Pharm II HESI Actual Exam 2025 Graded A+

1. A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? A. Client denies recent episodes of angina B. Change in peripheral edema from + 3 to +1 C. Client denies N/V D. Blood pressure changed from 180/120 to 140/70 - D. Blood pressure changed from 180/120 to 140/70 2. After abdominal surgery a male is prescribed LMWH. During admin of medication, the client asks why he is receiving this medication. the best response for the nurse to provide is: A. This medication is a blood thinner given to prevent clot formation B. This medication enhances antibiotics to prevent infection C. This medication dissolves clots that develop in the legs D. This abdominal injection assists in healing of abdominal wound - A. This medication is a blood thinner given to prevent clot formation 3. A client with coronary artery disease is taking Digoxin and receives new prescription for Lipitor. Two weeks after initiation of Lipitor, the nurse assesses the client. which finding requires most immediate intervention? A. Heartburn B. Headache C. Constipation D. Vomiting - D. Vomiting (Early indication of digitalis toxicity) 4. A client with heart failure is prescribed spironolactone (Aldactone). which information is most important for nurse to provide about diet modification? A. Don't add salt to foods during preparation B. Refrain from eating foods high in potassium C. Restrict fluid intake to 1000 mL per day D. Increase intake of milk or milk products - B. Refrain from eating foods high in potassium 5. A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the next 24 hours. What dosing schedule is best for the nurse to implement? A. Q6H B. QID C. AC and bedtime D. PC and bedtime - A. Q6H 6. A client prescribed Lipitor one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client? A. Increase consumption of potassium-rich foods since low potassium can cause muscle spasms B. Have serum electrolytes checked at the next scheduled appointment to assess hyponatremia, a cause of cramping C. Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect D. Be sure to consume a low-cholesterol diet while taking the drug to enhance the effectiveness of the drug. - C. Make an appointment to see the healthcare provider because muscle pain may be an indication of a serious side effect 7. A category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to teach this client? A. Use a reliable form of birth control B. Avoid exposure to UV light C. Refuse this medication if planning pregnancy D. Abstain from intercourse while on this drug - A. Use a reliable form of birth control 8. A client receiving Doxorubicin (Adriamycin) intravenously (IV) complains of pain at the insertion site, and the nurse notes edema at the site. Which intervention is most important for the nurse to implement? A. Assess for erythema B. Administer antidote C. Apply warm compress D. Discontinue IV fluids - D. Discontinue IV fluids 9. The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. What action should the nurse take first? A. Withhold the scheduled dose. B. Check the client's apical pulse C. Notify the healthcare provider D. Repeat serum potassium level - A. Withhold the scheduled dose. 10. Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan (Diovan) has been achieved? A. Dependent edema reduced from +3 to +1. B. Serum HDL increased from 35 to 55 mg/dl. C. Pulse rate reduced from 150 to 90 beats/minute. D. Blood pressure reduced from 160/90 to 130/80. - D. Blood pressure reduced from 160/90 to 130/80. 11. A client with hyperlipidemia receives a prescription for niacin (Niaspan). Which client teaching is most important for the nurse to provide? A. Expected duration of flushing. B. Symptoms of hyperglycemia. C. Diets that minimize GI irritation. D. Comfort measures for pruritis. - A. Expected duration of flushing. 12. When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important for the nurse to assess for pain in which area of the body? A. Flank. B. Abdomen. C. Chest. D. Head. - B. Abdomen 13. In teaching a client who had a liver transplant about cyclosporine (Sandimmune), the nurse should encourage the client to report which adverse response to the healthcare provider? A. Changes in urine color. B. Presence of hand tremors. C. Increasing body hirsutism. D. Nausea and vomiting. - B. Presence of hand tremors. 14. Which instruction(s) should the nurse give to a female client who just received a prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.) A. Increase fluid intake, especially cranberry juice. Correct B. Do not abruptly discontinue the medication; taper use. C. Check blood pressure daily to detect hypertension. D. Avoid drinking alcohol while taking this medication. Correct E. Use condoms until treatment is completed. Correct F. Ensure that all sexual partners are treated at the same time. Correct A. Increase fluid intake, especially cranberry juice. D. Avoid drinking alcohol while taking this medication. E. Use condoms until treatment is completed. F. Ensure that all sexual partners are treated at the same time. 15. Which action is most important for the nurse to implement prior to the administration of the antiarrhythmic drug adenosine (Adenocard)? A. Assess pupillary response to light. B. Instruct the client that facial flushing may occur. C. Apply continuous cardiac monitoring. D. Request that family members leave the room. - C. Apply continuous cardiac monitoring