Pharm HESI Practice Exam
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
medicatio
n?
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. correct answers D. Rise
slowly when
getting out of bed or
chair.
A female client calls the clinic and talks with the nurse to inquire about
a possible
reaction after taking amoxicillin for 5 days. She reports having vaginal
discomfort,
itching, and a white discharge. The nurse should discuss which action with
the client?
A. Discontinue the antibiotic because original symptoms have
subsided.
B. Continue taking medication until finished until the
symptoms
C. subside.
Consult with healthcare provider about another treatment for
thisUse
D. effect.
an over-the-counter (OTC) vaginal wash to flush out the
secretions.
answers correct with healthcare provider about another treatment for
C. Consult
this effect.
The nurse is making early morning rounds on a group of clients when a
client begins
exhibiting symptoms of an acute asthma attack. The nurse
administers a
prescription forPRN
a Beta 2 receptor agonist agent. Which client response
should the nurse
expect
?
A.
Tachycardia.
B. Increased blood
pressure.
C. Rapid resolution of
wheezing.
D. Improved pulse oximetry
values.
E. Reduce fever airway inflammation. correct
answers C, D
A client prescribed atenolol has a blood pressure of 120/68 mmHg,
displaying a with
bradycardia sinusa rate of 58 beats/minute, and a P-R interval of 0.24.
Which action
should the nurse
take?
A. Lower the head of the bed and assess the client for orthostatic vital
sign
B. changes.
Give the medication as prescribed and continue to monitor
thePrepare
C. client. to administer atropine sulfate IV
push.
D. Hold the prescribed dose and contact the healthcare provider. correct
answers
Give the B.
medication as prescribed and continue to monitor
the client.
, 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.
A. Withhold the scheduled
Which action should the nurse take
dose.
B. Check the client's apical
first?
pulse.
C. Notify the healthcare
provider.
D. Repeat the serum potassium level. correct answers 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 medications?
prescribed the (Arrange from first to last.) correct answers 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
prevent Scop)
motion to
sickness while on a cruise. Which information should the
nurse
to the provide
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
theDrink
D. skull.no more than 2 alcoholic drinks during the cruise. correct answers
A. Apply the 4 hours prior to
patch at least
departure.
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which
should the nurse include in the client's
information
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. correct answers D. Take the medication
with food.
A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg
PO 4To
day. times a gastrointestinal bleeding, misoprostol (Cytotec) 100
prevent
mcg PO is Which information is most important for the nurse to
prescribed.
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.
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
medicatio
n?
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. correct answers D. Rise
slowly when
getting out of bed or
chair.
A female client calls the clinic and talks with the nurse to inquire about
a possible
reaction after taking amoxicillin for 5 days. She reports having vaginal
discomfort,
itching, and a white discharge. The nurse should discuss which action with
the client?
A. Discontinue the antibiotic because original symptoms have
subsided.
B. Continue taking medication until finished until the
symptoms
C. subside.
Consult with healthcare provider about another treatment for
thisUse
D. effect.
an over-the-counter (OTC) vaginal wash to flush out the
secretions.
answers correct with healthcare provider about another treatment for
C. Consult
this effect.
The nurse is making early morning rounds on a group of clients when a
client begins
exhibiting symptoms of an acute asthma attack. The nurse
administers a
prescription forPRN
a Beta 2 receptor agonist agent. Which client response
should the nurse
expect
?
A.
Tachycardia.
B. Increased blood
pressure.
C. Rapid resolution of
wheezing.
D. Improved pulse oximetry
values.
E. Reduce fever airway inflammation. correct
answers C, D
A client prescribed atenolol has a blood pressure of 120/68 mmHg,
displaying a with
bradycardia sinusa rate of 58 beats/minute, and a P-R interval of 0.24.
Which action
should the nurse
take?
A. Lower the head of the bed and assess the client for orthostatic vital
sign
B. changes.
Give the medication as prescribed and continue to monitor
thePrepare
C. client. to administer atropine sulfate IV
push.
D. Hold the prescribed dose and contact the healthcare provider. correct
answers
Give the B.
medication as prescribed and continue to monitor
the client.
, 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.
A. Withhold the scheduled
Which action should the nurse take
dose.
B. Check the client's apical
first?
pulse.
C. Notify the healthcare
provider.
D. Repeat the serum potassium level. correct answers 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 medications?
prescribed the (Arrange from first to last.) correct answers 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
prevent Scop)
motion to
sickness while on a cruise. Which information should the
nurse
to the provide
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
theDrink
D. skull.no more than 2 alcoholic drinks during the cruise. correct answers
A. Apply the 4 hours prior to
patch at least
departure.
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which
should the nurse include in the client's
information
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. correct answers D. Take the medication
with food.
A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg
PO 4To
day. times a gastrointestinal bleeding, misoprostol (Cytotec) 100
prevent
mcg PO is Which information is most important for the nurse to
prescribed.
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.
