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Pharmacology HESI V2 Preparation Exam ………………………………………………. 2
pharmacology HESI v2 Exam ………………………………………………………….………. 75
Pharmacology HESI Practice exam …………………………………………………………. 97
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,Pharmacology HESI V2 Preparation
A nurse on a medical unit is admitting a client and completing a preassessment
before administration of medications. Which of the following data should the
nurse include in the preassessment? (Select all that apply.)
A. Use of herbal teas
B. Daily fluid intake
C. Current health status
D. Previous surgical history
E. Food allergies - CORRECT ANSWER ✔✔- ANS: A, C, E
Use of herbal product,s which often contains caffeine, should be assessed prior
to medication administration because caffeine can affect medication
biotransformation. Current health status should be reviewed because new
prescriptions can cause alterations in current health status. Food allergies
should be included in the preassessment that is completed prior to medication
administration to identify any potential interactions.
Daily fluid intake and surgical history is important, but it is not part of the
presassessment that is completed prior to medication administration.
A nurse is assessing a client's IV. Which of the following findings is indicative of
phlebitis? (Select all that apply.)
A. Tingling sensation below insertion site
B. Tachycardia
C. Palpable, hard mass above insertion site
D. Cool, pale skin
E. Pain at site - CORRECT ANSWER ✔✔- ANS: C, E
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,Pain at the IV site and a palpable, hard mass above the insertion site is a clinical
manifestation of thrombophlebitis.
A tingling sensation below the insertion site is a clinical manifestation of nerve
damage. Tachycardia is a clinical manifestation of fluid volume overload. Cool,
pale skin is a clinical manifestation of infiltration.
A nurse manager is reviewing the facility's policies for IV therapy with the
members of his team. The nurse manager should remind the team that which of
the following techniques helps minimize the risk of catheter embolism?
A. Performing hand hygiene before and after IV insertion
B. Rotating IV sites at least every 72 hr
C. Minimizing tourniquet time
D. Avoiding reinserting the needle into an IV catheter - CORRECT ANSWER ✔✔-
ANS: D
The nurse manager should remind the members to avoid reinserting a needle to
an IV catheter. This action can result in severing the end of the catheter and
consequently cause a catheter embolism.
A nurse is preparing to initiate IV therapy for an older adult client. Which of the
following actions should the nurse take?
A. Use a disposable razor to remove excess hair on the extremity.
B. Select the back of the client's hand to insert the IV catheter.
C. Distend the veins by using a blood pressure cuff.
D. Direct the client to raise his arm above his heart. - CORRECT ANSWER ✔✔-
ANS: C
The nurse should distend the veins using a blood pressure cuff to reduce
overfilling of the vein, which can result in a hematoma.
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, The nurse should remove excess hair by clipping it with scissors. Shaving with
disposable razors can cause skin damage that lead to infection. In most instances,
the nurse inserts the IV catheter into a distal site, such as the back of the client's
hand. However, when inserting an IV catheter for an older adult, the nurse should
use a site on the arm because older adults typically have fragile veins in the back
of their hands. The nurse should direct the client to hold his arm below the level
of his heart to distend the vein.
A nurse is caring for a client receiving dextrose 5% in water IV at 250 mL. Which of
the following findings are an indication of fluid volume overload? (Select all that
apply.)
A. Hypotension
B. Bradycardia
C. Shortness of breath
D. Crackles heard in lungs
E. Distended neck veins - CORRECT ANSWER ✔✔- ANS: C, D, E
Due to an increase in fluid in the cardiovascular system, hypertension and
tachycardia are manifestations of fluid overload.
A nurse in a clinic is caring for a group of clients. The nurse should contact the
provider about a potential contraindication to a medication for which of the
following clients? (Select all that apply.)
A. A client at 8 weeks of gestation who asks for an influenza immunization.
B. A client who takes prednisone and has a possible fungal infection.
C. A client who has chronic liver disease and reports he is taking hydrocodone.
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