HESI RN PHARMACOLOGY ACTUAL EXAM 2024-
2025 QUESTIONS AND ACCURATE ANSWERS
ALREADY RATED AS THE BEST EXAM.
A client who received hemodialysis yesterday is experiencing a blood pressure of
200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute.
The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen
saturation on room air of 89%. Which action should the nurse take first? - ANSWER- c.
Begin supplemental oxygen.
A client with Addison's crisis is admitted for treatment with adrenal cortical
supplementation. Based on the client's admitting diagnosis, which findings require
immediate action by the nurse? (Select all that apply) - ANSWER-
Headache and tremors
Irregular heart rate pallor
and diaphoresis
An older client is admitted with fluid volume deficit and dehydration. Which assessment
finding is the best indicator of hydration that the nurse should report to the healthcare
provider? - ANSWER- d. Skin tenting occurs when the client's forearm is pinched
,After an inservice about electronic health record (EHR) security and safeguarding client
information, the nurse observes a colleague going home with printed copies of client
information in a uniform pocket. Which action should the nurse take? - ANSWER-
a. File a detailed incident report with the specific hiring facility.
A male client with stomach cancer returns to the unit following a total gastrectomy.
He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75
mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the
suction canister, the client's heart rate is 155 beats/minute, and his blood pressure is
78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the
nurse implement first? - ANSWER- d. Increase the infusion rate of Lactated Ringer's
solution.
An adult male who fell 20 feet from the roof of this home has multiple injuries, including
a right pneumothorax. Chest tubes were inserted in the emergency department prior to
his transfer to the intensive care unit (ICU). the nurse notes that the suction control
chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of
bright red blood is measured in the collection chamber. Which intervention should the
nurse implement? - ANSWER- a. Add sterile water to the suction control chamber.
The nurse is evaluating a tertiary prevention program for clients with cardiovascular
,disease implemented in a rural health clinic. Which outcome indicate the program is
effective? - ANSWER- c. Clients who incurred disease complications promptly received
rehabilitation.
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who
uses oxygen at 2 L/minute per nasal cannula continuously. The nurse observes that the
client is having increased shortness of breath with respirations at 23 breaths/minute.
Which action should the nurse implement first? - ANSWER- d. Assess the delivery
mechanism of the oxygen tank, tubing, and cannula.
Which statement by a client who is 24 hours post-subtotal thyroidectomy requires an
immediate investigation by the nurse? - ANSWER- When I get out of bed quickly, I feel
a little dizzy."
, An older adult male who is in his early 70's is admitted to the emergency department
because of a COPD exacerbation. This client is struggling to breathe and the healthcare
team is preparing for endotracheal intubation. The spouse's wife, who is 30 years
younger than the client, asks the nurse to stop the procedure and provide the nurse a
copy of the client's living will. Which action should the nurse take? - ANSWER- b. Notify
the healthcare provider of the client's wishes.
An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client
whose prescribed activity is bedrest with bedside commode use. The UAP reports to the
nurse that the client is so obese that the UAP feels unable to safely assist the client in
transferring from the bed to the bedside commode. How should the nurse respond? -
ANSWER- c. Advice the client to maintain bedrest so that safety can be ensured.
A nurse determines that more than 25% of the students at a middle school are
overweight. The nurse presents the information at the parent-teacher meeting. What
action is most important for the nurse to include in the meeting? - ANSWER- c.
Distribute a shopping list of suggested healthy snack items.
2025 QUESTIONS AND ACCURATE ANSWERS
ALREADY RATED AS THE BEST EXAM.
A client who received hemodialysis yesterday is experiencing a blood pressure of
200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute.
The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen
saturation on room air of 89%. Which action should the nurse take first? - ANSWER- c.
Begin supplemental oxygen.
A client with Addison's crisis is admitted for treatment with adrenal cortical
supplementation. Based on the client's admitting diagnosis, which findings require
immediate action by the nurse? (Select all that apply) - ANSWER-
Headache and tremors
Irregular heart rate pallor
and diaphoresis
An older client is admitted with fluid volume deficit and dehydration. Which assessment
finding is the best indicator of hydration that the nurse should report to the healthcare
provider? - ANSWER- d. Skin tenting occurs when the client's forearm is pinched
,After an inservice about electronic health record (EHR) security and safeguarding client
information, the nurse observes a colleague going home with printed copies of client
information in a uniform pocket. Which action should the nurse take? - ANSWER-
a. File a detailed incident report with the specific hiring facility.
A male client with stomach cancer returns to the unit following a total gastrectomy.
He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75
mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the
suction canister, the client's heart rate is 155 beats/minute, and his blood pressure is
78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the
nurse implement first? - ANSWER- d. Increase the infusion rate of Lactated Ringer's
solution.
An adult male who fell 20 feet from the roof of this home has multiple injuries, including
a right pneumothorax. Chest tubes were inserted in the emergency department prior to
his transfer to the intensive care unit (ICU). the nurse notes that the suction control
chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of
bright red blood is measured in the collection chamber. Which intervention should the
nurse implement? - ANSWER- a. Add sterile water to the suction control chamber.
The nurse is evaluating a tertiary prevention program for clients with cardiovascular
,disease implemented in a rural health clinic. Which outcome indicate the program is
effective? - ANSWER- c. Clients who incurred disease complications promptly received
rehabilitation.
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who
uses oxygen at 2 L/minute per nasal cannula continuously. The nurse observes that the
client is having increased shortness of breath with respirations at 23 breaths/minute.
Which action should the nurse implement first? - ANSWER- d. Assess the delivery
mechanism of the oxygen tank, tubing, and cannula.
Which statement by a client who is 24 hours post-subtotal thyroidectomy requires an
immediate investigation by the nurse? - ANSWER- When I get out of bed quickly, I feel
a little dizzy."
, An older adult male who is in his early 70's is admitted to the emergency department
because of a COPD exacerbation. This client is struggling to breathe and the healthcare
team is preparing for endotracheal intubation. The spouse's wife, who is 30 years
younger than the client, asks the nurse to stop the procedure and provide the nurse a
copy of the client's living will. Which action should the nurse take? - ANSWER- b. Notify
the healthcare provider of the client's wishes.
An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client
whose prescribed activity is bedrest with bedside commode use. The UAP reports to the
nurse that the client is so obese that the UAP feels unable to safely assist the client in
transferring from the bed to the bedside commode. How should the nurse respond? -
ANSWER- c. Advice the client to maintain bedrest so that safety can be ensured.
A nurse determines that more than 25% of the students at a middle school are
overweight. The nurse presents the information at the parent-teacher meeting. What
action is most important for the nurse to include in the meeting? - ANSWER- c.
Distribute a shopping list of suggested healthy snack items.
