Pharm HESI Practice Exam Latest update(QUESTIONS AND ANSWERS) 2024 Questions and Correct Solutions

The nurse is caring for a client who has been on atenolol for 2 years. The healthcare provider recently switched the medication to enalapril to control the client’s blood pressure. What instruction should the nurse give the client about the new medication? A. Take the medication at night. B. Notify if you experience increased bruising. C. Measure your pulse before taking the medication. D. Get up slowly from bed or a chair to prevent dizziness. - D. Get up slowly from bed or a chair to prevent dizziness. A female client calls the clinic and tells the nurse about a possible reaction after taking amoxicillin for 5 days. She mentions experiencing vaginal discomfort, itching, and a white discharge. What should the nurse advise the client to do? A. Stop the antibiotic since the original symptoms have improved. B. Continue taking the antibiotic until the course is finished. C. Discuss an alternative treatment with the healthcare provider for these symptoms. D. Use an over-the-counter (OTC) vaginal wash to cleanse the area. - C. Discuss an alternative treatment with the healthcare provider for these symptoms. During early morning rounds, a client begins showing signs of an acute asthma attack. The nurse administers a PRN Beta 2 receptor agonist agent. What response should the nurse anticipate from the client? A. Rapid heart rate. B. Elevated blood pressure. C. Quick alleviation of wheezing. D. Improved oxygen saturation readings. E. Reduction in airway inflammation. - C, D A client on atenolol presents with a blood pressure of 120/68 mmHg, sinus bradycardia at 58 beats/minute, and a P-R interval of 0.24. What should the nurse do? A. Lower the head of the bed and assess for changes in orthostatic vitals. B. Administer the medication as prescribed and keep monitoring. C. Prepare to give atropine sulfate via IV push. D. Withhold the medication and notify the healthcare provider. - B. Administer the medication as prescribed and keep monitoring. 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. Which action should the nurse take first? A. Withhold the scheduled dose. B. Check the client's apical pulse. C. Notify the healthcare provider. D. Repeat the serum potassium level. - A. Withhold the scheduled dose. 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. An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. Which information should the nurse provide to the client? A. Apply the patch at least 4 hours prior to departure. B. Change the patch every other day while on the cruise. C. Place the patch on a hairless area at the base of the skull. D. Drink no more than 2 alcoholic drinks during the cruise. - A. Apply the patch at least 4 hours prior to departure. A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the nurse include in the client's instruction? A. Notify the clinic of any changes in the color of urine. B. Avoid overexposure to the sun. C. Stop the medication after the diarrhea resolves. D. Take the medication with food. - D. Take the medication with food. A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? A. Use contraception during intercourse. B. Ensure the Cytotec is taken on an empty stomach. C. Encourage oral fluid intake to prevent constipation. D. Take Cytotec 30 minutes prior to Motrin. - A. Use contraception during intercourse. A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for symptom management. The nurse notes the client is allergic to sulfa. Which action is most important for the nurse to implement prior to administering the first dose? A. Review the client's hemoglobin results. B. Notify the healthcare provider. C. Inquire about the reaction to sulfa. D. Record the client's vital signs. - B. Notify the healthcare provider. A client is admitted to the hospital for a new onset of supraventricular tachycardia (SVT) and is prescribed digoxin. For which laboratory finding should the nurse notify the healthcare provider immediately? A. Potassium level of 3.1 mEq/L. B. Sodium level of 132 mEq/L. C. Calcium level of 8.6 mg/dL. D. Magnesium level of 1.2 mEq/L. - A. Potassium level of 3.1 mEq/L.