PHARMACOLOGY HESI QUESTIONS AND
ANSWERS LATEST UPDATE
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine
oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit.
Which information is most important for the nurse to assess?
Consumption of any alcohol or tyramine-rich foods.
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time.
What side effects should the nurse assess the client for during the initial dose?
Dystonia.
While reviewing the client's electronic medical record (EMR), the nurse assesses
a client who is at risk for a possible interaction with an over-the-counter (OTC)
decongestant. Which client health history should the nurse report to the
healthcare provider concerning the OTC medication? (Select all that apply.)
Closed angle glaucoma.
Chronic hypertension.
A client prescribed ipratropium reports nausea, blurred vision, headaches, and
insomnia after using the inhaler. Which action should the nurse implement first?
Withhold medication and report symptoms and vital signs to healthcare provider.
A client diagnosed with multiple sclerosis is experiencing profound weakness,
blurry vision, and shooting pains in both legs. Which medication is considered
the best course of treatment for the nurse to administer?
High dose methylprednisolone intravenously.
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic
encephalopathy. Which assessment finding would indicate the medication is
being therapeuitc?
A decrease in blood ammonia levels.
, The nurse is teaching a client who is newly diagnosed with Type 1 diabetes about
neutral protamine Hagedor (NPH) insulin. Which statement by the client indicates
an understanding of how the medication works?
It facilitates the transport of glucose into the cells.
The nurse should withhold which medication if a client reports nausea, vomiting,
and diarrhea?
Colchicine (Mitigare, Colcrys).
A client newly prescribed esomeprazole for gastroesophageal reflux disease
(GERD) asks the nurse how the medication will help. Which is the best
explanation to provide the client?
It will promote rapid tissue healing.
A nurse is providing medication education for a client prescribed a beta-blocking
agents for treatment of glaucoma. Which statement by the client demonstrates an
understanding of the mechanism of the medication?
It inhibits the aqueous humor production.
A nurse is planning a teaching session for a client newly prescribed a miotic drug
for the treatment of glaucoma. Which information should the nurse include in the
teaching session?
The medication enhances the aqueous humor outflow.
The healthcare provider (HCP) prescribes a medication for an older adult client
who is reporting insomnia, and the HCP instructs the client to return in two
weeks. The nurse should question which prescription?
Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole (Nexium) 20 mg capsule daily. When providing this client with
discharge teaching, the nurse should include which instruction?
Take at same time each day one hour before eating a meal.
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic
quinolone. When teaching about this drug, which information in the client's
history requires special emphasis by the nurse?
Works twenty hours a week as a lifeguard at the local pool.
ANSWERS LATEST UPDATE
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine
oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit.
Which information is most important for the nurse to assess?
Consumption of any alcohol or tyramine-rich foods.
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time.
What side effects should the nurse assess the client for during the initial dose?
Dystonia.
While reviewing the client's electronic medical record (EMR), the nurse assesses
a client who is at risk for a possible interaction with an over-the-counter (OTC)
decongestant. Which client health history should the nurse report to the
healthcare provider concerning the OTC medication? (Select all that apply.)
Closed angle glaucoma.
Chronic hypertension.
A client prescribed ipratropium reports nausea, blurred vision, headaches, and
insomnia after using the inhaler. Which action should the nurse implement first?
Withhold medication and report symptoms and vital signs to healthcare provider.
A client diagnosed with multiple sclerosis is experiencing profound weakness,
blurry vision, and shooting pains in both legs. Which medication is considered
the best course of treatment for the nurse to administer?
High dose methylprednisolone intravenously.
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic
encephalopathy. Which assessment finding would indicate the medication is
being therapeuitc?
A decrease in blood ammonia levels.
, The nurse is teaching a client who is newly diagnosed with Type 1 diabetes about
neutral protamine Hagedor (NPH) insulin. Which statement by the client indicates
an understanding of how the medication works?
It facilitates the transport of glucose into the cells.
The nurse should withhold which medication if a client reports nausea, vomiting,
and diarrhea?
Colchicine (Mitigare, Colcrys).
A client newly prescribed esomeprazole for gastroesophageal reflux disease
(GERD) asks the nurse how the medication will help. Which is the best
explanation to provide the client?
It will promote rapid tissue healing.
A nurse is providing medication education for a client prescribed a beta-blocking
agents for treatment of glaucoma. Which statement by the client demonstrates an
understanding of the mechanism of the medication?
It inhibits the aqueous humor production.
A nurse is planning a teaching session for a client newly prescribed a miotic drug
for the treatment of glaucoma. Which information should the nurse include in the
teaching session?
The medication enhances the aqueous humor outflow.
The healthcare provider (HCP) prescribes a medication for an older adult client
who is reporting insomnia, and the HCP instructs the client to return in two
weeks. The nurse should question which prescription?
Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole (Nexium) 20 mg capsule daily. When providing this client with
discharge teaching, the nurse should include which instruction?
Take at same time each day one hour before eating a meal.
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic
quinolone. When teaching about this drug, which information in the client's
history requires special emphasis by the nurse?
Works twenty hours a week as a lifeguard at the local pool.
