HESI Pharmacology Exit EXAM STUDY GUIDE 2023-2024 SESSION GRADED A+ WITH SOLUTIONS BRAND NEW

HESI Pharmacology Exit EXAM STUDY
GUIDE 2023-2024 SESSION GRADED
A+ WITH SOLUTIONS NEW
1) Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will
drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the
best follow-up action by the nurse?
2) A male client with hypertension, who received new antihypertensive prescriptions at his
last visit returns to the clinic two weeks later to evaluate his blood pressure (BP). His BP
is 158/106 and he admits that he has not been taking the prescribed medication because
the drugs make him ―feel bad‖. In explaining the need for hypertension control, the nurse
should stress that an elevated BP places the client at risk for which pathophysiological
condition?
3) The nurse observes an unlicensed assistive personnel (UAP) positioning a newly
admitted client who has a seizure disorder. The client is supine and the UAP is placing
soft pillows along the side rails. What action should the nurse implement?
pillows.
4) An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for
the past 12 days. Which assessment finding requires immediate follow-up?
5) A 60-year-old female client with a positive family history of ovarian cancer has
developed an abdominal mass and is being evaluated for possible ovarian cancer. Her
Papanicolau (Pap) smear results are negative. What information should the nurse include
in the client’s teaching plan?
6) A client who recently underwear a tracheostomy is being prepared for discharge to home.
Which instructions is most important for the
Teach tracheal suctioningnurse to include in the discharge plan?
techniques
Review with the client the need to avoid foods that are rich in milk and
cream
Stroke
hemorrhage
secondary to
Describes
purpose
life without
Instruct the UAP to obtain soft blankets to secure to the side rails instead of
Inform the
provider
anesthesia care
“I have a headache that gets worse when I sit
up”
lOMoAR cPSD|11518826
7) In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen
reservoir bag does not deflate completely during inspiration and the client’s respiratory
rate is 14 breaths / minute. What action should the
nurse Document the assessmentimplement?
data
• Rational: reservoir bag should not deflate completely during inspiration and the client’s
respiratory rate is within normal limits.
8) During shift report, the central electrocardiogram (EKG) monitoring system alarms.
Which client alarm should the nurse investigate
firs? Respiratory apnea of 30 seconds
9) During a home visit, the nurse observed an elderly client with diabetes slip and fall. What
action should the nurse take first?
10) At 0600 while admitting a woman for a
schedule repeat cesarean section (C-Section), the client tells the nurse that she drank a cup
a coffee at 0400 because she wanted to avoid getting a headache. Which action should the
nurse take first?
11) After placing a stethoscope as seen in the picture,
the nurse auscultates S1 and S2 heart sounds. To determine if an S3 heart sound is present,
what action should the nurse take first?
• Listen with the bell at the same location
12) A 66-year-old woman is retiring and will no longer have a health insurance through her
place of employment. Which agency should the client be referred to by the employee
health nurse for health insurance needs?
13) A client who is taking an oral dose of a tetracycline complains of gastrointestinal upset.
What snack should the nurse instruct the client to take with the tetracycline?
14) Following a lumbar puncture, a client voices several complaints. What complaint
indicated to the nurse that the client is experiencing a complication?
• ―I am having pain in my lower back when I move my legs‖
• ―My throat hurts when I swallow‖
• “I feelsick to my stomach and am going to throw up”
Toasted wheat bread and jelly
Medicare
Check the client for lacerations or
fractures
2023 HESI EXAM REVIEW
Foley catheter and soft wrist restrains applie
An 82-year-old client with Alzheimer’s disease newly-fractures femur who has a
clean socks
Stop using the ointment and encourage complete drying of the feet and wearing
15) An elderly client seems confused and reports the onset of nausea, dysuria, and urgency
with incontinence. Which action should the nurse implement?
16) The nurse is assisting the mother of a child with phenylketonuria (PKU) to select foods
that are in keeping with the child’s dietary restrictions. Which foods are contraindicated
for this child?
17) Before preparing a client for the first surgical case of the day, a part-time scrub nurse asks
the circulating nurse if a 3 minute surgical hand scrub is adequate preparation for this
client.
Direct the nurse to continue the surgical hand scrub for a 5 minuteWhich
duration
response should the circulating nurse provide?
18) Which breakfast selection indicates that the client understands the nurse’s instructions
about the dietary management of osteoporosis?
19) The charge nurse of a critical care unit is informed at the beginning of the shift that less
than the optimal number of registered nurses will be working that shift. In planning
assignments, which client should receive the most care hours by a registered nurse (RN)?
•
d
20) A mother brings her 6-year-old child, who has just stepped on