Real hesi pharmacology exam questions

REAL HESI Pharmacology Exam Questions
l l l l




0.8l-lANS-
Thelnurselretrieveslhydromorphonel4lmg/mllfromlthelPyxislMedstation,lanlautomatedldispensinglsy
stem,lforlalclientlwholislreceivinglhydromorphonel3lmglIMleveryl8lhourslPRNlseverelpain.lHowlmanyl
mLlshouldlthelnurseladministerltolthelclient?l(Roundltolthelnearestltenth)

1.5l-lANS-Thelhealthcarelproviderlincreaseslalclient'slprescriptionlforlglipizidel5mgltolglipizide
7.5lmglbylmouthleveryl12lhours.lThelmedicationlislavailablelinl5lmglscoredltablets.lHowlmanyltabletsls
houldlthelnurseladministerlwithleachldose?

400l-lANS-
Thelnurselislpreparinglanlintermittentlinfusionloflfamotidinel20lmglinl100lmllLactatedlRinger'slsolutio
nltolinfuseloverl15lminuteslforlalclientlwithlalduodenallulcer.lThelnurselshouldlprogramlthelinfusionlpu
mpltoldeliverlhowlmanylml/hr?lRoundltolthelnearestlwholelnumber.

A,lD,landlEl-lANS-
Thelnurselislpreparinglaldischargelteachinglplanlforlalclientlwholisltakinglciprofloxacinlhydrochloridel
(Cipro)ltablets,lwhichlwerelprescribedlbecauseloflsuspectedlanthraxlexposure.lWhichlinstructionslsh
ouldlbelincludedlinlthe
teachinglplan?l(Selectlalllthatlapply)
A. Increaselfluidlintakelwhileltakinglthelmedication
B. Crushlandlmixltheltabletslwithlpuddingliflyoulhaveltroublelswallowingltheltablets
C. UselNSAIDsltolrelievelmildljointlacheslandlpainslcausedlbylthelmedication
D. ReportlanyltendonlpainlorlswellingltolthelHCPlimmediately
E. Limitlexposureltolsunlightlandlavoidltanninglbeds

A.lAdministerlalstoollsoftener/laxativelatlthelsameltimelaslthelanalgesicl-lANS-
Whichlnursinglactionlhaslthelhighestlprioritylwhenladministeringlaldoseloflcodeinelwithlacetaminophe
nltolalclient?
A. Administerlalstoollsoftener/laxativelatlthelsameltimelaslthelanalgesic
B. Telllthelclientltolnotifylthelnurseliflpainlislnotlrelieved
C. Instructlthelclientltolrequestlassistancelwhenlambulatingltolthelbathroom
D. Adviselthelclientlthatlthelmedicationlshouldlstartltolworklinlaboutl30lminutes

A.lAnladjustmentlinlthelmedicationldosageltolhelplresolvelthelprobleml-lANS-
Whenlassessinglalclientlwholhaslbeenlreceivinglprednisonelforlseverallmonths,lthelnurselobserveslt
hatlthelclientlhasldevelopedlanlextremelylroundedlface.lWhichlprescriptionlshouldlthelnurselanticipat
elfromlthelhealthcarelprovider?
A. Anladjustmentlinlthelmedicationldosageltolhelplresolvelthelproblem
B. Allow-fatldietltolhelplpreventlfurtherlabnormallfatldeposits
C. Thelmedicationlwilllneedltolbelstoppedlimmediatelyltolpreventlanladrenallcrisis
D. Aldiureticlmaylbelnecessaryltolreducelfaciallswelling

, A.lContinuelthelinfusionlandladministerlalPRNlantiemeticlprescriptionl-lANS-
TwentylminuteslafterlthelnurselstartslalsecondarylIVlinfusionloflcefepimel2lgramslusinglanlinfusionlpu
mpltoldeliverltheldoselinlonelhour,lthelclientlreportslfeelinglnauseated.lWhichlactionlshouldlthelnurselim
plement?
A. ContinuelthelinfusionlandladministerlalPRNlantiemeticlprescription
B. Stoplthelmedicationlinfusionlandlnotifylthelhealthcarelproviderlofltheladverseleffect
C. ReassurelthelclientlthatlthelnausealuslnotlrelatedltolthelIVlinfusion
D. Increaselthelrateloflthelinfusionltolcompleteltheldoseloflthelmedicationlmorelrapidly

A.lCrushltheltabletlandlmixlitlwithlwaterlseparatelylfromlotherlmedicationsl-lANS-
Alclientlwithlalnasogastricltubel(NGT)lhaslalprescriptionlforlsucralfate.lThelliquidlformloflthelmedicati
onlislnotlcurrentlylavailablelinlthelpharmacylandltabletslhavelbeenldeliveredltolthelmedicationldispen
singlsystem.lWhichlactionlshouldlthelnurselincludelwhenladministeringlthelmedication?
A. Crushltheltabletlandlmixlitlwithlwaterlseparatelylfromlotherlmedications
B. Crushltheltabletlandlmixlitlwithlotherlcrushedltabletsldilutedlinlwater
C. Withholdlthelmedicationluntillalliquidlformlislavailablelonlthelnursinglunit
D. Crushltheltabletlandlmixlitlwithlotherlliquidlmedicationslforladministration

A.lDiscusslthelfactlthatlAriceptlmaylslowlthelprogressionlofltheldiseaseloverlthelnextlyearl-lANS-
AlclientlrecentlyldiagnosedlwithlearlylstagelAlzheimer'sldiseaselreceiveslalprescriptionlforldonepezil,l
anlacetylcholinesteraselinhibitor.lWhichlcontentlshouldlthelnurselincludelinlthelclientlmedicationlteac
hing?
A. DiscusslthelfactlthatlAriceptlmaylslowlthelprogressionlofltheldiseaseloverlthelnextlyear.
B. Instructlthelclientltolgetlmonthlylliverlfunctionlstudiesltolassesslforlliverlfailure
C. EncouragelthelclientltolavoidlfoodslhighlinlVitaminlK,lsuchlaslgreenlleafylvegetables
D. Explainlthatlthelpsychiatristlhaslprescribedlthelmaximumldoselandlwillldecreaselitlgradually

A.lGivelaldoseloflVitaminlKlintramuscularl(IM)lnowlaslprescribedl-lANS-
Alclientlwholfelllatlhomelfracturedlthelleftlhip.lThelclientlhaslalhistoryloflatriallfibrillationlandlislcurrently
ltakinglwarfarinl5lmglbylmouthldaily.lThelnurselreceiveslalcalllfromlthellaboratorylregardinglthelclient'sl

INRlvaluelofl20.lAfter
writingldownlandlreadinglbacklthelvalue,lwhichlinterventionlshouldlthelnurselimplementlfirst?
A. GivelaldoseloflVitaminlKlintramuscularl(IM)lnowlaslprescribed
B. Assesslthelclient'slorallmucosalforlsignsloflbleeding
C. Holdlthelnextldoseloflwarfarinlaslinstructed
D. EncouragelthelclientltoleatlvitaminlKlrichlfoods.

A.lHoldlonelnostrillclosedlwhilelsprayinglthelotherlnostrill-lANS-
Thelnurselislinstructinglalclientlwithlallergiclrhinitislaboutlthelcorrectltechniquelforlusinglanlintranasalli
nhaler.lWhatlinstructionlislmostlimportantlforlthelnurseltolprovidelthelclient?
A. Holdlonelnostrillclosedlwhilelsprayinglthelotherlnostril
B. Uselthelinhalerlwhenlfirstlawakeninglinlthelmorning
C. Angleltheltiploflthelinhalerlupwardlwhilelspraying