Pharm HESI Quiz #1
Study online at https://quizlet.com/_84boki
1. The practical nurse (PN) is administering secondary Blood urea nitrogen and
infusions of vancomycin (Vancocin) and gentamicin serum creatinine.
(Garamycin) to a client with kidney infection and colitis
due to Clostridium difficile . Which laboratory results
should the PN review before administering the med-
ications?
2. Glipizide (Glucotrol) 10 mg BID is prescribed for a Administer 30 minutes be-
client with type 2 diabetes mellitus. Breakfast is served fore a meal BID if capillary
at 0800, and dinner is served at 1700. Which action glucose is greater than 70
should the practical nurse (PN) implement? mg/dl.
3. An older client who is receiving digoxin (Lanoxin) 0.25 Withhold the dose of
mg PO at 0800 has an apical pulse of 68 beats/minute digoxin.
and respirations of 16 breaths/minute. The practical
nurse (PN) identifies that the client's serum digoxin
level is 3.2 ng/ml. What action should the practical
nurse implement?
4. When caring for a client receiving warfarin Recommend the use of a
(Coumadin), what action should the practical nurse soft toothbrush.
implement?
5. The practical nurse (PN) is caring for a client who is Blood pressure
receiving a secondary infusion of procainamide (Pron-
estyl) IV. Which assessment should the PN obtain dur-
ing the administration of the medication?
6. A client who is admitted for bradycardia receives a pre- Chronic constipation and
scription for atropine. Which client information should diverticulosis.
the practical nurse report to the healthcare provider?
7.
1/9
, Pharm HESI Quiz #1
Study online at https://quizlet.com/_84boki
Which action should the practical nurse implement Obtain the client's heart
prior to administering furosemide (Lasix) 60 mg and rate and blood pressure.
hydrochlorothiazide (HydroDIURIL) 25 mg to a client?
8. A client who is admitted with diabetic ketoacidosis Regular insulin (Humulin
(DKA) and an initial serum glucose level of 300 mg/dl R).
has a prescription of IV insulin per sliding scale. The
nurse asks the practical nurse (PN) to retrieve the in-
sulin from the automated medication dispensing sys-
tem. Which insulin vial should the PN obtain?
9. The practical nurse (PN) is giving medications to a Take before meals and
client with hyperlipidemia who receives a new pre- apart from other drugs.
scription for cholestyramine (Questran). Which infor-
mation should the PN reinforce with the client?
10. A client with hyperkalemia receives a prescription Serum potassium level.
for sodium polystyrene sulfonate (Kayexalate). Which
finding should the practical nurse (PN) monitor to eval-
uate the effectiveness of the prescription?
11. Which action should the practical nurse (PN) imple- Give neostigmine bro-
ment for a client who is recently diagnosed with myas- mide (Prostigmin) before
thenia gravis? meals.
12. The healthcare provider calls in a telephone prescrip- Hold the administration of
tion for digoxin (Lanoxin) of 2.5 mg PO now. The practi- the drug dose and notify
cal nurse (PN) questions the dosage, and the provider the charge nurse.
confirms that the dose is correct. Which action should
the PN take?
13. The healthcare provider prescribes hydromorphone The amount and time of
(Dilaudid) 2 mg PO every 4 hours as needed for pain the previous dose.
2/9
Study online at https://quizlet.com/_84boki
1. The practical nurse (PN) is administering secondary Blood urea nitrogen and
infusions of vancomycin (Vancocin) and gentamicin serum creatinine.
(Garamycin) to a client with kidney infection and colitis
due to Clostridium difficile . Which laboratory results
should the PN review before administering the med-
ications?
2. Glipizide (Glucotrol) 10 mg BID is prescribed for a Administer 30 minutes be-
client with type 2 diabetes mellitus. Breakfast is served fore a meal BID if capillary
at 0800, and dinner is served at 1700. Which action glucose is greater than 70
should the practical nurse (PN) implement? mg/dl.
3. An older client who is receiving digoxin (Lanoxin) 0.25 Withhold the dose of
mg PO at 0800 has an apical pulse of 68 beats/minute digoxin.
and respirations of 16 breaths/minute. The practical
nurse (PN) identifies that the client's serum digoxin
level is 3.2 ng/ml. What action should the practical
nurse implement?
4. When caring for a client receiving warfarin Recommend the use of a
(Coumadin), what action should the practical nurse soft toothbrush.
implement?
5. The practical nurse (PN) is caring for a client who is Blood pressure
receiving a secondary infusion of procainamide (Pron-
estyl) IV. Which assessment should the PN obtain dur-
ing the administration of the medication?
6. A client who is admitted for bradycardia receives a pre- Chronic constipation and
scription for atropine. Which client information should diverticulosis.
the practical nurse report to the healthcare provider?
7.
1/9
, Pharm HESI Quiz #1
Study online at https://quizlet.com/_84boki
Which action should the practical nurse implement Obtain the client's heart
prior to administering furosemide (Lasix) 60 mg and rate and blood pressure.
hydrochlorothiazide (HydroDIURIL) 25 mg to a client?
8. A client who is admitted with diabetic ketoacidosis Regular insulin (Humulin
(DKA) and an initial serum glucose level of 300 mg/dl R).
has a prescription of IV insulin per sliding scale. The
nurse asks the practical nurse (PN) to retrieve the in-
sulin from the automated medication dispensing sys-
tem. Which insulin vial should the PN obtain?
9. The practical nurse (PN) is giving medications to a Take before meals and
client with hyperlipidemia who receives a new pre- apart from other drugs.
scription for cholestyramine (Questran). Which infor-
mation should the PN reinforce with the client?
10. A client with hyperkalemia receives a prescription Serum potassium level.
for sodium polystyrene sulfonate (Kayexalate). Which
finding should the practical nurse (PN) monitor to eval-
uate the effectiveness of the prescription?
11. Which action should the practical nurse (PN) imple- Give neostigmine bro-
ment for a client who is recently diagnosed with myas- mide (Prostigmin) before
thenia gravis? meals.
12. The healthcare provider calls in a telephone prescrip- Hold the administration of
tion for digoxin (Lanoxin) of 2.5 mg PO now. The practi- the drug dose and notify
cal nurse (PN) questions the dosage, and the provider the charge nurse.
confirms that the dose is correct. Which action should
the PN take?
13. The healthcare provider prescribes hydromorphone The amount and time of
(Dilaudid) 2 mg PO every 4 hours as needed for pain the previous dose.
2/9
