PN HESI PHARM EXAM Questions With 100%
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While taking a client's history, the practical nurse (PN) discovers that the client, who
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takes Coumadin daily, has added a ginger supplement on the advice of a friend. What
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comment is critical for the PN to provide to this client? - (Correct Answer) `"Your health
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care provider is interested in all medications and herbs you take."
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A client with diabetes mellitus takes insulin daily and is prescribed propranolol
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(Inderal). Which information should the nurse provide to this client? - (Correct
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Answer) `A sign of hypoglycemia is that propranolol slows a rapid heart rate.
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A client has a positive skin test for tuberculosis. What prophylactic drug should the
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practical nurse (PN) expect to be prescribed for this client? - (Correct Answer)
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`Isoniazid (INH)
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Amitriptyline hydrochloride (Elavil) is prescribed for an adult female client who is l l l l l l l l l l l
clinically depressed. Five days after beginning the drug, the client is admitted to the
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hospital because of suicide ideation. She tells the practical nurse (PN) that the drug is
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not working because she is not feeling any better. Which explanation should the PN
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provide? - (Correct Answer) `"It takes 2 to 4 weeks for antidepressant medications to
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become effective."
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In planning care for a client diagnosed with bacterial pneumonia, which intervention
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should the practical nurse implement? - (Correct Answer) `Obtain the sputum
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specimen before administering prescribed antibiotics.
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Phenytoin (Dilantin) is prescribed for a client who has a seizure disorder. Which
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statement by the client indicates to the practical nurse that the instruction about this
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drug has been effective? - (Correct Answer) `"I know that I should never stop taking this
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medication abruptly."
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The practical nurse (PN) is obtaining the medical history of a female client starting a
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new prescription for conjugated estrogens (Premarin) 0.625 mg PO daily. Before
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taking the first dose of the medication, which information is most important for the PN
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to obtain from the client? - (Correct Answer) `Cigarette smoking history
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A mother brings her 3-month-old infant to the well-baby clinic because the baby has
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developed oral thrush. Which pharmacological agent should the practical nurse (PN)
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expect to be prescribed for the thrush? - (Correct Answer) `Nystatin (Mycostatin)
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The H2 receptor blocker famotidine (Pepcid) is prescribed for a client who has been
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taking antacids for chronic gastritis. Which client statement indicates to the practical
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nurse (PN) that teaching was effective regarding concurrent use of these medications?
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- (Correct Answer) `"I will take the antacid after meals and the Pepcid at bedtime."
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A mother brings her 18-month-old child to the clinic because the child has had "bad
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diarrhea" for the last 3 days. She states, "I bought some of this liquid at the pharmacy
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and gave my daughter a half-ounce." The practical nurse (PN) sees that the bottle
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contains loperamide (Imodium AD). What intervention is most important for the PN to
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implement initially? - (Correct Answer) `Ask the mother when the child last voided.
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A client who received a prescription for cyclosporine ophthalmic emulsion (Restasis)
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for dry eyes asks the practical nurse (PN) if it is safe to continue using artificial tears.
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What information should the PN provide? - (Correct Answer) `Allow a 15-minute
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interval between the administration of Restasis and artificial tears.
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The health care provider prescribes morphine sulfate grain 1/8 IM stat. Morphine is
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available in 8 mg/mL. How many milliliters should the practical nurse (PN)
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administer? - (Correct Answer) `1 mL
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A 74-year-old female client asks the practical nurse (PN) if she should get a flu shot.
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Which response should the PN provide? - (Correct Answer) `"Yes. Normal aging
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decreases your immunity, making you more susceptible to contagious diseases such as
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the flu."
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A 78-year-old client with congestive heart failure (CHF) receives the cardiac glycoside
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digoxin (Lanoxin) 0.25 mg PO daily. Which observation by the nurse indicates that the
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medication has been effective? - (Correct Answer) `Clear breath sounds bilaterally.
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The healthcare provider orders 1000 mL of 0.5% normal saline to run over 8 hours. The
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drop factor is 15 gtt/mL. The nurse plans to adjust the flow rate to how many gtt/min?
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(Round to the nearest whole number.) - (Correct Answer) `31
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A client asks the practical nurse (PN) if glipizide (Glucotrol) is an oral insulin. What
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answer should the PN provide? - (Correct Answer) `"No, it is not an oral insulin and can
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be used only when some beta cell function is present."
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