HESI RN Pharmacology 2022 V2 Exam & Study Guide
1. 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
2. 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
3. In explaining the benefits of the combination anti-infective drug
code TMP-SMZ (Bactrim) to a client receiving the medication for a
urinary tract infection, more rationale to the nurse provide?
A. Each drug could cause damage to the kidneys if taken separately
B. One drug reduces the risk of side effects caused by the drug
C. while one drug provide relief, the other fights the infection
D. the two drugs work together to reduce resistance of the
bacterial infection of symptoms
4. Client being treated with Haldol for schizophrenia is complaining of
jaw tightness and a stiff neck. Which interventions should the nurse
implement?
A. give PRN dose of diphenhydramine Benadryl
B. assess client other sensory hallucinations
C. massage neck until muscles begin to relax
D. obtain a 12 lead EKG
5. Which intervention is most important for the nurse implement for a
, client is receiving Lispro Humalog insulin?
A. Check blood glucose levels every six hours
B. Provide meals at the same time that insulin is given
C. Assess for hypoglycemia between meals
D. Keeping oral liquid or glucose source available
6. Client takes nonsteroidal anti-inflammatory drugs every day for
rheumatoid arthritis is being treated for anemia which intervention is
most important for the nurse to include any plan of care
A. Observe for gastrointestinal bleeding
B. Monitor liver function test results
C. Protect skin from bruising
D. Offered dietary selections rich in iron
7. A client receives a prescription for theophylline (Theo-Dur) PO to be
initiated in the morning after the dose of theophylline IV is complete.
The nurse determines that a theophylline level drawn yesterday was
22 mcg/mL. Based on this information, which action should the nurse
implement?
A. Hold the theophylline dose and notify the health care provider.
B. Start the client on a half-dose of theophylline PO.
C. The theophylline dose can be initiated as planned.
D. The client is not ready to be weaned from the IV to the PO route
8. The nurse is reviewing a client's laboratory results before a
procedure in which a neuromuscular blocking agent is a standing
order. Which finding should the nurse report to the health care
provider?
A. Hypokalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypomagnesemia
9. The nurse is preparing a child for transport to the operating room for
an emergency appendectomy. The anesthesiologist prescribes
atropine sulfate (Atropine), IM STAT. What is the primary purpose
for administering this drug to the child at this time?
, A. Decrease the oral secretions
B. Reduce the child's anxiety
C. Potentiate the opioid effects
D. Prevent possible peritonitis
10.When caring for a client on digoxin (Lanoxin) therapy, the nurse
knows to be alert for digoxin (Lanoxin) toxicity. Which finding
would predispose this client to developing digoxin toxicity?
A. Low serum sodium level
B. High serum sodium level
C. Low serum potassium level
D. High serum potassium level
11.A client is receiving anti-infective drug therapy for a postoperative
infection.Which complaint should alert the nurse to the possibility
that the client has contracted a superinfection?
A. "My mouth feels sore"
B. "I have a headache."
C. "My ears feel plugged up."
D. "I feel constipated"
12.During the initial nursing assessment history, a client tells the nurse
that he is taking tetracycline hydrochloride (Sumycin) for urethritis.
Which medication taken concurrently with Sumycin could interfere
with its absorption?
A. Sucralfate (Carafate)
B. Hydrochlorothiazide (Diuril)
C. Acetaminophen (Tylenol)
D. Phenytoin (Dilantin)
13.Following the administration of sublingual nitroglycerin, which
assessment finding indicates that the medication was effective?
A. Decrease in level of chest pain
B. Clear bilateral breath sounds
C. Increase in blood pressure
D. Increase in urinary output
14.Alteration of which laboratory finding represents the
1. 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
2. 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
3. In explaining the benefits of the combination anti-infective drug
code TMP-SMZ (Bactrim) to a client receiving the medication for a
urinary tract infection, more rationale to the nurse provide?
A. Each drug could cause damage to the kidneys if taken separately
B. One drug reduces the risk of side effects caused by the drug
C. while one drug provide relief, the other fights the infection
D. the two drugs work together to reduce resistance of the
bacterial infection of symptoms
4. Client being treated with Haldol for schizophrenia is complaining of
jaw tightness and a stiff neck. Which interventions should the nurse
implement?
A. give PRN dose of diphenhydramine Benadryl
B. assess client other sensory hallucinations
C. massage neck until muscles begin to relax
D. obtain a 12 lead EKG
5. Which intervention is most important for the nurse implement for a
, client is receiving Lispro Humalog insulin?
A. Check blood glucose levels every six hours
B. Provide meals at the same time that insulin is given
C. Assess for hypoglycemia between meals
D. Keeping oral liquid or glucose source available
6. Client takes nonsteroidal anti-inflammatory drugs every day for
rheumatoid arthritis is being treated for anemia which intervention is
most important for the nurse to include any plan of care
A. Observe for gastrointestinal bleeding
B. Monitor liver function test results
C. Protect skin from bruising
D. Offered dietary selections rich in iron
7. A client receives a prescription for theophylline (Theo-Dur) PO to be
initiated in the morning after the dose of theophylline IV is complete.
The nurse determines that a theophylline level drawn yesterday was
22 mcg/mL. Based on this information, which action should the nurse
implement?
A. Hold the theophylline dose and notify the health care provider.
B. Start the client on a half-dose of theophylline PO.
C. The theophylline dose can be initiated as planned.
D. The client is not ready to be weaned from the IV to the PO route
8. The nurse is reviewing a client's laboratory results before a
procedure in which a neuromuscular blocking agent is a standing
order. Which finding should the nurse report to the health care
provider?
A. Hypokalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypomagnesemia
9. The nurse is preparing a child for transport to the operating room for
an emergency appendectomy. The anesthesiologist prescribes
atropine sulfate (Atropine), IM STAT. What is the primary purpose
for administering this drug to the child at this time?
, A. Decrease the oral secretions
B. Reduce the child's anxiety
C. Potentiate the opioid effects
D. Prevent possible peritonitis
10.When caring for a client on digoxin (Lanoxin) therapy, the nurse
knows to be alert for digoxin (Lanoxin) toxicity. Which finding
would predispose this client to developing digoxin toxicity?
A. Low serum sodium level
B. High serum sodium level
C. Low serum potassium level
D. High serum potassium level
11.A client is receiving anti-infective drug therapy for a postoperative
infection.Which complaint should alert the nurse to the possibility
that the client has contracted a superinfection?
A. "My mouth feels sore"
B. "I have a headache."
C. "My ears feel plugged up."
D. "I feel constipated"
12.During the initial nursing assessment history, a client tells the nurse
that he is taking tetracycline hydrochloride (Sumycin) for urethritis.
Which medication taken concurrently with Sumycin could interfere
with its absorption?
A. Sucralfate (Carafate)
B. Hydrochlorothiazide (Diuril)
C. Acetaminophen (Tylenol)
D. Phenytoin (Dilantin)
13.Following the administration of sublingual nitroglycerin, which
assessment finding indicates that the medication was effective?
A. Decrease in level of chest pain
B. Clear bilateral breath sounds
C. Increase in blood pressure
D. Increase in urinary output
14.Alteration of which laboratory finding represents the
