HESI RN PHARMACOLOGY VERSION 5
LATEST EXAM 2024 WITH UPDATED 70
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES (ALREADY
GRADED A+)
A
... [Show More] client is prescribed cefadroxil (Duricef) for a urinary tract
infection. The client informs the nurse that she is currently taking
oral contraceptives (OCP). Which client information should the
nurse provide? - ANSWER-Use an additional form of
contraception until your menstrual cycle.
A client newly prescribed esomeprazole for gastroesophageal
reflux disease (GERD) asks the nurse how the medication will
help. Which is the best explanation to provide the client? -
ANSWER-It will promote rapid tissue healing.
A client prescribed a statin and gemfibrozil (Lopid) for
hyperlipidemia reports an onset of muscle pain and weakness.
Which assessment is most important for the nurse to evaluate? -
ANSWER-Serum liver enzymes.
A 38-year-old gravida 2 para 2 is diagnosed with bacterial
vaginosis 9-months postpartum. A prescription is written for
metronidazole (Flagyl). Which information is most important for
the nurse to obtain from the client before initiating treatment? -
ANSWER-Method of infant feeding.
A client is beginning therapy with montelukast (Singulair) PO 10
mg once a day in the evening. The client asks the nurse, "When
should I begin to feel better?" How should the nurse respond? -
ANSWER-Within 24 hours.
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A client is diagnosed with peptic ulcer disease and receives a
prescription for esomeprazole (Nexium) 20 mg capsule daily.
When providing this client with discharge teaching, the nurse
should include which instruction? - ANSWER-Take at same time
each day one hour before eating a meal.
A client is diagnosed with peptic ulcer disease caused by
Helicobacter pylori. Which medications should the nurse
anticipate the healthcare provider to prescribe for the client?
(Select all that apply.) - ANSWER-Clarithromycin (Biaxin).
Omeprazole (Prilosec).
Metronidazole (Flagyl).
A 48-year-old client is experiencing a severe anaphylactic
reaction to an injection of contrast media. Which pharmacologic
agent is of greatest use in this situation? - ANSWER-Epinephrine
(Adrenalin).
A client at 30-weeks gestation in labor receives two 12 mg doses
of betamethasone intramuscularly 12 hours apart. The client asks
the nurse why she is receiving the betamethasone. Which
explanation should the nurse give the client? - ANSWER-The
medication stimulates fetal surfactant production.
A client being treated with imipramine, an anti-depressant for
chronic cancer pain asks the the nurse, "What is the reason for
the antiepressant medication?" Which explanation should the
nurse provide the client? - ANSWER-Decreases transmission of
pain impulses by altering serotonin and norepinephrine activity at
nerve synapses.
A client calls the clinic and states that she forgot to take her oral
contraceptives for the past two days. Which instruction is best for
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the nurse to provide to this client? - ANSWER-Take 2 pills a day
for 2 days and use an alternate method of contraception for 7
days.
A client diagnosed with multiple sclerosis is experiencing
profound weakness, blurry vision, and shooting pains in both legs.
Which medication is considered the best course of treatment for
the nurse to administer? - ANSWER-High dose
methylprednisolone intravenously.
A client experiencing pain from metastatic cancer is prescribed
morphine. Which route of administration should the nurse clarify
with the healthcare provider prior to administering the medication?
- ANSWER-Oral.
A client experiencing ventricular dysrhythmias is admitted to the
intensive care unit status post a myocardial infarction. The nurse
should anticipate the healthcare provider to prescribe which
medication? - ANSWER-Amiodarone.
A client is administered an injection of medroxyprogesterone
acetate (Depo-Provera). Which physical finding should the nurse
instruct the client is an expected side effect of the medication? -
ANSWER-Vaginal bleeding or spotting.
A client is admitted for atrial fibrillation, and the healthcare
provider prescribes disopyramide (Norpace). After explaining the
action of this antidysrhythmic agent, which complaint should the
nurse instruct the client to report? - ANSWER-Daily weight gain of
2 pounds. [Show Less]