HESI PHARMACOLOGY (ACTUAL) QUESTIONS WITH DETAILED
ANSWERS
When treating a patient with a hospital acquired infection with Vancomycin, what
would you do?
a) report the HAI to Medicare
b) assess patient's response
c) obtain WBC count
d) ensure to obtain a peak and trough - ANS... -d) ensure to obtain a peak and
trough
MD ordered 1000ml D5w to infuse over 12 hours? How many ml/hr? - ANS... -83
mL/hr
What further teaching is needed when rifampin (rifordin) is given for TB? - ANS...
-Reduces effectiveness of oral contraceptives; turns skin, sweat, tears, urine, feces,
sputum, saliva, & tongue red/orange/brown; stains contacts.
Patient with ED reports congestion, dizziness, and nausea. Which nursing
assessment takes priority?
a) muscle and back pain
b) breath sounds
c) palpate for distention
d) measure BP standing and lying down - ANS... -D) measure BP standing and
lying down. Test for orthostatic hypotension.
A patient on mechanical ventilation is getting Zantac; what is the purpose of this
treatment? - ANS... -Prevents irritation to abdomen due to decreased stomach acid.
Zantac decreases abdominal secretions.
Before administering a laxative to a bedfast client, it is most important for the
nurse to perform what assessment?
a-Observe the skin integrity of the client's rectal and sacral areas
b-assess the client strength in moving and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements - ANS... -D
rationale
, the nurse should ensure that the client is not experiencing diarrhea (answer choice
D) before administering a laxative, which will increase the frequency of bowel
movements. answer choices A,B,C R4 and assessments for the provision of care
when the client experience is a valve, but are of less priority then answer choice D
which provides data about the possible need to hold medication
A female client with multiple sclerosis reports having less fatigue and improved
memory since she began using the herbal supplement, ginkgo biloba. Which
information is most important for the nurse to include in the teaching plans for this
client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
b-nausea and diarrhea can occur when using this supplement
c-anxiety and headaches increased with use of ginkgo
d-ginkgo biloba use should be limited and not taken during pregnancy - ANS... -
Rationale
ginkgo biloba has blood thinning properties and should not be used in taking
aspirin or unsafe which increased the risk for bleeding. nausea diarrhea anxiety and
headaches are also side effects of supplements but they do not pose the same risk
as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-
moxazole/TMP-SMZ (bactrium) to a client receiving the medication for a urinary
tract infection, more rationale to the nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of
symptoms - ANS... -D
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial
resistance enterprise D, thereby increasing the drug therapeutic benefits answer
choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw tightness
& a stiff neck. Which interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
-obtain a 12 lead EKG - ANS... -Rationale
ANSWERS
When treating a patient with a hospital acquired infection with Vancomycin, what
would you do?
a) report the HAI to Medicare
b) assess patient's response
c) obtain WBC count
d) ensure to obtain a peak and trough - ANS... -d) ensure to obtain a peak and
trough
MD ordered 1000ml D5w to infuse over 12 hours? How many ml/hr? - ANS... -83
mL/hr
What further teaching is needed when rifampin (rifordin) is given for TB? - ANS...
-Reduces effectiveness of oral contraceptives; turns skin, sweat, tears, urine, feces,
sputum, saliva, & tongue red/orange/brown; stains contacts.
Patient with ED reports congestion, dizziness, and nausea. Which nursing
assessment takes priority?
a) muscle and back pain
b) breath sounds
c) palpate for distention
d) measure BP standing and lying down - ANS... -D) measure BP standing and
lying down. Test for orthostatic hypotension.
A patient on mechanical ventilation is getting Zantac; what is the purpose of this
treatment? - ANS... -Prevents irritation to abdomen due to decreased stomach acid.
Zantac decreases abdominal secretions.
Before administering a laxative to a bedfast client, it is most important for the
nurse to perform what assessment?
a-Observe the skin integrity of the client's rectal and sacral areas
b-assess the client strength in moving and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements - ANS... -D
rationale
, the nurse should ensure that the client is not experiencing diarrhea (answer choice
D) before administering a laxative, which will increase the frequency of bowel
movements. answer choices A,B,C R4 and assessments for the provision of care
when the client experience is a valve, but are of less priority then answer choice D
which provides data about the possible need to hold medication
A female client with multiple sclerosis reports having less fatigue and improved
memory since she began using the herbal supplement, ginkgo biloba. Which
information is most important for the nurse to include in the teaching plans for this
client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
b-nausea and diarrhea can occur when using this supplement
c-anxiety and headaches increased with use of ginkgo
d-ginkgo biloba use should be limited and not taken during pregnancy - ANS... -
Rationale
ginkgo biloba has blood thinning properties and should not be used in taking
aspirin or unsafe which increased the risk for bleeding. nausea diarrhea anxiety and
headaches are also side effects of supplements but they do not pose the same risk
as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-
moxazole/TMP-SMZ (bactrium) to a client receiving the medication for a urinary
tract infection, more rationale to the nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of
symptoms - ANS... -D
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial
resistance enterprise D, thereby increasing the drug therapeutic benefits answer
choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw tightness
& a stiff neck. Which interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
-obtain a 12 lead EKG - ANS... -Rationale
