HESI Pharmacology (ACTUAL) Exam 2024 Questions
with 100% Correct Answers
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
D
rationale
the nurse should ensure that the client is not experiencing diarrhea (answer choice D) before
administering a laxative, which will increase the frequency of bowel movements. answer choices
A,B,C R4 and assessments for the provision of care when the client experience is a valve, but are of
less priority then answer choice D which provides data about the possible need to hold medication
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
Rationale
ginkgo biloba has blood thinning properties and should not be used in taking aspirin or unsafe which
increased the risk for bleeding. nausea diarrhea anxiety and headaches are also side effects of
supplements but they do not pose the same risk as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-moxazole/TMP-SMZ
(bactrium) to a client receiving the medication for a urinary tract infection, more rationale to the
nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of symptoms
D
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial resistance enterprise D,
thereby increasing the drug therapeutic benefits answer choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw tightness & a stiff neck. Which
interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
-obtain a 12 lead EKG
Rationale
jaw tightness and a stiff neck are signs of tardive dyskinesia, a serious side effect of health all that can
be reversed with Benadryl answer choice A. the client complaints are not considered hallucinations b.
Massaging the neck does not eliminate the symptoms. A 12 lead EKG is not indicated because the
pain is not cardiac in origin.
with 100% Correct Answers
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
D
rationale
the nurse should ensure that the client is not experiencing diarrhea (answer choice D) before
administering a laxative, which will increase the frequency of bowel movements. answer choices
A,B,C R4 and assessments for the provision of care when the client experience is a valve, but are of
less priority then answer choice D which provides data about the possible need to hold medication
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
Rationale
ginkgo biloba has blood thinning properties and should not be used in taking aspirin or unsafe which
increased the risk for bleeding. nausea diarrhea anxiety and headaches are also side effects of
supplements but they do not pose the same risk as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-moxazole/TMP-SMZ
(bactrium) to a client receiving the medication for a urinary tract infection, more rationale to the
nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of symptoms
D
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial resistance enterprise D,
thereby increasing the drug therapeutic benefits answer choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw tightness & a stiff neck. Which
interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
-obtain a 12 lead EKG
Rationale
jaw tightness and a stiff neck are signs of tardive dyskinesia, a serious side effect of health all that can
be reversed with Benadryl answer choice A. the client complaints are not considered hallucinations b.
Massaging the neck does not eliminate the symptoms. A 12 lead EKG is not indicated because the
pain is not cardiac in origin.
