PHARMACOLOGY RN HESI EXIT EXAM 2024/HESI
RN PHARMACOLOGY EXIT EXAM VERSION 1
COMPLETE ALL 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
The nurse is caring for a client diagnosed with traumatic brain
injury. During the assessment, the nurse notes an elevated
intracranial pressure and decreasing level of consciousness.
Which action does the nurse implement?
1.Prepare for the administration of furosemide
2.Infuse hydrochlorothiazide immediately
3.Administer mannitol intravenously
4.Administer IV spironolactone - ...ANSWER...3
The nurse provides health teaching about hydrochlorothiazide
to a client diagnosed with hypertension and diabetes. Which
statement demonstrates an understanding of the teaching?
1."I will take the medication daily at bedtime to prevent
dizziness during the day."
2."This drug will start working 12 hours after I take it."
3."I should take this drug if my blood pressure is too low."
4."I need to watch my blood sugar because the drug can raise
it." - ...ANSWER...4
The nurse monitors a client diagnosed with renal failure
secondary to diabetes mellitus. Which finding does the nurse
,directly associate with kidney dysfunction? Select all that
apply.
1.Ecchymosis on the lower extremities
2.Increased blood pressure
3.Acid-base imbalances
4.Increased blood glucose level
5.Increased serum drug levels - ...ANSWER...2, 3, 5
The nurse administers loop diuretics to a client diagnosed
with severe edema. The client asks how the drug works.
Which statement by the nurse is correct?
1."The loop diuretic's site of action is at the distal collecting
tubule."
2.The loop diuretic's location of action is at the proximal
collecting tubule.
3.Loop diuretics are more potent than potassium-sparing
diuretics.
4.The combination of loop and potassium-sparing diuretics
can cause severe hypokalemia. - ...ANSWER...3
The nurse is caring for a client diagnosed with congestive
heart failure and renal injury. Which medication does the
nurse know to implement for this client?
,1.Administer metoprolol
2.Administer thiazide diuretics
3.Administer potassium-sparing diuretics
4.Administer loop diuretics - ...ANSWER...4
The head nurse orients a newly hired nurse about potassium-
sparing diuretic medications. Which statement by the nurse
shows an understanding of the teaching?
1.The site of action of potassium-sparing diuretics is in the
glomerulus.
2.Potassium-sparing diuretics are used primarily as
monotherapy for hypertension.
3.Potassium-sparing diuretics cause a mild increase in urine
output.
4.Sprinolocatone is not an aldosterone antagonist drug. -
...ANSWER...3
The nurse assesses a client diagnosed with tuberculosis who is
taking rifampin. Which findings alert the nurse that the client
is experiencing hepatotoxicity from this medication? Select all
that apply.
1.Fatigue and weakness
2.Yellowing of the skin and eyes
3.A serum alanine aminotransferase (ALT) level of 500
units/L (8.4 µkat/L)
, 4.A serum aspartate aminotransferase (AST) level of 40
units/L (0.67 µkat/L)
5.A serum blood urea nitrogen level of 20 mg/dL (1.2
mmol/L) - ...ANSWER...1, 2, 3
A client suddenly stops taking prednisone after taking it for
several months at a moderate dosage. Which interventions
does the nurse include in the plan of care for this client?
Select all that apply.
1.Teach the client to alert the provider before stopping the
medication.
2.Ambulate with the client to prevent falls.
3.Provide fluids for rehydration.
4.Administer medications for hypertension.
5.Monitor blood glucose levels. - ...ANSWER...2, 3, 5
The nurse assesses a client diagnosed with rheumatoid
arthritis who has been taking a prescribed corticosteroid
medication for several weeks. For which complication does
the nurse monitor this client?
1.Hypoglycemia
2.Infection
3.Low sodium levels
4.Hyperkalemia - ...ANSWER...2
The nurse provides education to a client who is diagnosed
with severe inflammatory bowel disease. Which client
statements indicate an understanding of the instructions
regarding the prescribed high-dose corticosteroid? Select all
that apply.
RN PHARMACOLOGY EXIT EXAM VERSION 1
COMPLETE ALL 55 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
The nurse is caring for a client diagnosed with traumatic brain
injury. During the assessment, the nurse notes an elevated
intracranial pressure and decreasing level of consciousness.
Which action does the nurse implement?
1.Prepare for the administration of furosemide
2.Infuse hydrochlorothiazide immediately
3.Administer mannitol intravenously
4.Administer IV spironolactone - ...ANSWER...3
The nurse provides health teaching about hydrochlorothiazide
to a client diagnosed with hypertension and diabetes. Which
statement demonstrates an understanding of the teaching?
1."I will take the medication daily at bedtime to prevent
dizziness during the day."
2."This drug will start working 12 hours after I take it."
3."I should take this drug if my blood pressure is too low."
4."I need to watch my blood sugar because the drug can raise
it." - ...ANSWER...4
The nurse monitors a client diagnosed with renal failure
secondary to diabetes mellitus. Which finding does the nurse
,directly associate with kidney dysfunction? Select all that
apply.
1.Ecchymosis on the lower extremities
2.Increased blood pressure
3.Acid-base imbalances
4.Increased blood glucose level
5.Increased serum drug levels - ...ANSWER...2, 3, 5
The nurse administers loop diuretics to a client diagnosed
with severe edema. The client asks how the drug works.
Which statement by the nurse is correct?
1."The loop diuretic's site of action is at the distal collecting
tubule."
2.The loop diuretic's location of action is at the proximal
collecting tubule.
3.Loop diuretics are more potent than potassium-sparing
diuretics.
4.The combination of loop and potassium-sparing diuretics
can cause severe hypokalemia. - ...ANSWER...3
The nurse is caring for a client diagnosed with congestive
heart failure and renal injury. Which medication does the
nurse know to implement for this client?
,1.Administer metoprolol
2.Administer thiazide diuretics
3.Administer potassium-sparing diuretics
4.Administer loop diuretics - ...ANSWER...4
The head nurse orients a newly hired nurse about potassium-
sparing diuretic medications. Which statement by the nurse
shows an understanding of the teaching?
1.The site of action of potassium-sparing diuretics is in the
glomerulus.
2.Potassium-sparing diuretics are used primarily as
monotherapy for hypertension.
3.Potassium-sparing diuretics cause a mild increase in urine
output.
4.Sprinolocatone is not an aldosterone antagonist drug. -
...ANSWER...3
The nurse assesses a client diagnosed with tuberculosis who is
taking rifampin. Which findings alert the nurse that the client
is experiencing hepatotoxicity from this medication? Select all
that apply.
1.Fatigue and weakness
2.Yellowing of the skin and eyes
3.A serum alanine aminotransferase (ALT) level of 500
units/L (8.4 µkat/L)
, 4.A serum aspartate aminotransferase (AST) level of 40
units/L (0.67 µkat/L)
5.A serum blood urea nitrogen level of 20 mg/dL (1.2
mmol/L) - ...ANSWER...1, 2, 3
A client suddenly stops taking prednisone after taking it for
several months at a moderate dosage. Which interventions
does the nurse include in the plan of care for this client?
Select all that apply.
1.Teach the client to alert the provider before stopping the
medication.
2.Ambulate with the client to prevent falls.
3.Provide fluids for rehydration.
4.Administer medications for hypertension.
5.Monitor blood glucose levels. - ...ANSWER...2, 3, 5
The nurse assesses a client diagnosed with rheumatoid
arthritis who has been taking a prescribed corticosteroid
medication for several weeks. For which complication does
the nurse monitor this client?
1.Hypoglycemia
2.Infection
3.Low sodium levels
4.Hyperkalemia - ...ANSWER...2
The nurse provides education to a client who is diagnosed
with severe inflammatory bowel disease. Which client
statements indicate an understanding of the instructions
regarding the prescribed high-dose corticosteroid? Select all
that apply.
