PHARMACOLOGY HESI COMPREHENSIVE
EXAM WITH QUESTIONS AND ANSWERS ||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST VERSION
A client with a dislocated shoulder is being prepared for a closed manual
reduction using conscious sedation. Which medication should the nurse explain
as a sedative used during the procedure? - ANSWER-Midazolam (Versed) IV
A client with angina pectoris is instructed to take sublingual nitro-glycerine
tablets PRN for chest pain. Which instruction should the nurse include in the
client's teaching plan? - ANSWER-Take one tablet at the onset of angina and
stop activity.
A female client who has started long-term corticosteroid therapy tells the nurse
that she is careful to take her daily dose at bedtime with a snack of crackers and
milk. Which is the best response by the nurse? - ANSWER-Advise the client to
take the medication in the morning, rather than at bedtime.
A client taking linezolid (Zyvox) at home for an infected foot ulcer calls the
home care nurse to report the onset of watery diarrhea. Which intervention
should the nurse implement? - ANSWER-Instruct the client to obtain a stool
specimen to be taken to the laboratory for analysis.
Which physiologic mechanism explains a drug's increased metabolism that is
triggered by a disease process? - ANSWER-Pharmacokinetics
A client is receiving acyclovir sodium (Zovirax) IV for a severe herpes simplex
infection. Which intervention should the nurse implement during this drug
therapy? - ANSWER-Increase daily fluids to 2000 to 4000 mL/day.
,A 42-year-old client is admitted to the emergency department after taking an
overdose of amitriptyline (Elavil) in a suicide attempt. Which drug should the
nurse plan to administer to reverse the cardiac and central nervous system
effects of amitriptyline (Elavil)? - ANSWER-Sodium bicarbonate
A male client who has chronic back pain is on long-term pain medication
management and asks the nurse why his pain relief therapy is not as effective as
it was 2 months ago. How should the nurse respond? - ANSWER-
Pharmacodynamic tolerance requires increased drug levels to achieve the same
effect.
A 55-year-old client was diagnosed with schizophrenia 5 years earlier.
Numerous hospitalizations have occurred since the diagnosis because of
noncompliance with the prescribed medication regimen. Which drug might
work best for this particular client? - ANSWER-Fluphenazine decanoate
(Prolixin decanoate)
The nurse is evaluating a client's understanding of the prescribed antilipemic
drug lovastatin (Mevacor). Which client statement indicates that further
teaching is needed? - ANSWER-"I will take the medication every day before
breakfast."
A 45-year-old female client is receiving alprazolam (Xanax) for anxiety. Which
client behaviors would indicate that the drug is effective? - ANSWER-The staff
observes the client sitting in the day room reading a book.
The apical heart rate of an infant receiving digoxin (Lanoxin) for congestive
heart failure is 80 beats/min. Which intervention should the nurse implement
first? - ANSWER-Obtain a serum digoxin level.
The nurse performs a client assessment prior to the administration of a
prescribed dose of dipyridamole and aspirin (Aggrenox) PO. The nurse notes
that the client's carotid bruit is louder than previously assessed. Which action
, should the nurse implement? - ANSWER-Administer the prescribed dose of
Aggrenox as scheduled.
A client who arrives in the postanesthesia care unit (PACU) after surgery is not
awake from general anesthesia. Which action should the nurse implement first?
- ANSWER-Review the medication administration record (MAR).
Dopamine (Intropin), 5 mcg/kg/min, is prescribed for a client who weighs 105
kg. The nurse mixes 400 mg of dopamine in 250 mL D5W for IV
administration via an infusion pump. What is the hourly rate that the nurse
should set on the pump? - ANSWER-20 mL/hr
The nurse notes that the hemoglobin level of a client receiving darbepoetin alfa
(Aranesp) has increased from 6 to 10 g/dL over the first 2 weeks of treatment.
Which action should the nurse take? - ANSWER-Notify the health care
provider of the change in the client's laboratory values.
A female client is receiving tamoxifen (Nolvadex) following surgery for breast
cancer. She reports the onset of hot flashes to the nurse. Which intervention
should the nurse implement? - ANSWER-Instruct the client that hot flashes are
a side effect that often occurs with the use of this medication.
A client receiving a continuous infusion of heparin IV starts to hemorrhage
from an arterial access site. Which medication should the nurse anticipate
administering to prevent further heparin-induced hemorrhaging? - ANSWER-
Protamine sulfate
A 3-year-old boy is admitted to the emergency department after ingesting an
unknown amount of phenobarbital (Luminal) elixir prescribed for his brother's
seizure disorder. Which nursing intervention should the nurse implement first? -
ANSWER-Take the child's vital signs.
EXAM WITH QUESTIONS AND ANSWERS ||
ALREADY GRADED A+ || GUARANTEED PASS ||
LATEST VERSION
A client with a dislocated shoulder is being prepared for a closed manual
reduction using conscious sedation. Which medication should the nurse explain
as a sedative used during the procedure? - ANSWER-Midazolam (Versed) IV
A client with angina pectoris is instructed to take sublingual nitro-glycerine
tablets PRN for chest pain. Which instruction should the nurse include in the
client's teaching plan? - ANSWER-Take one tablet at the onset of angina and
stop activity.
A female client who has started long-term corticosteroid therapy tells the nurse
that she is careful to take her daily dose at bedtime with a snack of crackers and
milk. Which is the best response by the nurse? - ANSWER-Advise the client to
take the medication in the morning, rather than at bedtime.
A client taking linezolid (Zyvox) at home for an infected foot ulcer calls the
home care nurse to report the onset of watery diarrhea. Which intervention
should the nurse implement? - ANSWER-Instruct the client to obtain a stool
specimen to be taken to the laboratory for analysis.
Which physiologic mechanism explains a drug's increased metabolism that is
triggered by a disease process? - ANSWER-Pharmacokinetics
A client is receiving acyclovir sodium (Zovirax) IV for a severe herpes simplex
infection. Which intervention should the nurse implement during this drug
therapy? - ANSWER-Increase daily fluids to 2000 to 4000 mL/day.
,A 42-year-old client is admitted to the emergency department after taking an
overdose of amitriptyline (Elavil) in a suicide attempt. Which drug should the
nurse plan to administer to reverse the cardiac and central nervous system
effects of amitriptyline (Elavil)? - ANSWER-Sodium bicarbonate
A male client who has chronic back pain is on long-term pain medication
management and asks the nurse why his pain relief therapy is not as effective as
it was 2 months ago. How should the nurse respond? - ANSWER-
Pharmacodynamic tolerance requires increased drug levels to achieve the same
effect.
A 55-year-old client was diagnosed with schizophrenia 5 years earlier.
Numerous hospitalizations have occurred since the diagnosis because of
noncompliance with the prescribed medication regimen. Which drug might
work best for this particular client? - ANSWER-Fluphenazine decanoate
(Prolixin decanoate)
The nurse is evaluating a client's understanding of the prescribed antilipemic
drug lovastatin (Mevacor). Which client statement indicates that further
teaching is needed? - ANSWER-"I will take the medication every day before
breakfast."
A 45-year-old female client is receiving alprazolam (Xanax) for anxiety. Which
client behaviors would indicate that the drug is effective? - ANSWER-The staff
observes the client sitting in the day room reading a book.
The apical heart rate of an infant receiving digoxin (Lanoxin) for congestive
heart failure is 80 beats/min. Which intervention should the nurse implement
first? - ANSWER-Obtain a serum digoxin level.
The nurse performs a client assessment prior to the administration of a
prescribed dose of dipyridamole and aspirin (Aggrenox) PO. The nurse notes
that the client's carotid bruit is louder than previously assessed. Which action
, should the nurse implement? - ANSWER-Administer the prescribed dose of
Aggrenox as scheduled.
A client who arrives in the postanesthesia care unit (PACU) after surgery is not
awake from general anesthesia. Which action should the nurse implement first?
- ANSWER-Review the medication administration record (MAR).
Dopamine (Intropin), 5 mcg/kg/min, is prescribed for a client who weighs 105
kg. The nurse mixes 400 mg of dopamine in 250 mL D5W for IV
administration via an infusion pump. What is the hourly rate that the nurse
should set on the pump? - ANSWER-20 mL/hr
The nurse notes that the hemoglobin level of a client receiving darbepoetin alfa
(Aranesp) has increased from 6 to 10 g/dL over the first 2 weeks of treatment.
Which action should the nurse take? - ANSWER-Notify the health care
provider of the change in the client's laboratory values.
A female client is receiving tamoxifen (Nolvadex) following surgery for breast
cancer. She reports the onset of hot flashes to the nurse. Which intervention
should the nurse implement? - ANSWER-Instruct the client that hot flashes are
a side effect that often occurs with the use of this medication.
A client receiving a continuous infusion of heparin IV starts to hemorrhage
from an arterial access site. Which medication should the nurse anticipate
administering to prevent further heparin-induced hemorrhaging? - ANSWER-
Protamine sulfate
A 3-year-old boy is admitted to the emergency department after ingesting an
unknown amount of phenobarbital (Luminal) elixir prescribed for his brother's
seizure disorder. Which nursing intervention should the nurse implement first? -
ANSWER-Take the child's vital signs.
