HESI Pharmacology Practice Test
The nurse reviews the new prescription, phenelzine (Nardil), a
monoamine
inhibitor oxidase
(MAOI), for a client with depression on the psychiatric unit. Which
information
most is for the nurse to
important
assess?
A. Consumption of any alcohol or tyramine
rich
B. foods of nausea or
Reports
vomiting
C. Therapeutic serum drug
levels
D. Blood pressure and pulse prior to taking each dose correct
answers A
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first
time.effects
side What should the nurse assess thr client during the
initial dose?
A.
Bradykinesia
B.
Dystonia
C.
Somatization
D. Akathisia correct
answers B
While reviewing the client's electronic medical record (EMR), the nurse
assesses a
client who is at risk for a possible interaction with an over-the-
counter (OTC)
decongestant. Which client health history should the nurse report to the
health care
A. Type 1 diabetes mellitus
provider concerning the OTC medication? (Select all
(DM)
B.
thatClosed
apply)angle
glaucome
C. Chronic
hypertension
D. Rheumatoid
E. Crohn's disease correct answers
arthritis
B,C
A client prescribed ipratropium reports nausea, blurred vision, headaches,
and insomnia
after using the inhaler. Which action should the nurse
implement first?
A. Withhold the medication and report symptoms and vital signs to the
provide
healthcare
rB. Give PRN medication for nausea and vomiting and evaluate client in
30 reassure
C. minutes client that the ipratropium given will alleviate the
symptoms
D. Delay administration of ipratropium until the next maintenance
medication correct
scheduled is
answers A
A client diagnosed with multiple sclerosis is experiencing profound
weakness,
vision, and blurry
shooting pains in both legs. Which medication is considered the
best
of course for the nurse to
treatment
administer?
, A. High dose methylprednisolone
intravenously
B. Baclofen three times a
day
C. Broad spectrum antibiotic coverage
orally
D. Immunomodulatory drug therapy periodically correct
answers A
The nurse administers 30 mL of lactulose for a client with stage
2 hepatic
encephalopathy. Which assessment finding would indicate the
medication is being
therapeuti
c?
A. A decrease in blood ammonia
levels
B. A softening in the
stools
C. An increase in glucose
absorption
D. A suppression of gut acidification correct
answers A
The nurse is teaching a client who is newly diagnosed with type 1
diabetesprotamine
neutral about Hagedor (NPH) insulin. Which statement by the client
indicates an
understanding of how the medication
works?
A. It facilitates the transport of glucose into
theItcells
B. stimulates the function of beta cells in the
pancreas
C. It increases the intracellular receptor site
sensitivity
D. It delays the carbohydrate digestion and absorption correct
answers A
The nurse should withhold which medication if a client reports nausea,
vomiting, and
diarrhea
?
A. Colchicine (Mitigare,
B. Erythromycin (E-
Colcrys)
mycin)
C. Naproxen (Aleve,
Naprosyn)
D. Labetolol (Normodyne) correct
answers A
A client newly prescribed esomeprazole for gastroesophageal reflux
disease
asks the(GERD)
nurse how the medication will help. Which is the best explanation
to provide
the
client?
A. It will promote rapid tissue
B. It will increase gastric
healing
emptying
C. It will improve esophageal
peristalsis
D. It will neutralize gastric secretions correct
answers A
A nurse is providing medication education for a client prescribed a beta-
blocking
for agentof glaucoma. Which statement by the client
treatment
demonstrates an
understanding of the mechanism of the
medication?
A. It inhibits the aqueous humor
B. It enhances the aqueous humor
production
outflow
The nurse reviews the new prescription, phenelzine (Nardil), a
monoamine
inhibitor oxidase
(MAOI), for a client with depression on the psychiatric unit. Which
information
most is for the nurse to
important
assess?
A. Consumption of any alcohol or tyramine
rich
B. foods of nausea or
Reports
vomiting
C. Therapeutic serum drug
levels
D. Blood pressure and pulse prior to taking each dose correct
answers A
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first
time.effects
side What should the nurse assess thr client during the
initial dose?
A.
Bradykinesia
B.
Dystonia
C.
Somatization
D. Akathisia correct
answers B
While reviewing the client's electronic medical record (EMR), the nurse
assesses a
client who is at risk for a possible interaction with an over-the-
counter (OTC)
decongestant. Which client health history should the nurse report to the
health care
A. Type 1 diabetes mellitus
provider concerning the OTC medication? (Select all
(DM)
B.
thatClosed
apply)angle
glaucome
C. Chronic
hypertension
D. Rheumatoid
E. Crohn's disease correct answers
arthritis
B,C
A client prescribed ipratropium reports nausea, blurred vision, headaches,
and insomnia
after using the inhaler. Which action should the nurse
implement first?
A. Withhold the medication and report symptoms and vital signs to the
provide
healthcare
rB. Give PRN medication for nausea and vomiting and evaluate client in
30 reassure
C. minutes client that the ipratropium given will alleviate the
symptoms
D. Delay administration of ipratropium until the next maintenance
medication correct
scheduled is
answers A
A client diagnosed with multiple sclerosis is experiencing profound
weakness,
vision, and blurry
shooting pains in both legs. Which medication is considered the
best
of course for the nurse to
treatment
administer?
, A. High dose methylprednisolone
intravenously
B. Baclofen three times a
day
C. Broad spectrum antibiotic coverage
orally
D. Immunomodulatory drug therapy periodically correct
answers A
The nurse administers 30 mL of lactulose for a client with stage
2 hepatic
encephalopathy. Which assessment finding would indicate the
medication is being
therapeuti
c?
A. A decrease in blood ammonia
levels
B. A softening in the
stools
C. An increase in glucose
absorption
D. A suppression of gut acidification correct
answers A
The nurse is teaching a client who is newly diagnosed with type 1
diabetesprotamine
neutral about Hagedor (NPH) insulin. Which statement by the client
indicates an
understanding of how the medication
works?
A. It facilitates the transport of glucose into
theItcells
B. stimulates the function of beta cells in the
pancreas
C. It increases the intracellular receptor site
sensitivity
D. It delays the carbohydrate digestion and absorption correct
answers A
The nurse should withhold which medication if a client reports nausea,
vomiting, and
diarrhea
?
A. Colchicine (Mitigare,
B. Erythromycin (E-
Colcrys)
mycin)
C. Naproxen (Aleve,
Naprosyn)
D. Labetolol (Normodyne) correct
answers A
A client newly prescribed esomeprazole for gastroesophageal reflux
disease
asks the(GERD)
nurse how the medication will help. Which is the best explanation
to provide
the
client?
A. It will promote rapid tissue
B. It will increase gastric
healing
emptying
C. It will improve esophageal
peristalsis
D. It will neutralize gastric secretions correct
answers A
A nurse is providing medication education for a client prescribed a beta-
blocking
for agentof glaucoma. Which statement by the client
treatment
demonstrates an
understanding of the mechanism of the
medication?
A. It inhibits the aqueous humor
B. It enhances the aqueous humor
production
outflow
