2023-2024 HESI Pharmacology V1
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MY HESI PHARM TEST Pharmacology HESI Advanced Pharmaco
338 terms 54 terms 86 terms
achievemaster Preview alexlde1eon Preview Esther_Murimi
A nurse is caring for a client with 3. Calcitonin (Miacalcin)
hyperparathyroidism and notes
that the client's serum calcium Rationale:
level is 13 mg/dL. Which The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
medication should the nurse experiencing hypercalcemia. Calcium gluconate and calcium
prepare to administer as chloride are medications used for the treatment of tetany, which
prescribed to the client?1. occurs as a result of acute hypocalcemia. In hypercalcemia, large
Calcium chloride doses of vitamin D need to be avoided. Calcitonin, a thyroid
2. Calcium gluconate hormone, decreases the plasma calcium level by inhibiting bone
3. Calcitonin (Miacalcin) resorption and lowering the serum calcium concentration.
4. Large doses of vitamin D
See an expert-written answer!
Oral iron supplements are 4. Orange juice
prescribed for a 6-year-old child
with iron deficiency anemia. The Rationale:
nurse instructs the mother to Vitamin C increases the absorption of iron by the body. The
administer the iron with which mother should be instructed to administer the medication with a
best food item? citrus fruit or a juice that is high in vitamin C. Milk may affect
1. Milk absorption of the iron. Water will not assist in absorption. Orange
2. Water juice contains a greater amount of vitamin C than apple juice.
3. Apple juice
4. Orange juice
,Salicylic acid is prescribed for a 1. Tinnitus
client with a diagnosis of
psoriasis. The nurse monitors the Rationale:
client, knowing that which of the Salicylic acid is absorbed readily through the skin, and systemic
following would indicate the toxicity (salicylism) can result. Symptoms include tinnitus,
presence of systemic toxicity dizziness, hyperpnea, and psychological disturbances.
from this medication? Constipation and diarrhea are not associated with salicylism.
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased Respirations
See an expert-written answer!
The camp nurse asks the 4. At least 30 minutes before exposure to the sun
children preparing to swim in
the lake if they have applied Rationale:
sunscreen. The nurse reminds Sunscreens are most effective when applied at least 30 minutes
the children that chemical before exposure to the sun so that they can penetrate the skin.
sunscreens are most effective All sunscreens should be reapplied after swimming or sweating
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
See an expert-written answer!
Mafenide acetate (Sulfamylon) is 3. Informing the client that this is normal
prescribed for the client with a
burn injury. When applying the Rationale:
medication, the client complains Mafenide acetate is bacteriostatic for gram-negative and gram-
of local discomfort and burning. positive organisms and is used to treat burns to reduce bacteria
Which of the following is the present in avascular tissues. The client should be informed that
most appropriate nursing the medication will cause local discomfort and burning and that
action? this is a normal reaction; therefore options 1, 2, and 4 are
1. Notifying the registered nurse incorrect
2. Discontinuing the medication
3. Informing the client that this is
normal
4. Applying a thinner film than
prescribed to the burn site
,The burn client is receiving 1.Hyperventilation
treatments of topical mafenide
acetate (Sulfamylon) to the site Rationale:
of injury. The nurse monitors the Mafenide acetate is a carbonic anhydrase inhibitor and can
client, knowing that which of the suppress renal excretion of acid, thereby causing acidosis.
following indicates that a Clients receiving this treatment should be monitored for signs of
systemic effect has occurred? an acid-base imbalance (hyperventilation). If this occurs, the
1.Hyperventilation medication should be discontinued for 1 to 2 days. Options 3 and
2.Elevated blood pressure 4 describe local rather than syeffects. An elevated blood
3.Local pain at the burn site pressure may be expected from the pain that occurs with a burn
4.Local rash at the burn site injury.
See an expert-written answer!
Isotretinoin is prescribed for a 2. Triglyceride level
client with severe acne. Before
the administration of this Rationale:
medication, the nurse Isotretinoin can elevate triglyceride levels. Blood triglyceride
anticipates that which laboratory levels should be measured before treatment and periodically
test will be prescribed? thereafter until the effect on the triglycerides has been
1. Platelet count evaluated. Options 1, 3, and 4 do not need to be monitored
2. Triglyceride level specifically during this treatment.
3. Complete blood count
4. White blood cell count
A client with severe acne is seen 1. Vitamin A
in the clinic and the health care
provider (HCP) prescribes Rationale:
isotretinoin. The nurse reviews Isotretinoin is a metabolite of vitamin A and can produce
the client's medication record generalized intensification of isotretinoin toxicity. Because of the
and would contact the (HCP) if potential for increased toxicity, vitamin A supplements should be
the client is taking which discontinued before isotretinoin therapy. Options 2, 3, and 4 are
medication? not contraindicated with the use of isotretinoin
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin)
The nurse is applying a topical 2. Axilla
corticosteroid to a client with
eczema. The nurse would Rationale:
monitor for the potential for Topical corticosteroids can be absorbed into the systemic
increased systemic absorption circulation. Absorption is higher from regions where the skin is
of the medication if the especially permeable (scalp, axilla, face, eyelids, neck, perineum,
medication were being applied genitalia), and lower from regions in which permeability is poor
to which of the following body (back, palms, soles).
areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands
, The clinic nurse is performing an 1. Acne
admission assessment on a
client. The nurse notes that the Rationale:
client is taking azelaic acid Azelaic acid is a topical medication used to treat mild to
(Azelex). Because of the moderate acne. The acid appears to work by suppressing the
medication prescription, the growth of Propionibacterium acnes and decreasing the
nurse would suspect that the proliferation of keratinocytes. Options 2, 3, and 4 are incorrect.
client is being treated for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex
The health care provider has 3. "The medication will permanently stain my skin."
prescribed silver sulfadiazine
(Silvadene) for the client with a Rationale:
partial-thickness burn, which has Silver sulfadiazine (Silvadene) is an antibacterial that has a broad
cultured positive for gram- spectrum of activity against gram-negative bacteria, gram-
negative bacteria. The nurse is positive bacteria, and yeast. It is applied directly to the wound to
reinforcing information to the assist in healing. It does not stain the skin.
client about the medication.
Which statement made by the
client indicates a lack of
understanding about the
treatments?
1. "The medication is an
antibacterial."
2. "The medication will help heal
the burn."
3. "The medication will
permanently stain my skin."
4. "The medication should be
applied directly to the wound."
A nurse is caring for a client who 1. Notify the registered nurse.
is receiving an intravenous (IV)
infusion of an antineoplastic Rationale:
medication. During the infusion, When antineoplastic medications (Chemotherapeutic Agents) are
the client complains of pain at administered via IV, great care must be taken to prevent the
the insertion site. During an medication from escaping into the tissues surrounding the
inspection of the site, the nurse injection site, because pain, tissue damage, and necrosis can
notes redness and swelling and result. The nurse monitors for signs of extravasation, such as
that the rate of infusion of the redness or swelling at the insertion site and a decreased infusion
medication has slowed. The rate. If extravasation occurs, the registered nurse needs to be
nurse should take which notified; he or she will then contact the health care provider.
appropriate action?
1. Notify the registered nurse.
2. Administer pain medication to
reduce the discomfort.
3. Apply ice and maintain the
infusion rate, as prescribed.
4. Elevate the extremity of the IV
site, and slow the infusion
Save
Students also studied
Flashcard sets Study guides
MY HESI PHARM TEST Pharmacology HESI Advanced Pharmaco
338 terms 54 terms 86 terms
achievemaster Preview alexlde1eon Preview Esther_Murimi
A nurse is caring for a client with 3. Calcitonin (Miacalcin)
hyperparathyroidism and notes
that the client's serum calcium Rationale:
level is 13 mg/dL. Which The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
medication should the nurse experiencing hypercalcemia. Calcium gluconate and calcium
prepare to administer as chloride are medications used for the treatment of tetany, which
prescribed to the client?1. occurs as a result of acute hypocalcemia. In hypercalcemia, large
Calcium chloride doses of vitamin D need to be avoided. Calcitonin, a thyroid
2. Calcium gluconate hormone, decreases the plasma calcium level by inhibiting bone
3. Calcitonin (Miacalcin) resorption and lowering the serum calcium concentration.
4. Large doses of vitamin D
See an expert-written answer!
Oral iron supplements are 4. Orange juice
prescribed for a 6-year-old child
with iron deficiency anemia. The Rationale:
nurse instructs the mother to Vitamin C increases the absorption of iron by the body. The
administer the iron with which mother should be instructed to administer the medication with a
best food item? citrus fruit or a juice that is high in vitamin C. Milk may affect
1. Milk absorption of the iron. Water will not assist in absorption. Orange
2. Water juice contains a greater amount of vitamin C than apple juice.
3. Apple juice
4. Orange juice
,Salicylic acid is prescribed for a 1. Tinnitus
client with a diagnosis of
psoriasis. The nurse monitors the Rationale:
client, knowing that which of the Salicylic acid is absorbed readily through the skin, and systemic
following would indicate the toxicity (salicylism) can result. Symptoms include tinnitus,
presence of systemic toxicity dizziness, hyperpnea, and psychological disturbances.
from this medication? Constipation and diarrhea are not associated with salicylism.
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased Respirations
See an expert-written answer!
The camp nurse asks the 4. At least 30 minutes before exposure to the sun
children preparing to swim in
the lake if they have applied Rationale:
sunscreen. The nurse reminds Sunscreens are most effective when applied at least 30 minutes
the children that chemical before exposure to the sun so that they can penetrate the skin.
sunscreens are most effective All sunscreens should be reapplied after swimming or sweating
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
See an expert-written answer!
Mafenide acetate (Sulfamylon) is 3. Informing the client that this is normal
prescribed for the client with a
burn injury. When applying the Rationale:
medication, the client complains Mafenide acetate is bacteriostatic for gram-negative and gram-
of local discomfort and burning. positive organisms and is used to treat burns to reduce bacteria
Which of the following is the present in avascular tissues. The client should be informed that
most appropriate nursing the medication will cause local discomfort and burning and that
action? this is a normal reaction; therefore options 1, 2, and 4 are
1. Notifying the registered nurse incorrect
2. Discontinuing the medication
3. Informing the client that this is
normal
4. Applying a thinner film than
prescribed to the burn site
,The burn client is receiving 1.Hyperventilation
treatments of topical mafenide
acetate (Sulfamylon) to the site Rationale:
of injury. The nurse monitors the Mafenide acetate is a carbonic anhydrase inhibitor and can
client, knowing that which of the suppress renal excretion of acid, thereby causing acidosis.
following indicates that a Clients receiving this treatment should be monitored for signs of
systemic effect has occurred? an acid-base imbalance (hyperventilation). If this occurs, the
1.Hyperventilation medication should be discontinued for 1 to 2 days. Options 3 and
2.Elevated blood pressure 4 describe local rather than syeffects. An elevated blood
3.Local pain at the burn site pressure may be expected from the pain that occurs with a burn
4.Local rash at the burn site injury.
See an expert-written answer!
Isotretinoin is prescribed for a 2. Triglyceride level
client with severe acne. Before
the administration of this Rationale:
medication, the nurse Isotretinoin can elevate triglyceride levels. Blood triglyceride
anticipates that which laboratory levels should be measured before treatment and periodically
test will be prescribed? thereafter until the effect on the triglycerides has been
1. Platelet count evaluated. Options 1, 3, and 4 do not need to be monitored
2. Triglyceride level specifically during this treatment.
3. Complete blood count
4. White blood cell count
A client with severe acne is seen 1. Vitamin A
in the clinic and the health care
provider (HCP) prescribes Rationale:
isotretinoin. The nurse reviews Isotretinoin is a metabolite of vitamin A and can produce
the client's medication record generalized intensification of isotretinoin toxicity. Because of the
and would contact the (HCP) if potential for increased toxicity, vitamin A supplements should be
the client is taking which discontinued before isotretinoin therapy. Options 2, 3, and 4 are
medication? not contraindicated with the use of isotretinoin
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin)
The nurse is applying a topical 2. Axilla
corticosteroid to a client with
eczema. The nurse would Rationale:
monitor for the potential for Topical corticosteroids can be absorbed into the systemic
increased systemic absorption circulation. Absorption is higher from regions where the skin is
of the medication if the especially permeable (scalp, axilla, face, eyelids, neck, perineum,
medication were being applied genitalia), and lower from regions in which permeability is poor
to which of the following body (back, palms, soles).
areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands
, The clinic nurse is performing an 1. Acne
admission assessment on a
client. The nurse notes that the Rationale:
client is taking azelaic acid Azelaic acid is a topical medication used to treat mild to
(Azelex). Because of the moderate acne. The acid appears to work by suppressing the
medication prescription, the growth of Propionibacterium acnes and decreasing the
nurse would suspect that the proliferation of keratinocytes. Options 2, 3, and 4 are incorrect.
client is being treated for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex
The health care provider has 3. "The medication will permanently stain my skin."
prescribed silver sulfadiazine
(Silvadene) for the client with a Rationale:
partial-thickness burn, which has Silver sulfadiazine (Silvadene) is an antibacterial that has a broad
cultured positive for gram- spectrum of activity against gram-negative bacteria, gram-
negative bacteria. The nurse is positive bacteria, and yeast. It is applied directly to the wound to
reinforcing information to the assist in healing. It does not stain the skin.
client about the medication.
Which statement made by the
client indicates a lack of
understanding about the
treatments?
1. "The medication is an
antibacterial."
2. "The medication will help heal
the burn."
3. "The medication will
permanently stain my skin."
4. "The medication should be
applied directly to the wound."
A nurse is caring for a client who 1. Notify the registered nurse.
is receiving an intravenous (IV)
infusion of an antineoplastic Rationale:
medication. During the infusion, When antineoplastic medications (Chemotherapeutic Agents) are
the client complains of pain at administered via IV, great care must be taken to prevent the
the insertion site. During an medication from escaping into the tissues surrounding the
inspection of the site, the nurse injection site, because pain, tissue damage, and necrosis can
notes redness and swelling and result. The nurse monitors for signs of extravasation, such as
that the rate of infusion of the redness or swelling at the insertion site and a decreased infusion
medication has slowed. The rate. If extravasation occurs, the registered nurse needs to be
nurse should take which notified; he or she will then contact the health care provider.
appropriate action?
1. Notify the registered nurse.
2. Administer pain medication to
reduce the discomfort.
3. Apply ice and maintain the
infusion rate, as prescribed.
4. Elevate the extremity of the IV
site, and slow the infusion
