Pharm Hesi Study Guide
Study online at https://quizlet.com/_5zsdkd
1. Which action should the PN take after administering decrease external stimuli
zolpidem (Ambien) to an older client at bedtime?
offer a bedtime snack
administer oral care
assess for sundowning
decrease external stimuli
2. Four hours after administering promethazine to a explain the need to as-
male client, the PN measures his temperature. When sess for side effects of this
the client questions the PN about the purpose for tak- medicine
ing his temperature, how should the PN respond?
encourage the pt to share his concerns about
the plan of care
describe how the medication works to lower
body temperature.
explain the need to assess for side effects of
the medicine.
offer assurance that vital signs are routinely
taken every 4 hours.
3. After administering the 0730 ac dose of sliding scale instruct the uap to take the
regular insulin to a client with DM, what action by the client a breakfast tray
PN has the highest priority?
instruct the uap to take the client a breakfast tray.
measure the clients vital signs and oxygen
saturation.
notify the charge nurse of the dose of insulin
administered.
, Pharm Hesi Study Guide
Study online at https://quizlet.com/_5zsdkd
observe the client for pallor, diaphoresis, or
fatigue
4. Morphine sulfate via intravenous patient-controlled measure the clients vital
analgesia (PCA) pump is prescribed for a client with signs
severe chronic back pain. Thirty minutes after initiating
the pea pump, the PN notes that the client becomes
lethargic. What action should the PN take?
determine the clients pain scale rating
measure the clients vital signs
check the iv insertion site for swelling
reinforce pca pump teaching
5. The PN applies a preparation with keratolytic proper- scaley areas of the skin ap-
ties to both legs of a pt with psoriasis. What findings pear softer with less peel-
indicate that the desired effect has been achieved. ing
affected areas are free of localized redness and
swelling.
scaley areas of the skin appear softer with less
peeling.
full range of motion without pain of lower
extremity joints.
no prudent drainage present from lesions on
the legs.
6. The PN is administering lonidine (catapres) to a client "Do not abruptly stop the
with hypertension. What instruction should the PN medication"
give the client?
"Do not abruptly stop the medication"
"Avoid milk products when taking this medication"
, Pharm Hesi Study Guide
Study online at https://quizlet.com/_5zsdkd
"Take your pulse before pressure taking the medica-
tion"
"Check your blood pressure monthly"
7. A 15 year old with asthma is to begin long-term thera- risk for infection: related to
py with both inhaled and oral corticosteroids. The RN immunosuppression sec-
and PN collaborate on the plan of care. Which nursing ondary to steroid use
diagnosis should receive the highest priority when set-
ting goals and planning interventions?
altered nutrition: more than body requirements
related to steroid use.
risk for infection: related to immunosuppression
secondary to steroid use.
body image disturbance (acne) related to
steroid use
altered family processes related to
exacerbations of asthma.
8. The PN is administering initial dose of furosemide hypokalemia
(lasix) 40 mg daily to a client with hypertension. The
PN should monitor this client for which condition?
hypophosphatemia
hypercalemia
hyperchloremia
hypokalemia
9. The HCP prescribes naloxone 1.2 mg IM for a client 3
who is hypoventilating. The medication is available in
400 mcg/ml ampules. How many ml should the PN
administer. Round to the nearest whole number.
Study online at https://quizlet.com/_5zsdkd
1. Which action should the PN take after administering decrease external stimuli
zolpidem (Ambien) to an older client at bedtime?
offer a bedtime snack
administer oral care
assess for sundowning
decrease external stimuli
2. Four hours after administering promethazine to a explain the need to as-
male client, the PN measures his temperature. When sess for side effects of this
the client questions the PN about the purpose for tak- medicine
ing his temperature, how should the PN respond?
encourage the pt to share his concerns about
the plan of care
describe how the medication works to lower
body temperature.
explain the need to assess for side effects of
the medicine.
offer assurance that vital signs are routinely
taken every 4 hours.
3. After administering the 0730 ac dose of sliding scale instruct the uap to take the
regular insulin to a client with DM, what action by the client a breakfast tray
PN has the highest priority?
instruct the uap to take the client a breakfast tray.
measure the clients vital signs and oxygen
saturation.
notify the charge nurse of the dose of insulin
administered.
, Pharm Hesi Study Guide
Study online at https://quizlet.com/_5zsdkd
observe the client for pallor, diaphoresis, or
fatigue
4. Morphine sulfate via intravenous patient-controlled measure the clients vital
analgesia (PCA) pump is prescribed for a client with signs
severe chronic back pain. Thirty minutes after initiating
the pea pump, the PN notes that the client becomes
lethargic. What action should the PN take?
determine the clients pain scale rating
measure the clients vital signs
check the iv insertion site for swelling
reinforce pca pump teaching
5. The PN applies a preparation with keratolytic proper- scaley areas of the skin ap-
ties to both legs of a pt with psoriasis. What findings pear softer with less peel-
indicate that the desired effect has been achieved. ing
affected areas are free of localized redness and
swelling.
scaley areas of the skin appear softer with less
peeling.
full range of motion without pain of lower
extremity joints.
no prudent drainage present from lesions on
the legs.
6. The PN is administering lonidine (catapres) to a client "Do not abruptly stop the
with hypertension. What instruction should the PN medication"
give the client?
"Do not abruptly stop the medication"
"Avoid milk products when taking this medication"
, Pharm Hesi Study Guide
Study online at https://quizlet.com/_5zsdkd
"Take your pulse before pressure taking the medica-
tion"
"Check your blood pressure monthly"
7. A 15 year old with asthma is to begin long-term thera- risk for infection: related to
py with both inhaled and oral corticosteroids. The RN immunosuppression sec-
and PN collaborate on the plan of care. Which nursing ondary to steroid use
diagnosis should receive the highest priority when set-
ting goals and planning interventions?
altered nutrition: more than body requirements
related to steroid use.
risk for infection: related to immunosuppression
secondary to steroid use.
body image disturbance (acne) related to
steroid use
altered family processes related to
exacerbations of asthma.
8. The PN is administering initial dose of furosemide hypokalemia
(lasix) 40 mg daily to a client with hypertension. The
PN should monitor this client for which condition?
hypophosphatemia
hypercalemia
hyperchloremia
hypokalemia
9. The HCP prescribes naloxone 1.2 mg IM for a client 3
who is hypoventilating. The medication is available in
400 mcg/ml ampules. How many ml should the PN
administer. Round to the nearest whole number.
