HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS 2024 QUESTIONS & ANSWERS GRADED A+

1. A client taking atorvastatin develops and increase serum creatinine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem? A. Peripheral edema B. Muscle tenderness C. Nausea and vomiting D. Excessive bruising - B 2. A client with diabetic peripheral neuropathy, who has been taking pregablin for two weeks reports diminished foot pain. The nurse notes that there is no improvement in the healing of several to ulcerations. Which action should the nurse take? A. Review the plan of care for strategies used to manage the foot ulcerations B. Explain that the medication dosage will probably need to be increased C. Reassure the client that diabetic foot ulcers take several months to heal D. Withhold the next dose of the drug until the health care provider is notified - A 3. A client is receiving miotics for the treatment of open angle glaucoma. The nurse determines that a priority nursing problem as a risk for injury and this is based on which etiology? A. Decrease night vision B. Diminished color perception C. Increase sensitivity to light D. Increased frequency of lacrimation - A 4. A client with Alzheimer's disease receives zolpidem orally at bedtime. Which client data, reported to the nurse by the caregiver, best indicates that the medication is effective? A. Calls family members by name in the morning B. Able to feed self at breakfast C. Appears cheerful and smiles during morning care D. Sleep soundly through the night - D HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS 2024 QUESTIONS & ANSWERS GRADED A+ 5. A client with type 2 diabetes millitus who takes glimepiride by mouth daily calls the nurse to report a recent onset of nausea, vomiting, and diarrhea. Which response should the nurse provide? A. Return to the clinic for laboratory tests for an infection B. Use insulin sliding scale until symptoms are resolved C. Schedule a visit for evaluation by the health care provider D. Increase oral fluid intake until the symptoms subside - D 6. The health care provider prescribes the antibiotic tetracycline HCL for an adult client that arrived at an outpatient clinic. Which instruction should the nurse include in the teaching plan for this client? A. Take with milk or antacids to prevent GI irritation B. Protect the skin from sunlight while taking the drug C. Return to the clinic weekly to obtain serum drug levels D. Take with orange juice to enhance GI absorption - B 7. A 48-year-old male client tells the nurse that he obtained sildenafil without a prescription over the Internet and asks if the nurse if it is safe to take. In addition to advising the client to obtain medical evaluation, it is important that the nurse immediately determine if he takes what other type of medication? A. Anticoagulants, such as warfarin B. Statins, such as atorvastatin C. Analgesics, such as acetaminophen D. Nitrates, such as nitroglycerin - D 8. A client is discharged with a prescription for warfarin. Which discharge instruction should the nurse emphasize to the client? A. Take a multivitamin supplement daily B. Add large amounts of spinach to the diet C. Using astringent for superficial bleeding D. Avoid going barefoot, especially outside - D 9. A client is receiving morphine sulfate via a PCA pump postoperatively. Which assessment findings should promote the nurse to administer a prescribed PRN dose of naloxone? A. Intercostal retractions and bilateral wheezing on auscultation B. Express that they cannot get enough air to breathe C. Respiratory rate of seven breaths per minute D. Pulse oximeter reading of 89% on room air - C 10. After taking Lactulose for several days, which therapeutic response should the nurse expect for a client with hepatic encephalopathy? A. Increase in urine output B. Ability to ambulate independently C. Improved mental status D. Reduction in number of liquid stools - C 11.A male client who has been taking a high-dose of nonsteroidal anti- inflammatory drug (NSAID) comes to the clinic complaining of gastric pain and blood in his stool. The health care provider discontinues the NSAIDs and prescribes esomeprazole. which information should the nurse include in the client's teaching plan? A. Call the clinic of diarrhea or headache occur when taking esomeprazole B. Notify the health care provider of the passage of black stools C. Once pain subsides, NSAID therapy can be resumed D. Resume a diet that consists of milk, cream, and bland foods - B 12.When administering zolpidem to an older client which computer documentation indicates that the desired outcome has been achieved? A. Sleeps soundly through the night B. Decreased episodes of incontinence C. Improved ability to concentrate D. Exhibits fewer emotional outbursts - A 13.A male client with a fungal infection of the toenail reports to the nurse that he has been applying an over-the-counter triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take? A. Advise the client to obtain a prescription strength formula of the ointment B. Reassure the client that the treatment of fungus infected toenails often takes several months C. Suggest that the client use the ointment twice a day to be more effective D. Instruct the client to obtain a prescription for the oral terbinafine - D 14.A client with chronic asthma receives a prescription for Montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching it was effective? A. "I will not need to use my inhalers twice a day when I start this medication" B. "I should take this medication only when I'm having an asthma attack" C. "I will take the tablet every morning to control my asthma" D. "This medication will stop an asthma attack immediately - c 15.A client who fell at home fractured the left hip. the client has a history of atrial fibrillation and is currently taking warfarin 5mg by mouth daily. the nurse receives a call from the laboratory regarding the client's INR value of 20. After writing down and reading back the value, which intervention should the nurse implement first? A. Give a dose of vitamin K intramuscular (IM) now as prescribed B. assess the client's oral mucosa for signs of bleeding C. hold the next dose of warfarin as instructed D. encourage the client to eat vitamin K rich foods - A 16.A client has a chest tube connected to a closed water-seal drainage system with suction. Which equipment should the nurse always have available at the client's bedside? A. Suction catheter B. Sterile piston syringe C. Sterile removal kit D. Sterile gauze dressing - D 17. The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? A. Liver function laboratory results B. Recent use of other anti-depressants C. Family history of mental illness D. Weight change in the last month - A 18. Which nursing intervention is most important when caring for a client receiving aspirin 600mg PO QID? A. Check stool for occult blood B. Assist for dyspepsia nausea C. Monitor temperature every four hours D. Use 10 point pain scale to assess pain - B 19.A client diagnosed with chronic hepatitis C receiving ribavirin in combination with alfainterferon reports the onset of extreme fatigue and dyspnea on exertion. It is most important for the nurse to monitor which serum laboratory value? A. Potassium B. Glucose C. Sodium D. Hemoglobin - D 20. Which nursing action has the highest priority when administering a dose of codeine with acetaminophen to a client? A. Advise the client that the medication should start to work in about 30 minutes B. Administrated stool softener laxative at the same time as the analgesic C. Instruct the client to request assistance when ambulating to the bathroom D. Tell the client to notify the nurse if the pain is not relieved - B