HESI Pharmacology Exam V4| 2023 / 2024 Update | Questions and Verified Answers (55 Q & A)

HESI Pharmacology Exam V4| 2023 / 2024 Update | Questions and Verified Answers (55 Q & A) QUESTION The nurse is caring for a client receiving regular insulin prescribed per sliding scale. If a regular insulin is administered at 0730, which additional nursing action is indicated for this client? a. Ensure that the client eats breakfast. b. Assess the client for hypoglycemia around 1500. c. Provide a mid-afternoon snack for the client. d. Perform a glucometer reading at 1000. Answer: A QUESTION The nurse is developing a plan of care for a client who takes hydroxychloroquine for the treatment of systemic lupus erythematosus (SLE). Which recommendation should the nurse provide the client to monitor side effects from this drug? a. Undergo annual bone density exams. b. Take folic acid 1 mg every day. c. Obtain monthly chest radiographs. d. Schedule an ophthalmic exam every 6 to 12 months. Answer: D. QUESTION Two months after taking nitrofurantoin for a bacterial infection, a client reports the onset of severe, watery diarrhea to the home health nurse. How should the nurse respond? a. Explain that the diarrhea maybe an adverse effect that requires further evaluation. b. Determine if the full course of the initial prescription of medication was taken. c. Offer instructions about the use of an over-the-counter antidiarrheal medication. d. Advise that the infection has returned, and additional medication will be needed Answer: A. QUESTION The nurse notes that a client has been receiving hydromorphone every six hours for four days. Which assessment is most important for the nurse to complete? a. Measure the client's capillary glucose level. b. Observe for edema around the ankles. c. Count the apical and radial pulses simultaneously. d. Auscultate the client's bowel sounds. Answer: D. QUESTION The nurse is caring for a client who is taking diclofenac, a non-steroidal anti-inflammatory drug (NSAID) for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review? a. Sodium. b. Glucose. c. Hemoglobin. d. Total protein. Answer: C. QUESTION A client with a history of angina reports the onset of chest pain. The nurse determines that the heart rate is 104 beats/minute and blood pressure is 138/96 mmHg. A transdermal nitroglycerin patch that was applied 30 minutes ago to the right upper chest. Which action should the nurse take? a. Obtain another transdermal patch and position it on the client's left upper chest. b. Withhold further doses of nitroglycerin until contacting the healthcare provider. c. Leave the patch in place and administer a PRN dose of a sublingual nitroglycerin. d. Reassure the client that the patch will begin to take effect within a few minutes. Answer: C. QUESTION A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, gingko biloba. Which information is most important for the nurse to include in the teaching plan for this client? a. Nausea and diarrhea can occur when using this supplement. b. Gingko biloba use should be limited and not taken during pregnancy. c. Aspirin and non-steroidal inflammatory drugs interact with ginkgo. d. Anxiety and headaches increase with the use of gingko. Answer: C. QUESTION A client with heart failure, who is taking furosemide, complai