Pharmacology Practice HESI Exam – Brand New
| Latest Already Graded A+ UPDATE 2026
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Terms in this set (72)
The nurse is caring for a client who A. Take the medication at bedtime.
has taken atenolol for 2 years. The B. Report presence of increased bruising.
healthcare provider recently C. Check pulse before taking medication.
changed the medication to D. Rise slowly when getting out of bed or chair.
enalapril to manage the client's Correct
blood pressure. Which instruction
should the nurse provide the client The client's new medication is an angiotensin-
regarding the new medication? converting enzyme (ACE) inhibitor, which has the
side effect oforthostatic hypotension. Instructing
the client to rise slowly from a sitting or lying
down position is important to teach the client to
avoid dizziness and potentially falling.
,A female client calls the clinic and Discontinue the antibiotic because original
talks with the nurse to inquire about symptoms have subsided.
a possible reaction after taking
amoxicillin for 5 days. She reports Continue taking medication until finished until the
having vaginal discomfort, itching, symptoms subside.
and a white discharge. The nurse
should discuss which action with Consult with healthcare provider about another
the client? treatment for this effect. Correct
Use an over-the-counter (OTC) vaginal wash to
flush out the secretions.
A superinfection with normal flora yeast may
occur during antibiotic therapy. If suspected, the
new onset of findings should be reported to the
healthcare provider for another prescribed
treatment to treat the superinfection.
The nurse is making early morning Tachycardia.
rounds on a group of clients when a
client begins exhibiting symptoms Increased blood pressure.
of an acute asthma attack. The
nurse administers a PRN Rapid resolution of wheezing. Correct
prescription for a Beta 2 receptor
agonist agent. Which client Improved pulse oximetry values. Correct
response should the nurse expect?
Reduce fever airway inflammation.
Beta 2 receptor agonist agents should provide
immediate return of airflow and resolve
wheezing and improve oxygenation.
,A client prescribed atenolol has a Lower the head of the bed and assess the client
blood pressure of 120/68 mmHg, for orthostatic vital sign changes.
displaying a sinus bradycardia with
a rate of 58 beats/minute, and a P-R Give the medication as prescribed and continue
interval of 0.24. Which action to monitor the client. Correct
should the nurse take?
Prepare to administer atropine sulfate IV push.
Hold the prescribed dose and contact the
healthcare provider.
Since the client's blood pressure is within normal
limits, and the pulse is above 50 beats/min with a
first degree block, the medication can be
administered. Atenolol is a beta-blocker that
slows the heart rate and lowers the blood
pressure; this drug is generally held if the heart
rate is less than 50 beats/min or the client exhibits
dizziness related to hypotension.
, The nurse is preparing the 0900 Withhold the scheduled dose. Correct
dose of losartan (Cozaar), an
angiotensin II receptor blocker Check the client's apical pulse.
(ARB), for a client with hypertension
and heart failure. The nurse reviews Notify the healthcare provider.
the client's laboratory results and
notes that the client's serum Repeat the serum potassium level.
potassium level is 5.9 mEq/L. Which
action should the nurse take first? The nurse should first withhold the scheduled
dose of Cozaar because the client is
hyperkalemic (normal range 3.5 to 5 mEq/l).
Although hypokalemia is usually associated with
diuretic therapy in heart failure, hyperkalemia is
associated with several heart failure medications,
including ARBs. Because hyperkalemia may lead
to cardiac dysrhythmias, the nurse should check
the apical pulse for rate and rhythm, and blood
pressure.
Awarded 1.0 points out of 1.0 possible
| Latest Already Graded A+ UPDATE 2026
Save
Terms in this set (72)
The nurse is caring for a client who A. Take the medication at bedtime.
has taken atenolol for 2 years. The B. Report presence of increased bruising.
healthcare provider recently C. Check pulse before taking medication.
changed the medication to D. Rise slowly when getting out of bed or chair.
enalapril to manage the client's Correct
blood pressure. Which instruction
should the nurse provide the client The client's new medication is an angiotensin-
regarding the new medication? converting enzyme (ACE) inhibitor, which has the
side effect oforthostatic hypotension. Instructing
the client to rise slowly from a sitting or lying
down position is important to teach the client to
avoid dizziness and potentially falling.
,A female client calls the clinic and Discontinue the antibiotic because original
talks with the nurse to inquire about symptoms have subsided.
a possible reaction after taking
amoxicillin for 5 days. She reports Continue taking medication until finished until the
having vaginal discomfort, itching, symptoms subside.
and a white discharge. The nurse
should discuss which action with Consult with healthcare provider about another
the client? treatment for this effect. Correct
Use an over-the-counter (OTC) vaginal wash to
flush out the secretions.
A superinfection with normal flora yeast may
occur during antibiotic therapy. If suspected, the
new onset of findings should be reported to the
healthcare provider for another prescribed
treatment to treat the superinfection.
The nurse is making early morning Tachycardia.
rounds on a group of clients when a
client begins exhibiting symptoms Increased blood pressure.
of an acute asthma attack. The
nurse administers a PRN Rapid resolution of wheezing. Correct
prescription for a Beta 2 receptor
agonist agent. Which client Improved pulse oximetry values. Correct
response should the nurse expect?
Reduce fever airway inflammation.
Beta 2 receptor agonist agents should provide
immediate return of airflow and resolve
wheezing and improve oxygenation.
,A client prescribed atenolol has a Lower the head of the bed and assess the client
blood pressure of 120/68 mmHg, for orthostatic vital sign changes.
displaying a sinus bradycardia with
a rate of 58 beats/minute, and a P-R Give the medication as prescribed and continue
interval of 0.24. Which action to monitor the client. Correct
should the nurse take?
Prepare to administer atropine sulfate IV push.
Hold the prescribed dose and contact the
healthcare provider.
Since the client's blood pressure is within normal
limits, and the pulse is above 50 beats/min with a
first degree block, the medication can be
administered. Atenolol is a beta-blocker that
slows the heart rate and lowers the blood
pressure; this drug is generally held if the heart
rate is less than 50 beats/min or the client exhibits
dizziness related to hypotension.
, The nurse is preparing the 0900 Withhold the scheduled dose. Correct
dose of losartan (Cozaar), an
angiotensin II receptor blocker Check the client's apical pulse.
(ARB), for a client with hypertension
and heart failure. The nurse reviews Notify the healthcare provider.
the client's laboratory results and
notes that the client's serum Repeat the serum potassium level.
potassium level is 5.9 mEq/L. Which
action should the nurse take first? The nurse should first withhold the scheduled
dose of Cozaar because the client is
hyperkalemic (normal range 3.5 to 5 mEq/l).
Although hypokalemia is usually associated with
diuretic therapy in heart failure, hyperkalemia is
associated with several heart failure medications,
including ARBs. Because hyperkalemia may lead
to cardiac dysrhythmias, the nurse should check
the apical pulse for rate and rhythm, and blood
pressure.
Awarded 1.0 points out of 1.0 possible
