PHARMACOLOGY RN HESI EXIT EXAM 2024
VERSION 3 /HESI RN PHARMACOLOGY EXIT
EXAM VERSION 3 COMPLETE ALL 55 QUESTIONS
AND CORRECT DETAILED ANSWERS
... [Show More] WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A client receives a new prescription for nitroglycerin
(Nitrostat) tablets. Which instruction should the nurse
include in this client's teaching?
Take the medication at least an hour before every meal.
Monitor your pulse for 60 seconds before administration.
Place under the tongue as needed every 5 minutes up to 3
times.
Resume normal activities after chest pain relief is obtained. -
...ANSWER...Place under the tongue as needed every 5
minutes up to 3 times.
The nurse administers the initial dose of a fentanyl
(Duragesic) transdermal patch to a client with chronic pain.
When monitoring the client an hour later, which assessment
is most important for the nurse to obtain?
Level of consciousness.
Moistness of mucosa.
Bowel sound activity.
Numeric pain scale. - ...ANSWER...Numeric pain scale.
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?
Immediately.
Within 24 hours.
In about 12 hours.
30 minutes to 1 hour. - ...ANSWER...Within 24 hours.
What is the expected outcome of esomeprazole (Nexium)
when prescribed for a client with gastroesophageal reflux
disease (GERD)?
Promotion of rapid tissue healing.
Increased gastric emptying.
Improved esophageal peristalsis.
Neutralization of gastric secretions. -
...ANSWER...Promotion of rapid tissue healing.
A client at 30-weeks gestation is in preterm labor. The
healthcare provider prescribes two 12-mg doses of
betamethasone (Celestone) intramuscularly every 12 hours.
The client asks the nurse why she is receiving the Celestone.
What information should the nurse use to explain the action
of the medication?
Suppresses uterine contractions.
Stimulates fetal surfactant production.
Reduces maternal and fetal tachycardia associated with
terbutaline (Brethine) administration.
Maintains adequate maternal respiratory effort and
ventilation with magnesium administration. -
...ANSWER...Stimulates fetal surfactant production.
Which drug of choice is indicated for acute ventricular
dysrhythmias associated with myocardial infarction?
Diltiazem.VT dys
Bretylium.
Amiodarone.
Adenosine. - ...ANSWER...Amiodarone.
A school-aged child is taking methylphenidate
hydrochloride (Ritalin, Biphentin) for the treatment of
attention-deficit hyperactivity disorder (ADHD). The mother
tells the nurse that she gives the medication at bedtime so it
is "working" during school the next morning. What
modification to the administration plan should the nurse
recommend to this mother?
Continue administering the medication dose at bedtime.
Give the medication when the child arrives at school.
Take the medication with meals.
Administer at least six hours before bedtime. -
...ANSWER...Administer at least six hours before bedtime.
A client is taking sulfisoxazole (Gantrisin) for a urinary tract
infection (UTI) and complains of nausea and gastric upset
since starting the medication. Which additional adverse
reaction should the nurse instruct the client to report?
Rash.
Diarrhea.
Hematuria.
Muscle cramping. - ...ANSWER...Rash.
What is the effect of beta-blocking agents when used for
treatment of glaucoma?
Inhibiting aqueous humor production.
Enhancing aqueous humor outflow.
Increasing intraocular pressure.
Preventing extraocular infection. - ...ANSWER...Inhibiting
aqueous humor production.
A client with depression receives a prescription for
amitriptyline (Elavil). Which instruction should the nu [Show Less]