A nurse is caring for a client who is taking atenolol. Which of the
following findings should indicate to the nurse that the medication
is
... [Show More] effective?
A. The client has an increase in urinary output.
B. The client reports an improvement in memory.
C. The client has a decrease in blood pressure.
D. The client reports having an increase in libido.
back 1
The client has a decrease in blood pressure.
Atenolol, a beta-adrenergic blocking agent, has no direct effect on
kidney function.
front 2
A nurse is caring for a client who has pneumonia. The client tells
the nurse she is pregnant and that she has not told her provider yet.
The nurse should identify that pregnancy is a contraindication to
receiving which of the following medications?
A. Acetaminophen
B. Ipratropium
C. Benzonatate
D. Doxycycline
back 2
Doxycycline
Doxycycline is a tetracycline antibiotic and is contraindicated for a
client who is pregnant because the medication is a category D
medication of the FDA pregnancy risk categories, which indicates
the medication has fetal risks that can cause fetal damage. The
client should only take doxycycline for a life-threatening condition.
front 3
A nurse is preparing to administer amoxicillin 250 mg PO to a
school-age child. The amount available is amoxicillin oral
suspension 200 mg/5 mL. How many mL should the nurse
administer per dose? (Round the answer to the nearest tenth.)
back 3
6.3 mL
front 4
A nurse is providing teaching to a client who is to start taking
lisinopril. Which of the following findings is an adverse effect that
the nurse should instruct the client to monitor and report to the
provider?
A. Hair loss
B. Ringing in the ears
C. Facial flushing
D. Dry cough
back 4
Dry cough
A buildup of bradykinin from taking lisinopril can cause a client to
have a dry cough and lead to life-threatening consequences. The
client should report the finding to the provider.
HESI RN Pharmacology Final Exam
front 5
A nurse is providing teaching for a client who has a new
prescription for ferrous sulfate. The nurse should instruct the client
to take the medication with which of the following to promote
absorption?
A. Vitamin E
B. Orange juice
C. Milk
D. Antacids
back 5
Orange juice
The absorption of ferrous sulfate is enhanced by a vitamin C
source, such as orange juice. However, increasing the dosage of
ferrous sulfate can provide the same benefit to increase the amount
of iron uptake.
front 6
The nurse is caring for a client who is taking acetazolamide for
chronic open-angle glaucoma. For which of the following adverse
effects should the nurse instruct the client to monitor and report?
A. Tingling of fingers.
B. Constipation.
C. Weight gain.
D. Oliguria.
back 6
Tingling of fingers.
The nurse should instruct the client to report the adverse effect of
paresthesia, a tingling sensation in the extremities, when taking
acetazolamide.
front 7
A circulating nurse is planning care for a client who is scheduled
for surgery and has a latex allergy. Which of the following actions
should the nurse include in the plan of care?
A. Schedule the client for the last surgery of the day.
B. Place monitoring cords and tubes in a stockinet.
C. Choose rubber injection ports for fluid administration.
D. Ensure phenytoin IV is readily available.
back 7
Place monitoring cords and tubes in a stockinet.
The circulating nurse should ensure that latex-free products are
used in the care of this client. Rubber injection ports contain latex,
which would place the client at risk for a severe allergic reaction.
front 8
A nurse is providing teaching about adverse effects of clindamycin
to a client. Which of the following findings should the nurse
instruct the client to report to the provider?
A. Orange urine
B. Watery diarrhea
C. Weight gain
D. Headache
back 8
Watery diarrhea
The client who takes clindamycin can have an adverse effect of
watery diarrhea that can lead to Clostridium difficile-associated
diarrhea or pseudomembranous colitis. The client should report
these findings immediately to the provider.
HESI RN Pharmacology Final Exam
front 9
A nurse is caring for the mother of a newborn. The mother asks the
nurse when her newborn should receive his first DTaP vaccine. The
nurse should instruct the mother that her newborn should receive
the immunization at which of the following ages?
A. Birth
B. 2 months
C. 6 months
D. 15 months
back 9
2 months
The CDC recommends that newborns receive the first dose of the
five-dose series of the DTaP immunization at 2 months of age.
front 10
A nurse is providing teaching to a client who is to start taking
sumatriptan. Which of the following adverse effects should the
nurse instruct the client to monitor for and report to the provider?
A. Chest pressure
B. White patches on the tongue
C. Bruising
D. Insomnia
back 10
Chest pressure
Sumatriptan is an antimigraine agent which can cause coronary
vasospasms, resulting in angina. The client should report chest
pressure or heavy arms to the provider.
front 11
A nurse in a provider's office is assessing a client who has been
taking aspirin daily for the past year. For which of the following
findings should the nurse notify the provider immediately?
A. Hyperventilation
B. Heartburn
C. Anorexia
D. Swollen ankles
back 11
Hyperventilation
When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is hyperventilation.
This indicates the client might have acute salicylate poisoning,
which causes respiratory alkalosis in the early stages.
front 12
A nurse is caring for a client who has cancer and is taking oral
morphine and docusate sodium. The nurse should instruct the client
that taking the docusate sodium on a daily basis can minimize
which of the following adverse effects of morphine?
A. Constipation
B. Drowsiness
C. Facial flushing
D. Itching
back 12
Constipation
Constipation is a common adverse effect of morphine that will
minimize when the client takes docusate sodium, a stool softener
that promotes easier evacuation of stool by increasing water and
fat in the intestine.
HESI RN Pharmacology Final Exam
front 13
A nurse is caring for a client who has heart failure and is receiving
an IV infusion of dopamine. Which of the following findings
indicates that the medication is effective?
A. Decreased blood pressure.
B. Increased heart rate.
C. Increased cardiac output.
D. Decreased serum potassium.
back 13
Increased cardiac output.
Dopamine is an adrenergic that causes a receptor specificity effect,
which increases cardiac output and improves perfusion.
front 14
A nurse is reviewing the prescriptions of a client who has
tuberculosis. The nurse should identify that which of the following
medications are used to treat tuberculosis? (SATA)
A. Rifampin
B. Mirtazapine
C. Temazepam
D. Infliximab
E. Isoniazid
back 14
Rifampin is correct. This medication is given to treat tuberculosis
by inhibiting the production of mycobacteria.
Isoniazid is correct. This medication is given to treat tuberculosis
by inhibiting the production of mycobacteria.
front 15
A nurse is administering baclofen for a client who has a spinal cord
injury. Which of the following should the nurse document as a
therapeutic outcome?
A. Increase in seizure threshold.
B. Decrease in flexor and extensor spasticity.
C. Increase in cognitive function.
D. Decrease in paralysis of the extremities.
back 15
Decrease in flexor and extensor spasticity.
The client who has a spinal cord injury and takes baclofen can
experience a decrease in the frequency and severity of muscle
spasms and in flexor and extensor spasticity.
front 16
A nurse is teaching about zolpidem with a client who has insomnia. The nurse
should identify that which of the following client statements indicates an
understanding of the teaching?
A. I will need to get laboratory testing prior to a refill of this medication.
B. I will use this medication for a short period of time.
C. I will need to take this medication for 1 week before results are seen.
D. I will need to change the medications to prevent building up a tolerance.
back 16
I will use this medication for a short period of time
Zolpidem is used for short-term treatment of insomnia. Therefore,
the provider should reassess the client before refilling the
prescription.
HESI RN Pharmacology Final Exam
front 17
A nurse is teaching a client who is starting to take ketorolac. Which
of the following information should the nurse include in the
teaching?
A. Check for bruising while taking this medication.
B. Take the medication on an empty stomach.
C. The medication can cause anxiety.
D. Increase iron intake with this medication.
back 17
Check for bruising while taking this medication.
The nurse should instruct the client to check for bruising because
ketorolac can increase the risk of bleeding by interfering with
platelet aggregation.
front 18
A nurse is providing teaching about insulin glargine to a client who
has type 1 diabetes mellitus. Which of the following information
should the nurse include in the instructions?
A. Observe for hypoglycemia when the insulin peaks.
B. Administer the insulin immediately before meals.
C. Do not mix this medication in a syringe with other insulin.
D. Rotate the bottle gently prior to drawing up the insulin.
back 18
Do not mix this medication in a syringe with other insulin.
The client should not mix insulin glargine with any other type of
insulin in the same syringe, because this procedure can alter the
medication's effects.
front 19
A nurse is teaching a client who is starting to take amitriptyline.
Which of the following findings should the nurse include in the
teaching as an adverse effect of the medication?
A. Diarrhea
B. Cough
C. Urinary retention
D. Increased libido
back 19
Urinary retention
The nurse should instruct the client that amitriptyline causes the
anticholinergic effect of urinary retention.
front 20
A nurse is caring for a client who is receiving end-of-life care and has a prescription
for fentanyl patches. Which of the following information regarding adverse effects
of fentanyl should the nurse plan to give the client and family?
A. The provider will prescribe naloxone at home for respiratory depression.
B. Remove the patch to reverse the adverse effects immediately.
C. Expect an increase in urinary output.
D. Take a stool softener on a daily basis.
back 20
Take a stool softener on a daily basis
Constipation is an adverse effect of opioid use and stool softeners
can decrease the severity of this adverse effect.
HESI RN Pharmacology Final [Show Less]