Hesi Pharmacology Practice Quiz
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion
sickness while on a cruise. Which information should the nurse provide to the client?
A) Apply the patch at least 4 hours prior to departure.
B) Change the patch every other day while on the cruise.
C) Place the patch on a hairless area at the base of the skull.
D) Drink no more than 2 alcoholic drinks during the cruise. - Answer-B) Change the patch every other
day while on the cruise
Which medications should the nurse caution the client about taking while receiving an opioid analgesic?
A) Antacids
B) Benzodiazepines
C) Antihypertensives
D) Oral antidiabetics - Answer-B) Benzodiazepines
Which client should the nurse identify as being at highest risk for complications during the use of an
opioid analgesic?
A) An older client with Type 2 diabetes mellitus
B) A client with chronic rheumatoid arthritis
C) A client with a open compound fracture
D) A young adult with inflammatory bowel disease - Answer-D) A young adult with inflammatory bowel
disease
,When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important
for the nurse to assess for pain in which area of the body?
A) Flank
B) Abdomen
C) Chest
D) Head - Answer-B) Abdomen
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with
arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What
action should the nurse implement?
A) Refer the client to an audiologist for evaluation of her hearing
B) Advise the client that this is a common side effect of Aspirin therapy
C) Notify the healthcare provider of this finding immediately.
D) Ask the client to turn off her hearing aid during the exam. - Answer-C) Notify the healthcare provider
of this finding immediately.
A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should the nurse
provide?
A) "Yes, it is an oral insulin and has the same actions and properties as intermediate insulin."
B) "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same manner as insulin."
C) "No, it is not an oral insulin and can be used only when some beta cell function is present."
D) "No, it is not an oral insulin, but is effective for those who are resistant to injectable insulins." -
Answer-C) "No, it is not an oral insulin and can be used only when some beta cell function is present."
A client with hyperlipidemia receives a prescription for niacin (niaspan). which client teaching is most
important for the nurse to provide
A) Expected duration of flushing
B) Symptoms of hyperglycemia
, C) Diets that minimize GI irritation
D) Comfort measure for pruritis - Answer-A) Expected duration of flushing
Which instruction(s) should the nurse give to a female client who just received a prescription for oral
metronidazole Flagyl for treatment of trichomonas vaginalis? Select all that apply
A) Increase fluid intake, especially cranberry juice.
B) Do not abruptly discontinue the medication; taper use.
C) Check blood pressure daily to detect hypertension.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time. - Answer-A) Increase fluid intake,
especially cranberry juice.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
While taking a nursing history, the client states, "I am allergice to penicillin." what related allergy to
another type of anti-infective agent should the nurse ask the client about when taking nursing history.
A) Aminoglycosides
B) Cephalosporins
C) Sulfonamides
D) Tetracyclines - Answer-B) Cephalosporins
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor
antagonist valsartan (Diovan) has been achieved?
A) Dependent edema reduced from +3 to +1.
B) Serum HDL increased from 35 to 55 mg/dl.
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion
sickness while on a cruise. Which information should the nurse provide to the client?
A) Apply the patch at least 4 hours prior to departure.
B) Change the patch every other day while on the cruise.
C) Place the patch on a hairless area at the base of the skull.
D) Drink no more than 2 alcoholic drinks during the cruise. - Answer-B) Change the patch every other
day while on the cruise
Which medications should the nurse caution the client about taking while receiving an opioid analgesic?
A) Antacids
B) Benzodiazepines
C) Antihypertensives
D) Oral antidiabetics - Answer-B) Benzodiazepines
Which client should the nurse identify as being at highest risk for complications during the use of an
opioid analgesic?
A) An older client with Type 2 diabetes mellitus
B) A client with chronic rheumatoid arthritis
C) A client with a open compound fracture
D) A young adult with inflammatory bowel disease - Answer-D) A young adult with inflammatory bowel
disease
,When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important
for the nurse to assess for pain in which area of the body?
A) Flank
B) Abdomen
C) Chest
D) Head - Answer-B) Abdomen
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with
arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What
action should the nurse implement?
A) Refer the client to an audiologist for evaluation of her hearing
B) Advise the client that this is a common side effect of Aspirin therapy
C) Notify the healthcare provider of this finding immediately.
D) Ask the client to turn off her hearing aid during the exam. - Answer-C) Notify the healthcare provider
of this finding immediately.
A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should the nurse
provide?
A) "Yes, it is an oral insulin and has the same actions and properties as intermediate insulin."
B) "Yes, it is an oral insulin and is distributed, metabolized, and excreted in the same manner as insulin."
C) "No, it is not an oral insulin and can be used only when some beta cell function is present."
D) "No, it is not an oral insulin, but is effective for those who are resistant to injectable insulins." -
Answer-C) "No, it is not an oral insulin and can be used only when some beta cell function is present."
A client with hyperlipidemia receives a prescription for niacin (niaspan). which client teaching is most
important for the nurse to provide
A) Expected duration of flushing
B) Symptoms of hyperglycemia
, C) Diets that minimize GI irritation
D) Comfort measure for pruritis - Answer-A) Expected duration of flushing
Which instruction(s) should the nurse give to a female client who just received a prescription for oral
metronidazole Flagyl for treatment of trichomonas vaginalis? Select all that apply
A) Increase fluid intake, especially cranberry juice.
B) Do not abruptly discontinue the medication; taper use.
C) Check blood pressure daily to detect hypertension.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time. - Answer-A) Increase fluid intake,
especially cranberry juice.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
While taking a nursing history, the client states, "I am allergice to penicillin." what related allergy to
another type of anti-infective agent should the nurse ask the client about when taking nursing history.
A) Aminoglycosides
B) Cephalosporins
C) Sulfonamides
D) Tetracyclines - Answer-B) Cephalosporins
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor
antagonist valsartan (Diovan) has been achieved?
A) Dependent edema reduced from +3 to +1.
B) Serum HDL increased from 35 to 55 mg/dl.
