1|Page
HESI RN PHARMACOLOGY VERSION 1 AND
ALL QUESTIONS AND VERIFIED ANSWERS
LATEST UPDATE
VV VERSION 1
1.vAvmalevclientvwithvstomachvcancervreturnsvtovt
hevunitvfollowingvavtotalvgastre
ctomy.vHevhasvavnasogastricvtubevtovsuctionvandv
isvreceivingvLactatedvRinger'svs
olutionvatv75vmL/hourvIV.vOnevhourvaftervadmissi
onvtovthevunit,vthevnursevnotes
v300vmLvofvbloodvinvthevsuctionvcanister,vthevclie
nt'svheartvratevisv155vbeats/minu
te,vandvhisvbloodvpressurevisv78/48vmmHg.vInvad
ditionvtovreportingvthevfindingv
tovthevsurgeon.vWhichvactionvshouldvthevnursevim
,2|Page
plementvfirst?vvanswerd.vIncreasevthevinfusionvrat
evofvLactatedvRinger'svsolution.
2.vanvadultvmalevwhovfellv20vfeetvfromvthevroofv
ofvthisvhomevhasvmultiplevinjuries
,vincludingvavrightvpneumothorax.vChestvtubesvwe
revinsertedvinvthevemergencyv
departmentvpriorvtovhisvtransfervtovthevintensivev
carevunitv(ICU).vthevnursevnote
svthatvthevsuctionvcontrolvchambervisvbubblingvat
vthe
v10vcmvH2Ovmark,vwithvfluctuationvinvthevwaterv
seal,vandvovervthevpastvhourv75v
mlvofvbrightvredvbloodvisvmeasuredvinvthevcollecti
onvchamber.vWhichvinterventi
,3|Page
onvshouldvthevnursevimplement?vvanswera.vAddvs
terilevwatervtovthevsuctionvcontrolvchamber.
3.vAvclientvwhovreceivedvhemodialysisvyesterdayvis
vexperiencingvavbloodvpressur
evofv200/100vmmHg,vheartvratev110vbeats/minute,
vandvrespiratoryvratev36vbreath
s/minute.vThevclientvisvmanifestingvshortnessvofvbr
eath,vbilateralv2+vpedalvede
ma,vandvanvoxygenvsaturationvonvroomvairvofv89
%.vWhichvactionvshouldvthevnur sevtakevfirst?v-
vanswerc.vBeginvsupplementalvoxygen.
4.vAvclientvwithvAddison'svcrisisvisvadmittedvforvtr
eatmentvwithvadrenalvcorticalv
supplementation.vBasedvonvthevclient'svadmittingv
, 4|Page
diagnosis,vwhichvfindingsvre
quirevimmediatevactionvbyvthevnurse?v(Selectvallvt
hatvapply)vvanswerHeadachevandvtremors
Irregularvheartvrate pallorvandvdiaphoresis
5.vAnvoldervclientvisvadmittedvwithvfluidvvolumevd
eficitvandvdehydration.vWhich
vassessmentvfindingvisvthevbestvindicatorvofvhydra
tionvthatvthevnursevshouldvrep
ortvtovthevhealthcarevprovider?vvanswerd.vSkinvte
ntingvoccursvwhenvthevclient'svforearmvisvpinched.
6.vAftervanvinservicevaboutvelectronicvhealthvrecor
dv(EHR)vsecurityvandvsafegua
rdingvclientvinformation,vthevnursevobservesvavcoll
eaguevgoingvhomevwithvprint
HESI RN PHARMACOLOGY VERSION 1 AND
ALL QUESTIONS AND VERIFIED ANSWERS
LATEST UPDATE
VV VERSION 1
1.vAvmalevclientvwithvstomachvcancervreturnsvtovt
hevunitvfollowingvavtotalvgastre
ctomy.vHevhasvavnasogastricvtubevtovsuctionvandv
isvreceivingvLactatedvRinger'svs
olutionvatv75vmL/hourvIV.vOnevhourvaftervadmissi
onvtovthevunit,vthevnursevnotes
v300vmLvofvbloodvinvthevsuctionvcanister,vthevclie
nt'svheartvratevisv155vbeats/minu
te,vandvhisvbloodvpressurevisv78/48vmmHg.vInvad
ditionvtovreportingvthevfindingv
tovthevsurgeon.vWhichvactionvshouldvthevnursevim
,2|Page
plementvfirst?vvanswerd.vIncreasevthevinfusionvrat
evofvLactatedvRinger'svsolution.
2.vanvadultvmalevwhovfellv20vfeetvfromvthevroofv
ofvthisvhomevhasvmultiplevinjuries
,vincludingvavrightvpneumothorax.vChestvtubesvwe
revinsertedvinvthevemergencyv
departmentvpriorvtovhisvtransfervtovthevintensivev
carevunitv(ICU).vthevnursevnote
svthatvthevsuctionvcontrolvchambervisvbubblingvat
vthe
v10vcmvH2Ovmark,vwithvfluctuationvinvthevwaterv
seal,vandvovervthevpastvhourv75v
mlvofvbrightvredvbloodvisvmeasuredvinvthevcollecti
onvchamber.vWhichvinterventi
,3|Page
onvshouldvthevnursevimplement?vvanswera.vAddvs
terilevwatervtovthevsuctionvcontrolvchamber.
3.vAvclientvwhovreceivedvhemodialysisvyesterdayvis
vexperiencingvavbloodvpressur
evofv200/100vmmHg,vheartvratev110vbeats/minute,
vandvrespiratoryvratev36vbreath
s/minute.vThevclientvisvmanifestingvshortnessvofvbr
eath,vbilateralv2+vpedalvede
ma,vandvanvoxygenvsaturationvonvroomvairvofv89
%.vWhichvactionvshouldvthevnur sevtakevfirst?v-
vanswerc.vBeginvsupplementalvoxygen.
4.vAvclientvwithvAddison'svcrisisvisvadmittedvforvtr
eatmentvwithvadrenalvcorticalv
supplementation.vBasedvonvthevclient'svadmittingv
, 4|Page
diagnosis,vwhichvfindingsvre
quirevimmediatevactionvbyvthevnurse?v(Selectvallvt
hatvapply)vvanswerHeadachevandvtremors
Irregularvheartvrate pallorvandvdiaphoresis
5.vAnvoldervclientvisvadmittedvwithvfluidvvolumevd
eficitvandvdehydration.vWhich
vassessmentvfindingvisvthevbestvindicatorvofvhydra
tionvthatvthevnursevshouldvrep
ortvtovthevhealthcarevprovider?vvanswerd.vSkinvte
ntingvoccursvwhenvthevclient'svforearmvisvpinched.
6.vAftervanvinservicevaboutvelectronicvhealthvrecor
dv(EHR)vsecurityvandvsafegua
rdingvclientvinformation,vthevnursevobservesvavcoll
eaguevgoingvhomevwithvprint
