EVOLVE HESI PHARMACOLOGY EXAM 2024/ LATEST UPDATE
EXAM WITH CORRECT DETAILED AND VERIFIED ANSWERS
WITH RELEVANT FEEDBACK 100% GUARANTEED PASS ||A+
GUIDE
1. A client who has been taking phenazopyridine (Pyridium) for symptoms of
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urethritis and cystitis comes to the clinic because her urine is reddish-orange.
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Which question should the practical nurse ask to determine if the medication
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has been effective?
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A) How much water have you been drinking each day?
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B) Does the urine color stain your toilet bowl or undergarments?
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C) Have you had any relief from urinary pain, burning, or urgency?
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D) Did your urine appear cloudy or have a foul odor on voiding?
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…Answer>> C) Have youhad any relief from urinary pain, burning, or urgency?
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Feedback:
Phenazopyridine, an over-the-counter urinary analgesic, acts on the mucosa of the r r r r r r r r r r
urinary tract to relieve urinary pain, burning, itching, or urgency (C) associated
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r with urethritis and cystitis. Although determining if the client is forcing fluids (A),
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r experiencing staining from Pyridium's side effect (B), or having signs of a urinary
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r infection (D) are worthwhile assessments, the therapeutic response of Pyridium is
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r related to urinary discomforts only.
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2. A male client who has been receiving an antineoplastic drug has devel-
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r oped thrombocytopenia.What instructions should the practical nurse (PN)
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reinforce?
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A) Use suppository form of drugs.
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B) Avoid large public gatherings. r r r
C) Rise slowly when standing up.r r r r
D) Shave with an electric razor. r r r r
…Answer>> D) Shave with an electric razor.Feedback: r rr r r r r r r
Thrombocytopenia is a common side effect of bone marrow depression caused by r r r r r r r r r r r
several antineoplastic agents. The client is experiencing a low platelet count and
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r should use an electric razor (D) to reduce his risk of bleeding. (A, B, and C) are not
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indicated for a client who needs to implement thrombocytopenia precautions.
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3. The practical nurse (PN) is caring for a client who has been taking pred-
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r nisone (Deltasone) daily for a year.Which adverse effect should the PN docu-
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ment in the client's record?
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A) Photosensitvity.
B) Weight gain. r
C) Loss of hair. r r
D) Pale skin color.
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…Answer>> B) Weight gain. r rr r r
Feedback:
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Long term use of prednisone causes fluid retention and redistribution of fat
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rdeposition.Weight gain (B) and moon face reflect adverse effects of long-term
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rprednisone
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use and should be documented. (A, C, and D) do not occur with treatment using
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prednisone.
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4. A female client with recurring headaches tells the practical nurse (PN) that
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she has been taking at least 4 grams of acetaminophen a day. Which laboratory
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studies should the PN review for this client?
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A) Creatinine clearance. r
B) Hepatic enzymes. r
C) Coagulation values. r
D) Arterial blood gases. r r
…Answer>> B) Hepatic enzymes.Feedback: r rr r r r
Liver toxicity can occur when doses of acetaminophen exceed 4 grams a day,
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r resulting in an elevation in hepatic enzyme values (B). (A, C, and D) do not reveal
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findings related to acetaminophen toxicity.
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5. A client receives a prescription for an oral opioid analgesic for post-oper-
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ative pain. Which adverse effect should the practical nurse (PN) monitor for
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with the client?
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A) Constipation.
B) Photosensitivity.
C) Decreased heart rate. r r
D) Frequent urination. r