1
Pharmacology Evolve HESI Revised Questions and Verified
Answers Graded A+ Comprehensive Exam Preparation Study
Guide PDF
1
, 2
Pharmacology Evolve HESI Revised
Questions and Verified Answers Graded A+
Comprehensive Exam Preparation Study
Guide
A 19-year-old male client who has sustained a severe head injury is
intubated and placed on assisted mechanical ventilation. To
facilitate optimal ventilation and prevent the client from "fighting"
the ventilator, the health care provider administers pancuronium
bromide IV, with adjunctive opioid analgesia. What medication
should be immediately accessible for a potential complication with
this drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine
- correct answer✅-B. Neostigmine bromide
Neostigmine bromide and atropine sulfate, both anticholinergic
drugs, reverse the respiratory muscle paralysis caused by
pancuronium bromide. Options A, C, and D are not antagonists to
pancuronium bromide and would not be helpful in reversing the
effects of the drug compared with the use of anticholinergics.
A client with viral influenza is receiving vitamin C, 1000 mg PO daily,
and acetaminophen elixir, 650 mg PO every 4 hours PRN. The nurse
calls the health care provider to report that the client has developed
diarrhea. Which change in prescriptions should the nurse
anticipate?
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
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D. Begin treatment with an antibiotic.
- correct answer✅-C. Decrease the dose of vitamin C.
When providing nursing care for a client receiving pyridostigmine
bromide for myasthenia gravis, which nursing intervention has the
highest priority?
A. Monitor the client frequently for urinary retention.
B. Assess respiratory status and breath sounds often.
C. Monitor blood pressure each shift to screen for hypertension.
D. Administer most medications after meals to decrease
gastrointestinal irritation.
- correct answer✅-B. Assess respiratory status and breath sounds
often.
A client with a dislocated shoulder is being prepared for a closed
manual reduction using conscious sedation. Which medication
should the nurse explain as a sedative used during the procedure?
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
- correct answer✅-B. Midazolam IV
A client is being discharged with a prescription for sulfasalazine to
treat ulcerative colitis. Which instruction should the nurse provide
to this client prior to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day.
- correct answer✅-D. Drink at least eight glasses of fluid a day.
The health care provider prescribes carbamazepine for a child
whose tonic-clonic seizures have been poorly controlled. The nurse
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informs the mother that the child must have blood tests every week.
The mother asks why so many blood tests are necessary. Which
complication is assessed through frequent laboratory testing that
the nurse should explain to this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity
- correct answer✅-C. Myelosuppression
Myelosuppression is the highest priority complication that can
potentially affect clients managed with carbamazepine therapy. The
client requires close monitoring for this condition by weekly
laboratory testing. Hepatic function may be altered, but this
complication does not have as great a potential for occurrence as
option C. Options A and B are not typical complications of
carbamazepine therapy.
When developing a written nursing care plan for a client receiving
chemotherapy for treatment of cancer, the nurse writes, "Assess
each voiding for hematuria." The administration of which type of
chemotherapeutic agent would prompt the nurse to add this
intervention?
A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide
- correct answer✅-D. Cyclophosphamide
Hemorrhagic cystitis is the characteristic adverse reaction of
cyclophosphamide. Administration of options A, B, and C does not
typically cause hemorrhagic cystitis.
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Pharmacology Evolve HESI Revised Questions and Verified
Answers Graded A+ Comprehensive Exam Preparation Study
Guide PDF
1
, 2
Pharmacology Evolve HESI Revised
Questions and Verified Answers Graded A+
Comprehensive Exam Preparation Study
Guide
A 19-year-old male client who has sustained a severe head injury is
intubated and placed on assisted mechanical ventilation. To
facilitate optimal ventilation and prevent the client from "fighting"
the ventilator, the health care provider administers pancuronium
bromide IV, with adjunctive opioid analgesia. What medication
should be immediately accessible for a potential complication with
this drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine
- correct answer✅-B. Neostigmine bromide
Neostigmine bromide and atropine sulfate, both anticholinergic
drugs, reverse the respiratory muscle paralysis caused by
pancuronium bromide. Options A, C, and D are not antagonists to
pancuronium bromide and would not be helpful in reversing the
effects of the drug compared with the use of anticholinergics.
A client with viral influenza is receiving vitamin C, 1000 mg PO daily,
and acetaminophen elixir, 650 mg PO every 4 hours PRN. The nurse
calls the health care provider to report that the client has developed
diarrhea. Which change in prescriptions should the nurse
anticipate?
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
2
, 3
D. Begin treatment with an antibiotic.
- correct answer✅-C. Decrease the dose of vitamin C.
When providing nursing care for a client receiving pyridostigmine
bromide for myasthenia gravis, which nursing intervention has the
highest priority?
A. Monitor the client frequently for urinary retention.
B. Assess respiratory status and breath sounds often.
C. Monitor blood pressure each shift to screen for hypertension.
D. Administer most medications after meals to decrease
gastrointestinal irritation.
- correct answer✅-B. Assess respiratory status and breath sounds
often.
A client with a dislocated shoulder is being prepared for a closed
manual reduction using conscious sedation. Which medication
should the nurse explain as a sedative used during the procedure?
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
- correct answer✅-B. Midazolam IV
A client is being discharged with a prescription for sulfasalazine to
treat ulcerative colitis. Which instruction should the nurse provide
to this client prior to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day.
- correct answer✅-D. Drink at least eight glasses of fluid a day.
The health care provider prescribes carbamazepine for a child
whose tonic-clonic seizures have been poorly controlled. The nurse
3
, 4
informs the mother that the child must have blood tests every week.
The mother asks why so many blood tests are necessary. Which
complication is assessed through frequent laboratory testing that
the nurse should explain to this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity
- correct answer✅-C. Myelosuppression
Myelosuppression is the highest priority complication that can
potentially affect clients managed with carbamazepine therapy. The
client requires close monitoring for this condition by weekly
laboratory testing. Hepatic function may be altered, but this
complication does not have as great a potential for occurrence as
option C. Options A and B are not typical complications of
carbamazepine therapy.
When developing a written nursing care plan for a client receiving
chemotherapy for treatment of cancer, the nurse writes, "Assess
each voiding for hematuria." The administration of which type of
chemotherapeutic agent would prompt the nurse to add this
intervention?
A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide
- correct answer✅-D. Cyclophosphamide
Hemorrhagic cystitis is the characteristic adverse reaction of
cyclophosphamide. Administration of options A, B, and C does not
typically cause hemorrhagic cystitis.
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