2019 HESI RN EXIT V1, V2, V3, V4, V 5
AND V8 Complete
Exams Versions
Advanced Pharmacology (Chamberlain University)
A+ Page 1
, 2019 HESI EXIT V1
1. Which information is a priority for the RN to reinforce to
anolder client after
intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the
test istiring.
C) During waking hours drink at least 1 8-ounce glass of
fluidevery hour for the next 2
day
sD)
Measure the urine output for the next day and immediately
notify the health care
provider if it should
decrease.
The correct answer is D: Measure the urine output for the next
dayand immediately
notify the health care provider if it should decrease.
2. A client has altered renal function and is being
treated athome. The nurse recognizes
that the most accurate indicator of fluid balance during the
weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-
Ellisonsyndrome. Which information is
most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called
gastrinomas form in the pancreas
or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider
anyfindings of peptic
ulcers
c)Treatment consists of medications to reduce acid and heal any
peptic ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic
ulcers may occur at unusual
areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to
A+ Page 2
, yourhealth care provider any
findings of peptic ulcers .
4. A primigravida in the third trimester is hospitalized
forpreeclampsia.
The nurse
determines that the client’s blood pressure is increasing.
Whichaction should the nurse
take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The
atrialheart rate is 250 and the
ventricular rate is controlled at 75. Which of the following
findings is cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be
assessedfrequently by the home health
nurse. Which finding suggests that antibiotic therapy is not
effective, and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees
C)
7. A client who had a vasectomy is in the post
recoveryunit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that
yourejaculate doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of
malehormones or the production of
sperm in the testicles. The sperm can no longer enter your semen
A+ Page 3
, and no sperm are in
your ejaculate.
C) After your vasectomy, strenuous activity needs to
beavoided for at least 48 hours. If
your work doesn't involve hard physical labor, you can return
toyour job as soon as you
feel up to it. The stitches
generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice,
anathletic supporter or
over-the-counter pain medication to relieve any
discomfort.The correct answer is A: Until the health care
provider has determined that your ejaculate
doesn't contain sperm, continue to use another form of
contraception.
8. A client who is to have antineoplastic chemotherapy tells
thenurses of a fear of being
sick all the time and wishes to try acupuncture. Which of
thesebeliefs stated by the client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending
onwhere they're placed in the body
and what the treatment is for. The needles usually are left in
for15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the
basicenergetic flow of life —
known as qi or chi — are thought to cause illness.
* C) The flow of life is believed to flow through major
pathwaysor nerve clusters in your
body.
D) By inserting extremely fine needles into some of the over 400
acupuncture points in
various combinations it is believed that energy flow will
rebalanceto allow the body's
natural healing
mechanisms to
takeover.
The correct answer is C: The flow of life is believed to flow through
major pathways or
nerve clusters in your body.
9. The nurse is discussing with a group of students the
disease Kawasaki.
What statement
A+ Page 4
AND V8 Complete
Exams Versions
Advanced Pharmacology (Chamberlain University)
A+ Page 1
, 2019 HESI EXIT V1
1. Which information is a priority for the RN to reinforce to
anolder client after
intravenous pylegraphy?
A) Eat a light diet for the rest of the day
B) Rest for the next 24 hours since the preparation and the
test istiring.
C) During waking hours drink at least 1 8-ounce glass of
fluidevery hour for the next 2
day
sD)
Measure the urine output for the next day and immediately
notify the health care
provider if it should
decrease.
The correct answer is D: Measure the urine output for the next
dayand immediately
notify the health care provider if it should decrease.
2. A client has altered renal function and is being
treated athome. The nurse recognizes
that the most accurate indicator of fluid balance during the
weekly visits is
A) difference in the intake and output
B) changes in the mucous membranes
C) skin turgor
D) weekly weight
The correct answer is D: weekly weight
3. A client has been diagnosed with Zollinger-
Ellisonsyndrome. Which information is
most important for the nurse to reinforce with the client?
A) It is a condition in which one or more tumors called
gastrinomas form in the pancreas
or in the upper part of the small intestine (duodenum)
B) It is critical to report promptly to your health care provider
anyfindings of peptic
ulcers
c)Treatment consists of medications to reduce acid and heal any
peptic ulcers and, if
possible, surgery to remove any tumors
D)With the average age at diagnosis at 50 years the peptic
ulcers may occur at unusual
areas of the stomach or intestine
The correct answer is B: It is critical to report promptly to
A+ Page 2
, yourhealth care provider any
findings of peptic ulcers .
4. A primigravida in the third trimester is hospitalized
forpreeclampsia.
The nurse
determines that the client’s blood pressure is increasing.
Whichaction should the nurse
take first?
A) Check the protein level in urine
B) Have the client turn to the left side
C) Take the temperature
D) Monitor the urine output
The correct answer is B: Have the client turn to the left side
5. The nurse is caring for a client in atrial fibrillation. The
atrialheart rate is 250 and the
ventricular rate is controlled at 75. Which of the following
findings is cause for the most
concern?
A) Diminished bowel sounds
B) Loss of appetite
C) A cold, pale lower leg
D) Tachypnea
The correct answer is C: A cold, pale lower leg
6. The client with infective endocarditis must be
assessedfrequently by the home health
nurse. Which finding suggests that antibiotic therapy is not
effective, and must be
reported by the nurse immediately to the healthcare provider?
A) Nausea and vomiting
B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
C) Diffuse macular rash
D) Muscle tenderness
The correct answer is B: Fever of 103 degrees F (39.5 degrees
C)
7. A client who had a vasectomy is in the post
recoveryunit at an outpatient clinic. Which
of these points is most important to be reinforced by the nurse?
A) Until the health care provider has determined that
yourejaculate doesn't contain
sperm, continue to use another form of contraception.
B) This procedure doesn't impede the production of
malehormones or the production of
sperm in the testicles. The sperm can no longer enter your semen
A+ Page 3
, and no sperm are in
your ejaculate.
C) After your vasectomy, strenuous activity needs to
beavoided for at least 48 hours. If
your work doesn't involve hard physical labor, you can return
toyour job as soon as you
feel up to it. The stitches
generally dissolve in seven to ten days.
D) The health care provider at this clinic recommends rest, ice,
anathletic supporter or
over-the-counter pain medication to relieve any
discomfort.The correct answer is A: Until the health care
provider has determined that your ejaculate
doesn't contain sperm, continue to use another form of
contraception.
8. A client who is to have antineoplastic chemotherapy tells
thenurses of a fear of being
sick all the time and wishes to try acupuncture. Which of
thesebeliefs stated by the client
would be incorrect about acupuncture?
A) Some needles go as deep as 3 inches, depending
onwhere they're placed in the body
and what the treatment is for. The needles usually are left in
for15 to 30 minutes.
B) In traditional Chinese medicine, imbalances in the
basicenergetic flow of life —
known as qi or chi — are thought to cause illness.
* C) The flow of life is believed to flow through major
pathwaysor nerve clusters in your
body.
D) By inserting extremely fine needles into some of the over 400
acupuncture points in
various combinations it is believed that energy flow will
rebalanceto allow the body's
natural healing
mechanisms to
takeover.
The correct answer is C: The flow of life is believed to flow through
major pathways or
nerve clusters in your body.
9. The nurse is discussing with a group of students the
disease Kawasaki.
What statement
A+ Page 4
