RN HESI Pharmacology Fundamentals Exam
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During evacuation of a group of clients from a medical unit because of a fire, the nurse
observes an ambulatory client walking alone toward the stairway at the end of the hall. Which
action should the nurse take?
A. Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B. Remind the client to walk carefully down the stairs until reaching a lower floor.
C. Ask the client to help by assisting a wheelchair-bound client to a nearby elevator.
D. Open the closest fire doors so that ambulatory clients can evacuate more rapidly. -
✔✔Remind the client to walk carefully down the stairs until reaching a lower floor.
A female client with frequent urinary tract infections (UTIs) asks the nurse to explainher friend's
advice about drinking a glass of juice daily to prevent future UTIs. Whichresponse is best for the
nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C.Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics. - ✔✔Cranberry juice stops
pathogens' adherence to the bladder.
The health care provider has changed a client's prescription from the PO to the IV route of
administration. The nurse should anticipate which change in the pharmacokinetic properties of
the medication?
A. The client will experience increased tolerance to the drug's effects and may needa higher
dose.
B. The onset of action of the drug will occur more rapidly, resulting in a more rapid effect.
C. The medication will be more highly protein-bound, increasing the duration of action.
,D. The therapeutic index will be increased, placing the client at greater risk for toxicity. -
✔✔The onset of action of the drug will occur more rapidly, resulting in a more rapid effect.
A hospitalized client has had difficulty falling asleep for two nights and is becoming irritable and
restless. Which action by the nurse is best?
A. Determine the client's usual bedtime routine and include these rituals in the plan of care as
safety allows.
B. Instruct the UAP not to wake the client under any circumstances during the night.
C. Place a "Do Not Disturb" sign on the door and change assessments from every 4to every 8
hours.
D. Encourage the client to avoid pain medication during the day, which might increase daytime
napping. - ✔✔Determine the client's usual bedtime routine and include these rituals in the
plan of care as safety allows.
In assisting an older adult client prepare to take a tub bath, which nursing action is most
important?
A. Check the bath water temperature.
B.Shut the bathroom door.
C. Ensure that the client has voided.
D. Provide extra towels. - ✔✔Check the bath water temperature.
In completing a client's preoperative routine, the nurse finds that the operative permitis not
signed. The client begins to ask more questions about the surgical procedure. Which action
should the nurse take next?
A.Witness the client's signature to the permit.
B.Answer the client's questions about the surgery.
C.Inform the surgeon that the operative permit is not signed and the client has questions about
the surgery.
D.Reassure the client that the surgeon will answer any questions before the anesthesia is
administered. - ✔✔Inform the surgeon that the operative permit is not signed and the client
has questions about the surgery.
, In taking a client's history, the nurse asks about the stool characteristics. Which description
should the nurse report to the health care provider as soon as possible?
A.Daily black, sticky stool
B.Daily dark brown stool
C.Firm brown stool every other day
D.Soft light brown stool twice a day - ✔✔Daily black, sticky stool
A male client is laughing at a television program with his wife when the evening nurse enters
the room. He says his foot is hurting and he would like a pain pill. How should the nurse
respond?
A.Ask him to rate his pain on a scale of 1 to 10.
B.Encourage him to wait until bedtime so the pill can help him sleep.
C.Attend to an acutely ill client's needs first because this client is laughing.
D.Instruct him in the use of deep breathing exercises for pain control. - ✔✔Ask him to rate
his pain on a scale of 1 to 10.
The mental health nurse plans to discuss a client's depression with the health care provider in
the emergency department. There are two clients sitting across from the emergency
department desk. Which nursing action is best?
A.Only refer to the client by gender.
B.Identify the client only by age.
C.Avoid using the client's name.
D.Discuss the client another time. - ✔✔Discuss the client another time.
he nurse assesses a 2-year-old who is admitted for dehydration and finds that the peripheral IV
rate by gravity has slowed, even though the venous access site is healthy. What should the
nurse do next?
A.Apply a warm compress proximal to the site.
B.Check for kinks in the tubing and raise the IV pole.
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