HESI PHARMACOLOGY EXAM REAL EXAM
QUESTIONS AND CORRECT ANSWERS TOP
RATED GRADED A+
A client with mild parkinsonism is started on oral amantadine (Symmetrel).
What statement accurately describes the action of this medication? -
ANSWER>>dopamine in central nervous system is increased
A 52-year-old client is admitted to the hospital for possible duodenal ulcers. The
healthcare provider prescribes ranitidine hydrochloride (Zantac) 150 mg BID PO.
Which data would indicate that this medication is effective? - ANSWER>>Within
4 hours after meals, the client denies having pain.
A 78-year-old client with congestive heart failure receives the cardiac glycoside
digoxin (Lanoxin) 0.25 mg PO daily. Which observation by the nurse indicates
that the medication has been effective? - ANSWER>>Clear breath sounds
anteriorly and posteriorly
Minocycline (Minocin) 50 mg every 8 hours is prescribed for an adolescent girl
diagnosed with acne. The nurse discusses self-care with the client while she is
taking the medication. Which teaching points should be included in the
discussion? (Select all that apply.) - ANSWER>>Report vaginal itching or
discharge.
Protect skin from natural and artificial ultraviolet light.
Avoid driving until response to medication is known.
Use a nonhormonal method of contraception if sexually active.
The nurse is assessing a stuporous client in the emergency department who is
suspected of overdosing with opioids. Which agent should the nurse prepare to
,administer if the client becomes comatose? - ANSWER>>Naloxone
hydrochloride (Narcan)
The healthcare provider prescribes captopril (Capoten) 37.5 mg. The medication
is available in 25 mg tablets. What should the nurse administer? - ANSWER>>1½
tablets
A client who is HIV positive is receiving epoetin (Epogen) for management of
anemia secondary to zidovudine (AZT) therapy. Which laboratory finding is most
important for the nurse to report to the healthcare provider? -
ANSWER>>Hematocrit (HCT) of 58%
A 75-year-old male client taking hydrochlorothiazide (HCTZ) is admitted to the
hospital having "palpitations" and "skipped heart beats." What is the most
likely cause of these symptoms given the client's medication history? -
ANSWER>>Hypokalemia
Which parameter is most important for the nurse to check prior to
administering a subcutaneous injection of heparin? - ANSWER>>Activated
partial thromboplastin time, commonly referred to as aPTT
A client is prescribed a cholinesterase inhibitor, and a family member asks the
nurse how this medication works. Which pharmacophysiologic explanation
should the nurse use to describe this class of drug? - ANSWER>>Improves nerve
impulse transmission
In developing a nursing care plan for a 9-month-old infant with cystic fibrosis,
the nurse writes a nursing diagnosis of Alteration in nutrition: less than body
requirements, related to inadequate digestion of nutrients. Which intervention
would best meet this child's needs? - ANSWER>>Give pancrelipase (Cotazym-S)
capsule mixed with applesauce before each meal.
, When providing client teaching about the administration of methylphenidate
(Ritalin) to the mother of a child diagnosed with attention-deficit/hyperactive
disorder (ADHD), what instruction should the nurse include in the teaching
plan? - ANSWER>>Offer the child the medication before eating breakfast and
after eating lunch.
Alteration of which laboratory finding represents achievement of a therapeutic
goal for heparin administration? - ANSWER>>Partial thromboplastin time
The charge nurse is reviewing the admission history and physical data for four
clients newly admitted to the unit. Which client is at greatest risk for adverse
reactions to medications? - ANSWER>>A 75-year-old woman with liver disease
The healthcare provider prescribes ipratropium (Atrovent) for a client. An
allergic reaction to what other medication would cause the nurse to question
the prescription for Atrovent? - ANSWER>>Atropine sulfate (Atropine)
68-year-old client has been diagnosed with open-angle glaucoma. The
healthcare provider prescribes pilocarpine (Isopto Carpine) eye drops. What
action of this drug makes it a useful treatment for the client's condition? -
ANSWER>>The outflow of aqueous humor in the eyes is increased.
The nurse is preparing to apply a surface anesthetic agent for a client. Which
action should the nurse implement to reduce the risk of systemic absorption? -
ANSWER>>Avoid abraded skin areas when applying the anesthetic
The healthcare provider prescribes the anticonvulsant carbamazepine (Tegretol)
for a client with a seizure disorder. The nurse should instruct the client to notify
the healthcare provider if which condition occurs? - ANSWER>>Experiences a
sore throat
chemotherapeutic regimen with doxorubicin HCl (Adriamycin) is being planned
for a client recently diagnosed with cancer. What diagnostic test results should
QUESTIONS AND CORRECT ANSWERS TOP
RATED GRADED A+
A client with mild parkinsonism is started on oral amantadine (Symmetrel).
What statement accurately describes the action of this medication? -
ANSWER>>dopamine in central nervous system is increased
A 52-year-old client is admitted to the hospital for possible duodenal ulcers. The
healthcare provider prescribes ranitidine hydrochloride (Zantac) 150 mg BID PO.
Which data would indicate that this medication is effective? - ANSWER>>Within
4 hours after meals, the client denies having pain.
A 78-year-old client with congestive heart failure receives the cardiac glycoside
digoxin (Lanoxin) 0.25 mg PO daily. Which observation by the nurse indicates
that the medication has been effective? - ANSWER>>Clear breath sounds
anteriorly and posteriorly
Minocycline (Minocin) 50 mg every 8 hours is prescribed for an adolescent girl
diagnosed with acne. The nurse discusses self-care with the client while she is
taking the medication. Which teaching points should be included in the
discussion? (Select all that apply.) - ANSWER>>Report vaginal itching or
discharge.
Protect skin from natural and artificial ultraviolet light.
Avoid driving until response to medication is known.
Use a nonhormonal method of contraception if sexually active.
The nurse is assessing a stuporous client in the emergency department who is
suspected of overdosing with opioids. Which agent should the nurse prepare to
,administer if the client becomes comatose? - ANSWER>>Naloxone
hydrochloride (Narcan)
The healthcare provider prescribes captopril (Capoten) 37.5 mg. The medication
is available in 25 mg tablets. What should the nurse administer? - ANSWER>>1½
tablets
A client who is HIV positive is receiving epoetin (Epogen) for management of
anemia secondary to zidovudine (AZT) therapy. Which laboratory finding is most
important for the nurse to report to the healthcare provider? -
ANSWER>>Hematocrit (HCT) of 58%
A 75-year-old male client taking hydrochlorothiazide (HCTZ) is admitted to the
hospital having "palpitations" and "skipped heart beats." What is the most
likely cause of these symptoms given the client's medication history? -
ANSWER>>Hypokalemia
Which parameter is most important for the nurse to check prior to
administering a subcutaneous injection of heparin? - ANSWER>>Activated
partial thromboplastin time, commonly referred to as aPTT
A client is prescribed a cholinesterase inhibitor, and a family member asks the
nurse how this medication works. Which pharmacophysiologic explanation
should the nurse use to describe this class of drug? - ANSWER>>Improves nerve
impulse transmission
In developing a nursing care plan for a 9-month-old infant with cystic fibrosis,
the nurse writes a nursing diagnosis of Alteration in nutrition: less than body
requirements, related to inadequate digestion of nutrients. Which intervention
would best meet this child's needs? - ANSWER>>Give pancrelipase (Cotazym-S)
capsule mixed with applesauce before each meal.
, When providing client teaching about the administration of methylphenidate
(Ritalin) to the mother of a child diagnosed with attention-deficit/hyperactive
disorder (ADHD), what instruction should the nurse include in the teaching
plan? - ANSWER>>Offer the child the medication before eating breakfast and
after eating lunch.
Alteration of which laboratory finding represents achievement of a therapeutic
goal for heparin administration? - ANSWER>>Partial thromboplastin time
The charge nurse is reviewing the admission history and physical data for four
clients newly admitted to the unit. Which client is at greatest risk for adverse
reactions to medications? - ANSWER>>A 75-year-old woman with liver disease
The healthcare provider prescribes ipratropium (Atrovent) for a client. An
allergic reaction to what other medication would cause the nurse to question
the prescription for Atrovent? - ANSWER>>Atropine sulfate (Atropine)
68-year-old client has been diagnosed with open-angle glaucoma. The
healthcare provider prescribes pilocarpine (Isopto Carpine) eye drops. What
action of this drug makes it a useful treatment for the client's condition? -
ANSWER>>The outflow of aqueous humor in the eyes is increased.
The nurse is preparing to apply a surface anesthetic agent for a client. Which
action should the nurse implement to reduce the risk of systemic absorption? -
ANSWER>>Avoid abraded skin areas when applying the anesthetic
The healthcare provider prescribes the anticonvulsant carbamazepine (Tegretol)
for a client with a seizure disorder. The nurse should instruct the client to notify
the healthcare provider if which condition occurs? - ANSWER>>Experiences a
sore throat
chemotherapeutic regimen with doxorubicin HCl (Adriamycin) is being planned
for a client recently diagnosed with cancer. What diagnostic test results should
