurse to address in the
teaching plan?
A. Consumes 10 or more drinks of alcohol every weekend
B. Snacks on foods with very high salt content on a daily basis
C. Exercises vigorously every evening right before going to bed
D. Recently became a vegetarian and eats a lot of high fiber foods - ANSWER-A.
Consumes 10 or more drinks of alcohol every weekend
After administering a proton pump inhibitor (PPI), which action should the nurse take to
evaluate the effectiveness of the medication?
A. Auscultate for bowel sounds in all quadrants
B. Ask the client about gastrointestinal pain
C. Monitor the client's serum electrolyte levels
D. Measure the client's fluid intake and output - ANSWER-B. Ask the client about
gastrointestinal pain
When assessing a recently delivered, multigravida client, the nurse finds that her
vaginal bleeding is more than expected. Which factor in this client's history is related to
this finding?
A. The second stage of labor lasted 10 minutes
B. She received butorphanol 2mg IVP during labor
C. She is over 35 years of age
D. She is a gravida 6, para 5 - ANSWER-D. She is a gravida 6, para 5
When assessing an IV site that is used for fluid replacement and medication
administration, the client complains of tenderness when the arm is touched above the
site. Which additional assessment finding warrants immediate intervention by the
nurse?
A. Client uses the arm cautiously
B. Red streak tracking the vein
C. A sluggish blood return
D. Spot of dried blood at insertion site - ANSWER-B. Red streaks tracking the vein
An older adult male reporting abdominal pain is admitted to the hospital from a longterm care facility. It has been 7 days since his last bowel movement, his abdomen is
distended, and he just vomited 150mL of dark brown emesis. In what order should the
nurse implement these interventions? (Highest to lowest priority) - ANSWER-1. Send
emesis sample to the lab
2. Elevate the head of the bed
3. Complete focused assessment
4. Offer PRN pain medication
When taking a health history, which information collected by the nurse correlates most
directly to a diagnosis of chronic peripheral arterial insufficiency?
A. History of intermittent claudication
B. A positive Brodie-Trendelenburg test
C. Ankle ulceration and edema
D. A serum cholesterol level of 250mg/dl (6.47mmol/L) - ANSWER-A. History of
intermittent claudication
The nurse is providing discharge teaching to the parents of a 13 month old child who
underwent repair for an atrial septal defect. The healthcare provider prescribes aspirin
and an antibiotic for the first 6 months postoperatively to prevent infective endocarditis
(IE). What information is most important for the nurse discuss with the parents about the
child's recovery and prevention of IE?
A. Refer the mother to the healthcare provider to discuss infective endocarditis
B. Brush the child's teeth every day and ensure the child receives regular dental
followup
C. Give the child acetaminophen for pain or fever and visit the surgeon for follow-up
D. Monitor the child for regular bowel movements and urine output that exceeds intake -
ANSWER-B. Brush the child's teeth every day and ensure the child receives regular
dental followup
An unlicensed assistive personnel (UAP) is assigned to ambulate a client with influenza
who has droplet precautions implemented. The UAP requests a change in assignment,
stating the reason of having not been fitted yet for a N95 respirator mask. Which action
should the nurse take?
A. send the UAP to be fitted for a particulate filter mask immediately so she can provide
care to this client.
B. Instruct the UAP that a standard face mask is sufficient for the provision of care for
the assigned client
C. Before changing assignments, determine which staff members have fitted particulate
filter masks
D. Advise the UAP to wear a standard face mask to take vital signs, and then get fitted
for a filter mask before providing personal care - ANSWER-B. Instruct the UAP that a
standard face mask is sufficient for the provision of care for the assigned client
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health
clinic. Which outcome indicates that the program was effective?
A. Only 30% of clients did not attend self-management education sessions.
B. More than 50% of at-risk clients were diagnosed early in their disease process
C. Clients who developed disease complications promptly received rehabilitation
D. Average client scores improved on specific risk factor knowledge tests - ANSWER-C.
Clients who developed disease complications promptly received rehabilitation
Then nurse identifies several nursing problems for client who is immobile and who has
been experiencing fecal incontinence and diarrhea for several days. The client's spouse
is the primary caregiver. In planning care, which problem has the highest priority?
A. Impaired bed mobility
B. Caregiver role strain
C. Fluid volume deficit
D. Bowel incontinence - ANSWER-D. Bowel incontinence
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The
client is weak and begins coughing while attempting to drink through a straw. Which
intervention should the nurse implement?
A. Teach coughing and deep breathing exercises
B. Assess the client's oral cavity for ulcerations
C. Request thick nectar liquids for the client
D. Monitor the client when using a straw for liquids - ANSWER-A. Teach coughing and
deep breathing exercises
An adult client is admitted to the emergency department after falling from the ladder.
While waiting to have a computed tomography (CT) scan, the client requests something
for a severe headache. When the nurse offers a prescribed dose of acetaminophen, the
client asks for something stronger. Which intervention should the nurse implement?
A. Review client's history for use of illicit drugs
B. Explain the reason for using only non-narcotics
C. Assess client's pupils for their reaction to light
D. Request that the CT scan be done immediately - ANSWER-B. Explain the reason for
using only non-narcotics
The nurse is caring for a client who has chronic obstructive pulmonary disease (COPD)
and chest pain related to a recent fall. What nursing intervention requires the greatest
caution when caring for a client with COPD?
A. Monitoring telemetry and cardiac rhythm
B. Assisting client to cough and deep breath
C. Administering narcotics for pain relief
D. Increasing the client's fluid intake - ANSWER-C. Administering narcotics for pain
relief
The nurse is providing care for a client with schizophrenia who receives haloperidol
decanoate 75mg IM every 4 weeks. The client begins developing a puckering and
smacking of the lips and facial grimacing. Which intervention should the nurse
implement?
A. Monitor lying, sitting, and standing blood pressures
B. Provide coaching in relaxation techniques
C. Complete abnormal involuntary movement scale (AIMS)
D. Discontinue all medications immediately - ANSWER-C. Complete abnormal
involuntary movement scale (AIMS)
Prolonged exposure to high concentrations of supplemental oxygen over several days
can cause which pathophysiological effect?
A. Disrupted surfactant production
B. Metabolic acidosis
C. Aphasia and memory los