HESI RN PHARMACOLOGY EXIT EXAM VERSION 3 COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+ |.

HESI RN PHARMACOLOGY EXIT EXAM VERSION 3 COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS |ALREADY GRADED A+ |. A client receives a new prescription for nitroglycerin (Nitrostat) tablets. Which instruction should the nurse include in this client's teaching? Correct ANSWER: Place under the tongue as needed every 5 minutes up to 3 times. The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a client with chronic pain. When monitoring the client an hour later, which assessment is most important for the nurse to obtain? - Correct ANSWER: Numeric pain scale. A client is beginning therapy with montelukast (Singulair) PO 10 mg once a day in the evening. The client asks the nurse, "When should I begin to feel better?" How should the nurse respond? - Correct ANSWER: Within 24 hours. What is the expected outcome of esomeprazole (Nexium) when prescribed for a client with gastroesophageal reflux disease (GERD)? Correct ANSWER: Promotion of rapid tissue healing. A client at 30-weeks gestation is in preterm labor. The healthcare provider prescribes two 12-mg doses of betamethasone (Celestone) intramuscularly every 12 hours. The client asks the nurse why she is receiving the Celestone. What information should the nurse use to explain the action of the medication? Correct ANSWER: Stimulates fetal surfactant production. Which drug of choice is indicated for acute ventricular dysrhythmias associated with myocardial infarction? - Correct ANSWER: Amiodarone. A school-aged child is taking methylphenidate hydrochloride (Ritalin, Biphentin) for the treatment of attention-deficit hyperactivity disorder (ADHD). The mother tells the nurse that she gives the medication at bedtime so it is "working" during school the next morning. What modification to the administration plan should the nurse recommend to this mother? Correct ANSWER: Administer at least six hours before bedtime. A client is taking sulfisoxazole (Gantrisin) for a urinary tract infection (UTI) and complains of nausea and gastric upset since starting the medication. Which additional adverse reaction should the nurse instruct the client to report? - Correct ANSWER: Rash. What is the effect of beta-blocking agents when used for treatment of glaucoma? - Correct ANSWER: Inhibiting aqueous humor production. A client with depression receives a prescription for amitriptyline (Elavil). Which instruction should the nurse include in the client's teaching? - Correct ANSWER: Avoid the consumption of alcohol. A resident of a long-term care facility is taking lithium carbonate (Eskalith) to treat bipolar disorder. Which instruction should the nurse provide to this client's caregivers? - Correct ANSWER: Report symptoms of hypothyroidism such as fatigue and constipation. A pediatric client who has been diagnosed with partial seizures receives a prescription for topiramate (Topamax). What information should the nurse provide to the child's parents? Correct ANSWER: Do not crush the tablet prior to administration. A 48-year-old client is experiencing a severe anaphylactic reaction to an injection of contrast media. What - Correct ANSWER: Epinephrine (Adrenalin). A client with chronic gouty arthritis takes allopurinol (Zyloprim) and experiences an acute attack of gouty arthritis. The healthcare provider prescribes concurrent low- dose colchicine. What information should the nurse provide the client that best explains the action of the colchicine? Correct ANSWER: Reduces inflammation at the affected site. The nurse should expect the healthcare provider to prescribed what treatment regimen for a client with peptic ulcer caused by Helicobacter pylori ? (Select all that apply.) - Correct ANSWER: Clarithromycin (Biaxin). Omeprazole (Prilosec). Metronidazole (Flagyl). The nurse is providing medication teaching for a client who has recently received a prescription for clozapine (Clozaril). Which instruction should be included in this client's teaching plan? - Correct ANSWER: Rise slowly from a lying position. A client with pneumonia receives a prescription for tetracycline (Sumycin). What precaution should the nurse include in this client's teaching? - Correct ANSWER: Avoid diary products for 2 hours after taking the medication. A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction? Correct ANSWER: Take at same time each day one hour before eating a meal. A client with chronic schizophrenia illness is admitted after taking risperidone (Risperdal) 10 mg/day for three months. The nurse implements a daily assessment using the Abnormal Involuntary Movement Scale (AIMS). What findings should the nurse report to the healthcare provider? Correct ANSWER: Tremors and muscle twitching. The healthcare provider has prescribed digoxin for a client who has been taking furosemide (Lasix) for six months. What laboratory serum levels should the nurse review before administering the digoxin? - Correct ANSWER: Potassium. When assessing a client prior to the administration of digoxin (Lanoxin, APO-Digoxin), which data is most important for the nurse to consider? Correct ANSWER: Irregular apical pulse with a rate of 87. A male client with meningitis is prescribed cefotaxime (Claforan) IV and asks the nurse why he cannot receive an oral drug, such as cefaclor (Ceclor) or cefadroxil (Duricef),that he has taken before for infections. How should the nurse respond when considering the actions of cephalosporins? - Correct ANSWER: Cefotaxime (Claforan) provides therapeutic CNS concentrations. The nurse should instruct a client to avoid which product while taking carisoprodol (Soma) for muscle spasms? - Correct ANSWER: Alcoholic beverages. When prescribed for a client with hepatic encephalopathy, what is the therapeutic action of lactulose (Portalac)? - Correct ANSWER: Lowers the pH of the colon. What teaching should the nurse provide a client who has received a new prescription for sildenafil (Viagra)? (Select all that apply.) Correct ANSWER: Take within 30 to 60 minutes of sexual stimulation. Report rebound priapism that occurs for 4 hours or more. Can cause facial flushing and headache. A client who takes a statin and gemfibrozil (Lopid) for hyperlipidemia reports onset of muscle pain and weakness. What additional assessment is most important for the nurse to obtain? - Correct ANSWER: Serum liver enzymes. A client who has Trichomonas vaginalis receives a prescription for metronidazole (Flagyl). Which instruction should the nurse provide during client education? - Correct ANSWER: Avoid over-the-counter antitussives. 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? - Correct 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? Correct 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? Correct 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? - Correct 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? - Correct ANSWER: Return the blood to the blood bank for refrigeration within 30 minutes. Which side effects should the nurse monitor for a client who is receiving dexamethasone (Decadron) following neurosurgery? (Select all that apply.) - Correct ANSWER: Mood swings. Increased weight gain. Delayed incisional wound healing. Serum hemoglobin level of 9 mg/dl. A client is taking danazol (Danocrine) for endometriosis and calls the clinic nurse to complain of a dark, swollen, and painful leg. What instructions should the nurse provide the Correct ANSWER: Proceed to the closest emergency room. A client asks the nurse to explain the meaning of a narrow therapeutic index of a medication. What information should the nurse use to answer the question? - Correct ANSWER: A small margin exists between safe and toxic plasma levels. A c lient is receiving fentanyl via an epidural infusion. Which side effect should the nurse anticipate in the first 24 hours of epidural analgesia ? - Correct ANSWER: Urinary retention. The healthcare provider prescribes a medication for an older adult client who is complaining of insomnia, and instructs the client to return in two weeks. The nurse should question which prescription? Correct ANSWER: Eszopiclone (Lunesta) 10 milligrams orally at bedtime. Which route should the nurse clarify with the healthcare provider prior to administering a drug with a high first-pass effect? - Correct ANSWER: Oral. The therapeutic effect of insulin in treating Type 1 diabetes mellitus is based on which physiologic action? Correct ANSWER: Facilitates transport of glucose into the cells. The healthcare provider discontinues prednisone, a glucocorticoid, for a client with chronic obstructive pulmonary disease. What instructions should the nurse give the client about the regimen to follow? - Correct ANSWER: The dose must be tapered over the course of 7 to 10 days.