2022-2023All Questions Solved ⭐⭐⭐⭐⭐
A client with cardiogenic shock weighs 220 lb and is receiving dopamine at the
rate of 3 mcg/kg/min. The solution strength available is dopamine 400 mg in 250
ml of D5W. The nurse should set the infusion pump to deliver how many ml/hour -
ANSWER-11.3
A client who is receiving a whole blood transfusion develops chills, fever, and a
headache 30 minutes after the transfusion is started. Then nurse should recognize
these symptoms as characteristic of what reaction - ANSWER-A febrile
transfusion reaction
A 49 yo female client arrives at the clinic for an annual exam and asks the nurse
why she becomes excessively diaphoretic and feels warm during nighttime. What
is the nurse's best response - ANSWER-Discuss perimenopause and related
comfort measures
A homeless person who is in the manic phase of bipolar disorder is admitted to the
mental health unit. Which laboratory finding obtained on admission is most
important for the nurse to report to the healthcare provider - ANSWER-Decreased
thyroid stimulating hormone level
An older male client with Parkinson's disease (PD) is discharged home with
levodopa-carbidopa (Sinemet) and instructions to his wife for his care. Which
statement best indicates to the registered nurse (RN) that the wife understands her
husband's needs - ANSWER-"I will notify the healthcare provider if my husband
has increasing involuntary movements of his extremities."
A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks
gestation in preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25
,HESI Dosage Exam, HESI Pharmacology Review Spring
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mg subcutaneous. Which assessment is the highest priority for the nurse to monitor
during the administration of this drug - ANSWER-Maternal and fetal heart rates
Muscular Dystrophy is characterized by which pathophysiological condition -
ANSWER-Skeletal muscle degeneration
During labor, the nurse determines that a full-term client is demonstrating late
decelerations. In which sequence should the nurse implement these nursing actions
- ANSWER-Reposition the client
Increase the IV fluid
Provide oxygen via face mask
Call the healthcare provider
The RN is teaching a pregnant client about her dietary needs. What amount of
protein grams/day should the RN instruct the client to add to her daily diet -
ANSWER-Divide pre-pregnant weight by 2 equals protein needs
0.9% normal saline with inamrinone (Inocor) 0.1 grams/100 ml is prescribed for
client with heart failure. The medication is to be delivered at a rate of
400mcg/minute. The nurse should program the infusion pump to deliver how many
ml/hour - ANSWER-24
The healthcare provider prescribes an IV infusion of 0.9% sodium chloride with 40
mEq KCL/500 ml to infuse over 3 hours for a client with hypokalemia. The nurse
should program the infusion pump to deliver how many ml/hour - ANSWER-167
A 5-month-old is admitted to the hospital with vomiting and diarrhea. The
pediatrician dextrose 5% and 0.25% normal saline with 2 mEq KCL/100 ml to be
,HESI Dosage Exam, HESI Pharmacology Review Spring
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infused at 25 ml/hour. Prior to initiating the infusion, the nurse should obtain
which assessment - ANSWER-Serum BUN and creatinine levels
A male client being discharged with a prescription for the bronchodilator
theophylline tells the nurse that he understands he is to take three doses of the
medication each day. Since, at the time of discharge, timed-release capsules are not
available, which dosing schedule should the nurse advise the client to follow -
ANSWER-8 a.m., 4 p.m., and midnight
An older female client recently moved to an assisted living facility. The family
explain to the RN that the client is unmanageable and always confused,
disoriented, and depressed. The client asks the RN repeatedly, "Where am I?" How
should the RN respond - ANSWER-Explain that she is in a new home called an
assisted living community
A client with a gastrostomy tube (GT) receives a prescription for a 250 ml bolus
feeding of Glucerna 60% enteral formula. The nurse should dilute the full-strength
formula with how many ml of water - ANSWER-100
After completing an assessment and determining that a client has a problem, which
action should the nurse perform next - ANSWER-Determine the etiology of the
problem
A client who has been admitted to the psychiatric unit tells the nurse, "My
problems are so bad that no one can help me." Which response is best for the nurse
to make - ANSWER-"How can I help?"
A male client with schizophrenia who is taking fluphenazine decanoate (Prolixin
decanoate) is being discharged in the morning. A repeat dose of medication is
, HESI Dosage Exam, HESI Pharmacology Review Spring
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scheduled for 20 days after discharge. The client tells the nurse that he is going on
vacation in the Bahamas and will return in 18 days. Which statement by the client
indicates a need for health teaching - ANSWER-"When i return from my tropical
island vacation, I will go to the clinic to get my Prolixin injection."
Which measurements should be used to accurately calculate a pediatric medication
dosage - ANSWER--Child's height and weight
-Body surface area of child
-Nomogram determined mathematical constant
An UAP places a client in a left lateral position prior to administering a soap suds
enema. Which instruction should the nurse provide the UAP - ANSWER-
Reposition in a Sim's position with the client's weight on the anterior ilium
What is the correct procedure for performing an ophthalmoscopic examination on a
client's right retina - ANSWER-From a distance of 8 to 12 inches and slightly to
the side, shine the light into the client's pupil
During the quarterly evaluations of the clients in the assisted living community, the
RN assesses for findings of failure to thrive in the older population. Which
findings should the RN document and report as manifestations related to failure to
thrive - ANSWER--unintentional weight loss
-increased weakness
-increased amounts of sleep
To assess the effectiveness of an analgesic administered to a 4-year-old, what
intervention is best for the nurse to implement - ANSWER-Use a happy-face/sad-
face pain scale