1
PHARMACOLOGY HESI PN ATUAL
EXAM QUESTIONS WITH CORRECT
ANSWERS TESTED AND APPROVED
A client admitted to the hospital with a diagnosis of chronic obstructive pulmonary disease
has received a prescription for a medication that is delivered via a nebulizer. When teaching
about use of the nebulizer, the nurse should teach the client to do what?
1 Hold the breath while spraying the medication into the mouth.
2 Position the lips loosely around the mouthpiece and take rapid, shallow breaths.
3 Seal the lips around the mouthpiece and breathe in and out, taking slow, deep breaths.
4 Inhale the medication from the nebulizer, remove the mouthpiece from the mouth, and then
exhale. -- ANSWER--3
Which nursing action is the priority when administering chelation therapy for a toddler-age
client?
1 Assessing vital signs
2 Monitoring urine output
3 Conducting a behavioral assessment
4 Providing education to reduce lead exposure -- ANSWER--2
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A client is diagnosed with pulmonary tuberculosis, and the healthcare provider prescribes a
combination of rifampin and isoniazid. The nurse evaluates that the teaching regarding the
drug is effective when the client reports which action as most important?
1 "Report any changes in vision."
2 "Take the medicine with my meals."
3 "Call my doctor if my urine or tears turn red-orange."
4 "Continue taking the medicine even after I feel better. -- ANSWER--4
A nurse administers beclomethasone by inhalation to a client with asthma, and the client asks
why this medication is necessary. What should the nurse explain is the purpose of this
pharmacologic therapy? 1 Promotes comfort
2 Decreases inflammation
3 Stimulates smooth muscle relaxation
4 Reduces bacteria in the respiratory tract -- ANSWER--2
A 67-year-old client has tested positive for influenza A. The client also has asthma. Which
drug would the nurse recommend be avoided in this client?
1 Ribavirin
2 Zanamivir
3 Oseltamivir
4 Amantadine -- ANSWER--2
Which first line medication would the nurse state is used to treat anaphylactic reactions?
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1 Epinephrine
2 Norepinephrine
3 Dexamethasone
4 Diphenhydramine -- ANSWER--1
A mother complains that her child's teeth have become yellow in color. With prolonged use,
which medication may be responsible for the child's condition?
1 Tetracycline
2 Promethazine
3 Chloramphenicol
4 Fluoroquinolones -- ANSWER--1
What are the desired outcomes that the nurse expects when administering a nonsteroidal
antiinflammatory drug (NSAID)? Select all that apply
1 Diuresis
2 Pain relief
3 Antipyresis
4 Bronchodilation
5 Anticoagulation
6 Reduced inflammation -- ANSWER--2,3,6
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A client with tuberculosis is started on a chemotherapy protocol that includes rifampin. The
nurse evaluates that the teaching about rifampin is effective when the client makes which
statement?
1 "I need to drink a lot of fluid while I take this medication."
2 "I can expect my urine to turn orange from this medication."
3 "I should have my hearing tested while I take this medication."
4 "I might get a skin rash because it is an expected side effect of this medication. --
ANSWER--2
A client will be taking nitrofurantoin 50 mg orally every evening at home to manage recurrent
urinary tract infections. What instructions should the nurse give to the client?
1 Increase the intake of fluids.
2 Strain the urine for crystals and stones.
3 Stop the drug if urinary output increases.
4 Maintain the exact time schedule for taking the drug -- ANSWER--1
A nurse is caring for a female client who is receiving rifampin for tuberculosis. Which
statements indicate that the client understands the teaching about rifampin? Select all that
apply
1 "This drug may be hard on my liver so I must avoid alcoholic drinks while taking it."
2 "This drug may reduce the effectiveness of the oral contraceptive I am taking."
3 "I cannot take an antacid within 2 hours before taking my medicine."
Page 4 of 57
PHARMACOLOGY HESI PN ATUAL
EXAM QUESTIONS WITH CORRECT
ANSWERS TESTED AND APPROVED
A client admitted to the hospital with a diagnosis of chronic obstructive pulmonary disease
has received a prescription for a medication that is delivered via a nebulizer. When teaching
about use of the nebulizer, the nurse should teach the client to do what?
1 Hold the breath while spraying the medication into the mouth.
2 Position the lips loosely around the mouthpiece and take rapid, shallow breaths.
3 Seal the lips around the mouthpiece and breathe in and out, taking slow, deep breaths.
4 Inhale the medication from the nebulizer, remove the mouthpiece from the mouth, and then
exhale. -- ANSWER--3
Which nursing action is the priority when administering chelation therapy for a toddler-age
client?
1 Assessing vital signs
2 Monitoring urine output
3 Conducting a behavioral assessment
4 Providing education to reduce lead exposure -- ANSWER--2
Page 1 of 57
, 2
A client is diagnosed with pulmonary tuberculosis, and the healthcare provider prescribes a
combination of rifampin and isoniazid. The nurse evaluates that the teaching regarding the
drug is effective when the client reports which action as most important?
1 "Report any changes in vision."
2 "Take the medicine with my meals."
3 "Call my doctor if my urine or tears turn red-orange."
4 "Continue taking the medicine even after I feel better. -- ANSWER--4
A nurse administers beclomethasone by inhalation to a client with asthma, and the client asks
why this medication is necessary. What should the nurse explain is the purpose of this
pharmacologic therapy? 1 Promotes comfort
2 Decreases inflammation
3 Stimulates smooth muscle relaxation
4 Reduces bacteria in the respiratory tract -- ANSWER--2
A 67-year-old client has tested positive for influenza A. The client also has asthma. Which
drug would the nurse recommend be avoided in this client?
1 Ribavirin
2 Zanamivir
3 Oseltamivir
4 Amantadine -- ANSWER--2
Which first line medication would the nurse state is used to treat anaphylactic reactions?
Page 2 of 57
, 3
1 Epinephrine
2 Norepinephrine
3 Dexamethasone
4 Diphenhydramine -- ANSWER--1
A mother complains that her child's teeth have become yellow in color. With prolonged use,
which medication may be responsible for the child's condition?
1 Tetracycline
2 Promethazine
3 Chloramphenicol
4 Fluoroquinolones -- ANSWER--1
What are the desired outcomes that the nurse expects when administering a nonsteroidal
antiinflammatory drug (NSAID)? Select all that apply
1 Diuresis
2 Pain relief
3 Antipyresis
4 Bronchodilation
5 Anticoagulation
6 Reduced inflammation -- ANSWER--2,3,6
Page 3 of 57
, 4
A client with tuberculosis is started on a chemotherapy protocol that includes rifampin. The
nurse evaluates that the teaching about rifampin is effective when the client makes which
statement?
1 "I need to drink a lot of fluid while I take this medication."
2 "I can expect my urine to turn orange from this medication."
3 "I should have my hearing tested while I take this medication."
4 "I might get a skin rash because it is an expected side effect of this medication. --
ANSWER--2
A client will be taking nitrofurantoin 50 mg orally every evening at home to manage recurrent
urinary tract infections. What instructions should the nurse give to the client?
1 Increase the intake of fluids.
2 Strain the urine for crystals and stones.
3 Stop the drug if urinary output increases.
4 Maintain the exact time schedule for taking the drug -- ANSWER--1
A nurse is caring for a female client who is receiving rifampin for tuberculosis. Which
statements indicate that the client understands the teaching about rifampin? Select all that
apply
1 "This drug may be hard on my liver so I must avoid alcoholic drinks while taking it."
2 "This drug may reduce the effectiveness of the oral contraceptive I am taking."
3 "I cannot take an antacid within 2 hours before taking my medicine."
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