lOMoARcPSD|27916040
PHARMACOLOGY HESI PN RETAKE ACTUAL TEST
QUESTIONS WITH ACCURATE ANSWERS GRADED
A+ 2024 UPDATED
, lOMoARcPSD|27916040
PHARMACOLOGY HESI
PN RETAKE ACTUAL
TEST QUESTIONS WITH
ACCURATE ANSWERS
GRADED A+ 2024
UPDATED
1. Which nursing intervention is most important for a client
receiving the antimetabolite cytosine arabinoside (Arc-C) for
chemotherapy?
C) Inspect the client's oral mucosa for
ulcerations.
Cytosine arabinoside (Arc-C) affects the rapidly growing cells of the body,
therefore stomatitis and mucosal ulcerations are key signs of antimetabolite
toxicity (C). (A, B, and D) are not typical interventions associated with the
administration of antimetabolites.
2. When assessing an adolescent who recently overdosed on
acetaminophen (Tylenol), it is most important for the nurse to
assess for pain in which area of the body?
B) Abdomen.
Acetaminophen toxicity can result in liver damage; therefore, the nurse
needs to assess for pain in the right upper quadrant of the abdomen (B),
which might indicate liver damage. (A, C, and D) are not areas where pain
would be anticipated.
3. An adult client is given a prescription for a scopolamine patch
(Transderm Scop) to prevent motion sickness while on a cruise.
Which information should the nurse provide to the client?
A) Apply the patch at least 4 hours before
departure.
, lOMoARcPSD|27916040
Scopolamine, an anticholinergic agent, is used to prevent motion sickness
and has a peak onset in 6 hours, so the client should be instructed to apply
the patch at least 4 hours before departure (A) on the cruise ship. The
duration of the transdermal patch is 72 hours, so (B) is not needed.
Scolopamine blocks muscarinic receptors in the inner ear and to the
vomiting center, so the best application site of the patch is behind the ear,
not at the base of the skull (C). Anticholinergic medications are CNS
depressants, so the client should be instructed to avoid alcohol (D) while
using the patch.
4. The nurse is reviewing the use of the patient-controlled
analgesia (PCA) pump with a client in the immediate postoperative
period. The client will receive morphine 1 mg IV per hour basal rate
with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally
per hour. What assessment has the highest priority before
initiating the PCA pump?
, lOMoARcPSD|27916040
B) The rate and depth of the client's respirations.
A life-threatening side effect of intravenous administration of morphine
sulfate, an opiate narcotic, is respiratory depression (B). The PCA pump
should be stopped the healthcare provider notified if the client's
respiratory rate falls below 12 breaths per minute, and the nurse should
anticipate adjustments in the client's dosage before the PCA pump is
restarted. (A, C, and D) provide helpful information, but are not as high a
priority as the assessment described in (B).
5. A medication that is classified as a beta-1 agonist is most
commonly prescribed for a client with which condition?
C) Heart failure.
Beta-1 agonists improve cardiac output by increasing the heart rate and
blood pressure and are indicated in heart failure (C), shock, atrioventricular
block dysrhythmias, and cardiac arrest. Glaucoma (A) is managed using
adrenergic agents and beta-adrenergic blocking agents. Beta-1 blocking
agents are used in the management of hypertension (B).
Medications that stimulate beta-2 receptors in the bronchi are effective for
bronchoconstriction in respiratory disorders, such as asthma (D).
6. A female client with rheumatoid arthritis takes ibuprofen
(Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal
bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which
information is most important for the nurse to include in client
teaching?
. A) Use contraception during
intercourse.
Cytotec, a synthetic form of prostaglandin, is classified as pregnancy
Category X and can act as an abortifacient, so the client should be
instructed to use contraception during
PHARMACOLOGY HESI PN RETAKE ACTUAL TEST
QUESTIONS WITH ACCURATE ANSWERS GRADED
A+ 2024 UPDATED
, lOMoARcPSD|27916040
PHARMACOLOGY HESI
PN RETAKE ACTUAL
TEST QUESTIONS WITH
ACCURATE ANSWERS
GRADED A+ 2024
UPDATED
1. Which nursing intervention is most important for a client
receiving the antimetabolite cytosine arabinoside (Arc-C) for
chemotherapy?
C) Inspect the client's oral mucosa for
ulcerations.
Cytosine arabinoside (Arc-C) affects the rapidly growing cells of the body,
therefore stomatitis and mucosal ulcerations are key signs of antimetabolite
toxicity (C). (A, B, and D) are not typical interventions associated with the
administration of antimetabolites.
2. When assessing an adolescent who recently overdosed on
acetaminophen (Tylenol), it is most important for the nurse to
assess for pain in which area of the body?
B) Abdomen.
Acetaminophen toxicity can result in liver damage; therefore, the nurse
needs to assess for pain in the right upper quadrant of the abdomen (B),
which might indicate liver damage. (A, C, and D) are not areas where pain
would be anticipated.
3. An adult client is given a prescription for a scopolamine patch
(Transderm Scop) to prevent motion sickness while on a cruise.
Which information should the nurse provide to the client?
A) Apply the patch at least 4 hours before
departure.
, lOMoARcPSD|27916040
Scopolamine, an anticholinergic agent, is used to prevent motion sickness
and has a peak onset in 6 hours, so the client should be instructed to apply
the patch at least 4 hours before departure (A) on the cruise ship. The
duration of the transdermal patch is 72 hours, so (B) is not needed.
Scolopamine blocks muscarinic receptors in the inner ear and to the
vomiting center, so the best application site of the patch is behind the ear,
not at the base of the skull (C). Anticholinergic medications are CNS
depressants, so the client should be instructed to avoid alcohol (D) while
using the patch.
4. The nurse is reviewing the use of the patient-controlled
analgesia (PCA) pump with a client in the immediate postoperative
period. The client will receive morphine 1 mg IV per hour basal rate
with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally
per hour. What assessment has the highest priority before
initiating the PCA pump?
, lOMoARcPSD|27916040
B) The rate and depth of the client's respirations.
A life-threatening side effect of intravenous administration of morphine
sulfate, an opiate narcotic, is respiratory depression (B). The PCA pump
should be stopped the healthcare provider notified if the client's
respiratory rate falls below 12 breaths per minute, and the nurse should
anticipate adjustments in the client's dosage before the PCA pump is
restarted. (A, C, and D) provide helpful information, but are not as high a
priority as the assessment described in (B).
5. A medication that is classified as a beta-1 agonist is most
commonly prescribed for a client with which condition?
C) Heart failure.
Beta-1 agonists improve cardiac output by increasing the heart rate and
blood pressure and are indicated in heart failure (C), shock, atrioventricular
block dysrhythmias, and cardiac arrest. Glaucoma (A) is managed using
adrenergic agents and beta-adrenergic blocking agents. Beta-1 blocking
agents are used in the management of hypertension (B).
Medications that stimulate beta-2 receptors in the bronchi are effective for
bronchoconstriction in respiratory disorders, such as asthma (D).
6. A female client with rheumatoid arthritis takes ibuprofen
(Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal
bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which
information is most important for the nurse to include in client
teaching?
. A) Use contraception during
intercourse.
Cytotec, a synthetic form of prostaglandin, is classified as pregnancy
Category X and can act as an abortifacient, so the client should be
instructed to use contraception during
