2024-2025 HESI Pharmacology V1 Exam with
100questions and answers 100%Correctly verified
answers latest update 2025 RATED A+
,A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL.
Which medication should the nurse prepare to administer as prescribed to the client?1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - CORRECT ANSWERS 3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium
gluconate and calcium chloride are medications used for the treatment of tetany, which occurs as a result of acute
hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone,
decreases the plasma calcium level by inhibiting bone resorption and lowering the serum calcium concentration.
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the
mother to administer the iron with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice - CORRECT ANSWERS 4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to administer the
medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect absorption of the iron. Water
will not assist in absorption. Orange juice contains a greater amount of vitamin C than apple juice.
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that
which of the following would indicate the presence of systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
,4. Decreased Respirations - CORRECT ANSWERS 1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result. Symptoms include
tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation and diarrhea are not associated with
salicylism.
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds
the children that chemical 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 - CORRECT ANSWERS 4. At least 30
minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes before exposure to the sun so that they can
penetrate the skin. All sunscreens should be reapplied after swimming or sweating
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the medication, the
client complains of local discomfort and burning. Which of the following is the most appropriate 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 - CORRECT ANSWERS 3.
Informing the client that this is normal
Rationale:
Mafenide acetate is bacteriostatic for gram-negative and gram-positive organisms and is used to treat burns to
reduce bacteria present in avascular tissues. The client should be informed that
, the medication will cause local discomfort and burning and that this is a normal reaction; therefore options 1, 2,
and 4 are incorrect
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse
monitors the client, knowing that which of the following indicates that a
systemic effect has occurred?1.Hyperventilation
2. Elevated blood pressure
3. Local pain at the burn site
4. Local rash at the burn site - CORRECT ANSWERS 1.Hyperventilation
Rationale:
Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion of acid, thereby causing
acidosis. Clients receiving this treatment should be monitored for signs of an acid-base imbalance
(hyperventilation). If this occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4 describe
local rather than syeffects. An elevated blood pressure may be expected from the pain that occurs with a burn
injury.
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse
anticipates that which laboratory test will be prescribed?
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count - CORRECT ANSWERS 2. Triglyceride level
Rationale:
Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be measured before treatment and
periodically thereafter until the effect on the triglycerides has been evaluated.
Options 1, 3, and 4 do not need to be monitored specifically during this treatment.
A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse
reviews the client's medication record and would contact the (HCP) if the client is taking which medication?
100questions and answers 100%Correctly verified
answers latest update 2025 RATED A+
,A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL.
Which medication should the nurse prepare to administer as prescribed to the client?1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - CORRECT ANSWERS 3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing hypercalcemia. Calcium
gluconate and calcium chloride are medications used for the treatment of tetany, which occurs as a result of acute
hypocalcemia. In hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone,
decreases the plasma calcium level by inhibiting bone resorption and lowering the serum calcium concentration.
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the
mother to administer the iron with which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice - CORRECT ANSWERS 4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be instructed to administer the
medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect absorption of the iron. Water
will not assist in absorption. Orange juice contains a greater amount of vitamin C than apple juice.
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that
which of the following would indicate the presence of systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
,4. Decreased Respirations - CORRECT ANSWERS 1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism) can result. Symptoms include
tinnitus, dizziness, hyperpnea, and psychological disturbances. Constipation and diarrhea are not associated with
salicylism.
The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds
the children that chemical 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 - CORRECT ANSWERS 4. At least 30
minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes before exposure to the sun so that they can
penetrate the skin. All sunscreens should be reapplied after swimming or sweating
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the medication, the
client complains of local discomfort and burning. Which of the following is the most appropriate 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 - CORRECT ANSWERS 3.
Informing the client that this is normal
Rationale:
Mafenide acetate is bacteriostatic for gram-negative and gram-positive organisms and is used to treat burns to
reduce bacteria present in avascular tissues. The client should be informed that
, the medication will cause local discomfort and burning and that this is a normal reaction; therefore options 1, 2,
and 4 are incorrect
The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse
monitors the client, knowing that which of the following indicates that a
systemic effect has occurred?1.Hyperventilation
2. Elevated blood pressure
3. Local pain at the burn site
4. Local rash at the burn site - CORRECT ANSWERS 1.Hyperventilation
Rationale:
Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion of acid, thereby causing
acidosis. Clients receiving this treatment should be monitored for signs of an acid-base imbalance
(hyperventilation). If this occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4 describe
local rather than syeffects. An elevated blood pressure may be expected from the pain that occurs with a burn
injury.
Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse
anticipates that which laboratory test will be prescribed?
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count - CORRECT ANSWERS 2. Triglyceride level
Rationale:
Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be measured before treatment and
periodically thereafter until the effect on the triglycerides has been evaluated.
Options 1, 3, and 4 do not need to be monitored specifically during this treatment.
A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse
reviews the client's medication record and would contact the (HCP) if the client is taking which medication?
