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HESI PHARMACOLOGY WITH NGN VERSION 1-3 REAL ACTUAL QUESTION AND ANSWERS LATEST UPDATES .
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HESI PHARMACOLOGY WITH NGN VERSION 1-3 REAL ACTUAL QUESTION AND ANSWERS LATEST UPDATES .
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HESI PHARMACOLOGY WITH NGN VERSION 1-3 REAL ACTUAL QUESTION AND ANSWER S LATEST UPDATES 2023 -2024 . lOMoAR cPSD|24815199 Downloaded by ERICK MURIMI (erickmurimips4@gmail.com) 1. The nurse is beginning the process of changing the central venous catheter dressing of a client receiving total parenteral nutrition. After applying sterile gloves, what action should the nurse take? A. Cleanse the site. 2. A nurse -manager is preparing an annual budget for the unit. Nursing salaries should be included in which component of the budget? A. Operating budget. 3. The wife of a client with terminal cancer gives the nurse a copy of her husband’s living will. What action should the nurse take? A. Notify the healthcare provider of the client’s wishes. 4. A client with a fractured femur is placed in traction to immobilize the fracture. When transporting this client to another room, how should the nurse handle the traction? A. Leave the weights in place for the full duration of the transport. 5. The healthcare provider prescribed triazolam (Halcion) 500 mcg for a client with insomnia. The pharmacy supplies Halcion in 0.25 mg tablets. How many tablets should the nurse administer? (Enter numeric value only.) 2 6. A middle -aged female client is admitte d to the hospital with a medical diagnosis of acute renal failure (ARF). The healthcare provider informs her that her treatment program will include hemodialysis. Which response demonstrates that this client understands what will occur with hemodialysis? A. “Using the kidney machine every few days will help rest my kidneys so they can function again.” 7. The mother of a 5 -year -old boy calls the emergency room and reports that a pot of hot soup was pulled off the stove onto her child’s right arm and leg. Wh at should the nurse tell this mother to do first? A. Wrap the child in a blanket and bring him to the hospital immediately. 8. A nurse is caring for a client with a diagnosis of acute renal failure who complains of shortness of breath, weakness, headache, and swelling of the lower legs and feet. What nursing intervention should be completed immediately? A. Elevate the head of the bed at least 45 degrees. 9. A client with acute low back pain reports pain radiating down the buttock to below the knee. Initial nursing actions should be based on which interpretation of these symptoms? A. This pain is along the path of the sciatic nerve. 10. The nurse is assigning rooms for four clients, each newly diagnosed and being admitted to the acute neuro unit for treatment . The client with which diagnosis should be assigned the only private room available? A. Bacterial meningitis. 11. A client who has been in active labor for 12 hours suddenly tells the nurse that she has a strong urge to have a bowel movement. What action s hould the nurse take? lOMoAR cPSD|24815199 Downloaded by ERICK MURIMI (erickmurimips4@gmail.com) A. Perform a sterile vaginal exam. 12. A client who developed Syndrome of Inappropriate Antidiuretic Hormone (SIADH) associated with small cell carcinoma of the lung is preparing for discharge. When teaching the client about self -management with demeclocycline (Declomycin), the nurse should ins truct the client to report which condition to the healthcare provider? A. Muscle cramping. 13. In determining the client position for insertion of an indwelling urinary catheter, it is most important for the nurse to recognize which client condition? A. Orthopnea. 14. A male client with HIV, who is being admitted to a healthcare facility, tells the nurse that he is concerned about his right to have access to his records and explanations regarding his treatment and the cost of such treatment. Which resource sh ould guide the nurse’s response to this client? A. The Patient’s Bill of Rights. 15. When assessing the oral temperature of an adult client at 6:00 pm, the nurse notes that the client’s temperature at 6:00 am was 97.2, and is now 98.8. Which intervention sh ould the nurse implement? A. Document this temperature variation on the graphic sheet. 16. It would be of greatest benefit for the client with which problem related to diabetes mellitus to change from the use of insulin syringes to using an insulin pen for medication administration? A. Diminished dexterity due to finger paresthesias. 17. In planning care for a client with a nursing diagnosis of “Impaired mobility”, the nurse instructs the unlicensed assistive personnel (UAP) to assist the client with ambulatio n. Because the healthcare provider has prescribed bed rest for the client, what action should the nurse take? A. Change the planned interventions to include range of motion exercises rather than ambulation. 18. When assigning an unlicensed assistive person nel (UAP) to assist a client with personal care, which client information is most important for the nurse to provide the UAP? A. Prescribed activity level. 19. Within four weeks of childbirth, a client is admitted to the hospital for disorganized speech, bizarre behavior, and strange thoughts about her infant being possessed by demons. The nurse identifies a nursing diagnosis of, “Altered thought processes, secon dary to” what condition? A. Postpartum psychosis. 20. The nurse is preparing to discharge a client from the hospital who has aphasia secondary to a cerebrovascular accident (CVA). What instruction should the nurse provide the family to assist them in commun icating with the client? A. Be consistent in using the same words each time a question is asked. 21. The intensive care department is full and short staffed, so the nursing supervisor informs the charge nurse in the medical department that one nurse must float to the ICU. Which nurse should the medical department charge nurse send to the intensive care de partment? lOMoAR cPSD|24815199 Downloaded by ERICK MURIMI (erickmurimips4@gmail.com) A. A staff nurse who was cross -trained to work in the critical care department. 22. A mother brings her newborn infant to the well -baby clinic for the one -month check -up. The nurse reviews the infant’s records and identifies that the newborn rece ived the first dose of the HBV immunization upon discharge from the newborn nursery. When should the nurse recommend the administration of the next booster for the HBV series? A. During this visit, one -month of age. 23. When assessing a restless intubated c lient who is on a mechanical ventilator, the nurse auscultates breath sounds on the right side of the chest only. What action should the nurse implement next? A. Reposition the depth of the endotracheal tube. 24. A male client taking several medications com plains of sexual dysfunction. The nurse knows that this is a side effect commonly associated with which of his current medications? A. Enalapril maleate (Vasotec). 25. The parents of two children with sickle cell disease ask the nurse to explain why both of their children have this disease. Which concept should the nurse use to provide an explanation? A. Each child has a 25% chance of inheriting the sickle cell trait from both parents. 26. A client with a cervical spinal cord injury is brought to the emergency center. What should be the nurse’s priority assessment? A. Assess the respiratory pattern. 27. A 13 -year -old female client is evaluated at a mental health clinic because her parents su spect she is using an illicit substance. Symptoms reported to healthcare provider include sleep disturbances, slurred speech, mild hand tremors, and trouble hearing. Based on these symptoms, the nurse should screen for which substance? A. Paint thinner. 28. The charge nurse is developing the nursing guidelines for a coronary care unit. Which reference is likely to be the most useful in developing these guidelines? A. The Scope of Standards of Practice from the American Nurses’ Association. 29. A male cl ient who is in the day room becomes increasingly angry and aggressive when he is denied a day -pass. Which action should the nurse implement? A. Decrease the volume on the television set. 30. The nurse is assessing a client following a thoracotomy and left lung pneumonectomy. What assessment finding should the nurse anticipate? A. Absent breath sounds on the left side of the chest. 31. A male client with Type 1 diabetes mellitus takes a combination of short -acting and intermediate -acting insulin drugs. The client complains of headaches when awakening and his blood glucose average for the past week has been 210 mg/dl. The nurse recognizes the client is experiencing a daily Somogyi, or rebound, effect. Which dosing method is likely to relieve these sy mptoms?
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