PHARMACOLOGY HESI PN MIDTERM EXAM
(LATEST VERSION 2025) | COMPLETE
QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS
Terms in this set (245)
1) A nurse is caring for a 3. Calcitonin (Miacalcin)
client with Rationale:
hyperparathyroidism and The normal serum calcium level is 8.6 to 10.0 mg/dL.
notes that the client's This client is experiencing hypercalcemia. Calcium
serum calcium level is 13 gluconate and calcium chloride are medications used
mg/dL. Which medication for the treatment of tetany, which occurs as a result of
should the nurse prepare acute hypocalcemia. In hypercalcemia, large doses of
to administer as vitamin D need to be avoided. Calcitonin, a thyroid
prescribed to the client? hormone, decreases the plasma calcium level by
1. Calcium chloride inhibiting bone resorption and lowering the serum
2. Calcium gluconate calcium concentration.
3. Calcitonin (Miacalcin)
4. Large doses of vitamin
D
amurimi
, 2.) Oral iron supplements 4. Orange juice
are prescribed for a 6- Rationale:
year-old child with iron Vitamin C increases the absorption of iron by the
deficiency anemia. The body. The mother should be instructed to administer
nurse instructs the mother the medication with a citrus fruit or a juice that is high
to administer the iron with in vitamin C. Milk may affect absorption of the iron.
which best food item? Water will not assist in absorption. Orange juice
1. Milk contains a greater amount of vitamin C than apple
2. Water juice.
3. Apple juice
4. Orange juice
3.) Salicylic acid is 1. Tinnitus
prescribed for a client Rationale:
with a diagnosis of Salicylic acid is absorbed readily through the skin, and
psoriasis. The nurse systemic toxicity (salicylism) can result. Symptoms
monitors the client, include tinnitus, dizziness, hyperpnea, and
knowing that which of the psychological disturbances. Constipation and
following would indicate diarrhea are not associated with salicylism.
the presence of systemic
toxicity from this
medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
amurimi
, 4.) The camp nurse asks 4. At least 30 minutes before exposure to the sun
the children preparing to Rationale:
swim in the lake if they Sunscreens are most effective when applied at least
have applied sunscreen. 30 minutes before exposure to the sun so that they
The nurse reminds the can penetrate the skin. All sunscreens should be
children that chemical reapplied after swimming or sweating.
sunscreens are most
effective when applied:
1. Immediately before
swimming
2. 15 minutes before
exposure to the sun
3. Immediately before
exposure to the sun
4. At least 30 minutes
before exposure to the
sun
5.) Mafenide acetate 3. Informing the client that this is normal
(Sulfamylon) is prescribed Rationale:
for the client with a burn Mafenide acetate is bacteriostatic for gram-negative
injury. When applying the and gram-positive organisms and is used to treat
medication, the client burns to reduce bacteria present in avascular tissues.
complains of local The client should be informed that the medication will
discomfort and burning. cause local discomfort and burning and that this is a
Which of the following is normal reaction; therefore options 1, 2, and 4 are
the most appropriate incorrect
nursing action?
1. Notifying the registered
nurse
2. Discontinuing the
medication
3. Informing the client that
this is normal
4. Applying a thinner film
than prescribed to the
burn site
amurimi
, 6.) The burn client is 1.Hyperventilation
receiving treatments of Rationale:
topical mafenide acetate Mafenide acetate is a carbonic anhydrase inhibitor
(Sulfamylon) to the site of and can suppress renal excretion of acid, thereby
injury. The nurse monitors causing acidosis. Clients receiving this treatment
the client, knowing that should be monitored for signs of an acid-base
which of the following imbalance (hyperventilation). If this occurs, the
indicates that a systemic medication should be discontinued for 1 to 2 days.
effect has occurred? Options 3 and 4 describe local rather than systemic
1. Hyperventilation effects. An elevated blood pressure may be expected
2. Elevated blood pressure from the pain that occurs with a burn injury.
3. Local pain at the burn
site
4. Local rash at the burn
site
7.) Isotretinoin is 2. Triglyceride level
prescribed for a client Rationale:
with severe acne. Before Isotretinoin can elevate triglyceride levels. Blood
the administration of this triglyceride levels should be measured before
medication, the nurse treatment and periodically thereafter until the effect
anticipates that which on the triglycerides has been evaluated. Options 1, 3,
laboratory test will be and 4 do not need to be monitored specifically
prescribed? during this treatment.
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count
amurimi
(LATEST VERSION 2025) | COMPLETE
QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS
Terms in this set (245)
1) A nurse is caring for a 3. Calcitonin (Miacalcin)
client with Rationale:
hyperparathyroidism and The normal serum calcium level is 8.6 to 10.0 mg/dL.
notes that the client's This client is experiencing hypercalcemia. Calcium
serum calcium level is 13 gluconate and calcium chloride are medications used
mg/dL. Which medication for the treatment of tetany, which occurs as a result of
should the nurse prepare acute hypocalcemia. In hypercalcemia, large doses of
to administer as vitamin D need to be avoided. Calcitonin, a thyroid
prescribed to the client? hormone, decreases the plasma calcium level by
1. Calcium chloride inhibiting bone resorption and lowering the serum
2. Calcium gluconate calcium concentration.
3. Calcitonin (Miacalcin)
4. Large doses of vitamin
D
amurimi
, 2.) Oral iron supplements 4. Orange juice
are prescribed for a 6- Rationale:
year-old child with iron Vitamin C increases the absorption of iron by the
deficiency anemia. The body. The mother should be instructed to administer
nurse instructs the mother the medication with a citrus fruit or a juice that is high
to administer the iron with in vitamin C. Milk may affect absorption of the iron.
which best food item? Water will not assist in absorption. Orange juice
1. Milk contains a greater amount of vitamin C than apple
2. Water juice.
3. Apple juice
4. Orange juice
3.) Salicylic acid is 1. Tinnitus
prescribed for a client Rationale:
with a diagnosis of Salicylic acid is absorbed readily through the skin, and
psoriasis. The nurse systemic toxicity (salicylism) can result. Symptoms
monitors the client, include tinnitus, dizziness, hyperpnea, and
knowing that which of the psychological disturbances. Constipation and
following would indicate diarrhea are not associated with salicylism.
the presence of systemic
toxicity from this
medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
amurimi
, 4.) The camp nurse asks 4. At least 30 minutes before exposure to the sun
the children preparing to Rationale:
swim in the lake if they Sunscreens are most effective when applied at least
have applied sunscreen. 30 minutes before exposure to the sun so that they
The nurse reminds the can penetrate the skin. All sunscreens should be
children that chemical reapplied after swimming or sweating.
sunscreens are most
effective when applied:
1. Immediately before
swimming
2. 15 minutes before
exposure to the sun
3. Immediately before
exposure to the sun
4. At least 30 minutes
before exposure to the
sun
5.) Mafenide acetate 3. Informing the client that this is normal
(Sulfamylon) is prescribed Rationale:
for the client with a burn Mafenide acetate is bacteriostatic for gram-negative
injury. When applying the and gram-positive organisms and is used to treat
medication, the client burns to reduce bacteria present in avascular tissues.
complains of local The client should be informed that the medication will
discomfort and burning. cause local discomfort and burning and that this is a
Which of the following is normal reaction; therefore options 1, 2, and 4 are
the most appropriate incorrect
nursing action?
1. Notifying the registered
nurse
2. Discontinuing the
medication
3. Informing the client that
this is normal
4. Applying a thinner film
than prescribed to the
burn site
amurimi
, 6.) The burn client is 1.Hyperventilation
receiving treatments of Rationale:
topical mafenide acetate Mafenide acetate is a carbonic anhydrase inhibitor
(Sulfamylon) to the site of and can suppress renal excretion of acid, thereby
injury. The nurse monitors causing acidosis. Clients receiving this treatment
the client, knowing that should be monitored for signs of an acid-base
which of the following imbalance (hyperventilation). If this occurs, the
indicates that a systemic medication should be discontinued for 1 to 2 days.
effect has occurred? Options 3 and 4 describe local rather than systemic
1. Hyperventilation effects. An elevated blood pressure may be expected
2. Elevated blood pressure from the pain that occurs with a burn injury.
3. Local pain at the burn
site
4. Local rash at the burn
site
7.) Isotretinoin is 2. Triglyceride level
prescribed for a client Rationale:
with severe acne. Before Isotretinoin can elevate triglyceride levels. Blood
the administration of this triglyceride levels should be measured before
medication, the nurse treatment and periodically thereafter until the effect
anticipates that which on the triglycerides has been evaluated. Options 1, 3,
laboratory test will be and 4 do not need to be monitored specifically
prescribed? during this treatment.
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count
amurimi
