PHARMACOLOGY HESI PRACTICE {ALREADY GRADED A+ } NEWEST VERSION

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PHARMACOLOGY HESI PRACTICE

{ALREADY GRADED A+ } NEWEST

VERSION

Nursing & Pharmacology Review Questions

• Which action should the nurse implement to assess the effectiveness of the

calcium channel blocker amlodipine?

• Correct Answer: Measure the client's blood pressure.

• A client receives a prescription of ciprofloxacin 400 mg intravenously (IV) every 12

hours, which is to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% water (D5W) 200 mL. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only.)

• Correct Answer: 200

• A client is scheduled for a spiral computed tomography (CT) with contrast to

evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse?

• Correct Answer: Takes metformin hydrochloride for type 2 diabetes mellitus.

• Hormone replacement therapy with levothyroxine sodium is prescribed for a client

with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much of the hormonal agent, levothyroxine sodium?

• Correct Answer: Restlessness

• A client recently diagnosed with multiple sclerosis who self-administers beta-1a

interferon reports feeling depressed. Which action should the nurse implement?

• Correct Answer: Notify the healthcare provider of findings immediately.

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• A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The

client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide?

• Correct Answer: The eye drops slow pupil response to accommodate darkness.

• Before administering the initial dose of sumatriptan succinate to a client with

migraine headache, it is most important to determine if the client's history includes which protein?

• Correct Answer: Coronary artery disease

• A male client reports to the nurse that he is experiencing gastrointestinal distress

from a high dose of corticosteroid and is planning to stop taking the medication. In response to the client's statement, which nursing action is most important for the nurse to implement?• Correct Answer: Advise the client that the medication should be stopped gradually rather than abruptly.

• Before administering a laxative to a bedfast client, it is most important for the nurse

to perform which assessment?

• Correct Answer: Determine the frequency and consistency of bowel movements.

• A client is receiving rifampin and antitubercular medication. Which statement by

this client should prompt the nurse to notify the healthcare provider of a potential problem?

• Correct Answer: Complains of persistent tinnitus.

• A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback

every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin?

• Correct Answer: Hearing has decreased.

• An older adult client with restless legs syndrome begins taking melatonin at

bedtime. When evaluating the effectiveness of the herb, which client assessment should the nurse complete?

• Correct Answer: Determine sleep patterns.

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• The nurse prepares to administer a scheduled dose of labetalol by mouth to a

client with hypertension. The client's vital signs are temperature 99 F (37.2 C), heart rate 48 beats/minute, respirations 16 breaths/minute, and blood pressure 150/90 mmHg. Which action should the nurse take?• Correct Answer: Withhold the scheduled dose and notify the healthcare provider.

• To evaluate the effectiveness of a client's prescription of rosuvastatin, which

action should the nurse implement?

• Correct Answer: Evaluate the client's serum cholesterol level results.

• The nurse is planning teaching for a client with diabetes mellitus who has a

prescription of insulin. Which action should the nurse plan to indicate in the discharge teaching?

• Correct Answer: To teach self-injection skills for daily subcutaneous

administration.

• The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and

is now prescribed adalimumab. Which instructions should the nurse provide the client?

• Correct Answer: Avoid crowds and people who are sick.

• The nurse is providing discharge instructions to a client who has been prescribed

gabapentin 300 mg by mouth three times a day for post-herpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?

• Correct Answer: Photosensitivity

• A client receives a prescription for itraconazole. Which information by the client

requires additional instructions by the nurse?

• Correct Answer: Take the medication with antacids.

• The nurse is preparing a client with obstructive pulmonary disease (COPD) and

chronic productive cough for discharge. Which prescribed medication should the nurse review with the client to manage this symptom?

• Correct Answer: Guaifenesin

• When caring for a client with diabetes insipidus who is receiving an antidiuretic

hormone intranasally, which serum lab test is most important for the nurse to monitor?

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• Correct Answer: Osmolarity

• A client is receiving tamsulosin, an alpha-adrenergic blocking agent for

management of urinary retention due to benign hyperplasia (BPH). Which instruction is most important for this nurse to provide?

• Correct Answer: Stand and sit up slowly.

• A client with chemotherapy-induced nausea receives a prescription for

metoclopramide. Which adverse effect is most important for the nurse to report?

• Correct Answer: Involuntary movements.

• A client is receiving orlistat as part of a weight management program. Which

ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?

• Correct Answer: Body mass index (BMI).

• A client who received a renal transplant three months ago is readmitted to the

acute unit with signs of graft rejection. While taking the client's history, the nurse determines that the client has been self-administering St. John's Wort, an herbal preparation, on the advice of a friend. Which information is most significant about this finding?

• Correct Answer: Wort can decrease plasma concentrations of cyclosporine.

• When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes

that the previously applied patch is intact on the client's upper back and the client denies pain. Which action should the nurse take?• Correct Answer: Apply the new patch in a different location after removing the original patch.

• 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 resisting sleeping well at night. Which action should the nurse take?

• Correct Answer: Explain to the caregivers that insomnia is a common and

temporary side effect when the medication is first started.

• Based on the client's serum digoxin level, the client is diagnosed with digoxin

toxicity. Which action should the nurse expect to implement?