Pharm HESI Practice Questions 2024: Comprehensive
Review Guide
1151) A client begins treatment with pyridostigmine bromide therapy for myasthenia
gravis. Which action would the nurse perform in administration of the medication?
Administer the medication after meals.
Administer the medication on an empty stomach.
Evaluate the client's psychological responses between medication doses.
Evaluate the client's muscle strength every hour after the medication is given.
Evaluate the client's muscle strength every hour after the medication is given.
1053) Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the
nurse instruct the client to take pyridostigmine about 1 hour before meals?
This timing limits first pass metabolism.
Taking it on an empty stomach increases absorption.
Taking it before meals decreases gastric irritation.
Taking it before meals improves the ability to chew
Taking it before meals improves the ability to chew
1052) A client with myasthenia gravis is receiving pyridostigmine bromide to control
symptoms. Recently, the client has begun experiencing increased difficulty in
swallowing. Which nursing action is effective in preventing aspiration of food?
,Place a tracheostomy set in the client's room.
Assess respiratory status after meals.
Request for the diet to be changed from soft to clear liquids.
Coordinate mealtimes with the peak effect of the medication.
Coordinate mealtimes with the peak effect of the medication.
802) Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The
nurse evaluates that the medication regimen is understood when the client makes which
statement?
'I will take the medication on an empty stomach.'
'I need to set an alarm so I take the medication on time.'
'It will be important to check my heart rate before taking the medication.'
'I should monitor for an increase in blood pressure after taking the medication.'
'I need to set an alarm so I take the medication on time.'
710) The anticholinesterase medication pyridostigmine is prescribed for the client with
myasthenia gravis. When providing medication teaching, the nurse explains that the
client should expect a decrease in which function?
Bowel function
Heart rate
Skeletal muscle contraction
Urinary frequency
Heart rate
638) A client with myasthenia gravis begins taking pyridostigmine. Two days later, the
client develops loose stools and increased salivation. Which conclusion would the nurse
make about these new developments?
The client is experiencing a myasthenic crisis.
The medication is causing cholinergic side effects.
The medication is triggering a paradoxical reaction.
The client is exhibiting toxic effects of the medication.
,The medication is causing cholinergic side effects.
376) Which test would the nurse identify as specific for the diagnosis of myasthenia
gravis?
Electromyography
Pyridostigmine test
Edrophonium chloride test
History of physical deterioration
Edrophonium chloride test
374) Which action would the nurse perform when beginning pyridostigmine bromide
therapy for a client with myasthenia gravis?
Administer the medication after meals.
Administer the medication on an empty stomach.
Evaluate the client's psychological responses between medication doses.
Evaluate the client's muscle strength every hour after the medication is given.
Evaluate the client's muscle strength every hour after the medication is given.
60) Which conclusion would the nurse make about the development of loose stools and
increased salivation two days after a client with myasthenia gravis begins taking
pyridostigmine?
The client is experiencing a myasthenic crisis.
The medication is causing cholinergic side effects.
The medication is triggering a paradoxical reaction.
The client is exhibiting toxic effects of the medication.
The medication is causing cholinergic side effects.
773) The health care provider prescribes neostigmine for a client with myasthenia
gravis. Which client statement indicates understanding regarding medication
management plans?
'I must keep the medication in a container in the refrigerator.'
, 'I should take the medication at the exact time that is listed on the prescription.'
'I will plan to take the medication between meals.'
'I expect that the onset of the medication's action will occur several hours after I take it.'
'I should take the medication at the exact time that is listed on the prescription.'
1156) A client with myasthenia gravis has been receiving neostigmine and asks about
its action. Which information would the nurse consider when formulating a response?
Stimulates the cerebral cortex
Blocks the action of cholinesterase
Replaces deficient neurotransmitters
Accelerates transmission along neural sheaths
Replaces deficient neurotransmitters
A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis.
The nurse prepares for intravenous administration of edrophonium chloride (Tensilon).
What is the expected outcome for this client following administration of this
pharmacologic agent?
A. Progressive difficulty with swallowing.
B. Decreased respiratory effort.
C. Improvement in generalized fatigue.
D. Decreased muscle weakness.
D. Decreased muscle weakness.
1150) A client is undergoing diagnostic testing for myasthenia gravis. Which test would
the nurse identify as the most specific for this diagnosis?
Electromyography
Pyridostigmine test
Edrophonium chloride test
History of physical
deterioration
Edrophonium chloride test
Review Guide
1151) A client begins treatment with pyridostigmine bromide therapy for myasthenia
gravis. Which action would the nurse perform in administration of the medication?
Administer the medication after meals.
Administer the medication on an empty stomach.
Evaluate the client's psychological responses between medication doses.
Evaluate the client's muscle strength every hour after the medication is given.
Evaluate the client's muscle strength every hour after the medication is given.
1053) Pyridostigmine is prescribed for a client with myasthenia gravis. Why would the
nurse instruct the client to take pyridostigmine about 1 hour before meals?
This timing limits first pass metabolism.
Taking it on an empty stomach increases absorption.
Taking it before meals decreases gastric irritation.
Taking it before meals improves the ability to chew
Taking it before meals improves the ability to chew
1052) A client with myasthenia gravis is receiving pyridostigmine bromide to control
symptoms. Recently, the client has begun experiencing increased difficulty in
swallowing. Which nursing action is effective in preventing aspiration of food?
,Place a tracheostomy set in the client's room.
Assess respiratory status after meals.
Request for the diet to be changed from soft to clear liquids.
Coordinate mealtimes with the peak effect of the medication.
Coordinate mealtimes with the peak effect of the medication.
802) Pyridostigmine bromide is prescribed for a client with myasthenia gravis. The
nurse evaluates that the medication regimen is understood when the client makes which
statement?
'I will take the medication on an empty stomach.'
'I need to set an alarm so I take the medication on time.'
'It will be important to check my heart rate before taking the medication.'
'I should monitor for an increase in blood pressure after taking the medication.'
'I need to set an alarm so I take the medication on time.'
710) The anticholinesterase medication pyridostigmine is prescribed for the client with
myasthenia gravis. When providing medication teaching, the nurse explains that the
client should expect a decrease in which function?
Bowel function
Heart rate
Skeletal muscle contraction
Urinary frequency
Heart rate
638) A client with myasthenia gravis begins taking pyridostigmine. Two days later, the
client develops loose stools and increased salivation. Which conclusion would the nurse
make about these new developments?
The client is experiencing a myasthenic crisis.
The medication is causing cholinergic side effects.
The medication is triggering a paradoxical reaction.
The client is exhibiting toxic effects of the medication.
,The medication is causing cholinergic side effects.
376) Which test would the nurse identify as specific for the diagnosis of myasthenia
gravis?
Electromyography
Pyridostigmine test
Edrophonium chloride test
History of physical deterioration
Edrophonium chloride test
374) Which action would the nurse perform when beginning pyridostigmine bromide
therapy for a client with myasthenia gravis?
Administer the medication after meals.
Administer the medication on an empty stomach.
Evaluate the client's psychological responses between medication doses.
Evaluate the client's muscle strength every hour after the medication is given.
Evaluate the client's muscle strength every hour after the medication is given.
60) Which conclusion would the nurse make about the development of loose stools and
increased salivation two days after a client with myasthenia gravis begins taking
pyridostigmine?
The client is experiencing a myasthenic crisis.
The medication is causing cholinergic side effects.
The medication is triggering a paradoxical reaction.
The client is exhibiting toxic effects of the medication.
The medication is causing cholinergic side effects.
773) The health care provider prescribes neostigmine for a client with myasthenia
gravis. Which client statement indicates understanding regarding medication
management plans?
'I must keep the medication in a container in the refrigerator.'
, 'I should take the medication at the exact time that is listed on the prescription.'
'I will plan to take the medication between meals.'
'I expect that the onset of the medication's action will occur several hours after I take it.'
'I should take the medication at the exact time that is listed on the prescription.'
1156) A client with myasthenia gravis has been receiving neostigmine and asks about
its action. Which information would the nurse consider when formulating a response?
Stimulates the cerebral cortex
Blocks the action of cholinesterase
Replaces deficient neurotransmitters
Accelerates transmission along neural sheaths
Replaces deficient neurotransmitters
A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis.
The nurse prepares for intravenous administration of edrophonium chloride (Tensilon).
What is the expected outcome for this client following administration of this
pharmacologic agent?
A. Progressive difficulty with swallowing.
B. Decreased respiratory effort.
C. Improvement in generalized fatigue.
D. Decreased muscle weakness.
D. Decreased muscle weakness.
1150) A client is undergoing diagnostic testing for myasthenia gravis. Which test would
the nurse identify as the most specific for this diagnosis?
Electromyography
Pyridostigmine test
Edrophonium chloride test
History of physical
deterioration
Edrophonium chloride test
