Pharmacology Evolve HESI
Study online at https://quizlet.com/_8pvcu5
1. A 19-year-old male client who has sus- B. Neostigmine bromide
tained a severe head injury is intubat-
ed and placed on assisted mechanical Neostigmine bromide and atropine sulfate, both
ventilation. To facilitate optimal ven- anticholinergic drugs, reverse the respiratory
tilation and prevent the client from muscle paralysis caused by pancuronium bro-
"fighting" the ventilator, the health mide. Options A, C, and D are not antagonists to
care provider administers pancuroni- pancuronium bromide and would not be helpful
um bromide IV, with adjunctive opioid in reversing the effects of the drug compared with
analgesia. What medication should be the use of anticholinergics.
immediately accessible for a potential
complication with this drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine
2. A client with viral influenza is receiving C. Decrease the dose of vitamin C.
vitamin C, 1000 mg PO daily, and ac-
etaminophen elixir, 650 mg PO every
4 hours PRN. The nurse calls the
health care provider to report that the
client has developed diarrhea. Which
change in prescriptions should the
nurse anticipate?
A. Change the acetaminophen to
ibuprofen.
B. Change the elixir to an injectable
route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic.
, Pharmacology Evolve HESI
Study online at https://quizlet.com/_8pvcu5
3. When providing nursing care for a B. Assess respiratory status and breath sounds
client receiving pyridostigmine bro- often.
mide for myasthenia gravis, which
nursing intervention has the highest
priority?
A. Monitor the client frequently for uri-
nary retention.
B. Assess respiratory status and breath
sounds often.
C. Monitor blood pressure each shift to
screen for hypertension.
D. Administer most medications after
meals to decrease gastrointestinal irri-
tation.
4. A client with a dislocated shoulder is B. Midazolam IV
being prepared for a closed manu-
al reduction using conscious sedation.
Which medication should the nurse ex-
plain as a sedative used during the
procedure?
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
5. A client is being discharged with a D. Drink at least eight glasses of fluid a day.
prescription for sulfasalazine to treat
ulcerative colitis. Which instruction
should the nurse provide to this client
, Pharmacology Evolve HESI
Study online at https://quizlet.com/_8pvcu5
prior to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes be-
fore a meal.
C. Discontinue use of the drug gradu-
ally.
D. Drink at least eight glasses of fluid a
day.
6. The health care provider prescribes C. Myelosuppression
carbamazepine for a child whose ton-
ic-clonic seizures have been poor- Myelosuppression is the highest priority compli-
ly controlled. The nurse informs the cation that can potentially affect clients managed
mother that the child must have blood with carbamazepine therapy. The client requires
tests every week. The mother asks close monitoring for this condition by weekly lab-
why so many blood tests are neces- oratory testing. Hepatic function may be altered,
sary. Which complication is assessed but this complication does not have as great a po-
through frequent laboratory testing tential for occurrence as option C. Options A and
that the nurse should explain to this B are not typical complications of carbamazepine
mother? therapy.
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity
7. When developing a written nurs- D. Cyclophosphamide
ing care plan for a client receiving
chemotherapy for treatment of cancer, Hemorrhagic cystitis is the characteristic adverse
the nurse writes, "Assess each voiding reaction of cyclophosphamide. Administration of
for hematuria." The administration of options A, B, and C does not typically cause hem-
orrhagic cystitis.
, Pharmacology Evolve HESI
Study online at https://quizlet.com/_8pvcu5
which type of chemotherapeutic agent
would prompt the nurse to add this
intervention?
A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide
8. A client is receiving oral griseofulvin A. "I'll wear sunscreen whenever I mow the
for a persistent tinea corporis infec- lawn."
tion. Which response by the client in-
dicates an accurate understanding of Photosensitivity is a side effect of griseofulvin, so
the drug teaching conducted by the clients should be cautioned to wear protective
nurse? sunscreen during sun exposure. Options B, C, and
D are not accurate statements about side effects
A. "I'll wear sunscreen whenever I mow of this medication.
the lawn."
B. "This is the worse bacterial infection
I've ever had."
C. "I will need to take the medication
for 7 days."
D. "My urine will probably turn brown
due to this drug."
9. A 6-year-old child is admitted to the B. Diazepam
emergency department with status
epilepticus. His parents report that his Diazepam is the drug of choice for treatment of
seizure disorder has been managed status epilepticus. Options A, C, and D are used for
with phenytoin, 50 mg PO bid, for the the long-term management of seizure disorders
past year. Which drug should the nurse but are not as useful in the emergency manage-
plan to administer in the emergency ment of status epilepticus.
Study online at https://quizlet.com/_8pvcu5
1. A 19-year-old male client who has sus- B. Neostigmine bromide
tained a severe head injury is intubat-
ed and placed on assisted mechanical Neostigmine bromide and atropine sulfate, both
ventilation. To facilitate optimal ven- anticholinergic drugs, reverse the respiratory
tilation and prevent the client from muscle paralysis caused by pancuronium bro-
"fighting" the ventilator, the health mide. Options A, C, and D are not antagonists to
care provider administers pancuroni- pancuronium bromide and would not be helpful
um bromide IV, with adjunctive opioid in reversing the effects of the drug compared with
analgesia. What medication should be the use of anticholinergics.
immediately accessible for a potential
complication with this drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine
2. A client with viral influenza is receiving C. Decrease the dose of vitamin C.
vitamin C, 1000 mg PO daily, and ac-
etaminophen elixir, 650 mg PO every
4 hours PRN. The nurse calls the
health care provider to report that the
client has developed diarrhea. Which
change in prescriptions should the
nurse anticipate?
A. Change the acetaminophen to
ibuprofen.
B. Change the elixir to an injectable
route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic.
, Pharmacology Evolve HESI
Study online at https://quizlet.com/_8pvcu5
3. When providing nursing care for a B. Assess respiratory status and breath sounds
client receiving pyridostigmine bro- often.
mide for myasthenia gravis, which
nursing intervention has the highest
priority?
A. Monitor the client frequently for uri-
nary retention.
B. Assess respiratory status and breath
sounds often.
C. Monitor blood pressure each shift to
screen for hypertension.
D. Administer most medications after
meals to decrease gastrointestinal irri-
tation.
4. A client with a dislocated shoulder is B. Midazolam IV
being prepared for a closed manu-
al reduction using conscious sedation.
Which medication should the nurse ex-
plain as a sedative used during the
procedure?
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM
5. A client is being discharged with a D. Drink at least eight glasses of fluid a day.
prescription for sulfasalazine to treat
ulcerative colitis. Which instruction
should the nurse provide to this client
, Pharmacology Evolve HESI
Study online at https://quizlet.com/_8pvcu5
prior to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes be-
fore a meal.
C. Discontinue use of the drug gradu-
ally.
D. Drink at least eight glasses of fluid a
day.
6. The health care provider prescribes C. Myelosuppression
carbamazepine for a child whose ton-
ic-clonic seizures have been poor- Myelosuppression is the highest priority compli-
ly controlled. The nurse informs the cation that can potentially affect clients managed
mother that the child must have blood with carbamazepine therapy. The client requires
tests every week. The mother asks close monitoring for this condition by weekly lab-
why so many blood tests are neces- oratory testing. Hepatic function may be altered,
sary. Which complication is assessed but this complication does not have as great a po-
through frequent laboratory testing tential for occurrence as option C. Options A and
that the nurse should explain to this B are not typical complications of carbamazepine
mother? therapy.
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity
7. When developing a written nurs- D. Cyclophosphamide
ing care plan for a client receiving
chemotherapy for treatment of cancer, Hemorrhagic cystitis is the characteristic adverse
the nurse writes, "Assess each voiding reaction of cyclophosphamide. Administration of
for hematuria." The administration of options A, B, and C does not typically cause hem-
orrhagic cystitis.
, Pharmacology Evolve HESI
Study online at https://quizlet.com/_8pvcu5
which type of chemotherapeutic agent
would prompt the nurse to add this
intervention?
A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide
8. A client is receiving oral griseofulvin A. "I'll wear sunscreen whenever I mow the
for a persistent tinea corporis infec- lawn."
tion. Which response by the client in-
dicates an accurate understanding of Photosensitivity is a side effect of griseofulvin, so
the drug teaching conducted by the clients should be cautioned to wear protective
nurse? sunscreen during sun exposure. Options B, C, and
D are not accurate statements about side effects
A. "I'll wear sunscreen whenever I mow of this medication.
the lawn."
B. "This is the worse bacterial infection
I've ever had."
C. "I will need to take the medication
for 7 days."
D. "My urine will probably turn brown
due to this drug."
9. A 6-year-old child is admitted to the B. Diazepam
emergency department with status
epilepticus. His parents report that his Diazepam is the drug of choice for treatment of
seizure disorder has been managed status epilepticus. Options A, C, and D are used for
with phenytoin, 50 mg PO bid, for the the long-term management of seizure disorders
past year. Which drug should the nurse but are not as useful in the emergency manage-
plan to administer in the emergency ment of status epilepticus.
