HESI Pharm 2022 Practice Questions
and Answers
One patient has cancer of the bone; another has cancer in the connective tissues of the
thigh muscles; a third patient has cancer in the vascular tissues. These patients have a
type of tumor referred to as
Sarcoma
A patient is receiving her third course of 5-fluorouracil therapy and knows that stomatitis
is a potential adverse effect of antineoplastic therapy. What will the nurse teach her
about managing this problem?
"Be sure to examine your mouth daily for bleeding, painful areas, and ulcerations."
When administering chemotherapy for treatment of cancer, the nurse implements which
intervention that treats or even prevents chemotherapy-induced nausea and vomiting?
Giving an antiemetic 30 to 60 minutes before the chemotherapy is started.
The nurse is administering a combination of three different antineoplastic drugs to a
patient who has metastatic breast cancer. Which statement best describes the rationale
for combination therapy?
Increased cancer-cell killing will occur.
The nurse is monitoring a patient who has severe bone marrow suppression following
antineoplastic drug therapy. Which is considered the principal early sign of infection?
Fever
When giving chemotherapy as cancer treatment, the nurse recognizes that toxicity to
rapidly growing normal cells also occurs. Which rapidly growing normal cells are also
harmed by chemotherapy?
Hair follicle cells, Gastrointestinal (GI) mucous membrane cells, Bone marrow cells
What is the nurse's priority action if extravasation of an antineoplastic drug occurs
during intravenous (IV) administration?
Stop the infusion immediately, but leave the IV catheter in place
A patient is receiving a third session of chemotherapy with daunorubicin (Cerubidine).
The nurse will assess the patient for which signs of a potential severe toxic effect of this
drug?
A weight gain of 2 pounds or more in 24 hours
The nurse is providing education regarding chemotherapy to a patient who is about to
receive the first course of treatment. Which statement by the nurse is appropriate?
"Report black, tarry stools if they occur."
The nurse is teaching a class about the various chemotherapy drugs and explains that
alkylating drugs are also called "cell cycle-nonspecific drugs" because they are
cytotoxic in any phase of the cell cycle
When reviewing the medication orders for a patient who is taking penicillin, the nurse
notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What
possible effect may occur as the result of an interaction between these drugs?
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
, The nurse is preparing to administer morning meds to a pt who has been newly
diagnosed with tuberculosis. The patient ask, "Why do I have to take so many different
drugs?" Which response by the nurse is correct?
Taking multiple drugs reduces the chance that tuberculosis will become drug resistant.
What will decrease the absorption of tetracycline?
Milk
Transdermal Patches
Something about transdermal patches and I put "they are usually via adhesive patches"
A patient is admitted with a fever of 102.8 F (39.3 ° C), origin unknown. Assessment
reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been
written to obtain urine and blood cultures and to administer an antibiotic intravenously
stat (now). The nurse will complete these orders in which sequence?
Blood and urine cultures, ampicillin dose I found this question online but I know for a
fact that you have to get cultures FIRST and then administer medications. The answers
choices included all meds first and then cultures except for one that said something with
cultures FIRST and then administer medications.
Tetracycline, 8 year old boy, mother says something like "I was fine I took it why can't
my son?"
tooth decay/discoloration
Drugs to avoid with tetracyclines
Antacids
What to acoid with tetracyclines
Sunlight Exposure
Main adverse effect of clindamycin
Diarrhea
Cell Cycle
Nonspecific cell cycle- something with "cytoxic cells...at any phase"
What to watch for with doxorubicin
Cardiomyopathy
What is the nurse's main priority when a medication error has occurred?
Patient Safety
Doctor prescribed to give a certain med STAT but pharmacy sent it an hour late, what
should the nurse do?
Hold med and call doctor
Something about giving chemotherapy, it included "500 neutrophils"-
administer the
prescription as ordered
What to know about immunosuppressants
Do not stop abruptly
Oral vs. Sublingual
sublingual absorbs faster
Which OTC form or something would be absorbed the fastest
Powders
Something with patient taking some kind med and has been getting watery diarrhea for
the past 10 days
and Answers
One patient has cancer of the bone; another has cancer in the connective tissues of the
thigh muscles; a third patient has cancer in the vascular tissues. These patients have a
type of tumor referred to as
Sarcoma
A patient is receiving her third course of 5-fluorouracil therapy and knows that stomatitis
is a potential adverse effect of antineoplastic therapy. What will the nurse teach her
about managing this problem?
"Be sure to examine your mouth daily for bleeding, painful areas, and ulcerations."
When administering chemotherapy for treatment of cancer, the nurse implements which
intervention that treats or even prevents chemotherapy-induced nausea and vomiting?
Giving an antiemetic 30 to 60 minutes before the chemotherapy is started.
The nurse is administering a combination of three different antineoplastic drugs to a
patient who has metastatic breast cancer. Which statement best describes the rationale
for combination therapy?
Increased cancer-cell killing will occur.
The nurse is monitoring a patient who has severe bone marrow suppression following
antineoplastic drug therapy. Which is considered the principal early sign of infection?
Fever
When giving chemotherapy as cancer treatment, the nurse recognizes that toxicity to
rapidly growing normal cells also occurs. Which rapidly growing normal cells are also
harmed by chemotherapy?
Hair follicle cells, Gastrointestinal (GI) mucous membrane cells, Bone marrow cells
What is the nurse's priority action if extravasation of an antineoplastic drug occurs
during intravenous (IV) administration?
Stop the infusion immediately, but leave the IV catheter in place
A patient is receiving a third session of chemotherapy with daunorubicin (Cerubidine).
The nurse will assess the patient for which signs of a potential severe toxic effect of this
drug?
A weight gain of 2 pounds or more in 24 hours
The nurse is providing education regarding chemotherapy to a patient who is about to
receive the first course of treatment. Which statement by the nurse is appropriate?
"Report black, tarry stools if they occur."
The nurse is teaching a class about the various chemotherapy drugs and explains that
alkylating drugs are also called "cell cycle-nonspecific drugs" because they are
cytotoxic in any phase of the cell cycle
When reviewing the medication orders for a patient who is taking penicillin, the nurse
notes that the patient is also taking the oral anticoagulant warfarin (Coumadin). What
possible effect may occur as the result of an interaction between these drugs?
The penicillin will cause an enhanced anticoagulant effect of the warfarin.
, The nurse is preparing to administer morning meds to a pt who has been newly
diagnosed with tuberculosis. The patient ask, "Why do I have to take so many different
drugs?" Which response by the nurse is correct?
Taking multiple drugs reduces the chance that tuberculosis will become drug resistant.
What will decrease the absorption of tetracycline?
Milk
Transdermal Patches
Something about transdermal patches and I put "they are usually via adhesive patches"
A patient is admitted with a fever of 102.8 F (39.3 ° C), origin unknown. Assessment
reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been
written to obtain urine and blood cultures and to administer an antibiotic intravenously
stat (now). The nurse will complete these orders in which sequence?
Blood and urine cultures, ampicillin dose I found this question online but I know for a
fact that you have to get cultures FIRST and then administer medications. The answers
choices included all meds first and then cultures except for one that said something with
cultures FIRST and then administer medications.
Tetracycline, 8 year old boy, mother says something like "I was fine I took it why can't
my son?"
tooth decay/discoloration
Drugs to avoid with tetracyclines
Antacids
What to acoid with tetracyclines
Sunlight Exposure
Main adverse effect of clindamycin
Diarrhea
Cell Cycle
Nonspecific cell cycle- something with "cytoxic cells...at any phase"
What to watch for with doxorubicin
Cardiomyopathy
What is the nurse's main priority when a medication error has occurred?
Patient Safety
Doctor prescribed to give a certain med STAT but pharmacy sent it an hour late, what
should the nurse do?
Hold med and call doctor
Something about giving chemotherapy, it included "500 neutrophils"-
administer the
prescription as ordered
What to know about immunosuppressants
Do not stop abruptly
Oral vs. Sublingual
sublingual absorbs faster
Which OTC form or something would be absorbed the fastest
Powders
Something with patient taking some kind med and has been getting watery diarrhea for
the past 10 days
