HESI PHARM 315 - 2024
Study online at https://quizlet.com/_f35p1x
1. A client taking atorvastatin develops an in- A. Muscle tenderness.
creased serum creatine phosphokinase (CK)
level. The nurse should assess the client for the
onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
2. An increase in which serum laboratory value C. HDL (High-density lipoprotein)
indicates to the nurse that a prescription for
atorvastatin is having the desired effect for a
client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
3. NGN - Patient Data Potential Condition:
History and Physical: Methemoglobinemia
The client is a 36-year-old female with mod-
erate persistent asthma. She takes fluticas- Actions to Take:
one/salmeterol 250 mcg/50 mcg 1 inhalation 1. Draw blood for a complete blood
twice daily and albuterol 90 mcg/inhalation 2 count
inhalations every 4-6 hours as needed. 2. Administer methylene blue
Nurses notes: Parameters to Monitor:
The client states that she has had more severe 1. Methemoglobin level
asthma symptoms than usual in the past week. 2. Heart rate and rhythm
Her forced expiratory volume has been 60-65%
, HESI PHARM 315 - 2024
Study online at https://quizlet.com/_f35p1x
even with multiple doses of albuterol for sever-
al days in a row. She came to the hospital feeling
dizzy, lightheaded, and complaining of "heart
palpitations". Upon assessment, no wheezes
were found. Her oxygen saturation is 99%.
Review H and P, and nurse's note. Identify from
the choices below which condition the client is
most likely experiencing, two actions the nurse
should take to address that condition, and two
parameters the nurse should monitor to assess
the client's progress.
4. The nurse provide discharge instructions to a B. Gastric irritation
client who has been prescribed gabapentin 300
mg by mouth three times a day for post her-
petic neuralgia. Which symptoms should the
nurse tell the client to report to the healthcare
provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
5. A client with chronic lower back pain has been C. Determine presence of abdomi-
taking non steroidal anti-inflammatory (NSAID) nal pain
drug ibuprofen by mouth twice a day for several
months. Which assessment is most important
for the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
, HESI PHARM 315 - 2024
Study online at https://quizlet.com/_f35p1x
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
6. The nurse administers risedrineate to a client A. Instruct the client that it is neces-
with osteoporosis at 0700. The client asks for sary to take nothing but water with
a glass of milk to drink with the medication. the medication.
Which action should the nurse take?
A. Instruct the client that it is necessary to take
nothing but water with the medication.
B. Assign an unlicensed assistive personnel
(UAP) to bring the client a glass of low fat milk.
C. Withhold the medication until the client's
breakfast tray is available on the unit.
D. Consult with a pharmacist about scheduling
the dose one hour after the client eats.
7. Which action should the nurse implement to as- D. Measure the clients blood pres-
sess the effectiveness of calcium channel block- sure
er amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure
8. A client is receiving tamsulosin an alpha adren- B. Stand and sit up slowly
ergic - blocking agent for the management of
urinary retention due to benign prostatic hy-
perplasia (BPH). Which instruction is most im-
portant for the nurse to provide?
A. Use a twice a week dosing schedule
, HESI PHARM 315 - 2024
Study online at https://quizlet.com/_f35p1x
B. Stand and sit up slowly
C. Take the medication early in the day
D. Reduce daily fluid intake
9. A client with chemotherapy induced nausea B. Involuntary movements
receives a prescription for metoclopramide.
Which adverse effect is most important for the
nurse to report?
A. Nausea
B. Involuntary movements
C. Diarrhea
D. Unusual irritability
10. A client is receiving orlistat as part of a weight A. Body mass index
management program. Which ongoing assess-
ment should be included in the plan of care
to determine the effectiveness of the medica-
tion?
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels
11. Before administering the initial dose of suma- D. Coronary artery disease
triptan succinate to a client with a migraine
headache, it is most important to determine if
the client's history includes which problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
Study online at https://quizlet.com/_f35p1x
1. A client taking atorvastatin develops an in- A. Muscle tenderness.
creased serum creatine phosphokinase (CK)
level. The nurse should assess the client for the
onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
2. An increase in which serum laboratory value C. HDL (High-density lipoprotein)
indicates to the nurse that a prescription for
atorvastatin is having the desired effect for a
client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
3. NGN - Patient Data Potential Condition:
History and Physical: Methemoglobinemia
The client is a 36-year-old female with mod-
erate persistent asthma. She takes fluticas- Actions to Take:
one/salmeterol 250 mcg/50 mcg 1 inhalation 1. Draw blood for a complete blood
twice daily and albuterol 90 mcg/inhalation 2 count
inhalations every 4-6 hours as needed. 2. Administer methylene blue
Nurses notes: Parameters to Monitor:
The client states that she has had more severe 1. Methemoglobin level
asthma symptoms than usual in the past week. 2. Heart rate and rhythm
Her forced expiratory volume has been 60-65%
, HESI PHARM 315 - 2024
Study online at https://quizlet.com/_f35p1x
even with multiple doses of albuterol for sever-
al days in a row. She came to the hospital feeling
dizzy, lightheaded, and complaining of "heart
palpitations". Upon assessment, no wheezes
were found. Her oxygen saturation is 99%.
Review H and P, and nurse's note. Identify from
the choices below which condition the client is
most likely experiencing, two actions the nurse
should take to address that condition, and two
parameters the nurse should monitor to assess
the client's progress.
4. The nurse provide discharge instructions to a B. Gastric irritation
client who has been prescribed gabapentin 300
mg by mouth three times a day for post her-
petic neuralgia. Which symptoms should the
nurse tell the client to report to the healthcare
provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
5. A client with chronic lower back pain has been C. Determine presence of abdomi-
taking non steroidal anti-inflammatory (NSAID) nal pain
drug ibuprofen by mouth twice a day for several
months. Which assessment is most important
for the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
, HESI PHARM 315 - 2024
Study online at https://quizlet.com/_f35p1x
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
6. The nurse administers risedrineate to a client A. Instruct the client that it is neces-
with osteoporosis at 0700. The client asks for sary to take nothing but water with
a glass of milk to drink with the medication. the medication.
Which action should the nurse take?
A. Instruct the client that it is necessary to take
nothing but water with the medication.
B. Assign an unlicensed assistive personnel
(UAP) to bring the client a glass of low fat milk.
C. Withhold the medication until the client's
breakfast tray is available on the unit.
D. Consult with a pharmacist about scheduling
the dose one hour after the client eats.
7. Which action should the nurse implement to as- D. Measure the clients blood pres-
sess the effectiveness of calcium channel block- sure
er amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure
8. A client is receiving tamsulosin an alpha adren- B. Stand and sit up slowly
ergic - blocking agent for the management of
urinary retention due to benign prostatic hy-
perplasia (BPH). Which instruction is most im-
portant for the nurse to provide?
A. Use a twice a week dosing schedule
, HESI PHARM 315 - 2024
Study online at https://quizlet.com/_f35p1x
B. Stand and sit up slowly
C. Take the medication early in the day
D. Reduce daily fluid intake
9. A client with chemotherapy induced nausea B. Involuntary movements
receives a prescription for metoclopramide.
Which adverse effect is most important for the
nurse to report?
A. Nausea
B. Involuntary movements
C. Diarrhea
D. Unusual irritability
10. A client is receiving orlistat as part of a weight A. Body mass index
management program. Which ongoing assess-
ment should be included in the plan of care
to determine the effectiveness of the medica-
tion?
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels
11. Before administering the initial dose of suma- D. Coronary artery disease
triptan succinate to a client with a migraine
headache, it is most important to determine if
the client's history includes which problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
