HESI RN PHARMACOLOGY EXIT EXAM
VERSION 2 2024
COMPLETE ALL 55 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
A client recently diagnosed with Parkinson's Disease receives
a new prescription for carbidopa levodopa, a dopaminergic
drug. To reduce the client's risk for injury, which instruction
should the nurse provide?
• Use caution when changing from sitting to standing
position.
• Place small rugs on smooth surfaces such as tile or wood
floors.
• Ambulate using a four-point cane or a walker with
wheels.
• Obtain a hospital bed with side rails and an over-bed
trapeze. - ...ANSWER...C.
A client diagnosed with myasthenia gravis receives a
prescription for the anticholinesterase medication,
pyridostigmine. Which intervention should the nurse
implement when preparing to administer this medication?
• Schedule the medication to be given just before bedtime.
,• Administer the medication thirty minutes prior to meals.
• Break the medication into small pieces and sprinkle onto
food.
• Instruct the client to avoid dairy products for at least 30
minutes. - ...ANSWER...B.
A client who is receiving pregabalin for fibromyalgia
complains of tremors in the hands. Which action should the
nurse implement?
• Collect a capillary glucose level.
• Administer a PRN dose of an antianxiety drug.
• Notify the healthcare provider.
• Obtain orthostatic blood pressure readings. -
...ANSWER...C.
A client scheduled to receive an IM dose of corticotropin
tells the nurse about feeling swollen and gaining weight. The
client no longer wants to take the medication. What action
should the nurse take?
• Distract the client while administering the medication in
the deltoid site. b. Hold the dose and document the client's
refusal to take the medication.
• Inform the client that fluid retention indicates the need for
an increased dose.
• Explain the need to reduce salt intake while the
medication dose is tapered off. - ...ANSWER...D.
, The nurse is interviewing a client who takes a daily
antihypertensive medication. Current blood pressure reading
is 124/80 mmHg. Which client statement supports the
nursing problem of, "knowledge deficit of medication
regimen"?
• "If I skip a dose of my antihypertensive medication, my
blood pressure will go up again."
• "My blood pressure is normal because the
antihypertensive medication is working."
• "I will save my blood pressure medicine for tomorrow
since my blood pressure is good today."
• I realize high blood pressure can damage my kidneys
without my even knowing it is happening." -
...ANSWER...C
A client with chronic kidney disease (CKD) is receiving
calcium acetate 667 mg by mouth. A decrease in which blood
value indicates to the nurse that the medication is having the
desired effect?
• pH
• Potassium
• Calcium
• Phosphate - ...ANSWER...D.
Prior to administering oral doses of calcitriol and calcium
carbonate to a client with hypoparathyroidism, the nurse
VERSION 2 2024
COMPLETE ALL 55 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
A client recently diagnosed with Parkinson's Disease receives
a new prescription for carbidopa levodopa, a dopaminergic
drug. To reduce the client's risk for injury, which instruction
should the nurse provide?
• Use caution when changing from sitting to standing
position.
• Place small rugs on smooth surfaces such as tile or wood
floors.
• Ambulate using a four-point cane or a walker with
wheels.
• Obtain a hospital bed with side rails and an over-bed
trapeze. - ...ANSWER...C.
A client diagnosed with myasthenia gravis receives a
prescription for the anticholinesterase medication,
pyridostigmine. Which intervention should the nurse
implement when preparing to administer this medication?
• Schedule the medication to be given just before bedtime.
,• Administer the medication thirty minutes prior to meals.
• Break the medication into small pieces and sprinkle onto
food.
• Instruct the client to avoid dairy products for at least 30
minutes. - ...ANSWER...B.
A client who is receiving pregabalin for fibromyalgia
complains of tremors in the hands. Which action should the
nurse implement?
• Collect a capillary glucose level.
• Administer a PRN dose of an antianxiety drug.
• Notify the healthcare provider.
• Obtain orthostatic blood pressure readings. -
...ANSWER...C.
A client scheduled to receive an IM dose of corticotropin
tells the nurse about feeling swollen and gaining weight. The
client no longer wants to take the medication. What action
should the nurse take?
• Distract the client while administering the medication in
the deltoid site. b. Hold the dose and document the client's
refusal to take the medication.
• Inform the client that fluid retention indicates the need for
an increased dose.
• Explain the need to reduce salt intake while the
medication dose is tapered off. - ...ANSWER...D.
, The nurse is interviewing a client who takes a daily
antihypertensive medication. Current blood pressure reading
is 124/80 mmHg. Which client statement supports the
nursing problem of, "knowledge deficit of medication
regimen"?
• "If I skip a dose of my antihypertensive medication, my
blood pressure will go up again."
• "My blood pressure is normal because the
antihypertensive medication is working."
• "I will save my blood pressure medicine for tomorrow
since my blood pressure is good today."
• I realize high blood pressure can damage my kidneys
without my even knowing it is happening." -
...ANSWER...C
A client with chronic kidney disease (CKD) is receiving
calcium acetate 667 mg by mouth. A decrease in which blood
value indicates to the nurse that the medication is having the
desired effect?
• pH
• Potassium
• Calcium
• Phosphate - ...ANSWER...D.
Prior to administering oral doses of calcitriol and calcium
carbonate to a client with hypoparathyroidism, the nurse
