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HESI RN PHARMACOLOGY EXAM 2025-2026| ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS |A +GRADED, Exams of Pharmacology

Texas Southern University (TSU)Pharmacology

HESI RN PHARMACOLOGY EXAM 2025-2026| ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS |A +GRADED

Typology: Exams

2024/2025

Available from 07/10/2025

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HESI RN PHARMACOLOGY EXAM 2025-2026| ACTUAL
EXAM QUESTIONS WITH CORRECT ANSWERS |A
+GRADED
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?
d. 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?
a. Add sterile water to the suction control chamber.
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Download HESI RN PHARMACOLOGY EXAM 2025-2026| ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS |A +GRADED and more Exams Pharmacology in PDF only on Docsity!

HESI RN PHARMACOLOGY EXAM 2025-2026| ACTUAL

EXAM QUESTIONS WITH CORRECT ANSWERS |A

+GRADED

  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/ mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? d. 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? a. Add sterile water to the suction control chamber.
  1. 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? c. Begin supplemental oxygen.
  2. 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) Headache and tremors Irregular heart rate pallor and diaphoresis

d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.

  1. Which statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate investigation by the nurse? When I get out of bed quickly, I feel a little dizzy."
  2. 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? b. Notify the healthcare provider of the client's wishes.
  3. 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?

c. Advice the client to maintain bedrest so that safety can be ensured.

  1. 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? c. Distribute a shopping list of suggested healthy snack items.
  2. After several months of chronic fatigue, morning stiffness, and join pain, a young adult is diagnosed with rheumatoid arthritis, and the healthcare provider prescribes prednisone. Which education should the nurse provide the client with regard to taking prednisone? c. If sequential doses are missed, notify the healthcare provider.
  3. The psychiatric nurse is caring for clients on an adolescent unit. Which client requires the nurse's immediate attention? c. An 18-year-old client with antisocial behavior who is being yelled at by other clients
  1. A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing. What action should the nurse take first? d. Match ID bands of all infants and mothers on the unit.
  2. While providing a health history, a female client tells the clinic nurse that she frequently thinks about hurting herself. Which question is most important for the nurse to ask? c. "Have you thought about taking your life?"
  3. A college student brings a dorm roommate to the campus clinic because the roommate has been talking to someone who is not present. The client tells the nurse that the voices are saying, "kill, kill." What question should the nurse ask the client next? c. "Are you planning to obey the voices?"
  4. The nurse is developing a plan of care for a client who reports tingling of the feet and who is newly diagnosed with peripheral

vascular disease. Which outcome should the nurse include in the plan of care for this client? d. The client's skin on the lower legs will be intact at the next clinical visit.

  1. When conducting diet teaching for a client who was diagnosed with hypertension, which food should the nurse encourage the client to eat? (select all that apply.) a.. Fruits without sauce c. Fresh or frozen vegetables without sauce.
  2. A client with bacterial meningitis is receiving phenytoin. Which assessment finding indication to the nurse that the client is experiencing a therapeutic response to the phenytoin? c. Absence of seizure activity for the duration of treatment.
  3. The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. Which behaviors indicate the client understands how to maintain balance safely? (Select all that apply) a. Brings a heavy can close to body before lifting.
  1. An older adult client with chronic emphysema is admitted to the emergency room from home with acute onset of weakness, palpitations, and vomiting. Which information is most important for the nurse to obtain during the initial interview? Recent compliance with prescribed medications
  2. The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is weak and begins coughing while attempting to drink through a straw. Which intervention should the nurse implement? b. Monitor the client when using a straw for liquids.
  3. A male client with right-sided weakness calls for assistance with ambulating to the bathroom. What action should the nurse implement? b. Stand on the client's right side as he walks.
  4. An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The nurse notes that in the evening this client often becomes restless, confused, and agitated. Which intervention is most important for the nurse to implement?

b. Ensure that the client is assigned to a room close to the nurses' station.

  1. The nurse is caring for a client who is having a sickle cell crisis. What intervention should the nurse include in this client's plan of care? Ensure adequate IV and oral fluid intake.
  2. The nurse is teaching a primigravida about preeclampsia. Which finding are indicators of preeclampsia and should be reported to the healthcare provider? (select all that apply.) Blurred vision Headache. swollen hands
  3. A new nurse preparing to irrigate an intravenous catheter is attaching a 24-gauge needle. Which action should the charge nurse implement? b. Direct the nurse to change the IV tubing.

d. Assist him in identifying popular fast foods that are within his meal plan for diabetes.

  1. A male client in the final stages of terminal cancer tells his nurse that he wishes he could just be allowed to die. The client states that he is tired of fighting his illness and is only continuing treatments because his family wants him to live. Which action should the nurse take? c. Ask the chaplain to discuss death issues with the client.
  2. Five days after surgical fixation of a fractured femur, a client suddenly reports chest pain and difficulty in breathing..... had a pulmonary embolus. What action should the nurse take first? c. Provide supplemental oxygen.
  3. A client admitted with a liver abscess is scheduled for surgical evacuation and drainage of the abscess tomorrow morning. Nursing assess .... Client's abdominal pain has increased from 4 to 8 on a 10- point scale in the last four hours. What is priority nursing action? Notify the surgeon of increasing abdominal pain.
  1. A female client with chronic kidney disease and renal failure has an indwelling peritoneal catheter in ..... used for peritoneal dialysis. While bathing, the her abdominal dressing becomes wet. What action should the nurse take? Change the dressing.
  2. The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome shows a plan of care for this client? c. The nurse will demonstrate the procedure for accurate eye care.
  3. The nurse identifies an electrolyte imbalance, an elevated pulse rate, and a weight gain of 4.4 lbs (2 kg) in 24 hours for a client with chronic kidney disease. What intervention should the nurse include in the plan of care? Monitor serum electrolytes daily.
  4. A client with postpartum depression, who is admitted to the behavioral health unit, refuses to leave her room or eat meals. In addition to patient's safety, which short-term goal should the nurse include in the plan of care?
  1. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that the client's blood pressure is increasing. Which action should the nurse take first? b. Have the client turn to the left side
  2. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate is controlled at 75. Which of the following findings is cause for the most concern? A cold, pale lower leg
  3. The client with infective endocarditis must be assessed frequently 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? B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
  4. A client who had a vasectomy is in the post recovery unit 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 your ejaculate doesn't contain sperm, continue to use another form of contraception.

  1. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time and wishes to try acupuncture. Which of these beliefs stated by the client would be incorrect about acupuncture? C) The flow of life is believed to flow through major pathways or nerve clusters in your body.
  2. The nurse is discussing with a group of students the disease Kawasaki. What statement made by a student about Kawasaki disease is incorrect? C) Kawasaki disease occurs most often in boys, children younger than age 5 and children of Hispanic descent
  3. A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach the client to lie in every other hour during first 12 hours after admission? A) Side-lying on the left with the head elevated 10 degrees

Can predispose to dysrhythmias

  1. A nurse assesses a young adult in the emergency room following a motor vehicle accident. Which of the following neurological signs is of most concern? Pupils fixed and dilated
  2. A 14 year-old with a history of sickle cell disease is admitted to the hospital with a diagnosis of vaso-occlusive crisis. Which statements by the client would be most indicative of the etiology of this crisis? D)"I went to the health care provider last week for a cold and I have gotten worse."
  3. Which these findings would the nurse more closely associate with anemia in a 10 month-old infant? Pale mucosa of the eyelids and lips
  4. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority assessment in the first hour of care is

Pupil responses

  1. Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump? D) A preschooler with intermittent episodes of alertness
  2. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the baby to be D) Pale, thin arms and legs, uninterested in surroundings
  3. As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion? D) Hair loss
  4. While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees Celsius). The appropriate