QUESTIONS AND ANSWERS (2025/2026)
(VERIFIED ANSWERS PURE PASS)
THIS EXAM CONTAINS:
o Hesi Pharmacology
o Evolve Exam
o Questions And Answers
1|Pag
,1. A 19-year-old male client who has sustained a severe head injury is in- tubated and placed on assisted
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i mechanical ventilation.To facilitate optimal ventilation and prevent the client from "fighting" the ventilator,
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the health care provider administers pancuronium bromide IV, with adjunctive opioid analgesia.What
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medication should be immediately accessible for a potential complication with this drug?
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A. Dantrolene sodium i
B. Neostigmine bromide i
C. Succinylcholine bromide i
D. Epinephrine
..ANS>>B.Neostigmine bromide i i i
Neostigmine bromide and atropine sulfate, both anticholinergic drugs, reverse the respiratory muscle paralysis
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caused by pancuronium bromide.Options A, C, and D are not antagonists to pancuronium bromide and would not
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be helpful in reversing the effects of the drug compared with the use of anticholinergics.
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2. A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and
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i acetaminophenelixir,650mgPOevery4hoursPRN.Thenursecallsthehealth care provider to report that the client
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i has developed diarrhea.Which change in prescriptions should the nurse anticipate?
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A. Change the acetaminophen to ibuprofen.
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B. Change the elixir to an injectable route.
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C. Decrease the dose of vitamin C. i i i i i
D. Begin treatment with an antibiotic
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..ANS>>B C.Decrease the dose of vitamin C.
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2|Pag
,3. When providing nursing care for a client receiving pyridostigmine bromide for myasthenia gravis, which
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nursing intervention has the highest priority?
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A. Monitor the client frequently for urinary retention.
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B. Assess respiratory status and breath sounds often.
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C. Monitor blood pressure each shift to screen for hypertension.
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D. Administer most medications after meals to decrease gastrointestinal irri- tation
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. ..ANS>> B. Assess respiratory status and breath sounds often.
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4. A client with a dislocated shoulder is being prepared for a closed manual reduction using conscious
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sedation.Which medication should the nurse ex- plain as a sedative used during the procedure?
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A. Inhalednitrousoxide i i
B.Midazolam IV
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3|Pag
, C. Ketamine IM i
D. Fentanyl and droperidol im i i I
..ANS>>B.Midazolam IV i i i
5. A client is being discharged with a prescription for sulfasalazine to treat ulcerative colitis. Which
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i instruction should the nurse provide to this client prior to discharge?
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A. Maintain good oral hygiene. i i i
B. Take the medication 30 minutes before a meal.
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C. Discontinue use of the drug gradually. i i i i i
D. Drink at least eight glasses of fluid a day.
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..ANS>> D.Drink at least eight glasses of fluid a day.
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6. The health care provider prescribes carbamazepine for a child whose ton- ic-clonic seizures have been
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ipoorly controlled.The nurse informs the mother
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i thatthechildmusthavebloodtestseveryweek.Themotheraskswhysomany blood tests are necessary.Which
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icomplication is assessed through frequent laboratory testing that the nurse should explain to this mother?
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A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression D.Hepatotoxicity i
..ANS>> C.Myelosuppression ii i
Myelosuppression is the highest priority complication that can potentially affect clients managed with i i i i i i i i i i i i
icarbamazepine therapy.The client requires close monitoring for this condition by weekly laboratory
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itesting.Hepatic function may be altered, but this complication does not have as great a potential for occurrence as
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ioption C. Options A and B are not typical complications of carbamazepine therapy.
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4|Pag