HESI RN PHARMACOLOGY EXAM 2022
The nurse is administering the muscle relaxant baclofen (lioresal) PO to a client
diagnosed with multiple sclerosis. Which intervention should then nurse
implement?
Advise the client to move slowly and cautiously when rising and walking.
During a home visit, the nurse assesses a client with Alzheimer’s Disease who
recently started a new prescription for rivastigmine (exelon). The caregiver
reports that the client seems to be thinking more clearly, but is not sleeping well
at night. Which action should the nurse take?
Explain to the caregiver that insomnia is a common and temporary side
effect when the medication is first started.
The nurse is administering IV fluconazole (Diflucan) to a client who has systemic
candidiasis. After reviewing the client’s diagnostic studies, then nurse identifies
a rising trend in the liver enzyme levels for aspartate aminotransferase (AST, also
called SGOT). What action should the nurse implement?
Hold the dose and notify the healthcare provider of the changes in the
laboratory studies.
A client with a history of asthma is experiencing an acute episode of wheezing
and shortness of breath four hours after returning from surgery. Which
prescription should the nurse administer at this time?
Pirbuterol (Maxair).
A client with hear failure (HF) develops hyperaldosteronism and spironolactone
is prescribed. Which instruction should the nurse include in this client’s plan of
care?
, Limit intake of high-potassium foods.
A client receiving the urinary antispasmodic oxybutynin CL (Ditropan XL)
reports having an extremely dry mouth. How should the nurse respond?
You can suck on hard candy to help relieve the mouth dryness, which is a
common side effect.
A client is receiving tamsulosin (Flomax), an alpha adrenergic blocking agent, for
the management of urinary retention due to benign prostatic hyperplasia (BPH).
Which instruction is most important for the nurse to provide?
Stand and sit up slowly
Thirty minutes after administering trimethobenzamide (tigan) to a client with
nausea, the nurse observes that the client is sedated, but arouses, easily and
denies further nausea. Which action should the nurse implement?
Encourage the client to rest until feeling more alert.
A female client with osteoporosis has been taking a weekly dose of oral
risedronate for several weeks. The client calls the clinic nurse to report increasing
“hearburn.” How should the nurse respond?
Advise the client to go to the nearest emergency department.
The nurse is preparing medications for a client with bipolar disorder and notices
that the antipsychotic medication was discontinued several days ago. Which
medication should also be discontinued?
Lithium
An adolescent receives a new prescription for isotretinoin (claravis) for cystic
acne. Which information is most important for the nurse to provide?
Consider an alternative summer job, other than life-guarding.
, The nurse is teaching a male client with type 1 diabetes mellitus about the onset,
peak, and duration of a new prescription for glargine (lantus) insulin. The the
insulin is self-administered at 0800, when is the client most likely to experience
hypoglycemia?
No peak occurs
Which nursing action has the highest priority when administering a dose of
codeine with acetaminophen to a client?
Instruct the client to request assistance when ambulating to the bathroom.
A male client reveives a scopolamine transdermal patch 2 hours prior to surgery.
Four hours after surgery, the client tells the nurse that he is experiencing pain
and asks why the patch is not working. What action should the nurse take?
Explain that the medication is not given to prevent pain.
A female client is being treated for tuberculosis with rifampin (rifadin). Which
statement indicates that further teaching is needed?
”I’ll take my usual oral contraceptives for birth control.”
The nurse suspects that a client has experienced an adverse reaction to a
prescribed medication. Which action should the nurse take first?
Complete a focuses system assessment of the client.
Calculation: convert 2 Liters to 2,000ml. Then take 2,000mL and divide by 24
hours. We should have 83.33 or rounded to the nearest whole number is 83. We
set the pump running at 83 ml/ hour. DOUBLE CHECK YOUR MATH
, CALCULATION AND ASK ANOTHER TO SOLVE THIS PROBLEM IF IN
DOUBT.
A client asks the nurse about using zinc as a complementary therapy for
treatment of cold symptoms. What should the nurse explain to the client
regarding the use of zinc?
There is very limited evidence it reduces cold symptoms.
Prior to administering oral doses of calcitriol (Rocaltrol) and calcium carbonate
(Os-Cal) to a client with hypoparathyroidism, the nurse notes that the client’s
total calcium level is 14 mg/dL or 3.5 mmol/L (SI). Which action should the
nurse implement?
Hold both medications until contacting the healthcare provider
A male client who has been taking a high-dose of a nonsteroidal anti-
inflammatory drug (NSAID) comes to the clinic complaining of gastric pain and
blood in his stool. The healthcare provider discontinues the NSAIDs and
prescribes esomepraxole (Nexium). Which information should the nurse in this
client’s teaching plan?
Notify the healthcare provider of the passage of black stools.
A client with amyotrophic lateral sclerosis (ALS) has been taking riluzole for two
weeks. The nurse notes that the client remains weak with observable muscle
atrophy. What action should the nurse take?
Advise the client to schedule an appointment for liver function tests.
A female client who has trichomonas vaginalis receives a prescription for
metronidazole (Flagyl). Which instruction should the nurse provide this client?
The nurse is administering the muscle relaxant baclofen (lioresal) PO to a client
diagnosed with multiple sclerosis. Which intervention should then nurse
implement?
Advise the client to move slowly and cautiously when rising and walking.
During a home visit, the nurse assesses a client with Alzheimer’s Disease who
recently started a new prescription for rivastigmine (exelon). The caregiver
reports that the client seems to be thinking more clearly, but is not sleeping well
at night. Which action should the nurse take?
Explain to the caregiver that insomnia is a common and temporary side
effect when the medication is first started.
The nurse is administering IV fluconazole (Diflucan) to a client who has systemic
candidiasis. After reviewing the client’s diagnostic studies, then nurse identifies
a rising trend in the liver enzyme levels for aspartate aminotransferase (AST, also
called SGOT). What action should the nurse implement?
Hold the dose and notify the healthcare provider of the changes in the
laboratory studies.
A client with a history of asthma is experiencing an acute episode of wheezing
and shortness of breath four hours after returning from surgery. Which
prescription should the nurse administer at this time?
Pirbuterol (Maxair).
A client with hear failure (HF) develops hyperaldosteronism and spironolactone
is prescribed. Which instruction should the nurse include in this client’s plan of
care?
, Limit intake of high-potassium foods.
A client receiving the urinary antispasmodic oxybutynin CL (Ditropan XL)
reports having an extremely dry mouth. How should the nurse respond?
You can suck on hard candy to help relieve the mouth dryness, which is a
common side effect.
A client is receiving tamsulosin (Flomax), an alpha adrenergic blocking agent, for
the management of urinary retention due to benign prostatic hyperplasia (BPH).
Which instruction is most important for the nurse to provide?
Stand and sit up slowly
Thirty minutes after administering trimethobenzamide (tigan) to a client with
nausea, the nurse observes that the client is sedated, but arouses, easily and
denies further nausea. Which action should the nurse implement?
Encourage the client to rest until feeling more alert.
A female client with osteoporosis has been taking a weekly dose of oral
risedronate for several weeks. The client calls the clinic nurse to report increasing
“hearburn.” How should the nurse respond?
Advise the client to go to the nearest emergency department.
The nurse is preparing medications for a client with bipolar disorder and notices
that the antipsychotic medication was discontinued several days ago. Which
medication should also be discontinued?
Lithium
An adolescent receives a new prescription for isotretinoin (claravis) for cystic
acne. Which information is most important for the nurse to provide?
Consider an alternative summer job, other than life-guarding.
, The nurse is teaching a male client with type 1 diabetes mellitus about the onset,
peak, and duration of a new prescription for glargine (lantus) insulin. The the
insulin is self-administered at 0800, when is the client most likely to experience
hypoglycemia?
No peak occurs
Which nursing action has the highest priority when administering a dose of
codeine with acetaminophen to a client?
Instruct the client to request assistance when ambulating to the bathroom.
A male client reveives a scopolamine transdermal patch 2 hours prior to surgery.
Four hours after surgery, the client tells the nurse that he is experiencing pain
and asks why the patch is not working. What action should the nurse take?
Explain that the medication is not given to prevent pain.
A female client is being treated for tuberculosis with rifampin (rifadin). Which
statement indicates that further teaching is needed?
”I’ll take my usual oral contraceptives for birth control.”
The nurse suspects that a client has experienced an adverse reaction to a
prescribed medication. Which action should the nurse take first?
Complete a focuses system assessment of the client.
Calculation: convert 2 Liters to 2,000ml. Then take 2,000mL and divide by 24
hours. We should have 83.33 or rounded to the nearest whole number is 83. We
set the pump running at 83 ml/ hour. DOUBLE CHECK YOUR MATH
, CALCULATION AND ASK ANOTHER TO SOLVE THIS PROBLEM IF IN
DOUBT.
A client asks the nurse about using zinc as a complementary therapy for
treatment of cold symptoms. What should the nurse explain to the client
regarding the use of zinc?
There is very limited evidence it reduces cold symptoms.
Prior to administering oral doses of calcitriol (Rocaltrol) and calcium carbonate
(Os-Cal) to a client with hypoparathyroidism, the nurse notes that the client’s
total calcium level is 14 mg/dL or 3.5 mmol/L (SI). Which action should the
nurse implement?
Hold both medications until contacting the healthcare provider
A male client who has been taking a high-dose of a nonsteroidal anti-
inflammatory drug (NSAID) comes to the clinic complaining of gastric pain and
blood in his stool. The healthcare provider discontinues the NSAIDs and
prescribes esomepraxole (Nexium). Which information should the nurse in this
client’s teaching plan?
Notify the healthcare provider of the passage of black stools.
A client with amyotrophic lateral sclerosis (ALS) has been taking riluzole for two
weeks. The nurse notes that the client remains weak with observable muscle
atrophy. What action should the nurse take?
Advise the client to schedule an appointment for liver function tests.
A female client who has trichomonas vaginalis receives a prescription for
metronidazole (Flagyl). Which instruction should the nurse provide this client?
