HESI PHARMACOLOGY TEST BANK 2023
/PHARMACOLOGY RN HESI EXIT 2023-2024 ACTUAL EXAM
TEST BANK LATEST 400 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
. A postoperative male client asks the nurse to bring the largest possible
dose of a prescribed narcotic. Which action should the nurse implement
first?
a. Review the history for past use of recreational drugs.
b. Ask the client to describe his current pain using a pain scale.
c. Encourage the client to use diversional thoughts to manage pain.
d. Determine when the last dose was administered. – ANSWER- B.
Prior to administering a scheduled dose of verapamil HCl to a client
with a history of angina, which finding should the nurse review?
a. Respiratory rate.
b. Oxygen saturation.
c. Serum potassium.
d. Blood pressure. – ANSWER- D.
The nurse is administering the sixth intravenous dose of gentamycin to a
client with extensive full thickness burns. Which assessment finding
warrants further investigation?
a. Complaints of a sore mouth and three episodes of diarrhea that began
this morning.
b. Urinary output of 400 ml of clear, amber colored urine in the past
eight hours.
c. Serum creatinine level of 1.6 mg/L, a blood urea nitrogen (BUN) of
20 mg/dL.
d. White blood count of 9,000/mm3 and an oral temperature of 98.2 f
two hours ago. – ANSWER- C.
A client with pneumonia who has an emergent episode of respiratory
distress is intubated and transferred to the intensive care unit. The
client’s chest x-ray shows consolidation in the left lobe, and physical
assessment reveals diminished lung sounds. The nurse administers
acetylcysteine as prescribed per nebulization via endotracheal tube.
Which therapeutic response of this medication should the nurse expect?
a. Unpleasant smell when using this medication.
b. Hypotension.
c. Increased sputum, requiring suctioning.
d. Bronchodilation and wheezing. – ANSWER- C.
A client who has a kidney transplant last week is receiving cyclosporine,
an immunosuppressant. This morning the client is complaining of a
headache and blured vision. Based on which assessment finding should
the nurse withhold the medication until the healthcare provider is
notified?
a. Temperature of 100.8 F.
b. Blood pressure 180/98 mm HG
c. Elevated blood urea nitrogen (BUN)
d. Renal output of 120ml/hr. – ANSWER- B.
During a home visit, the nurse assesses a client with Alzheimer’s disease
who recently started a new prescription for rivastigmine. The caregiver
reports that the client seems to be thinking more clearly but is not
sleeping at night. Which action should the nurse take?
a. Advise the caregiver that the purpose of the medication is to promote
sleep, so a change in medication may be needed.
b. Instruct the caregiver to withhold the medication until dosage can be
decreased to ensure client’s safety.
c. Notify the healthcare provider that the dosage of the medication may
need to be increased to manage the client’s insomnia.
d. Explain to the caregiver that insomnia is a common and temporary
side effect when the medication is first started. – ANSWER- D.
Prior to administration of the initial dose of the GI agent misoprostol,
which information should the nurse obtain from the client?
a. History of glaucoma.
b. Taking an anti-emetic medication.
c. Allergy to aspirin.
d. Currently pregnant. – ANSWER- D.
A client receives a prescription for haloperidol 2 mg intramuscular
STAT. The medication is available in 5 mg/ml vial. How many mL
should the nurse administer? (Enter numerical value ONLY, round to
nearest tenth). – ANSWER- 0.4
A client who is scheduled for surgery has a heparin solution infusing at
500 units/hour. When monitoring the client, the nurse observes the onset
of hematuria. Which client data is most important for the nurse to review
before contacting the healthcare provider?
a. Intake and output.
b. Urine culture.
c. Serum creatinine.
d. Coagulation tests. – ANSWER- D.
The nurse initiates an infusion of piperacillin-tazobactam for a client
with a urinary tract infection. Five minutes into the infusion, the client
reports not feeling well. Which client manifestation should the nurse
identify as a reason to stop the infusion?
a. Pupillary constriction.
b. Hypertension.
c. Scratchy throat.
d. Bradycardia – ANSWER- C.
A client with a history of asthma is experiencing an acute episode of
wheezing and shortness of breath four hours after returning from
surgery. Which prescription should the nurse administer at this time?
a. Pirbuterol
b. Montelukast
c. Cromolyn
d. Theophylline – ANSWER- A.
A client with dehydration is prescribed potassium chloride infusion at 10
mEq/hr. Potassium chloride 80 mEq is mixed with 1 liter of normal
saline. The nurse should regulate the infusion pump to deliver how many
mL/hour? (Enter numeric value only. Round to nearest whole number). –
ANSWER- 125ml/hr
A client is scheduled for a spiral computed tomography (CT) scan with
contrast to evaluate for a pulmonary embolism. Which information in
the client’s history requires follow-up by the nurse?
a. Report of client’s sobriety for the last five years.
b. Takes metformin hydrochloride for type 2 diabetes mellitus.
c. Metal hip prothesis was placed twenty years ago.
d. CT scan that was performed six months earlier. – ANSWER- B.
A male client with Laennec’s cirrhosis refuses to take the daily dose of
lactulose because he had three soft stools yesterday. Which action
should the nurse implement?
a. Explain that this effect reduces serum ammonia levels.
b. Assess the client for signs of dehydration.
c. Measure the client’s abdominal firth for a reduction.
d. Encourage the client to drink oral liquids. – ANSWER- A.
The nurse is caring for a client who takes methotrexate for rheumatoid
arthritis and is now prescribed adalimumab. Which instruction should
the nurse provide to the client? a. Have a chest x-ray prior to your first
dose.
b. Obtain routine vaccinations as scheduled.