HESI Pharmacology Exit Practice
Exam with NGN | Questions and
Verified Answers | Latest 2024
1) A client with coronary artery disease complains of substernal
chest pain. After checking the client's heart rate and blood
pressure, a nurse administers nitroglycerin, 0.4 mg,
sublingually. After 5 minutes, the client states, "My chest still
hurts." Select the appropriate actions that the nurse should
take. Select all that apply.
1. Call a code blue.
2. Contact the registered nurse.
3. Contact the client's family.
4. Assess the client's pain level.
5. Check the client's blood pressure.
6. Administer a second nitroglycerin, 0.4 mg, sublingually. -
Correct Answer - 2. Contact the registered nurse.
4. Assess the client's pain level.
5. Check the client's blood pressure.
6. Administer a second nitroglycerin, 0.4 mg, sublingually.
Rationale:
,The usual guideline for administering nitroglycerin tablets for a
hospitalized client with chest pain is to administer one tablet
every 5 minutes PRN for chest pain, for a total dose of three
tablets. The registered nurse should be notified of the client's
condition, who will then notify the health care provider as
appropriate. Because the client is still complaining of chest
pain, the nurse would administer a second nitroglycerin tablet.
The nurse would assess the client's pain level and check the
client's blood pressure before administering each nitroglycerin
dose. There are no data in the question that indicate the need
to call a code blue. In addition, it is not necessary to contact the
client's family unless the client has requested this.
2.) Nalidixic acid (NegGram) is prescribed for a client with a
urinary tract infection. On review of the client's record, the
nurse notes that the client is taking warfarin sodium
(Coumadin) daily. Which prescription should the nurse
anticipate for this client?
1. Discontinuation of warfarin sodium (Coumadin)
2. A decrease in the warfarin sodium (Coumadin) dosage
3. An increase in the warfarin sodium (Coumadin) dosage
,4. A decrease in the usual dose of nalidixic acid (NegGram) -
Correct Answer - 2. A decrease in the warfarin sodium
(Coumadin) dosage
Rationale:
Nalidixic acid can intensify the effects of oral anticoagulants by
displacing these agents from binding sites on plasma protein.
When an oral anticoagulant is combined with nalidixic acid, a
decrease in the anticoagulant dosage may be needed.
3.) A nurse is reinforcing discharge instructions to a client
receiving sulfisoxazole. Which of the following should be
included in the list of instructions?
1. Restrict fluid intake.
2. Maintain a high fluid intake.
3. If the urine turns dark brown, call the health care provider
(HCP) immediately.
4. Decrease the dosage when symptoms are improving to
prevent an allergic response.
- Correct Answer - 2. Maintain a high fluid intake.
Rationale:
Each dose of sulfisoxazole should be administered with a full
glass of water, and the client should maintain a high fluid
, intake. The medication is more soluble in alkaline urine. The
client should not be instructed to taper or discontinue the dose.
Some forms of sulfisoxazole cause urine to turn dark brown or
red. This does not indicate the need to notify the HCP.
4.) Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed
for a client. A nurse should instruct the client to report which
symptom if it developed during the course of this medication
therapy?
1. Nausea
2. Diarrhea
3. Headache
4. Sore throat
- Correct Answer - 4. Sore throat
Rationale:
Clients taking trimethoprim-sulfamethoxazole (TMP-SMZ)
should be informed about early signs of blood disorders that
can occur from this medication. These include sore throat,
fever, and pallor, and the client should be instructed to notify
the health care provider if these symptoms occur. The other
options do not require health care provider notification.
Exam with NGN | Questions and
Verified Answers | Latest 2024
1) A client with coronary artery disease complains of substernal
chest pain. After checking the client's heart rate and blood
pressure, a nurse administers nitroglycerin, 0.4 mg,
sublingually. After 5 minutes, the client states, "My chest still
hurts." Select the appropriate actions that the nurse should
take. Select all that apply.
1. Call a code blue.
2. Contact the registered nurse.
3. Contact the client's family.
4. Assess the client's pain level.
5. Check the client's blood pressure.
6. Administer a second nitroglycerin, 0.4 mg, sublingually. -
Correct Answer - 2. Contact the registered nurse.
4. Assess the client's pain level.
5. Check the client's blood pressure.
6. Administer a second nitroglycerin, 0.4 mg, sublingually.
Rationale:
,The usual guideline for administering nitroglycerin tablets for a
hospitalized client with chest pain is to administer one tablet
every 5 minutes PRN for chest pain, for a total dose of three
tablets. The registered nurse should be notified of the client's
condition, who will then notify the health care provider as
appropriate. Because the client is still complaining of chest
pain, the nurse would administer a second nitroglycerin tablet.
The nurse would assess the client's pain level and check the
client's blood pressure before administering each nitroglycerin
dose. There are no data in the question that indicate the need
to call a code blue. In addition, it is not necessary to contact the
client's family unless the client has requested this.
2.) Nalidixic acid (NegGram) is prescribed for a client with a
urinary tract infection. On review of the client's record, the
nurse notes that the client is taking warfarin sodium
(Coumadin) daily. Which prescription should the nurse
anticipate for this client?
1. Discontinuation of warfarin sodium (Coumadin)
2. A decrease in the warfarin sodium (Coumadin) dosage
3. An increase in the warfarin sodium (Coumadin) dosage
,4. A decrease in the usual dose of nalidixic acid (NegGram) -
Correct Answer - 2. A decrease in the warfarin sodium
(Coumadin) dosage
Rationale:
Nalidixic acid can intensify the effects of oral anticoagulants by
displacing these agents from binding sites on plasma protein.
When an oral anticoagulant is combined with nalidixic acid, a
decrease in the anticoagulant dosage may be needed.
3.) A nurse is reinforcing discharge instructions to a client
receiving sulfisoxazole. Which of the following should be
included in the list of instructions?
1. Restrict fluid intake.
2. Maintain a high fluid intake.
3. If the urine turns dark brown, call the health care provider
(HCP) immediately.
4. Decrease the dosage when symptoms are improving to
prevent an allergic response.
- Correct Answer - 2. Maintain a high fluid intake.
Rationale:
Each dose of sulfisoxazole should be administered with a full
glass of water, and the client should maintain a high fluid
, intake. The medication is more soluble in alkaline urine. The
client should not be instructed to taper or discontinue the dose.
Some forms of sulfisoxazole cause urine to turn dark brown or
red. This does not indicate the need to notify the HCP.
4.) Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed
for a client. A nurse should instruct the client to report which
symptom if it developed during the course of this medication
therapy?
1. Nausea
2. Diarrhea
3. Headache
4. Sore throat
- Correct Answer - 4. Sore throat
Rationale:
Clients taking trimethoprim-sulfamethoxazole (TMP-SMZ)
should be informed about early signs of blood disorders that
can occur from this medication. These include sore throat,
fever, and pallor, and the client should be instructed to notify
the health care provider if these symptoms occur. The other
options do not require health care provider notification.
