HESI Pharmacology Assignment Exam
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1. An emergency department nurse is interviewing a fe- B. She ran out of her med-
male client who has a history of epilepsy with ton- ication 4 days ago.
ic-clonic seizures controlled by phenytoin (Dilantin).
Which information is most significant in planning this
client's care?
A. She has missed 2 menstrual periods
B. She ran out of her medication 4 days ago.
C. She has smoked 3 packs of cigarettes a day for 10
years
D. She has had no dental care for several years
2. The nurse should instruct a client to avoid which C. Alcoholic beverages
product while taking carisoprodol (Soma) for muscle
spasms?
A. Aspirin Products
B. Antacids
C. Alcoholic beverages
D. Dairy products
3. A client calls the clinic and states that she forgot to A. Take 2 pills a day for
take her oral contraceptives for the past two days. 2 days and use an alter-
Which instruction is best for the nurse to provide to nate method of contracep-
this client? tion for 7 days
A. Take 2 pills a day for 2 days and use an alternate
method of contraception for 7 days
B. Take one extra pill per day for the rest of this cycle,
then resume taking pills as usual next cycle.
C. Quit the pills for this cycle, use an alternate method
of contraception, and resume pills on the fifth day of
menstruation.
D. Take 4 pills now and use an alternate method of
contraception for the rest of this cycle.
, HESI Pharmacology Assignment Exam
Study online at https://quizlet.com/_8czkpv
4. A 48-year-old client is experiencing a severe anaphy- D. Epinephrine (Adrenalin)
lactic reaction to an injection of contrast media. What
pharmacologic agent is of greatest use in this situa-
tion?
A. Loratadine (Claritin)
B. Dopamine (Intropin)
C. Nitroprusside (Nipride)
D. Epinephrine (Adrenalin)
5. A resident of a long-term care facility is taking lithium D. Report symptoms of hy-
carbonate (Eskalith) to treat bipolar disorder. Which pothyroidism such as fa-
instruction should the nurse provide to this client's tigue and constipation
caregivers?
A. Have the client chew the pill if it is difficult to swal-
low
B. Offer the morning dose of the medicine before
breakfast
C. Encourage high energy fluid intake by providing
sports drinks or sodas
D. Report symptoms of hypothyroidism such as fatigue
and constipation
6. A 38-year-old gravida 2 para 2 is diagnosed with bacte- A. Method of infant feed-
rial vaginosis 9-months postpartum. A prescription is ing
written for metronidazole (Flagyl). Which information
is most important for the nurse to obtain for the client
before initiating treatment?
A. Method of infant feeding
B. Sexual history
C. Possibility of pregnancy
D. Use of oral contraceptives
, HESI Pharmacology Assignment Exam
Study online at https://quizlet.com/_8czkpv
7. A client with Paget's disease is started on calcitonin B. Observe the client for
(Calcimar) 500 mcg subcutaneously daily. During the signs of hypersensitivity
initial treatment, what is the priority nursing action?
A. Assess the injection site for inflammation
B. Observe the client for signs of hypersensitivity
C. Evaluate the client's level of pain
D. Monitor the client's alkaline phosphatase levels
8. When assessing a client prior to the administration of A. Irregular apical pulse
digoxin (Lanoxin), which data is most important for the with a rate of 87
nurse to consider?
A. Irregular apical pulse with a rate of 87
B. Presence of a grade 2 murmur
C. Bilateral lower extremity dependent rubor
D. Nailbed capillary refill of 5 seconds
9. The HCP prescribes pyridostigmine bromide (Mesti- B. Take the medication 30
non) tablets for a client with myasthenia gravis (MG). to 45 minutes before eat-
What instruction should the nurse provide this client? ing.
A. Use a PRN dose for increasing muscular weakness
or fasciculations
B. Take the medication 30 to 45 minutes before eating.
C. Increase activity in the afternoon when the medica-
tion is most effective
D. Give the client a dietary guide that describes
low-protein foods
10. A client is admitted for atrial fibrillation, and the HCP A. Daily weight gain of 2
prescribes disopryamide (Norpace). After explaining pounds
the action of this antidysrhythmic agent, which com-
plaint should the nurse instruct the client to report?
A. Daily weight gain of 2 pounds
Study online at https://quizlet.com/_8czkpv
1. An emergency department nurse is interviewing a fe- B. She ran out of her med-
male client who has a history of epilepsy with ton- ication 4 days ago.
ic-clonic seizures controlled by phenytoin (Dilantin).
Which information is most significant in planning this
client's care?
A. She has missed 2 menstrual periods
B. She ran out of her medication 4 days ago.
C. She has smoked 3 packs of cigarettes a day for 10
years
D. She has had no dental care for several years
2. The nurse should instruct a client to avoid which C. Alcoholic beverages
product while taking carisoprodol (Soma) for muscle
spasms?
A. Aspirin Products
B. Antacids
C. Alcoholic beverages
D. Dairy products
3. A client calls the clinic and states that she forgot to A. Take 2 pills a day for
take her oral contraceptives for the past two days. 2 days and use an alter-
Which instruction is best for the nurse to provide to nate method of contracep-
this client? tion for 7 days
A. Take 2 pills a day for 2 days and use an alternate
method of contraception for 7 days
B. Take one extra pill per day for the rest of this cycle,
then resume taking pills as usual next cycle.
C. Quit the pills for this cycle, use an alternate method
of contraception, and resume pills on the fifth day of
menstruation.
D. Take 4 pills now and use an alternate method of
contraception for the rest of this cycle.
, HESI Pharmacology Assignment Exam
Study online at https://quizlet.com/_8czkpv
4. A 48-year-old client is experiencing a severe anaphy- D. Epinephrine (Adrenalin)
lactic reaction to an injection of contrast media. What
pharmacologic agent is of greatest use in this situa-
tion?
A. Loratadine (Claritin)
B. Dopamine (Intropin)
C. Nitroprusside (Nipride)
D. Epinephrine (Adrenalin)
5. A resident of a long-term care facility is taking lithium D. Report symptoms of hy-
carbonate (Eskalith) to treat bipolar disorder. Which pothyroidism such as fa-
instruction should the nurse provide to this client's tigue and constipation
caregivers?
A. Have the client chew the pill if it is difficult to swal-
low
B. Offer the morning dose of the medicine before
breakfast
C. Encourage high energy fluid intake by providing
sports drinks or sodas
D. Report symptoms of hypothyroidism such as fatigue
and constipation
6. A 38-year-old gravida 2 para 2 is diagnosed with bacte- A. Method of infant feed-
rial vaginosis 9-months postpartum. A prescription is ing
written for metronidazole (Flagyl). Which information
is most important for the nurse to obtain for the client
before initiating treatment?
A. Method of infant feeding
B. Sexual history
C. Possibility of pregnancy
D. Use of oral contraceptives
, HESI Pharmacology Assignment Exam
Study online at https://quizlet.com/_8czkpv
7. A client with Paget's disease is started on calcitonin B. Observe the client for
(Calcimar) 500 mcg subcutaneously daily. During the signs of hypersensitivity
initial treatment, what is the priority nursing action?
A. Assess the injection site for inflammation
B. Observe the client for signs of hypersensitivity
C. Evaluate the client's level of pain
D. Monitor the client's alkaline phosphatase levels
8. When assessing a client prior to the administration of A. Irregular apical pulse
digoxin (Lanoxin), which data is most important for the with a rate of 87
nurse to consider?
A. Irregular apical pulse with a rate of 87
B. Presence of a grade 2 murmur
C. Bilateral lower extremity dependent rubor
D. Nailbed capillary refill of 5 seconds
9. The HCP prescribes pyridostigmine bromide (Mesti- B. Take the medication 30
non) tablets for a client with myasthenia gravis (MG). to 45 minutes before eat-
What instruction should the nurse provide this client? ing.
A. Use a PRN dose for increasing muscular weakness
or fasciculations
B. Take the medication 30 to 45 minutes before eating.
C. Increase activity in the afternoon when the medica-
tion is most effective
D. Give the client a dietary guide that describes
low-protein foods
10. A client is admitted for atrial fibrillation, and the HCP A. Daily weight gain of 2
prescribes disopryamide (Norpace). After explaining pounds
the action of this antidysrhythmic agent, which com-
plaint should the nurse instruct the client to report?
A. Daily weight gain of 2 pounds
