NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) update2022
2023.
NURSING EXAMS QUESTION
WITH ANSWER
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.
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.
Correct selections are (A, D, E, and F). Increased fluid intake and cranberry juice
(A) are recommended for prevention and treatment of urinary tract infections,
which frequently accompany vaginal infections. It is not necessary to taper use
of this drug (B) or to check the blood pressure daily (C), as this condition is not
pg. 1
,NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) update2022
2023.
related to hypertension. Flagyl can cause a disulfiram-like reaction if taken in
conjunction with ingestion of alcohol, so the client should be instructed to avoid
alcohol (D). All sexual partners should be treated at the same time (E) and
condoms should be used until after treatment is completed to avoid reinfection
(F).
A client receiving albuterol (Proventil) tablets complains of nausea every
evening with her 9
p.m. dose. What action should the nurse take to alleviate this side effect?
A) Change the time of the dose.
B) Hold the 9 p.m. dose.
C) Administer the dose with a snack.
D) Administer an antiemetic with the
dose. C) Administer the dose with a
snack.
Administering oral doses with food (C) helps minimize GI discomfort. (A) would be
appropriate
pg. 2
,NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2022/2023
update
only if changing the time of the dose corresponds to meal times while at the
same time maintaining an appropriate time interval between doses. (B) would
disrupt the dosing schedule, and could result in a nontherapeutic serum level of
the medication. (D) should not be attempted before other interventions, such as
(C), have been proven ineffective in relieving the nausea.
A client receiving Doxorubicin (Adriamycin) intravenously (IV) complains of
pain at the insertion site, and the nurse notes edema at the site. Which
intervention is most important for the nurse to implement?
A) Assess for erythema.
B) Administer the antidote.
C) Apply warm compresses.
D) Discontinue the IV
fluids. D) Discontinue
the IV fluids.
Doxorubicin is an antineoplastic agent that causes inflammation, blistering, and
necrosis of tissue upon extravasation. First, all IV fluids should be discontinued at
the site (D) to prevent further tissue damage by the vesicant. Erythema is one
sign of infiltration and should be noted, but edema and pain at the infusion site
require stopping the IV fluids (A). Although an antidote may be available (B),
additional fluids contribute to the trauma of the subcutaneous tissues.
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2022/2023
update
, NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2022/2023
update
Depending on the type of vesicant, warm or cold compresses (C) may be
prescribed after the infusion is discontinued.
A client with congestive heart failure (CHF) is being discharged with a new
prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril
(Capoten). The nurse's discharge instruction should include reporting which
problem to the healthcare provider?
A) Weight loss.
B) Dizziness.
C) Muscle cramps.
D) Dry mucous
membranes. B)
Dizziness.
Angiotensin-converting enzyme (ACE) inhibitors are used in CHF to reduce afterload
by reversing vasoconstriction common in heart failure. This vasodilation can cause
hypotension and resultant dizziness (B). (A) is desired if fluid overload is present,
and may occur as the result of effective combination drug therapy such as diuretics
with ACE inhibitors. (C) often indicates hypokalemia in the client receiving diuretics.
Excessive diuretic administration may result in fluid volume deficit, manifested by
symptoms such as (D).
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2022/2023
update
(QUESTIONS AND ANSWERS) update2022
2023.
NURSING EXAMS QUESTION
WITH ANSWER
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.
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.
Correct selections are (A, D, E, and F). Increased fluid intake and cranberry juice
(A) are recommended for prevention and treatment of urinary tract infections,
which frequently accompany vaginal infections. It is not necessary to taper use
of this drug (B) or to check the blood pressure daily (C), as this condition is not
pg. 1
,NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) update2022
2023.
related to hypertension. Flagyl can cause a disulfiram-like reaction if taken in
conjunction with ingestion of alcohol, so the client should be instructed to avoid
alcohol (D). All sexual partners should be treated at the same time (E) and
condoms should be used until after treatment is completed to avoid reinfection
(F).
A client receiving albuterol (Proventil) tablets complains of nausea every
evening with her 9
p.m. dose. What action should the nurse take to alleviate this side effect?
A) Change the time of the dose.
B) Hold the 9 p.m. dose.
C) Administer the dose with a snack.
D) Administer an antiemetic with the
dose. C) Administer the dose with a
snack.
Administering oral doses with food (C) helps minimize GI discomfort. (A) would be
appropriate
pg. 2
,NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2022/2023
update
only if changing the time of the dose corresponds to meal times while at the
same time maintaining an appropriate time interval between doses. (B) would
disrupt the dosing schedule, and could result in a nontherapeutic serum level of
the medication. (D) should not be attempted before other interventions, such as
(C), have been proven ineffective in relieving the nausea.
A client receiving Doxorubicin (Adriamycin) intravenously (IV) complains of
pain at the insertion site, and the nurse notes edema at the site. Which
intervention is most important for the nurse to implement?
A) Assess for erythema.
B) Administer the antidote.
C) Apply warm compresses.
D) Discontinue the IV
fluids. D) Discontinue
the IV fluids.
Doxorubicin is an antineoplastic agent that causes inflammation, blistering, and
necrosis of tissue upon extravasation. First, all IV fluids should be discontinued at
the site (D) to prevent further tissue damage by the vesicant. Erythema is one
sign of infiltration and should be noted, but edema and pain at the infusion site
require stopping the IV fluids (A). Although an antidote may be available (B),
additional fluids contribute to the trauma of the subcutaneous tissues.
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2022/2023
update
, NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2022/2023
update
Depending on the type of vesicant, warm or cold compresses (C) may be
prescribed after the infusion is discontinued.
A client with congestive heart failure (CHF) is being discharged with a new
prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril
(Capoten). The nurse's discharge instruction should include reporting which
problem to the healthcare provider?
A) Weight loss.
B) Dizziness.
C) Muscle cramps.
D) Dry mucous
membranes. B)
Dizziness.
Angiotensin-converting enzyme (ACE) inhibitors are used in CHF to reduce afterload
by reversing vasoconstriction common in heart failure. This vasodilation can cause
hypotension and resultant dizziness (B). (A) is desired if fluid overload is present,
and may occur as the result of effective combination drug therapy such as diuretics
with ACE inhibitors. (C) often indicates hypokalemia in the client receiving diuretics.
Excessive diuretic administration may result in fluid volume deficit, manifested by
symptoms such as (D).
NURS 6401 HESI PHARMACOLOGY
(QUESTIONS AND ANSWERS) 2022/2023
update
