2022 HESI Pharmacology
(ACTUAL) Questions &
Answers with Elaborations
The nurse assumes care of a post-op adult client with type II DM and learns that the
client has a current blood glucose level of 750 mg/dL. Upon assessing the client, what is
the priority? - ANSassess for signs of fluid volume deficit
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? - ANSencourage the client to obtain a
complete physical exam, since these symptoms are consistent with an ulcer
a male client with stomach cancer returns to the unit following a total gastrectomy. He
has an NG to suction and is receiving LR solution via IV. One hour after admission to
the unit, the nurse notes 300ml of blood in the suction canister, the HR is 155 bpm and
his BP is low. In addition to reporting findings to the surgeon, which action should the
nurse implement first? - ANSincrease the infusion rate of LR solution
A heparin infusion is prescribed for a client who weighs 220 pounds. after administering
a bolus of 80 units. the nurse calculates the infusion rate for 18 units/kg/hour. the
available solution is 25,000 units in 5% dextrose injection 250 ml. the nurse should
program the infusion pump to deliver how many ml/hour? - ANS18
an adult male who fell 20 feet from the roof of his home has multiple injuries, including a
right pneumothorax. chest tubes were inserted in the ED and transferred to ICU. the
nurse notes that the suction control chamber is bubbling at the -10 cm mark, with
fluctuation in the water seal, a hour 75ml of bright red blood is measured in the
collection chamber. which intervention should the nurse implement? - ANSadd sterile
water to the suction control chamber
an adult male was diagnosed with stage IV lung cancer three weeks ago. his wife
approaches the nurse and asks how she will know that her husband and their two
,children want to be there when he dies. which is the best response by the nurse? -
ANSexplain that the client will start to lose consciousness and the body systems will
slow down
the charge nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of RNs will be working the assignments, which client should
receive the most care hours by an RN? - ANSan 82 year old client with Alzheimer's
disease and a newly fractured femur who has a foley catheter and soft wrist restraints
the nurse us preparing a dose of 60 mcg of teriparatide. the medication is labeled 750
mcg/2.4 mL. how many ml should the nurse administer? - ANS0.2
in caring for a client with Cushings, which lab value is most important for the nurse to
monitor? - ANSglucose
a client who received hemodialysis yesterday is experiencing a BP of 200/100, HR 110
bpm, and RR 36 bpm, manifesting SOB, bilateral +2 pedal edema and an O2 sat of
89% on room air. which action should the nurse take first? - ANSbegin supplemental
oxygen
when caring for a client with full thickness burns to both lower extremities, which
assessment findings warrant immediate intervention? (Select all) - ANS- complaint of
increased pain and pressure
- change in the quality of the peripheral pulses
- loss of sensation to the left lower extremity
an older client is admitted with fluid volume deficit and dehydration. which assessment
finding is the best indicator of hydration? - ANSskin tenting occurs when the client's
forearm is pinched
the HCP prescribes methylergonovine maleate for a postpartum client with uterine
atony. what finding should indicate to the nurse....medication? - ANShypertension
after an in-service about electronic health record security and safeguarding client info,
the nurse observes a information in a uniform pocket. which action should the nurse
take? - ANSfile a detailed incident report with the specific hiring facility
the nurse is evaluating a tertiary prevention program for clients with cardiovascular
disease implemented in a rural health facility - ANSclients who incurred disease
complications promptly received rehab
, while caring for a client's post-op dressing, the nurse observes purulent drainage at the
wound. before reporting, the nurse should review which lab value? - ANSculture for
sensitive organisms
a client is admitted with acute pancreatitis. the client admits to drinking a pint of bourbon
daily. the nurse medicates. which finding should the nurse report immediately to the
HCP? - ANSconfusion and tremors
a client with leukemia who is receiving a myleosuppressive chemo has a platelet count
of 25,000. what should the nurse include in this client's plan of care? - ANSassess urine
and stool for occult blood
when assessing a 6-month-old infant, the nurse determines that the anterior fontanel is
bulging. in which situation would this finding... - ANSsitting upright
a client who is admitted to the ICU with SIADH has developed........ which should the
nurse implement first? - ANSevaluate swallow
the nurse is caring for a client with COPD who uses O2 at 2L/min, client is having
increased SOB with RR 23bpm. Which action should the nurse take? - ANSassess the
delivery mechanism of the O2 tank, tubing and cannula
a client with a hx of using illicit drugs IV is admitted with Kaposi's sarcoma. which
intervention should the nurse include? - ANSmonitor for secondary infections
an older woman who has difficulty hearing is being discharged from day surgery
following a cataract extraction and lens implantation. which should the nurse to
implement to help ensure the client's compliance with self-care - ANShave the client
vocalize the instructions provided
an older woman with a hx of AFib fell at home and fractured her left hip. she is currently
taking warfarin 5 mg daily and.... value of 5.0. Upon admission, which prescription
should the nurse expect to implement? - ANSadminister vitamin K injection
a 12 year old client who had an appendectomy 2 days ago is receiving 0.9% NS at
50ml/hour. The client's urine.......nurse implement? - ANSencourage popsicles and
fluids of choice
(ACTUAL) Questions &
Answers with Elaborations
The nurse assumes care of a post-op adult client with type II DM and learns that the
client has a current blood glucose level of 750 mg/dL. Upon assessing the client, what is
the priority? - ANSassess for signs of fluid volume deficit
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? - ANSencourage the client to obtain a
complete physical exam, since these symptoms are consistent with an ulcer
a male client with stomach cancer returns to the unit following a total gastrectomy. He
has an NG to suction and is receiving LR solution via IV. One hour after admission to
the unit, the nurse notes 300ml of blood in the suction canister, the HR is 155 bpm and
his BP is low. In addition to reporting findings to the surgeon, which action should the
nurse implement first? - ANSincrease the infusion rate of LR solution
A heparin infusion is prescribed for a client who weighs 220 pounds. after administering
a bolus of 80 units. the nurse calculates the infusion rate for 18 units/kg/hour. the
available solution is 25,000 units in 5% dextrose injection 250 ml. the nurse should
program the infusion pump to deliver how many ml/hour? - ANS18
an adult male who fell 20 feet from the roof of his home has multiple injuries, including a
right pneumothorax. chest tubes were inserted in the ED and transferred to ICU. the
nurse notes that the suction control chamber is bubbling at the -10 cm mark, with
fluctuation in the water seal, a hour 75ml of bright red blood is measured in the
collection chamber. which intervention should the nurse implement? - ANSadd sterile
water to the suction control chamber
an adult male was diagnosed with stage IV lung cancer three weeks ago. his wife
approaches the nurse and asks how she will know that her husband and their two
,children want to be there when he dies. which is the best response by the nurse? -
ANSexplain that the client will start to lose consciousness and the body systems will
slow down
the charge nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of RNs will be working the assignments, which client should
receive the most care hours by an RN? - ANSan 82 year old client with Alzheimer's
disease and a newly fractured femur who has a foley catheter and soft wrist restraints
the nurse us preparing a dose of 60 mcg of teriparatide. the medication is labeled 750
mcg/2.4 mL. how many ml should the nurse administer? - ANS0.2
in caring for a client with Cushings, which lab value is most important for the nurse to
monitor? - ANSglucose
a client who received hemodialysis yesterday is experiencing a BP of 200/100, HR 110
bpm, and RR 36 bpm, manifesting SOB, bilateral +2 pedal edema and an O2 sat of
89% on room air. which action should the nurse take first? - ANSbegin supplemental
oxygen
when caring for a client with full thickness burns to both lower extremities, which
assessment findings warrant immediate intervention? (Select all) - ANS- complaint of
increased pain and pressure
- change in the quality of the peripheral pulses
- loss of sensation to the left lower extremity
an older client is admitted with fluid volume deficit and dehydration. which assessment
finding is the best indicator of hydration? - ANSskin tenting occurs when the client's
forearm is pinched
the HCP prescribes methylergonovine maleate for a postpartum client with uterine
atony. what finding should indicate to the nurse....medication? - ANShypertension
after an in-service about electronic health record security and safeguarding client info,
the nurse observes a information in a uniform pocket. which action should the nurse
take? - ANSfile a detailed incident report with the specific hiring facility
the nurse is evaluating a tertiary prevention program for clients with cardiovascular
disease implemented in a rural health facility - ANSclients who incurred disease
complications promptly received rehab
, while caring for a client's post-op dressing, the nurse observes purulent drainage at the
wound. before reporting, the nurse should review which lab value? - ANSculture for
sensitive organisms
a client is admitted with acute pancreatitis. the client admits to drinking a pint of bourbon
daily. the nurse medicates. which finding should the nurse report immediately to the
HCP? - ANSconfusion and tremors
a client with leukemia who is receiving a myleosuppressive chemo has a platelet count
of 25,000. what should the nurse include in this client's plan of care? - ANSassess urine
and stool for occult blood
when assessing a 6-month-old infant, the nurse determines that the anterior fontanel is
bulging. in which situation would this finding... - ANSsitting upright
a client who is admitted to the ICU with SIADH has developed........ which should the
nurse implement first? - ANSevaluate swallow
the nurse is caring for a client with COPD who uses O2 at 2L/min, client is having
increased SOB with RR 23bpm. Which action should the nurse take? - ANSassess the
delivery mechanism of the O2 tank, tubing and cannula
a client with a hx of using illicit drugs IV is admitted with Kaposi's sarcoma. which
intervention should the nurse include? - ANSmonitor for secondary infections
an older woman who has difficulty hearing is being discharged from day surgery
following a cataract extraction and lens implantation. which should the nurse to
implement to help ensure the client's compliance with self-care - ANShave the client
vocalize the instructions provided
an older woman with a hx of AFib fell at home and fractured her left hip. she is currently
taking warfarin 5 mg daily and.... value of 5.0. Upon admission, which prescription
should the nurse expect to implement? - ANSadminister vitamin K injection
a 12 year old client who had an appendectomy 2 days ago is receiving 0.9% NS at
50ml/hour. The client's urine.......nurse implement? - ANSencourage popsicles and
fluids of choice
