HESI RN ADVANCED PHARMACOLOGY
EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 160 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
1. 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? - ANSWERd. Increase
the infusion rate of Lactated Ringer's solution.
2. 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? -
ANSWERa. Add sterile water to the suction
control chamber.
3. 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? - ANSWERc. Begin
supplemental oxygen.
4. 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) - ANSWERHeadache and
tremors
Irregular heart rate
pallor and diaphoresis
5. 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? -
ANSWERd. Skin tenting occurs when the client's
forearm is pinched.
6. 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? - ANSWERa. File a detailed incident report
with the specific hiring facility.
7. 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? -
ANSWERc. Clients who incurred disease
complications promptly received rehabilitation.
8. 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? - ANSWERd.
, Assess the delivery mechanism of the oxygen tank,
tubing, and cannula.
9. Which statement by a client who is 24 hours
post-subtotal thyroidectomy requires an immediate
investigation by the nurse? - ANSWERWhen I get
out of bed quickly, I feel a little dizzy."
10. 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? - ANSWERb. Notify the healthcare
provider of the client's wishes.
11. 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
EXAM NEWEST 2024 ACTUAL EXAM
COMPLETE 160 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
1. 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? - ANSWERd. Increase
the infusion rate of Lactated Ringer's solution.
2. 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? -
ANSWERa. Add sterile water to the suction
control chamber.
3. 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? - ANSWERc. Begin
supplemental oxygen.
4. 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) - ANSWERHeadache and
tremors
Irregular heart rate
pallor and diaphoresis
5. 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? -
ANSWERd. Skin tenting occurs when the client's
forearm is pinched.
6. 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? - ANSWERa. File a detailed incident report
with the specific hiring facility.
7. 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? -
ANSWERc. Clients who incurred disease
complications promptly received rehabilitation.
8. 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? - ANSWERd.
, Assess the delivery mechanism of the oxygen tank,
tubing, and cannula.
9. Which statement by a client who is 24 hours
post-subtotal thyroidectomy requires an immediate
investigation by the nurse? - ANSWERWhen I get
out of bed quickly, I feel a little dizzy."
10. 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? - ANSWERb. Notify the healthcare
provider of the client's wishes.
11. 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
