HESI RN Pharmacology REVIEW V2 –Questions And
Answers
Which factor is most important to ensure compliance when planning to teach a
client about a drug regimen?
A. Genetics
B. Client age
C. Client education
D. Absorption rate
1. A client being treated for an acute myocardial infarction is to receive the
tissue plasminogen activator altaplase (Activase). The nurse would be
correct in providing which explanation to the client regarding the purpose
of this drug?
A. This drug is a nitrate that promotes vasodilation of the coronary
arteries.
B. This drug is a clot buster that dissolves clots within a coronary artery.
C. This drug is a blood thinner that will help prevent the formation of a
new clot.
D. This drug is a volume expander that improves myocardial perfusion
by increasing output.
2. In addition to nitrate therapy, a client is receiving nifedipine (Procardia), 10
mg PO every 6 hours. The nurse should plan to observe for which common
side effect of this treatment regimen?
A. Hypotension
B. Hyperkalemia
C. Hypokalemia
D. Seizures
3. Dopamine (Intropin) is administered to a client who is hypotensive. Which
finding should the nurse identify as a therapeutic response?
A. Gain in weight
B. Increase in urine output
, C. Improved gastric motility
D. Decrease in blood pressure
1. Client being treated with Haldol for schizophrenia is complaining of jaw
tightness and a stiff neck. Which interventions should the nurse
implement?
A. give PRN dose of diphenhydramine Benadryl
B. assess client other sensory hallucinations
C. massage neck until muscles begin to relax
D. obtain a 12 lead EKG
2. Which intervention is most important for the nurse implement for a client is
receiving Lispro Humalog insulin?
A. Check blood glucose levels every six hours
B. Provide meals at the same time that insulin is given
C. Assess for hypoglycemia between meals
D. Keeping oral liquid or glucose source available
3. Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid
arthritis is being treated for anemia which intervention is most important
for the nurse to include any plan of care
A. Observe for gastrointestinal bleeding
B. Monitor liver function test results
C. Protect skin from bruising
D. Offered dietary selections rich in iron
4. A client receives a prescription for theophylline (Theo-Dur) PO to be
initiated in the morning after the dose of theophylline IV is complete. The
nurse determines that a theophylline level drawn yesterday was 22
mcg/mL.
Based on this information, which action should the nurse implement? A.
Hold the theophylline dose and notify the health care provider.
, B. Start the client on a half-dose of theophylline PO.
C. The theophylline dose can be initiated as planned.
D. The client is not ready to be weaned from the IV to the PO route
5. The nurse is reviewing a client's laboratory results before a procedure in
which a neuromuscular blocking agent is a standing order. Which finding
should the nurse report to the health care provider?
A. Hypokalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypomagnesemia
6. The nurse is preparing a child for transport to the operating room for an
emergency appendectomy. The anesthesiologist prescribes atropine sulfate
(Atropine), IM STAT. What is the primary purpose for administering this
drug to the child at this time?
A. Decrease the oral secretions
B. Reduce the child's anxiety
C. Potentiate the opioid effects
D. Prevent possible peritonitis
10.When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to
be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this
client to developing digoxin toxicity?
A. Low serum sodium level
B. High serum sodium level
C. Low serum potassium level
D. High serum potassium level
, 11.A client is receiving anti-infective drug therapy for a postoperative
infection. Which complaint should alert the nurse to the possibility that the
client has contracted a superinfection?
A. "My mouth feels sore"
B. "I have a headache."
C. "My ears feel plugged up."
D. "I feel constipated"
12.During the initial nursing assessment history, a client tells the nurse that he
is taking tetracycline hydrochloride (Sumycin) for urethritis. Which
medication taken concurrently with Sumycin could interfere with its
absorption?
A. Sucralfate (Carafate)
B. Hydrochlorothiazide (Diuril)
C. Acetaminophen (Tylenol)
D. Phenytoin (Dilantin)
13.Following the administration of sublingual nitroglycerin, which assessment
finding indicates that the medication was effective?
A. Decrease in level of chest pain
B. Clear bilateral breath sounds
C. Increase in blood pressure
D. Increase in urinary output
14.Alteration of which laboratory finding represents the achievement of a
therapeutic goal for heparin administration?
A. Prothrombin time (PT)
B. Fibrin split products
C. Platelet count
D. Partial thromboplastin time (PTT)
Answers
Which factor is most important to ensure compliance when planning to teach a
client about a drug regimen?
A. Genetics
B. Client age
C. Client education
D. Absorption rate
1. A client being treated for an acute myocardial infarction is to receive the
tissue plasminogen activator altaplase (Activase). The nurse would be
correct in providing which explanation to the client regarding the purpose
of this drug?
A. This drug is a nitrate that promotes vasodilation of the coronary
arteries.
B. This drug is a clot buster that dissolves clots within a coronary artery.
C. This drug is a blood thinner that will help prevent the formation of a
new clot.
D. This drug is a volume expander that improves myocardial perfusion
by increasing output.
2. In addition to nitrate therapy, a client is receiving nifedipine (Procardia), 10
mg PO every 6 hours. The nurse should plan to observe for which common
side effect of this treatment regimen?
A. Hypotension
B. Hyperkalemia
C. Hypokalemia
D. Seizures
3. Dopamine (Intropin) is administered to a client who is hypotensive. Which
finding should the nurse identify as a therapeutic response?
A. Gain in weight
B. Increase in urine output
, C. Improved gastric motility
D. Decrease in blood pressure
1. Client being treated with Haldol for schizophrenia is complaining of jaw
tightness and a stiff neck. Which interventions should the nurse
implement?
A. give PRN dose of diphenhydramine Benadryl
B. assess client other sensory hallucinations
C. massage neck until muscles begin to relax
D. obtain a 12 lead EKG
2. Which intervention is most important for the nurse implement for a client is
receiving Lispro Humalog insulin?
A. Check blood glucose levels every six hours
B. Provide meals at the same time that insulin is given
C. Assess for hypoglycemia between meals
D. Keeping oral liquid or glucose source available
3. Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid
arthritis is being treated for anemia which intervention is most important
for the nurse to include any plan of care
A. Observe for gastrointestinal bleeding
B. Monitor liver function test results
C. Protect skin from bruising
D. Offered dietary selections rich in iron
4. A client receives a prescription for theophylline (Theo-Dur) PO to be
initiated in the morning after the dose of theophylline IV is complete. The
nurse determines that a theophylline level drawn yesterday was 22
mcg/mL.
Based on this information, which action should the nurse implement? A.
Hold the theophylline dose and notify the health care provider.
, B. Start the client on a half-dose of theophylline PO.
C. The theophylline dose can be initiated as planned.
D. The client is not ready to be weaned from the IV to the PO route
5. The nurse is reviewing a client's laboratory results before a procedure in
which a neuromuscular blocking agent is a standing order. Which finding
should the nurse report to the health care provider?
A. Hypokalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypomagnesemia
6. The nurse is preparing a child for transport to the operating room for an
emergency appendectomy. The anesthesiologist prescribes atropine sulfate
(Atropine), IM STAT. What is the primary purpose for administering this
drug to the child at this time?
A. Decrease the oral secretions
B. Reduce the child's anxiety
C. Potentiate the opioid effects
D. Prevent possible peritonitis
10.When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to
be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this
client to developing digoxin toxicity?
A. Low serum sodium level
B. High serum sodium level
C. Low serum potassium level
D. High serum potassium level
, 11.A client is receiving anti-infective drug therapy for a postoperative
infection. Which complaint should alert the nurse to the possibility that the
client has contracted a superinfection?
A. "My mouth feels sore"
B. "I have a headache."
C. "My ears feel plugged up."
D. "I feel constipated"
12.During the initial nursing assessment history, a client tells the nurse that he
is taking tetracycline hydrochloride (Sumycin) for urethritis. Which
medication taken concurrently with Sumycin could interfere with its
absorption?
A. Sucralfate (Carafate)
B. Hydrochlorothiazide (Diuril)
C. Acetaminophen (Tylenol)
D. Phenytoin (Dilantin)
13.Following the administration of sublingual nitroglycerin, which assessment
finding indicates that the medication was effective?
A. Decrease in level of chest pain
B. Clear bilateral breath sounds
C. Increase in blood pressure
D. Increase in urinary output
14.Alteration of which laboratory finding represents the achievement of a
therapeutic goal for heparin administration?
A. Prothrombin time (PT)
B. Fibrin split products
C. Platelet count
D. Partial thromboplastin time (PTT)
