HESI Pharmacology V2 Exam Study
Questions with Verified Answers |
Brand New Version
1. A client is taking danazol (Danocrine) for endometriosis and calls the clinic
nurse to complain of a dark, swollen, and painful leg. What instructions
should the nurse provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps. - ANSWER Proceed to
the closest emergency room.
2. A client asks the nurse to explain the meaning of a narrow therapeutic index
of a medication. What information should the nurse use to answer the
question?
The onset of action for the medication occurs very quickly.
A small margin exists between safe and toxic plasma levels.
Bioavailability is significantly reduced by the first-pass effect.
Minimum dosage is needed for the medication to be effective. - ANSWER A
small margin exists between safe and toxic plasma levels.
3. A c lient is receiving fentanyl via an epidural infusion. Which side effect
should the nurse anticipate in the first 24 hours of epidural analgesia ?
,Headache.
Agitation.
Urinary retention.
Abdominal cramping and diarrhea. - ANSWER Urinary retention.
4. A client who is receiving chemotherapy is prescribed ondansetron (Zofran).
What side effect should the nurse include in the teaching plan?
Headache.
Dry mouth.
Impaired taste.
Blurred vision. - ANSWER Headache.
5. Which heparin concentration should the nurse use to convert an intravenous
site to a heparin lock?
10 units/ml.
100 units/ml.
1000 units/ml.
10,000 units/ml. - ANSWER 100 units/ml.
6. Which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication?
Tinnitus and hearing loss.
Photosensitivity and nervousness.
,Acute gastrointestinal bleeding and anorexia.
Hyperventilation and central nervous system effects. - ANSWER Tinnitus and
hearing loss.
7. A client is admitted for atrial fibrillation, and the healthcare provider
prescribes disopyramide (Norpace). After explaining the action of this
antidysrhythmic agent, which complaint should the nurse instruct the client
to report?
Joint pain.
Dizziness or muscle weakness.
Daily weight gain of 2 pounds.
Dry mouth. - ANSWER Daily weight gain of 2 pounds.
8. An emergency department triage nurse is interviewing a female client who
has a history of epilepsy with tonic-clonic seizures controlled by phenytoin
(Dilantin). Which information is most significant in planning this client's
care?
She has missed 2 menstrual periods.
She has had no dental care for several years.
She ran out of her medication 4 days ago.
She has smoked 3 packs of cigarettes a day for 10 years. - ANSWER She ran
out of her medication 4 days ago.
9. The healthcare provider prescribes pyridostigmine bromide (Mestinon)
tablets for a client with myasthenia gravis (MG). What instruction should the
nurse provide this client?
, Increase activity in the afternoon when the medication is most effective.
Take the medication 30 to 45 minutes before eating.
Use a PRN dose for increasing muscular weakness or fasciculations.
Give the client a dietary guide that describes low-protein foods. - ANSWER
Take the medication 30 to 45 minutes before eating.
10.What action should the nurse implement to provide analgesic titration for a
client in pain ?
Teach the client to increase the time range between doses of pain medication.
Monitor the effects of continuous intravenous infusion of narcotic analgesics.
Plan with the client how to use a specific total dose of analgesic over a 24-hour
period.
Determine the optimal analgesic dosage required that causes the least side
effects. - ANSWER Determine the optimal analgesic dosage required that
causes the least side effects.
11.Which common side effect should the nurse alert a female client about when
medroxyprogesterone (Depo-Provera) is prescribed?
Leg or calf pain.
Headaches or visual changes.
Vaginal bleeding after discontinuing the medication.
Jaundice during the first 3 weeks of administration. - ANSWER Vaginal
bleeding after discontinuing the medication.
12.Miotic drug therapy for the treatment of glaucoma is based chiefly upon
which physiologic action?
Questions with Verified Answers |
Brand New Version
1. A client is taking danazol (Danocrine) for endometriosis and calls the clinic
nurse to complain of a dark, swollen, and painful leg. What instructions
should the nurse provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps. - ANSWER Proceed to
the closest emergency room.
2. A client asks the nurse to explain the meaning of a narrow therapeutic index
of a medication. What information should the nurse use to answer the
question?
The onset of action for the medication occurs very quickly.
A small margin exists between safe and toxic plasma levels.
Bioavailability is significantly reduced by the first-pass effect.
Minimum dosage is needed for the medication to be effective. - ANSWER A
small margin exists between safe and toxic plasma levels.
3. A c lient is receiving fentanyl via an epidural infusion. Which side effect
should the nurse anticipate in the first 24 hours of epidural analgesia ?
,Headache.
Agitation.
Urinary retention.
Abdominal cramping and diarrhea. - ANSWER Urinary retention.
4. A client who is receiving chemotherapy is prescribed ondansetron (Zofran).
What side effect should the nurse include in the teaching plan?
Headache.
Dry mouth.
Impaired taste.
Blurred vision. - ANSWER Headache.
5. Which heparin concentration should the nurse use to convert an intravenous
site to a heparin lock?
10 units/ml.
100 units/ml.
1000 units/ml.
10,000 units/ml. - ANSWER 100 units/ml.
6. Which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication?
Tinnitus and hearing loss.
Photosensitivity and nervousness.
,Acute gastrointestinal bleeding and anorexia.
Hyperventilation and central nervous system effects. - ANSWER Tinnitus and
hearing loss.
7. A client is admitted for atrial fibrillation, and the healthcare provider
prescribes disopyramide (Norpace). After explaining the action of this
antidysrhythmic agent, which complaint should the nurse instruct the client
to report?
Joint pain.
Dizziness or muscle weakness.
Daily weight gain of 2 pounds.
Dry mouth. - ANSWER Daily weight gain of 2 pounds.
8. An emergency department triage nurse is interviewing a female client who
has a history of epilepsy with tonic-clonic seizures controlled by phenytoin
(Dilantin). Which information is most significant in planning this client's
care?
She has missed 2 menstrual periods.
She has had no dental care for several years.
She ran out of her medication 4 days ago.
She has smoked 3 packs of cigarettes a day for 10 years. - ANSWER She ran
out of her medication 4 days ago.
9. The healthcare provider prescribes pyridostigmine bromide (Mestinon)
tablets for a client with myasthenia gravis (MG). What instruction should the
nurse provide this client?
, Increase activity in the afternoon when the medication is most effective.
Take the medication 30 to 45 minutes before eating.
Use a PRN dose for increasing muscular weakness or fasciculations.
Give the client a dietary guide that describes low-protein foods. - ANSWER
Take the medication 30 to 45 minutes before eating.
10.What action should the nurse implement to provide analgesic titration for a
client in pain ?
Teach the client to increase the time range between doses of pain medication.
Monitor the effects of continuous intravenous infusion of narcotic analgesics.
Plan with the client how to use a specific total dose of analgesic over a 24-hour
period.
Determine the optimal analgesic dosage required that causes the least side
effects. - ANSWER Determine the optimal analgesic dosage required that
causes the least side effects.
11.Which common side effect should the nurse alert a female client about when
medroxyprogesterone (Depo-Provera) is prescribed?
Leg or calf pain.
Headaches or visual changes.
Vaginal bleeding after discontinuing the medication.
Jaundice during the first 3 weeks of administration. - ANSWER Vaginal
bleeding after discontinuing the medication.
12.Miotic drug therapy for the treatment of glaucoma is based chiefly upon
which physiologic action?
