PHARM HESI PRACTICE QUIZZES: PAIN MANAGEMENT &
MEDICATION PROTOCOLS QUESTIONS AND ANSWERS |
2025 UPDATE | 100% CORRECT
1.
A client is taking hydromorphone (Dilaudid) PO every 4 hours at home. Following surgery,
Dilaudid IV every 4 hours PRN and butorphanol tartrate (Stadol) IV every 4 hours PRN
are prescribed for pain. The client received a dose of the Dilaudid IV four hours ago,
and is again requesting pain medication. Which intervention should the nurse
implement?
A. Alternate the two medications every 4 hours PRN for pain.
B. Alternate the two medications every 2 hours PRN for pain.
C. Administer only the Dilaudid every 4 hours PRN for pain.
D. Administer only the Stadol every 4 hours PRN for pain.
2.
A peak and trough level is prescribed for a client receiving antibiotic therapy. When should
the nurse should obtain the trough level?
A. Sixty minutes after the antibiotic dose is administered.
B. Immediately before the next antibiotic dose is given.
C. Upon completion of the prescribed antibiotic regime.
D. An hour before the next antibiotic dose is given.
3.
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider
recently changed the medication to enalapril to manage the client's blood pressure.
Which instruction should the nurse provide the client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair.
4.
The nurse is reviewing admission prescriptions for a client with myxedema. The nurse
should clarify with the healthcare provider which prescription for the client?
A. Liothyronine to replace iodine.
B. Furosemide for relief of fluid retention.
C. Pentobarbital sodium for sleep.
D. Nitroglycerin for angina pain.
5.
A client is prescribed controlled-release oxycodone. Which dosing schedule is best for the
nurse to teach the client?
, A. As needed.
B. Everynm12nmhours.
C. Everynm24nmhours.
D. Everynm4nmtonm6nmhours.
6.
Whennmassessingnmannmadolescentnmwhonmrecentlynmoverdosednmonnmacetaminophennm(Tyl
enol),nmitnmisnmmostnmimportantnmfornmthenmnursenmtonmassessnmfornmpainnminnmwhichnma
reanmofnmthenmbody?
A. Flank.
B. Abdomen.
C. Chest.
D. Head.
7.
Anmclientnmisnmreceivingnmclonidinenm(Catapres)nm0.1nmmg/24hrnmvianmtransdermaln
mpatch.nmWhichnmassessmentnmfindingnmindicatesnmthatnmthenmdesirednmeffectn
mofnmthenmmedicationnmhasnmbeennmachieved?
A. Clientnmdeniesnmrecentnmepisodesnmofnmangina.
B. Changenminnmperipheralnmedemanmfromnm+3nmtonm+1.
C. Clientnmdeniesnmrecentnmnauseanmornmvomiting.
D. Bloodnmpressurenmhasnmchangednmfromnm180/120nmtonm140/70.
8.
Anmclientnmwithnmcoronarynmarterynmdiseasenmwhonmisnmtakingnmdigoxinnm(Lanoxin)nmreceive
snmanmnewnmprescriptionnmfornmatorvastatinnm(Lipitor).nmTwonmweeksnmafternminitiationnm
ofnmthenmLipitor
prescription,nmthenmnursenmassessesnmthenmclient.nmWhichnmfindingnmrequiresnmthenmmo
stnmimmediatenmintervention?
A. Heartburn.
B. Headache.
C. Constipation.
D. Vomiting.
9.
Anmclientnmprescribednmalbuterolnmtabletsnmreportsnmnauseanmeverynmeveningnmwithnmthenm9
:00nmp.m.nmdose.
Whichnmactionnmshouldnmthenmnursenmperformnmtonmalleviatenmthisnmsidenmeffect?
A. Changenmthenmtimenmofnmthenmdose.
B. Holdnmthenm9nmp.m.nmdose.
C. Administernmthenmdosenmwithnmanmsnack.
D. Offernmannmantiemeticnmwithnmthenmdose.
10.
Thenmnursenmadmitsnmanmclientnmwithnmtumor-
MEDICATION PROTOCOLS QUESTIONS AND ANSWERS |
2025 UPDATE | 100% CORRECT
1.
A client is taking hydromorphone (Dilaudid) PO every 4 hours at home. Following surgery,
Dilaudid IV every 4 hours PRN and butorphanol tartrate (Stadol) IV every 4 hours PRN
are prescribed for pain. The client received a dose of the Dilaudid IV four hours ago,
and is again requesting pain medication. Which intervention should the nurse
implement?
A. Alternate the two medications every 4 hours PRN for pain.
B. Alternate the two medications every 2 hours PRN for pain.
C. Administer only the Dilaudid every 4 hours PRN for pain.
D. Administer only the Stadol every 4 hours PRN for pain.
2.
A peak and trough level is prescribed for a client receiving antibiotic therapy. When should
the nurse should obtain the trough level?
A. Sixty minutes after the antibiotic dose is administered.
B. Immediately before the next antibiotic dose is given.
C. Upon completion of the prescribed antibiotic regime.
D. An hour before the next antibiotic dose is given.
3.
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider
recently changed the medication to enalapril to manage the client's blood pressure.
Which instruction should the nurse provide the client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair.
4.
The nurse is reviewing admission prescriptions for a client with myxedema. The nurse
should clarify with the healthcare provider which prescription for the client?
A. Liothyronine to replace iodine.
B. Furosemide for relief of fluid retention.
C. Pentobarbital sodium for sleep.
D. Nitroglycerin for angina pain.
5.
A client is prescribed controlled-release oxycodone. Which dosing schedule is best for the
nurse to teach the client?
, A. As needed.
B. Everynm12nmhours.
C. Everynm24nmhours.
D. Everynm4nmtonm6nmhours.
6.
Whennmassessingnmannmadolescentnmwhonmrecentlynmoverdosednmonnmacetaminophennm(Tyl
enol),nmitnmisnmmostnmimportantnmfornmthenmnursenmtonmassessnmfornmpainnminnmwhichnma
reanmofnmthenmbody?
A. Flank.
B. Abdomen.
C. Chest.
D. Head.
7.
Anmclientnmisnmreceivingnmclonidinenm(Catapres)nm0.1nmmg/24hrnmvianmtransdermaln
mpatch.nmWhichnmassessmentnmfindingnmindicatesnmthatnmthenmdesirednmeffectn
mofnmthenmmedicationnmhasnmbeennmachieved?
A. Clientnmdeniesnmrecentnmepisodesnmofnmangina.
B. Changenminnmperipheralnmedemanmfromnm+3nmtonm+1.
C. Clientnmdeniesnmrecentnmnauseanmornmvomiting.
D. Bloodnmpressurenmhasnmchangednmfromnm180/120nmtonm140/70.
8.
Anmclientnmwithnmcoronarynmarterynmdiseasenmwhonmisnmtakingnmdigoxinnm(Lanoxin)nmreceive
snmanmnewnmprescriptionnmfornmatorvastatinnm(Lipitor).nmTwonmweeksnmafternminitiationnm
ofnmthenmLipitor
prescription,nmthenmnursenmassessesnmthenmclient.nmWhichnmfindingnmrequiresnmthenmmo
stnmimmediatenmintervention?
A. Heartburn.
B. Headache.
C. Constipation.
D. Vomiting.
9.
Anmclientnmprescribednmalbuterolnmtabletsnmreportsnmnauseanmeverynmeveningnmwithnmthenm9
:00nmp.m.nmdose.
Whichnmactionnmshouldnmthenmnursenmperformnmtonmalleviatenmthisnmsidenmeffect?
A. Changenmthenmtimenmofnmthenmdose.
B. Holdnmthenm9nmp.m.nmdose.
C. Administernmthenmdosenmwithnmanmsnack.
D. Offernmannmantiemeticnmwithnmthenmdose.
10.
Thenmnursenmadmitsnmanmclientnmwithnmtumor-
