HESI PHARMACOLOGY ACTUAL EXAM 2022
1. 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
esomeprazole. Which information should the client include in the nurse’s teaching plan?
A. Once pain subsides, NSAID therapy can be continued
B. Resume a diet that consists of milk, cream, and bland foods
C. Notify the healthcare provider of the passage of black stool
D. Call the clinic if diarrhea or headache occur when taking esomeprazole
Answer: C. Notify the healthcare provider of the passage of black stool
2.When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has
been achieved?
A. Sleeps soundly through the night
B. Decreased episodes of incontinence
C. Exhibits fewer emotional outburst
D. Improved ability to concentrate
Answer: A. Sleeps soundly through the night
3.A male client with a fungal infection of the toenail reports to the nurse that he has been applying an over-the-counter
triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse
take?
A. Instruct the client to obtain a prescription for oral terbinafine
B. Suggest that the client use the ointment twice a day to be more effective
C. Reassure that the treatment of fungus-infected toenails often takes several months
D. Advise the client to obtain a prescription-strength formulation of the ointment
Answer: A. Instruct the client to obtain a prescription for oral terbinafine
4. A client with a nasogastric tube (NGT) has a prescription for sucralfate. The liquid form of the medication is not
currently available in the pharmacy and tablets have been delivered to the medication dispensing system. Which action
should the nurse include when administering the medication?
A. Crush the tablet and mix it with water separately from other medications
B. Crush the tablet and mix it with other crushed tablets diluted in water
C. Withhold the medication until a liquid form is available on the nursing unit
D. Crush the tablet and mix it with other liquid medications for administration
Answer: A. Crush the tablet and mix it with water separately from other medications
5. A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the
client indicates to the nurse that medication teaching was effective?
A. I should take this medication only when I am having an asthma attack
B. I will take the tablet every evening to control my asthma
C. This medication will stop an asthma attack immediately
D. I will not need to use my inhalers twice a day when I start this medication
Answer: B. I will take the tablet every evening to control my asthma
6. The nurse is planning to administer the antiulcer GI agent sucralfate to a client with peptic ulcer disease. Which action
should the nurse include in this client’s plan of care?
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, A. Assess for secondary Candida infection
B. Administer sucralfate once a day, preferably at bedtime
C. Give sucralfate on an empty stomach
D. Monitor for electrolyte imbalance
Answer: B. Give sucralfate once a day, preferably at bedtime
This study source was downloaded by 100000843226607 from CourseHero.com on 04-11-2022 07:09:20 GMT -05:00
https://www.coursehero.com/file/105963886/Pharm-HESI-2021docx/
1. 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
esomeprazole. Which information should the client include in the nurse’s teaching plan?
A. Once pain subsides, NSAID therapy can be continued
B. Resume a diet that consists of milk, cream, and bland foods
C. Notify the healthcare provider of the passage of black stool
D. Call the clinic if diarrhea or headache occur when taking esomeprazole
Answer: C. Notify the healthcare provider of the passage of black stool
2.When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has
been achieved?
A. Sleeps soundly through the night
B. Decreased episodes of incontinence
C. Exhibits fewer emotional outburst
D. Improved ability to concentrate
Answer: A. Sleeps soundly through the night
3.A male client with a fungal infection of the toenail reports to the nurse that he has been applying an over-the-counter
triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse
take?
A. Instruct the client to obtain a prescription for oral terbinafine
B. Suggest that the client use the ointment twice a day to be more effective
C. Reassure that the treatment of fungus-infected toenails often takes several months
D. Advise the client to obtain a prescription-strength formulation of the ointment
Answer: A. Instruct the client to obtain a prescription for oral terbinafine
4. A client with a nasogastric tube (NGT) has a prescription for sucralfate. The liquid form of the medication is not
currently available in the pharmacy and tablets have been delivered to the medication dispensing system. Which action
should the nurse include when administering the medication?
A. Crush the tablet and mix it with water separately from other medications
B. Crush the tablet and mix it with other crushed tablets diluted in water
C. Withhold the medication until a liquid form is available on the nursing unit
D. Crush the tablet and mix it with other liquid medications for administration
Answer: A. Crush the tablet and mix it with water separately from other medications
5. A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the
client indicates to the nurse that medication teaching was effective?
A. I should take this medication only when I am having an asthma attack
B. I will take the tablet every evening to control my asthma
C. This medication will stop an asthma attack immediately
D. I will not need to use my inhalers twice a day when I start this medication
Answer: B. I will take the tablet every evening to control my asthma
6. The nurse is planning to administer the antiulcer GI agent sucralfate to a client with peptic ulcer disease. Which action
should the nurse include in this client’s plan of care?
This study source was downloaded by 100000843226607 from CourseHero.com on 04-11-2022 07:09:20 GMT -05:00
https://www.coursehero.com/file/105963886/Pharm-HESI-2021docx/
, A. Assess for secondary Candida infection
B. Administer sucralfate once a day, preferably at bedtime
C. Give sucralfate on an empty stomach
D. Monitor for electrolyte imbalance
Answer: B. Give sucralfate once a day, preferably at bedtime
This study source was downloaded by 100000843226607 from CourseHero.com on 04-11-2022 07:09:20 GMT -05:00
https://www.coursehero.com/file/105963886/Pharm-HESI-2021docx/
