HESI PHARMACOLOGY PRACTICE TEST
EXAM 2 WITH 100% VERIFIED ANSWERS
GUARANTEED PASS
Which findings should the nurse identify in an
adult client with possible chronic salicylate
intoxication?
Tinnitus and hearing loss.
Photosensitivity and nervousness.
Acute gastrointestinal bleeding and anorexia.
Hyperventilation and central nervous system
effects. - answer-Tinnitus and hearing loss.
A client receives a prescription for
esomeprazole (Nexium) for heartburn. Which
finding in the client's history should the nurse
report to the healthcare provider before
administering the prescription?
,Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on weekends.
Family history of diabetes mellitus. - answer-
History of deep vein thrombosis.
A male client who is in the terminal stage of
cancer is cared for at home by his family and
receives a prescription for morphine at a rate to
control intractable pain. When the hospice
nurse visits, the client awakens, moans in
severe pain, and asks for an increase in the
morphine dosage. After determining the client's
respirations are 10 per minute, what is the best
action for the nurse to implement?
Titrate the morphine dose upward until the
client has adequate pain relief.
Suggest to the family that they can also give the
client ibuprofen, a non-narcotic analgesic.
,Hold additional morphine until the client's
respirations are at least 16 per minute.
Inform the client that an increased dose of
morphine increases side effects without
additional pain control. - answer-Titrate the
morphine dose upward until the client has
adequate pain relief.
A client with Paget's disease is started on
calcitonin (Calcimar) 500 mcg subcutaneously
daily. During the initial treatment, what is the
priority nursing action?
Assess the injection site for inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline phosphatase levels.
Observe the client for signs of hypersensitivity. -
answer-Observe the client for signs of
hypersensitivity.
, A client is taking cyclosporine for renal allograft
rejection prevention. After 9 months of drug
therapy, the nurse reviews laboratory data and
notes that the blood urea nitrogen level is 36
mg/dl. What additional finding should the nurse
identify?
Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction. - answer-Creatinine 28
mg/dl.
The nurse receives a unit of blood from the
blood bank for a postoperative client who is
currently in the X-ray department. What action
should the nurse implement?
Return the blood to the blood bank for
refrigeration within 30 minutes.
EXAM 2 WITH 100% VERIFIED ANSWERS
GUARANTEED PASS
Which findings should the nurse identify in an
adult client with possible chronic salicylate
intoxication?
Tinnitus and hearing loss.
Photosensitivity and nervousness.
Acute gastrointestinal bleeding and anorexia.
Hyperventilation and central nervous system
effects. - answer-Tinnitus and hearing loss.
A client receives a prescription for
esomeprazole (Nexium) for heartburn. Which
finding in the client's history should the nurse
report to the healthcare provider before
administering the prescription?
,Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on weekends.
Family history of diabetes mellitus. - answer-
History of deep vein thrombosis.
A male client who is in the terminal stage of
cancer is cared for at home by his family and
receives a prescription for morphine at a rate to
control intractable pain. When the hospice
nurse visits, the client awakens, moans in
severe pain, and asks for an increase in the
morphine dosage. After determining the client's
respirations are 10 per minute, what is the best
action for the nurse to implement?
Titrate the morphine dose upward until the
client has adequate pain relief.
Suggest to the family that they can also give the
client ibuprofen, a non-narcotic analgesic.
,Hold additional morphine until the client's
respirations are at least 16 per minute.
Inform the client that an increased dose of
morphine increases side effects without
additional pain control. - answer-Titrate the
morphine dose upward until the client has
adequate pain relief.
A client with Paget's disease is started on
calcitonin (Calcimar) 500 mcg subcutaneously
daily. During the initial treatment, what is the
priority nursing action?
Assess the injection site for inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline phosphatase levels.
Observe the client for signs of hypersensitivity. -
answer-Observe the client for signs of
hypersensitivity.
, A client is taking cyclosporine for renal allograft
rejection prevention. After 9 months of drug
therapy, the nurse reviews laboratory data and
notes that the blood urea nitrogen level is 36
mg/dl. What additional finding should the nurse
identify?
Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction. - answer-Creatinine 28
mg/dl.
The nurse receives a unit of blood from the
blood bank for a postoperative client who is
currently in the X-ray department. What action
should the nurse implement?
Return the blood to the blood bank for
refrigeration within 30 minutes.
