Test Bank RN HESI Pharmacology Exam
Question and Answer (2026) | A+ Verified |
Guaranteed Results Collection
• The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor
blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the
client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L.
What action should the nurse take first? -✓✓Withhold the scheduled dose
• A peak and trough level must be drawn for a client receiving antibiotic therapy. What is
the optimum time for the nurse to obtain the trough level? -✓✓immediately before the
next antibiotic dose is given
• Which change in data indicates to the nurse that the desired effect of the angiotensin II
receptor antagonist valsartan (Diovan) has been achieved? -✓✓blood pressure reduced
from 160/90 to 130/80
• A medication that is classified as a beta-1 agonist is most commonly prescribed for a
client with which condition? -✓✓heart failure
• A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse
anticipates an increase in which laboratory value as the result of this medication? -
✓✓serum glucose
• A client receiving albuterol (Proventil) tablets complains of nausea every evening with
her 9:00 p.m. dose. What action can the nurse take to alleviate this side effect? -
✓✓administer the dose with a snack
• 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? -✓✓decreased muscle weakness
• In teaching a client who had a liver transplant about cyclosporine (Sandimmune), the
nurse should encourage the client to report which adverse response to the healthcare
provider? -✓✓presence of hand tremors
• A client is taking hydromorphone (Dilaudid) PO q4h at home. Following surgery,
Dilaudid IV q4h PRN and butorphanol tartrate (Stadol) IV q4h PRN are prescribed for
pain. The client received a dose of the Dilaudid IV four hours ago, and is again
requesting pain medication. What intervention should the nurse implement? -
✓✓administer only the dilaudid q4h PRN for pain.
, • The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with
osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be
effective after three weeks. Which is the best response for the nurse to provide? -
✓✓another type of nonsteroidal antiinflammatory drug may be indicated
• Which client should the nurse identify as being at highest risk for complications during
the use of an opioid analgesic? -✓✓a young adult with inflammatory bowel disease
• A client receiving Doxorubicin (Adriamycin) intravenously (IV) complains of pain at the
insertion site, and the nurse notes edema at the site. Which intervention is most
important for the nurse to implement? -✓✓discontinue IV fluids
• A client is receiving metoprolol (Lopressor SR, Nu-Metop). What assessment is most
important for the nurse to obtain? -✓✓blood pressure
• A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should
the nurse provide? -✓✓"No, it is not an oral insulin and can be used only when some
beta cell function is present."
• A client is admitted to the coronary care unit with a medical diagnosis of acute
myocardial infarction. Which medication prescription decreases both preload and
afterload? -✓✓nitroglycerin
• Which nursing intervention is most important when caring for a client receiving the
antimetabolite cytosine arabinoside (Arc-C) for chemotherapy? -✓✓inspect the client's
oral mucosa for ulcerations
• A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity should
the nurse instruct the client to report promptly to the healthcare provider? -
✓✓tachycardia and chest pain
• An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorolac
(Toradol) 30 mg IV q6h. Which action should the nurse implement? -✓✓administer both
medications according to the prescription
• Upon admission to the emergency center, an adult client with acute status asthmaticus
is prescribed this series of medications. In which order should the nurse administer the
prescribed medications? (Arrange from first to last.) -✓✓1. albuterol (proventil) puffs
2. salmeterol (serevent diskus)
3. prednisone (deltasone) orally
4. gentamicin (garamycin) IM
Question and Answer (2026) | A+ Verified |
Guaranteed Results Collection
• The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor
blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the
client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L.
What action should the nurse take first? -✓✓Withhold the scheduled dose
• A peak and trough level must be drawn for a client receiving antibiotic therapy. What is
the optimum time for the nurse to obtain the trough level? -✓✓immediately before the
next antibiotic dose is given
• Which change in data indicates to the nurse that the desired effect of the angiotensin II
receptor antagonist valsartan (Diovan) has been achieved? -✓✓blood pressure reduced
from 160/90 to 130/80
• A medication that is classified as a beta-1 agonist is most commonly prescribed for a
client with which condition? -✓✓heart failure
• A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse
anticipates an increase in which laboratory value as the result of this medication? -
✓✓serum glucose
• A client receiving albuterol (Proventil) tablets complains of nausea every evening with
her 9:00 p.m. dose. What action can the nurse take to alleviate this side effect? -
✓✓administer the dose with a snack
• 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? -✓✓decreased muscle weakness
• In teaching a client who had a liver transplant about cyclosporine (Sandimmune), the
nurse should encourage the client to report which adverse response to the healthcare
provider? -✓✓presence of hand tremors
• A client is taking hydromorphone (Dilaudid) PO q4h at home. Following surgery,
Dilaudid IV q4h PRN and butorphanol tartrate (Stadol) IV q4h PRN are prescribed for
pain. The client received a dose of the Dilaudid IV four hours ago, and is again
requesting pain medication. What intervention should the nurse implement? -
✓✓administer only the dilaudid q4h PRN for pain.
, • The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with
osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be
effective after three weeks. Which is the best response for the nurse to provide? -
✓✓another type of nonsteroidal antiinflammatory drug may be indicated
• Which client should the nurse identify as being at highest risk for complications during
the use of an opioid analgesic? -✓✓a young adult with inflammatory bowel disease
• A client receiving Doxorubicin (Adriamycin) intravenously (IV) complains of pain at the
insertion site, and the nurse notes edema at the site. Which intervention is most
important for the nurse to implement? -✓✓discontinue IV fluids
• A client is receiving metoprolol (Lopressor SR, Nu-Metop). What assessment is most
important for the nurse to obtain? -✓✓blood pressure
• A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response should
the nurse provide? -✓✓"No, it is not an oral insulin and can be used only when some
beta cell function is present."
• A client is admitted to the coronary care unit with a medical diagnosis of acute
myocardial infarction. Which medication prescription decreases both preload and
afterload? -✓✓nitroglycerin
• Which nursing intervention is most important when caring for a client receiving the
antimetabolite cytosine arabinoside (Arc-C) for chemotherapy? -✓✓inspect the client's
oral mucosa for ulcerations
• A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity should
the nurse instruct the client to report promptly to the healthcare provider? -
✓✓tachycardia and chest pain
• An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorolac
(Toradol) 30 mg IV q6h. Which action should the nurse implement? -✓✓administer both
medications according to the prescription
• Upon admission to the emergency center, an adult client with acute status asthmaticus
is prescribed this series of medications. In which order should the nurse administer the
prescribed medications? (Arrange from first to last.) -✓✓1. albuterol (proventil) puffs
2. salmeterol (serevent diskus)
3. prednisone (deltasone) orally
4. gentamicin (garamycin) IM
