1|Page
HESI PHARMACOLOGY EVOLVE EXAM TEST
BANK 2024 | 325 QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATIONS | GRADED
A+ | VERIFIED ANSWERS | LATEST EXAM
(JUST RELEASED)
A 6-year-old child is admitted to the emergency department with status
epilepticus. His parents report that his seizure disorder has been
managed with phenytoin, 50 mg PO bid, for the past year. Which drug
should the nurse plan to administer in the emergency department?
A. Phenytoin
B. Diazepam
C. Phenobarbital
D. Carbamazepine
- Correct Answer-B. Diazepam
Diazepam is the drug of choice for treatment of status epilepticus.
Options A, C, and D are used for the long-term management of seizure
disorders but are not as useful in the emergency management of status
epilepticus.
,2|Page
A client who has trouble swallowing pills intermittently has been
prescribed venlafaxine (XR) for depression. The medication comes in
capsule form. What should the nurse include in the discharge teaching
plan for this client?
A. Capsule contents can be sprinkled on pudding or applesauce.
B. Chew the medication thoroughly to enhance absorption.
C. Take the medication with a large glass of water or juice.
D. Contact the health care provider for another form of medication
. - Correct Answer-D. Contact the health care provider for another form
of medication.
Venlafaxine is administered PO in capsule form. Capsules that are
extended-release (XR) or continuous-release (CR) contain delayed-
release, enteric-coated granules to prevent decomposition of the drug in
the acidic pH of the stomach. The client should notify the health care
provider about the inability to swallow the capsule. This medication should
not be chewed or opened so that the delayed-release, enteric-coated
granules can remain intact. Water or juice will not affect the medication.
,3|Page
The nurse is preparing to apply a surface anesthetic agent for a client.
Which action should the nurse implement to reduce the risk of systemic
absorption?
A. Apply the anesthetic to mucous membranes.
B. Limit the area of application to inflamed areas.
C. Avoid abraded skin areas when applying the anesthetic.
D. Spread the topical agent over a large surface area.
- Correct Answer-C. Avoid abraded skin areas when applying the
anesthetic.
To minimize systemic absorption of topical anesthetics, the anesthetic
agent should be applied to the smallest surface area of intact skin.
Application to the mucous membranes poses the greatest risk of
systemic absorption because absorption occurs more readily through
mucous membranes than through the skin. Inflamed areas generally have
an increased blood supply, which increases the risk of systemic
absorption, so option B should be avoided. A large surface area increases
the amount of topical drug that is available for transdermal absorption,
so the smallest area should be covered, not option D.
, 4|Page
A client experiencing dysrhythmias is given quinidine, 300 mg PO every 6
hours. The nurse plans to observe this client for which common side
effect associated with the use of this medication?
A. Diarrhea
B. Hypothermia
C. Seizures
D. Dysphagia
- Correct Answer-A. Diarrhea
The most common side effects associated with quinidine therapy are
gastrointestinal complaints, such as diarrhea. Options B, C, and D are not
usually associated with quinidine therapy.
A 19-year-old male client who has sustained a severe head injury is
intubated and placed on assisted mechanical ventilation. To facilitate
optimal ventilation and prevent the client from "fighting" the ventilator,
the health care provider administers pancuronium bromide IV, with
adjunctive opioid analgesia. What medication should be immediately
accessible for a potential complication with this drug?
A. Dantrolene sodium
HESI PHARMACOLOGY EVOLVE EXAM TEST
BANK 2024 | 325 QUESTIONS AND CORRECT
ANSWERS WITH EXPLANATIONS | GRADED
A+ | VERIFIED ANSWERS | LATEST EXAM
(JUST RELEASED)
A 6-year-old child is admitted to the emergency department with status
epilepticus. His parents report that his seizure disorder has been
managed with phenytoin, 50 mg PO bid, for the past year. Which drug
should the nurse plan to administer in the emergency department?
A. Phenytoin
B. Diazepam
C. Phenobarbital
D. Carbamazepine
- Correct Answer-B. Diazepam
Diazepam is the drug of choice for treatment of status epilepticus.
Options A, C, and D are used for the long-term management of seizure
disorders but are not as useful in the emergency management of status
epilepticus.
,2|Page
A client who has trouble swallowing pills intermittently has been
prescribed venlafaxine (XR) for depression. The medication comes in
capsule form. What should the nurse include in the discharge teaching
plan for this client?
A. Capsule contents can be sprinkled on pudding or applesauce.
B. Chew the medication thoroughly to enhance absorption.
C. Take the medication with a large glass of water or juice.
D. Contact the health care provider for another form of medication
. - Correct Answer-D. Contact the health care provider for another form
of medication.
Venlafaxine is administered PO in capsule form. Capsules that are
extended-release (XR) or continuous-release (CR) contain delayed-
release, enteric-coated granules to prevent decomposition of the drug in
the acidic pH of the stomach. The client should notify the health care
provider about the inability to swallow the capsule. This medication should
not be chewed or opened so that the delayed-release, enteric-coated
granules can remain intact. Water or juice will not affect the medication.
,3|Page
The nurse is preparing to apply a surface anesthetic agent for a client.
Which action should the nurse implement to reduce the risk of systemic
absorption?
A. Apply the anesthetic to mucous membranes.
B. Limit the area of application to inflamed areas.
C. Avoid abraded skin areas when applying the anesthetic.
D. Spread the topical agent over a large surface area.
- Correct Answer-C. Avoid abraded skin areas when applying the
anesthetic.
To minimize systemic absorption of topical anesthetics, the anesthetic
agent should be applied to the smallest surface area of intact skin.
Application to the mucous membranes poses the greatest risk of
systemic absorption because absorption occurs more readily through
mucous membranes than through the skin. Inflamed areas generally have
an increased blood supply, which increases the risk of systemic
absorption, so option B should be avoided. A large surface area increases
the amount of topical drug that is available for transdermal absorption,
so the smallest area should be covered, not option D.
, 4|Page
A client experiencing dysrhythmias is given quinidine, 300 mg PO every 6
hours. The nurse plans to observe this client for which common side
effect associated with the use of this medication?
A. Diarrhea
B. Hypothermia
C. Seizures
D. Dysphagia
- Correct Answer-A. Diarrhea
The most common side effects associated with quinidine therapy are
gastrointestinal complaints, such as diarrhea. Options B, C, and D are not
usually associated with quinidine therapy.
A 19-year-old male client who has sustained a severe head injury is
intubated and placed on assisted mechanical ventilation. To facilitate
optimal ventilation and prevent the client from "fighting" the ventilator,
the health care provider administers pancuronium bromide IV, with
adjunctive opioid analgesia. What medication should be immediately
accessible for a potential complication with this drug?
A. Dantrolene sodium
