HESI Dosage Exam, HESI Pharmacology Review Spring EXAM
2024-2025 QUESTIONS and ANSWERS
The RN is teaching a client how to prepare for a stool guaiac test. Which food should the RN
instruct the client to avoid 3 days prior to collecting the specimen for this test? - ANSWER-Raw
broccoli
A child with a urinary tract infection is receiving Cephalexin (Keflex) 100 mg suspension PO QID.
Keflex oral suspension is labeled "125 mg in 5 ml." How many ml should the nurse administer -
ANSWER-4
The nurse plans to help an 18-year-old female intellectually disabled client ambulate the first
postoperative day after an appendectomy. When the nurse tells the client it is time to get out
of bed, the client becomes angry and tells the nurse, "Get out of here! I'll get up when I'm
ready!" Which response is best for the nurse to make - ANSWER-I'll be back in 30 minutes to
help you get out of bed and walk around the room
During a health fair, a 72 year old male client tells the nurse that he is experiencing shortness of
breath. Auscultation reveals crackles and wheezing in both lungs.
Suspecting that the client might have chronic bronchitis, which classic symptom would the
nurse expect this client to have - ANSWER-Productive cough with grayish-white sputum
A child falls on the playground and is brought to the school nurse with a small laceratio on the
forearm. Which action should the nurse implement first - ANSWER-Wash the wound gently
with mild soap and water
Examination of a client complaining of itching on his right arm reveals a rash made up of
multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. how should the
nurse record this finding - ANSWER-localized red rash comprised of flat areas, pinpoint to 0.5
cm in diameter
,A client in active labor is admitted with preeclampsia. Which assessment finding is most
significant in planning this client's care - ANSWER-patellar reflex 4+
Three days following surgery, a male client observes his colostomy for the first time. He
becomes quite upset and tells the nurse that it is much bigger than he expected. What is the
best response by the nurse - ANSWER-Instruct the client that the stoma will become smaller
when the initial swelling diminishes
A client receiving epidural anesthesia begins to experience nausea and becomes pale and
clammy. What intervention should the nurse implement first - ANSWER- Raise the foot of the
bed
The parents of a child with hemophilia A ask the nurse about their probability of having another
child with hemophilia A. Which information is the basis for the nurse's response - ANSWER--
Sons of female carriers have a 50% chance of inheriting hemophilia
-Hemophilia is an X-linked recessive disorder
A postmenopausal client asks the nurse why she is experiencing discomfort during intercourse.
What response is best for the nurse to provide - ANSWER-Estrogen deficiency causes the
vaginal tissues to become dry and thinner
The registered nurse is assessing a client regarding the need to increase vitamin B12 after
undergoing a subtotal gastrectomy. Which foods should the RN instruct the client to include in
the diet - ANSWER-Cheese, eggs, and fish
,Which assessment finding by the nurse during a client's clinical breast examination requires
follow-up - ANSWER-Newly retracted nipple
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that
the action of this drug is to - ANSWER-inhibit synthesis of T3 and T4 by the thyroid gland
An adult client is admitted to the hospital burn unit with partial-thickness and full- thickness
burns over 40% of the body surface area. In assessing the potential for skin regeneration, what
should the nurse remember about full-thickness burns - ANSWER-regenerative function of the
skin is absent because the dermal layer has been destroyed
A client with cirrhosis develops increasing pedal edema and ascites. What dietary modification
is most important for the nurse to teach this client - ANSWER- Restrict salt and fluid intake
A client with early breast cancer receives the results of a breast biopsy and asks the nurse to
explain the meaning of staging and the type of receptors found on the cancer cells. Which
explanation should the nurse provide - ANSWER-The tumor's estrogen receptor guides
treatment options
The parents of a 14 year old boy bring their son the hospital. He is lethargic, but responsive. The
mother states, "I think he took some of my pain pills" During initial assessment of the teenager,
what information is most important for the nurse to obtain from the parents. - ANSWER-if he
might have taken any other drugs
The RN is reinforcing discharge instructions to the family of an older client with failure to thrive.
What information should the RN include to promote nutritional intake for the client - ANSWER--
Minimize stress level by providing the client with a quiet environment during meals
, -Provide food variations that the client can manage without assistance
The nurse is evaluating the client learning about a low-sodium diet. Selection of which meal
would indicate to the nurse that this client understands the dietary restrictions - ANSWER-Skim
milk, turkey salad, roll, and vanilla ice cream
A 40-year-old male client diagnosed with schizophrenia and alcohol dependence has not had
any visitors or phone calls since admission. He reports he has no family that cares about him
and was living on the streets prior to this admission. According to Erikson's theory of
psychosocial development, which stage is the client in at this time - ANSWER-Stagnation
The RN is caring for a client who has a closed head injury from a motor vehicle collision. Which
finding should the RN assess the client for the risk for diabetes insipidus (DI) - ANSWER-
Polydipsia
The nitrate isosorbide dinitrate (Isordil) is prescribed for a client with angina. Which instruction
should the nurse include in this client's discharge teaching plan - ANSWER-Do not get up
quickly. Always rise slowly
The nurse is assessing a client with bacterial meningitis. Which assessment finding indicates the
client may have developed septic emboli - ANSWER-Cyanosis of the fingertips
A 4 year old girl continues to interrupt her mother during a routine clinic visit. The mother
appears irritated with the child and asks the nurse, "Is this normal behavior for a child this
age?" The nurse's response should be based on which information - ANSWER-Children need to
retain a sense of initiative without impinging on the rights and privileges of others
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