HESI RN PHARMACOLOGY 2022 V2 – (ADDED FEW NOTES)
1. Before administering a laxative to a bedfast client, it is most important for the nurse to
... [Show More] perform what assessment?
A. Observe the skin integrity of the client's rectal and sacral areas
B. assess the client strength in moving and turning in the bed
C. evaluate the client's ability to recognize the urge to defecate
D. determine the frequency and consistency of bowel movements
2. A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plans for this client?
A. Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
B. nausea and diarrhea can occur when using this supplement
C. anxiety and headaches increased with use of ginkgo
D. ginkgo biloba use should be limited and not taken during pregnancy
3. In explaining the benefits of the combination anti-infective drug code TMP-SMZ (Bactrim) to a client receiving the medication for a urinary tract infection, more rationale to the nurse provide?
A. Each drug could cause damage to the kidneys if taken separately
B. One drug reduces the risk of side effects caused by the drug
C. while one drug provide relief, the other fights the infection
D. the two drugs work together to reduce resistance of the bacterial infection of symptoms
4. Client being treated with Haldol for schizophrenia is complaining of jaw tightness and a stiff neck. Which interventions should the nurse implement?
A. give PRN dose of diphenhydramine Benadryl
B. assess client other sensory hallucinations
C. massage neck until muscles begin to relax
D. obtain a 12 lead EKG
5. Which intervention is most important for the nurse implement for a client is receiving Lispro Humalog insulin?
A. Check blood glucose levels every six hours
B. Provide meals at the same time that insulin is given
C. Assess for hypoglycemia between meals
D. Keeping oral liquid or glucose source available
6. Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid arthritis is being treated for anemia which intervention is most important for the nurse to include any plan of care
A. Observe for gastrointestinal bleeding
B. Monitor liver function test results
C. Protect skin from bruising
D. Offered dietary selections rich in iron
7. A client receives a prescription for theophylline (Theo-Dur) PO to be initiated in the morning after the dose of theophylline IV is complete. The nurse determines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this information, which action should the nurse implement?
A. Hold the theophylline dose and notify the health care provider.
B. Start the client on a half-dose of theophylline PO.
C. The theophylline dose can be initiated as planned.
D. The client is not ready to be weaned from the IV to the PO route
8. The nurse is reviewing a client's laboratory results before a procedure in which a neuromuscular blocking agent is a standing order. Which finding should the nurse report to the health care provider?
A. Hypokalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypomagnesemia
9. The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The anesthesiologist prescribes atropine sulfate (Atropine), IM STAT. What is the primary purpose for administering this drug to the child at this time?
A. Decrease the oral secretions
B. Reduce the child's anxiety
C. Potentiate the opioid effects
D. Prevent possible peritonitis
10. When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this client to developing digoxin toxicity?
A. Low serum sodium level
B. High serum sodium level
C. Low serum potassium level
D. High serum potassium level
11. A client is receiving anti-infective drug therapy for a postoperative infection. Which complaint should alert the nurse to the possibility that the client has contracted a superinfection?
A. "My mouth feels sore"
B. "I have a headache."
C. "My ears feel plugged up."
D. "I feel constipated"
12. During the initial nursing assessment history, a client tells the nurse that he is taking tetracycline hydrochloride (Sumycin) for urethritis. Which medication taken concurrently with Sumycin could interfere with its absorption?
A. Sucralfate (Carafate)
B. Hydrochlorothiazide (Diuril)
C. Acetaminophen (Tylenol)
D. Phenytoin (Dilantin)
13. Following the administration of sublingual nitroglycerin, which assessment finding indicates that the medication was effective?
A. Decrease in level of chest pain
B. Clear bilateral breath sounds
C. Increase in blood pressure
D. Increase in urinary output
14. Alteration of which laboratory finding represents the achievement of a therapeutic goal for heparin administration?
A. Prothrombin time (PT)
B. Fibrin split products
C. Platelet count
D. Partial thromboplastin time (PTT)
15. The nurse is assessing a stuporous client in the emergency department whois suspected of overdosing with opioids. Which agent should the nurse prepare to administer if the client becomes comatose?
A. Naloxone hydrochloride (Narcan)
B. Atropine Sulfate
C. Vitamin K
D. Romazicon
16.A client with HIV who was recently diagnosed with tuberculosis (TB) asks the nurse, "Why do I need to take all of these medications for TB?" What information should the nurse provide?
A. Antiretroviral medications decrease the efficacy of the TB drugs.
B. Multiple drugs prevent the development of resistant organisms.
C. Duration of the medication regimen is shortened.
D. Potential adverse drug reactions are minimized.
17. Two hours after taking the first dose of penicillin, a client arrives at the emergency department complaining of feeling ill, exhibiting hives, having difficulty breathing, and experiencing hypotension. These findings are consistent with which client response that requires immediate action?
A. Severe acute anaphylactic response
B. Side reaction that should resolve
C. Idiosyncratic reaction
D. Cumulative drug response
18. Which question should the nurse ask a client prior to the initiation of treatment with IV infusions of gentamicin sulfate (Garamycin)?
A. "Are you having difficulty hearing?"
B. "Have you ever been diagnosed with cancer?"
C. "Do you have any type of diabetes mellitus?"
D. "Have you ever had anemia?"
19.A male client who has chronic back pain is on long-term pain medicationmanagement and asks the nurse why his pain relief therapy is not as effective as it was 2 months ago. How should the nurse respond?
A. The phenomenon occurs when opiates are used for more than 6 months to relieve pain.
B. Withdrawal occurs if the drug is not tapered slowly while being discontinued.
C. Pharmacodynamics tolerance requires increased drug levels to achieve the same effect.
D. A consistent dosage with around-the-clock administration is the most effective.
20. The nurse is providing discharge instructions to a client who has received a prescription for an antibiotic that is hepatotoxic. Which information should the nurse include in the instructions?
A. Avoid ingesting any alcohol or acetaminophen (Tylenol).
B. Schedule a follow-up visit for a liver biopsy in 1 month.
C. Activities that are strenuous should be avoided.
D. Notify the health care provider of any increase in appetite. [Show Less]