RN EXIT HESI- PHARM 2024
Study online at https://quizlet.com/_fcwb84
1. A client taking atorvastatin develops an increased serum creatine phospho-
kinase (CK) level. The nurse should assess the client for the onset of which
problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.: A. Muscle tenderness.
2. An increase in which serum laboratory value indicates to the nurse that a
prescription for atorvastatin is having the desired effect for a client at risk for
coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein): C. HDL (High-density lipoprotein)
3. NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol
90 mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in
the past week. Her forced expiratory volume has been 60-65% even with multi-
ple doses of albuterol for several days in a row. She came to the hospital feeling
dizzy, lightheaded, and complaining of "heart palpitations". Upon assessment,
no wheezes were found. Her oxygen saturation is 99%.
Review H and P, and nurse's note. Identify from the choices below which
condition the client is most likely experiencing, two actions the nurse should
take to address that condition, and two parameters the nurse should monitor
, RN EXIT HESI- PHARM 2024
Study online at https://quizlet.com/_fcwb84
to assess the client's progress.: Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
4. The nurse provide discharge instructions to a client who has been prescribed
gabapentin 300 mg by mouth three times a day for post herpetic neuralgia.
Which symptoms should the nurse tell the client to report to the healthcare
provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity: B. Gastric irritation
5. A client with chronic lower back pain has been taking non steroidal anti-in-
flammatory (NSAID) drug ibuprofen by mouth twice a day for several months.
Which assessment is most important for the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns: C. Determine presence of abdominal pain
6. The nurse administers risedrineate to a client with osteoporosis at 0700. The
client asks for a glass of milk to drink with the medication. Which action should
the nurse take?
A. Instruct the client that it is necessary to take nothing but water with the
medication.
, RN EXIT HESI- PHARM 2024
Study online at https://quizlet.com/_fcwb84
B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of
low fat milk.
C. Withhold the medication until the client's breakfast tray is available on the
unit.
D. Consult with a pharmacist about scheduling the dose one hour after the
client eats.: A. Instruct the client that it is necessary to take nothing but water with the medication.
7. Which action should the nurse implement to assess the effectiveness of
calcium channel blocker amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure: D. Measure the clients blood pressure
8. A client is receiving tamsulosin an alpha adrenergic - blocking agent for the
management of urinary retention due to benign prostatic hyperplasia (BPH).
Which instruction is most important for the nurse to provide?
A. Use a twice a week dosing schedule
B. Stand and sit up slowly
C. Take the medication early in the day
D. Reduce daily fluid intake: B. Stand and sit up slowly
9. A client with chemotherapy induced nausea receives a prescription for meto-
clopramide. Which adverse effect is most important for the nurse to report?
A. Nausea
B. Involuntary movements
C. Diarrhea
D. Unusual irritability: B. Involuntary movements
10. A client is receiving orlistat as part of a weight management program. Which
ongoing assessment should be included in the plan of care to determine the
effectiveness of the medication?
, RN EXIT HESI- PHARM 2024
Study online at https://quizlet.com/_fcwb84
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels: A. Body mass index
11. Before administering the initial dose of sumatriptan succinate to a client with
a migraine headache, it is most important to determine if the client's history
includes which problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
C. Irritable bowel syndrome
D. Coronary artery disease: D. Coronary artery disease
12. A client receives a prescription for ciprofloxacin 400 mg intravenously (IV)
every 12 hours which is to be infused over an hour. The IV bag contains
ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200 mL. How many mL/hr
should the nurse program the infusion pump to deliver?: 200 mL/hr
Rationale:
xmL/hr =
200 mL x 400 mg = 80,000 = 200 mL/hr
400 mg 1 hr 400
13. Before administering a laxative to a bed fast client, it is most important for
the nurse to perform which assessment?
A. Determine the frequency and consistency of bowel movements
B. Observe the skin integrity of the clients rectal and sacral areas
C. Assess the clients strength in moving and turning the bed
D. Evaluate the clients ability to recognize the urge to defecate: A. Determine the
frequency and consistency of bowel movements
14. The nurse is caring for a client who takes methotrexate for rheumatoid
arthritis and is now prescribed adalimumab. Which instructions should the
Study online at https://quizlet.com/_fcwb84
1. A client taking atorvastatin develops an increased serum creatine phospho-
kinase (CK) level. The nurse should assess the client for the onset of which
problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.: A. Muscle tenderness.
2. An increase in which serum laboratory value indicates to the nurse that a
prescription for atorvastatin is having the desired effect for a client at risk for
coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein): C. HDL (High-density lipoprotein)
3. NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol
90 mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in
the past week. Her forced expiratory volume has been 60-65% even with multi-
ple doses of albuterol for several days in a row. She came to the hospital feeling
dizzy, lightheaded, and complaining of "heart palpitations". Upon assessment,
no wheezes were found. Her oxygen saturation is 99%.
Review H and P, and nurse's note. Identify from the choices below which
condition the client is most likely experiencing, two actions the nurse should
take to address that condition, and two parameters the nurse should monitor
, RN EXIT HESI- PHARM 2024
Study online at https://quizlet.com/_fcwb84
to assess the client's progress.: Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
4. The nurse provide discharge instructions to a client who has been prescribed
gabapentin 300 mg by mouth three times a day for post herpetic neuralgia.
Which symptoms should the nurse tell the client to report to the healthcare
provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity: B. Gastric irritation
5. A client with chronic lower back pain has been taking non steroidal anti-in-
flammatory (NSAID) drug ibuprofen by mouth twice a day for several months.
Which assessment is most important for the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns: C. Determine presence of abdominal pain
6. The nurse administers risedrineate to a client with osteoporosis at 0700. The
client asks for a glass of milk to drink with the medication. Which action should
the nurse take?
A. Instruct the client that it is necessary to take nothing but water with the
medication.
, RN EXIT HESI- PHARM 2024
Study online at https://quizlet.com/_fcwb84
B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of
low fat milk.
C. Withhold the medication until the client's breakfast tray is available on the
unit.
D. Consult with a pharmacist about scheduling the dose one hour after the
client eats.: A. Instruct the client that it is necessary to take nothing but water with the medication.
7. Which action should the nurse implement to assess the effectiveness of
calcium channel blocker amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure: D. Measure the clients blood pressure
8. A client is receiving tamsulosin an alpha adrenergic - blocking agent for the
management of urinary retention due to benign prostatic hyperplasia (BPH).
Which instruction is most important for the nurse to provide?
A. Use a twice a week dosing schedule
B. Stand and sit up slowly
C. Take the medication early in the day
D. Reduce daily fluid intake: B. Stand and sit up slowly
9. A client with chemotherapy induced nausea receives a prescription for meto-
clopramide. Which adverse effect is most important for the nurse to report?
A. Nausea
B. Involuntary movements
C. Diarrhea
D. Unusual irritability: B. Involuntary movements
10. A client is receiving orlistat as part of a weight management program. Which
ongoing assessment should be included in the plan of care to determine the
effectiveness of the medication?
, RN EXIT HESI- PHARM 2024
Study online at https://quizlet.com/_fcwb84
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels: A. Body mass index
11. Before administering the initial dose of sumatriptan succinate to a client with
a migraine headache, it is most important to determine if the client's history
includes which problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
C. Irritable bowel syndrome
D. Coronary artery disease: D. Coronary artery disease
12. A client receives a prescription for ciprofloxacin 400 mg intravenously (IV)
every 12 hours which is to be infused over an hour. The IV bag contains
ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200 mL. How many mL/hr
should the nurse program the infusion pump to deliver?: 200 mL/hr
Rationale:
xmL/hr =
200 mL x 400 mg = 80,000 = 200 mL/hr
400 mg 1 hr 400
13. Before administering a laxative to a bed fast client, it is most important for
the nurse to perform which assessment?
A. Determine the frequency and consistency of bowel movements
B. Observe the skin integrity of the clients rectal and sacral areas
C. Assess the clients strength in moving and turning the bed
D. Evaluate the clients ability to recognize the urge to defecate: A. Determine the
frequency and consistency of bowel movements
14. The nurse is caring for a client who takes methotrexate for rheumatoid
arthritis and is now prescribed adalimumab. Which instructions should the
