Pharmacology HESI Practice Test Assessment Exam,Tested
& Confirmed Answers, A+ Grade.
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?
A. Drink fluids between meals to relieve gastric distress
B. Monitor for an increase in blood pressure during therapy
C. Dissolve capsule contents in fruit juice for easier ingestion
D. Take at same time each day one hour before eating a meal - CORRECT ANSWERS
-D
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone.
When teaching about this drug, which information in the client history requires special
emphasis by the nurse?
A. Snacks on dairy products such as yogurt or ice cream
B. Previously had a mild allergic reaction to a cephalosporin
C. Consumes alcoholic drinks occasionally on the weekends
D. works twenty hours a week as a lifeguard at the local pool - CORRECT ANSWERS -
D
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a
client. Which assessment finding should the nurse use to evaluate the effectiveness of
the medication?
A. The absence of seizures
B. The increase in lactation
C. The presence of bowel sounds
D. The number on the numeric pain scale - CORRECT ANSWERS -D
Based on the blood culture and sensitivity results, the healthcare provider prescribes an
IV aminoglycoside antibiotic and discontinues the current prescription for another broad
spectrum antibiotic. The medication administration record indicates that the client
received the broad spectrum antibiotic two hours ago. Which action should the nurse
implement?
A. Obtain peak and trough serum levels so the aminoglycoside antibiotic can be initiated
B. Administer the initial dose of the aminoglycoside antibiotic as soon as possible
C. Withhold antibiotic administration until the healthcare provider clarifies the
prescriptions
D. Schedule the initial dose of the aminoglycoside antibiotic for the following day -
CORRECT ANSWERS -B
, The nurse is providing medication teaching for a client who recently received a
prescription for clozapine (Clozaril). Which instruction should be included in this client's
teaching plan?
A. Avoid prolonged sun exposure
B. Rise slowly from a lying position
C. Do not eat any aged cheese
D. Take as needed for anxiety - CORRECT ANSWERS -B
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?
A. Consumption of any alcohol or tyramine rich foods
B. Reports of nausea or vomiting
C. Therapeutic serum drug levels
D. Blood pressure and pulse prior to taking each dose - CORRECT ANSWERS -A
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What
side effects should the nurse assess thr client during the initial dose?
A. Bradykinesia
B. Dystonia
C. Somatization
D. Akathisia - CORRECT ANSWERS -B
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 health care
provider concerning the OTC medication? (Select all that apply)
A. Type 1 diabetes mellitus (DM)
B. Closed angle glaucome
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease - CORRECT ANSWERS -B,C
A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia
after using the inhaler. Which action should the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to the healthcare
provider
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes
C. reassure client that the ipratropium given will alleviate the symptoms
D. Delay administration of ipratropium until the next maintenance medication is
scheduled - CORRECT ANSWERS -A
& Confirmed Answers, A+ Grade.
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?
A. Drink fluids between meals to relieve gastric distress
B. Monitor for an increase in blood pressure during therapy
C. Dissolve capsule contents in fruit juice for easier ingestion
D. Take at same time each day one hour before eating a meal - CORRECT ANSWERS
-D
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone.
When teaching about this drug, which information in the client history requires special
emphasis by the nurse?
A. Snacks on dairy products such as yogurt or ice cream
B. Previously had a mild allergic reaction to a cephalosporin
C. Consumes alcoholic drinks occasionally on the weekends
D. works twenty hours a week as a lifeguard at the local pool - CORRECT ANSWERS -
D
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a
client. Which assessment finding should the nurse use to evaluate the effectiveness of
the medication?
A. The absence of seizures
B. The increase in lactation
C. The presence of bowel sounds
D. The number on the numeric pain scale - CORRECT ANSWERS -D
Based on the blood culture and sensitivity results, the healthcare provider prescribes an
IV aminoglycoside antibiotic and discontinues the current prescription for another broad
spectrum antibiotic. The medication administration record indicates that the client
received the broad spectrum antibiotic two hours ago. Which action should the nurse
implement?
A. Obtain peak and trough serum levels so the aminoglycoside antibiotic can be initiated
B. Administer the initial dose of the aminoglycoside antibiotic as soon as possible
C. Withhold antibiotic administration until the healthcare provider clarifies the
prescriptions
D. Schedule the initial dose of the aminoglycoside antibiotic for the following day -
CORRECT ANSWERS -B
, The nurse is providing medication teaching for a client who recently received a
prescription for clozapine (Clozaril). Which instruction should be included in this client's
teaching plan?
A. Avoid prolonged sun exposure
B. Rise slowly from a lying position
C. Do not eat any aged cheese
D. Take as needed for anxiety - CORRECT ANSWERS -B
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?
A. Consumption of any alcohol or tyramine rich foods
B. Reports of nausea or vomiting
C. Therapeutic serum drug levels
D. Blood pressure and pulse prior to taking each dose - CORRECT ANSWERS -A
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What
side effects should the nurse assess thr client during the initial dose?
A. Bradykinesia
B. Dystonia
C. Somatization
D. Akathisia - CORRECT ANSWERS -B
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 health care
provider concerning the OTC medication? (Select all that apply)
A. Type 1 diabetes mellitus (DM)
B. Closed angle glaucome
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease - CORRECT ANSWERS -B,C
A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia
after using the inhaler. Which action should the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to the healthcare
provider
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes
C. reassure client that the ipratropium given will alleviate the symptoms
D. Delay administration of ipratropium until the next maintenance medication is
scheduled - CORRECT ANSWERS -A
