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HESI Pharmacology Evolve EXAM COMPLETE
NEWEST 250 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: When providing nursing care for a client receiving pyridostigmine bromide for
myasthenia gravis, which nursing intervention has the highest priority?
A. Monitor the client frequently for urinary 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 irritation. - ANSWER-B.
Assess respiratory status and breath sounds often.
QUESTION: A client with a dislocated shoulder is being prepared for a closed manual reduction
using conscious sedation. Which medication should the nurse explain as a sedative used during
the procedure?
A.Inhaled nitrous oxide
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B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM - ANSWER-B. Midazolam IV
QUESTION: A client is being discharged with a prescription for sulfasalazine to treat ulcerative
colitis. Which instruction should the nurse provide to this client prior to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day. - ANSWER-D. Drink at least eight glasses of fluid a
day.
QUESTION: The health care provider prescribes carbamazepine for a child whose tonic-clonic
seizures have been poorly controlled. The nurse informs the mother that the child must have
blood tests every week. The mother asks why so many blood tests are necessary. Which
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complication is assessed through frequent laboratory testing that the nurse should explain to
this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity - ANSWER-C. Myelosuppression
Myelosuppression is the highest priority complication that can potentially affect clients
managed with carbamazepine therapy. The client requires close monitoring for this condition
by weekly laboratory testing. Hepatic function may be altered, but this complication does not
have as great a potential for occurrence as option C. Options A and B are not typical
complications of carbamazepine therapy.
QUESTION: When developing a written nursing care plan for a client receiving chemotherapy
for treatment of cancer, the nurse writes, "Assess each voiding for hematuria." The
administration of which type of chemotherapeutic agent would prompt the nurse to add this
intervention?
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A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide - ANSWER-D. Cyclophosphamide
Hemorrhagic cystitis is the characteristic adverse reaction of cyclophosphamide. Administration
of options A, B, and C does not typically cause hemorrhagic cystitis.
QUESTION: A client is receiving oral griseofulvin for a persistent tinea corporis infection. Which
response by the client indicates an accurate understanding of the drug teaching conducted by
the nurse?
A. "I'll wear sunscreen whenever I mow the lawn."
B. "This is the worse bacterial infection I've ever had."
C. "I will need to take the medication for 7 days."
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HESI Pharmacology Evolve EXAM COMPLETE
NEWEST 250 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: When providing nursing care for a client receiving pyridostigmine bromide for
myasthenia gravis, which nursing intervention has the highest priority?
A. Monitor the client frequently for urinary 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 irritation. - ANSWER-B.
Assess respiratory status and breath sounds often.
QUESTION: A client with a dislocated shoulder is being prepared for a closed manual reduction
using conscious sedation. Which medication should the nurse explain as a sedative used during
the procedure?
A.Inhaled nitrous oxide
1
, Page 2 of 180
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM - ANSWER-B. Midazolam IV
QUESTION: A client is being discharged with a prescription for sulfasalazine to treat ulcerative
colitis. Which instruction should the nurse provide to this client prior to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day. - ANSWER-D. Drink at least eight glasses of fluid a
day.
QUESTION: The health care provider prescribes carbamazepine for a child whose tonic-clonic
seizures have been poorly controlled. The nurse informs the mother that the child must have
blood tests every week. The mother asks why so many blood tests are necessary. Which
2
, Page 3 of 180
complication is assessed through frequent laboratory testing that the nurse should explain to
this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity - ANSWER-C. Myelosuppression
Myelosuppression is the highest priority complication that can potentially affect clients
managed with carbamazepine therapy. The client requires close monitoring for this condition
by weekly laboratory testing. Hepatic function may be altered, but this complication does not
have as great a potential for occurrence as option C. Options A and B are not typical
complications of carbamazepine therapy.
QUESTION: When developing a written nursing care plan for a client receiving chemotherapy
for treatment of cancer, the nurse writes, "Assess each voiding for hematuria." The
administration of which type of chemotherapeutic agent would prompt the nurse to add this
intervention?
3
, Page 4 of 180
A. Vincristine
B. Bleomycin sulfate
C. Chlorambucil
D. Cyclophosphamide - ANSWER-D. Cyclophosphamide
Hemorrhagic cystitis is the characteristic adverse reaction of cyclophosphamide. Administration
of options A, B, and C does not typically cause hemorrhagic cystitis.
QUESTION: A client is receiving oral griseofulvin for a persistent tinea corporis infection. Which
response by the client indicates an accurate understanding of the drug teaching conducted by
the nurse?
A. "I'll wear sunscreen whenever I mow the lawn."
B. "This is the worse bacterial infection I've ever had."
C. "I will need to take the medication for 7 days."
4
