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1. An emergency depart- C. she ran out of her medication 4 days ago
ment triage nurse is
interviewing a female Rationale: abruptly stopping anticonvulsant medications can precipitate
client who has a histo- seizures or the development of status epilepticus
ry of epilepsy with ton-
ic-clonic seizures con-
trolled by penguin (Di-
lantin). Which informa-
tion is most significant
in planning this client's
care?
2. The nurse should in- C. alcoholic beverages
struct a client to avoid
which product while tak- Rationale: Soma is a centrally-acting muscle relaxant that can cause CNS
ing carisoprodol (Soma) depression, and can have an additive effect when taken with other CNS
for muscle spasms? depressants, such as alcohol.
3. A client calls the clinic A. take 2 pills a day for 2 days and use an alternate method of contra-
and states that she for- ception for 7 days
got to take her oral con-
traceptives for the past Rationale: if two pills are missed the client should implement (A).
two days. Which instruc-
tion is best or the nurse
to provide to t his client?
4. A 48-year-old client is D. Epinephrine (Adrenalin)
experiencing a severe
anaphylactic reaction to Rationale: Epinephrine is the drug of choice in treating hypotension and
an injection of contrast circulatory failure associated with anaphylaxis because it is a potent vaso-
media. What pharmaco- constrictor. An anaphylactic reaction is an acute systemic hypersensitivity
reaction that occurs within minutes of antigen exposure (such as with
4/16/2026, 1:43:23 PM
, Latest Pharmacology Practice HESI
Pharmacology Practice HESI
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logic agent is of greatest contrast material containing iodine) that can result in peripheral vascular
use in this situation? collapse.
5. A resident of a D. Report symptoms of hypothyroidism such as fatigue and constipation
long-term care facility is
taking lithium carbon- Rationale: Lithium carbonate (Eskalith) causes hypothyroidism in 1 to 4%
ate (Eskalith) to treat of those clients receiving the medication, so caregivers should assess for
bipolar disorder. Which signs of hypothyroidism including fatigue and constipation (early signs)
instruction should the and myxedema or goiter (late symptoms)
nurse provide to this
client's caregivers?
6. A 38-year-old gravid 2 C. Method of infant feeding
para 2 is diagnosed
with bacterial vaginosis Rationale: Flagyl is contraindicated if the woman is breastfeeding be-
9-months postpartum. cause high concentrations have been found in infants. If flatly must be
A prescription is writ- prescribed, the woman should be instructed to pump and discard the
ten for metronidazole milk during treatment and for 48 to 72 hours after the last dose.
(Flagyl). Which informa-
tion is most important
for the nurse to obtain
from the client before
initiating treatment?
7. A client with Paget's dis- D. The nurse's highest priority is to observe for signs of hypersensitivity,
ease is started on cal- such as skin rash, hives, or anaphylaxis.
citonin (Calcimar) 500
mpg subcutaneously
daily. During the initial
treatment, what is the
priority nursing action?
8.
4/16/2026, 1:43:23 PM
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When assessing a client C. Irregular apical pulse with a rate of 87.
prior to the administra-
tion of digoxin (Lanox- Rationale: The action of digoxin is to slow the heart rate and strengthen
in), which data is most the force of contraction, so it is essential for the nurse to ensure that the
important for the nurse apical pulse is within determined parameters prior to administration.
to consider?
9. The healthcare provider B. Take the medication 30 to 45 minutes before eating.
prescribes pyridostig-
mine bromide (Mesti- Rationale: Mestinon, an acetylcholinesterase inhibitor, increases the
non) tablets for a client amount of neuromuscular transmitters to promote muscular strength
with myasthenia gravis and swallowing, so the client should take the medication at least 30
(MG). What instruction minutes before meals.
should the nurse pro-
vide this client?
10. A client is admit- C. Daily weight gain of 2 pounds
ted for atrial fibrilla-
tion, and the health- Rationale: Disopyramide (Norpace) is a class IA antiarrhythmic (with
care provider pre- similar actions such as procainamide) used to suppress and prevent
scribes disopyramide premature ventricular contractions, episodes of ventricular tachycardia,
(Norpace). After explain- atrial flutters and atrial fibrillation. The nurse should instruct the client to
ing the action of this report any sudden weight gain that may indicate fluid retention related
antidysrhythmic agent, to poor cardiac output, which may e the result of ineffective management
which complaint should of the dysrhythmia.
the nurse instruct the
client to report?
11. The nurse receives a A. Return the blood to the blood bank for refrigeration within 30 min-
unit of blood from the utes.
blood bank for a post-
operative client who is Rationale: A blood transfusion should be hung for administration within
4/16/2026, 1:43:23 PM
Pharmacology Practice HESI
Study online at https://quizlet.com/_6g780k
1. An emergency depart- C. she ran out of her medication 4 days ago
ment triage nurse is
interviewing a female Rationale: abruptly stopping anticonvulsant medications can precipitate
client who has a histo- seizures or the development of status epilepticus
ry of epilepsy with ton-
ic-clonic seizures con-
trolled by penguin (Di-
lantin). Which informa-
tion is most significant
in planning this client's
care?
2. The nurse should in- C. alcoholic beverages
struct a client to avoid
which product while tak- Rationale: Soma is a centrally-acting muscle relaxant that can cause CNS
ing carisoprodol (Soma) depression, and can have an additive effect when taken with other CNS
for muscle spasms? depressants, such as alcohol.
3. A client calls the clinic A. take 2 pills a day for 2 days and use an alternate method of contra-
and states that she for- ception for 7 days
got to take her oral con-
traceptives for the past Rationale: if two pills are missed the client should implement (A).
two days. Which instruc-
tion is best or the nurse
to provide to t his client?
4. A 48-year-old client is D. Epinephrine (Adrenalin)
experiencing a severe
anaphylactic reaction to Rationale: Epinephrine is the drug of choice in treating hypotension and
an injection of contrast circulatory failure associated with anaphylaxis because it is a potent vaso-
media. What pharmaco- constrictor. An anaphylactic reaction is an acute systemic hypersensitivity
reaction that occurs within minutes of antigen exposure (such as with
4/16/2026, 1:43:23 PM
, Latest Pharmacology Practice HESI
Pharmacology Practice HESI
Study online at https://quizlet.com/_6g780k
logic agent is of greatest contrast material containing iodine) that can result in peripheral vascular
use in this situation? collapse.
5. A resident of a D. Report symptoms of hypothyroidism such as fatigue and constipation
long-term care facility is
taking lithium carbon- Rationale: Lithium carbonate (Eskalith) causes hypothyroidism in 1 to 4%
ate (Eskalith) to treat of those clients receiving the medication, so caregivers should assess for
bipolar disorder. Which signs of hypothyroidism including fatigue and constipation (early signs)
instruction should the and myxedema or goiter (late symptoms)
nurse provide to this
client's caregivers?
6. A 38-year-old gravid 2 C. Method of infant feeding
para 2 is diagnosed
with bacterial vaginosis Rationale: Flagyl is contraindicated if the woman is breastfeeding be-
9-months postpartum. cause high concentrations have been found in infants. If flatly must be
A prescription is writ- prescribed, the woman should be instructed to pump and discard the
ten for metronidazole milk during treatment and for 48 to 72 hours after the last dose.
(Flagyl). Which informa-
tion is most important
for the nurse to obtain
from the client before
initiating treatment?
7. A client with Paget's dis- D. The nurse's highest priority is to observe for signs of hypersensitivity,
ease is started on cal- such as skin rash, hives, or anaphylaxis.
citonin (Calcimar) 500
mpg subcutaneously
daily. During the initial
treatment, what is the
priority nursing action?
8.
4/16/2026, 1:43:23 PM
, Latest Pharmacology Practice HESI
Pharmacology Practice HESI
Study online at https://quizlet.com/_6g780k
When assessing a client C. Irregular apical pulse with a rate of 87.
prior to the administra-
tion of digoxin (Lanox- Rationale: The action of digoxin is to slow the heart rate and strengthen
in), which data is most the force of contraction, so it is essential for the nurse to ensure that the
important for the nurse apical pulse is within determined parameters prior to administration.
to consider?
9. The healthcare provider B. Take the medication 30 to 45 minutes before eating.
prescribes pyridostig-
mine bromide (Mesti- Rationale: Mestinon, an acetylcholinesterase inhibitor, increases the
non) tablets for a client amount of neuromuscular transmitters to promote muscular strength
with myasthenia gravis and swallowing, so the client should take the medication at least 30
(MG). What instruction minutes before meals.
should the nurse pro-
vide this client?
10. A client is admit- C. Daily weight gain of 2 pounds
ted for atrial fibrilla-
tion, and the health- Rationale: Disopyramide (Norpace) is a class IA antiarrhythmic (with
care provider pre- similar actions such as procainamide) used to suppress and prevent
scribes disopyramide premature ventricular contractions, episodes of ventricular tachycardia,
(Norpace). After explain- atrial flutters and atrial fibrillation. The nurse should instruct the client to
ing the action of this report any sudden weight gain that may indicate fluid retention related
antidysrhythmic agent, to poor cardiac output, which may e the result of ineffective management
which complaint should of the dysrhythmia.
the nurse instruct the
client to report?
11. The nurse receives a A. Return the blood to the blood bank for refrigeration within 30 min-
unit of blood from the utes.
blood bank for a post-
operative client who is Rationale: A blood transfusion should be hung for administration within
4/16/2026, 1:43:23 PM
