HESI RN pharmacology EXIT
EXAM
2021 EXAM
1.A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of the following signs
and symptoms causes the nurse to suspect that the client is experiencing hyperglycemia as a
complication?
a. Pallor, weak pulse, and anuria
b. Nausea, vomiting, and oliguria
c. Nausea, thirst, and increased urine output Correct
d. Sweating, chills, and decreased urine output
2. At 1600 the nurse checks a client’s parenteral nutrition (PN) infusion bag and finds 1100 mL
remaining in the 3000-mL bag. The solution is running at a rate of 100 mL/hr. The bag was hung
the previous day at 1800. The nurse plans to change the infusion bag and tubing this evening at:
a) 1700
b) 1800 Correct
c) 2000
d) 2100
3. A nurse answers a call bell and finds that the parenteral nutrition (PN) solution bag of an
assigned client is empty. The new prescription was written for a new bag at the beginning of the
shift, but it has not yet arrived from the pharmacy. Which of the following actions should the
nurse take first?
a) Calling the healthcare provider
b) Calling the pharmacy for further instructions
c) Hanging a solution of 10% dextrose in water Correct
d) Hanging a solution of 5% dextrose in 0.9% sodium chloride
4.A young female client with schizophrenia says to the nurse, “Since I started on Zyprexa
[olanzapine] last year, I’m doing well in school and all, but I’ve gained so much weight, and it’s
really bothering me. What can I do about this?” Which response by the nurse would be
therapeutic?
a) “Well, I think you’re overreacting. Today people think they should be skinny-minnies, even
though it’s not healthy.”
b) “Weight gain can be a side effect of the medication, so you need to watch your diet and
exercise. How much weight have you gained?” Correct
c) “That medication isn’t any more likely to cause weight gain than the others you’re taking.
Perhaps we could go over your diet and exercise habits.”
d) “I want you to stop taking this medication immediately, and I’m calling the doctor, because
this is a very serious side effect and you may need dialysis.”
, 5.A client with schizophrenia has been taking an antipsychotic medication for 2 months. For which
adverse effect should the nurse monitor the client closely?
a) Akathisia Correct
b) Pelvic thrusts
c) Athetoid limbs
d) Protruding tongue
6.A client with schizophrenia who has been taking an antipsychotic medication calls the clinic
nurse and says, “I need to cancel my appointment with the psychiatrist again, because I still have
this awful sore throat. It’s so bad that my mouth has a sore.” How does the nurse respond to the
client?
a) “I wouldn’t be upset. It happens when you aren’t drinking enough water.”
b) “I think you need to come in for blood work today, because this may be a side effect of your
medicine.” Correct
c) “Do you remember when you started this medication? Your psychiatrist told you how
important it is to keep your appointments with him.”
d) “You probably have a simple flu, but it might help if you gargle with some antiseptic
mouthwash every 2 hours or so and drink plenty of water.”
7.A client rings the call bell and complains of pain at the site of an IV infusion. The nurse assesses
the site and determines that phlebitis has developed. Which of the following actions should the
nurse take? Select all that apply.
a) Removing the IV catheter at that site Correct
b) Applying warm, moist compresses to the IV site Correct
c) Notifying the healthcare provider about the finding Correct
d) Encouraging the client to scrub the site while in the shower
e) Starting a new IV line in a proximal portion of the same vein
8. A physician’s prescription reads, “Clindamycin phosphate (Cleocin Phosphate) 0.3 g in 50 mL
NS, to be administered IV over 30 minutes.” The medication label reads, “Clindamycin
phosphate (Cleocin Phosphate) 150 mg/mL.” How many milliliters of medication does the nurse
prepare to ensure that the correct dose is administered?
Incorrect
Correct Responses: "2"
9.A physician’s prescription reads, “Phenytoin (Dilantin) 0.1 g by mouth twice daily.” The
medication label indicates that the bottle contains 100-mg capsules. How many capsules does the
nurse prepare for administration of one dose?
Incorrect
Correct Responses: "1"
10.A nurse is preparing a plan of care for a client with renal colic who is receiving meperidine
hydrochloride (Demerol) for pain. Which side effects does the nurse make a note of needing to
be alert to in the plan of care? Select all that apply.
a) Hypotension Correct
b) Constipation Correct
c) Bradycardia
EXAM
2021 EXAM
1.A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of the following signs
and symptoms causes the nurse to suspect that the client is experiencing hyperglycemia as a
complication?
a. Pallor, weak pulse, and anuria
b. Nausea, vomiting, and oliguria
c. Nausea, thirst, and increased urine output Correct
d. Sweating, chills, and decreased urine output
2. At 1600 the nurse checks a client’s parenteral nutrition (PN) infusion bag and finds 1100 mL
remaining in the 3000-mL bag. The solution is running at a rate of 100 mL/hr. The bag was hung
the previous day at 1800. The nurse plans to change the infusion bag and tubing this evening at:
a) 1700
b) 1800 Correct
c) 2000
d) 2100
3. A nurse answers a call bell and finds that the parenteral nutrition (PN) solution bag of an
assigned client is empty. The new prescription was written for a new bag at the beginning of the
shift, but it has not yet arrived from the pharmacy. Which of the following actions should the
nurse take first?
a) Calling the healthcare provider
b) Calling the pharmacy for further instructions
c) Hanging a solution of 10% dextrose in water Correct
d) Hanging a solution of 5% dextrose in 0.9% sodium chloride
4.A young female client with schizophrenia says to the nurse, “Since I started on Zyprexa
[olanzapine] last year, I’m doing well in school and all, but I’ve gained so much weight, and it’s
really bothering me. What can I do about this?” Which response by the nurse would be
therapeutic?
a) “Well, I think you’re overreacting. Today people think they should be skinny-minnies, even
though it’s not healthy.”
b) “Weight gain can be a side effect of the medication, so you need to watch your diet and
exercise. How much weight have you gained?” Correct
c) “That medication isn’t any more likely to cause weight gain than the others you’re taking.
Perhaps we could go over your diet and exercise habits.”
d) “I want you to stop taking this medication immediately, and I’m calling the doctor, because
this is a very serious side effect and you may need dialysis.”
, 5.A client with schizophrenia has been taking an antipsychotic medication for 2 months. For which
adverse effect should the nurse monitor the client closely?
a) Akathisia Correct
b) Pelvic thrusts
c) Athetoid limbs
d) Protruding tongue
6.A client with schizophrenia who has been taking an antipsychotic medication calls the clinic
nurse and says, “I need to cancel my appointment with the psychiatrist again, because I still have
this awful sore throat. It’s so bad that my mouth has a sore.” How does the nurse respond to the
client?
a) “I wouldn’t be upset. It happens when you aren’t drinking enough water.”
b) “I think you need to come in for blood work today, because this may be a side effect of your
medicine.” Correct
c) “Do you remember when you started this medication? Your psychiatrist told you how
important it is to keep your appointments with him.”
d) “You probably have a simple flu, but it might help if you gargle with some antiseptic
mouthwash every 2 hours or so and drink plenty of water.”
7.A client rings the call bell and complains of pain at the site of an IV infusion. The nurse assesses
the site and determines that phlebitis has developed. Which of the following actions should the
nurse take? Select all that apply.
a) Removing the IV catheter at that site Correct
b) Applying warm, moist compresses to the IV site Correct
c) Notifying the healthcare provider about the finding Correct
d) Encouraging the client to scrub the site while in the shower
e) Starting a new IV line in a proximal portion of the same vein
8. A physician’s prescription reads, “Clindamycin phosphate (Cleocin Phosphate) 0.3 g in 50 mL
NS, to be administered IV over 30 minutes.” The medication label reads, “Clindamycin
phosphate (Cleocin Phosphate) 150 mg/mL.” How many milliliters of medication does the nurse
prepare to ensure that the correct dose is administered?
Incorrect
Correct Responses: "2"
9.A physician’s prescription reads, “Phenytoin (Dilantin) 0.1 g by mouth twice daily.” The
medication label indicates that the bottle contains 100-mg capsules. How many capsules does the
nurse prepare for administration of one dose?
Incorrect
Correct Responses: "1"
10.A nurse is preparing a plan of care for a client with renal colic who is receiving meperidine
hydrochloride (Demerol) for pain. Which side effects does the nurse make a note of needing to
be alert to in the plan of care? Select all that apply.
a) Hypotension Correct
b) Constipation Correct
c) Bradycardia
