Pharmacology Evolve HESI Questions And Answers

Pharmacology Evolve HESI Questions
And Answers

Ai19-year-
oldimaleiclientiwhoihasisustainediaisevereiheadiinjuryiisiintubatediandiplacedioniassistedim
echanicaliventilation.iToifacilitateioptimaliventilationiandipreventitheiclientifromi"fighting"ithe
iventilator,itheihealthicareiprovideriadministersipancuroniumibromideiIV,iwithiadjunctiveiopi

oidianalgesia.iWhatimedicationishouldibeiimmediatelyiaccessibleiforiaipotentialicomplicatio
niwithithisidrug?

A.iDantroleneisodium
B.iNeostigmineibromide
C.iSuccinylcholineibromide
D.iEpinephrinei-iCORRECTiiANSWER-B.iNeostigmineibromide

Neostigmineibromideiandiatropineisulfate,ibothianticholinergicidrugs,ireverseitheirespirator
yimuscleiparalysisicausedibyipancuroniumibromide.iOptionsiA,iC,iandiDiareinotiantagonistsi
toipancuroniumibromideiandiwouldinotibeihelpfuliinireversingitheieffectsiofitheidrugicompare
diwithitheiuseiofianticholinergics.

Ai2-month-
oldiinfantiisischeduleditoireceiveitheifirstiDPTiimmunization.iWhatiisitheipreferrediinjectionisi
teitoiadministerithisiimmunization?

A.iDorsaligluteal
B.iVastusilateralis
C.iVentraligluteal
D.iDeltoidi-iCORRECTiiANSWER-B.iVastusilateralis

Theipreferrediintramuscularisiteiforichildreniyoungerithani2iyearsiisitheivastusilateralis.iOpti
onsiA,iC,iandiDiareinotipreferrediinjectionisitesiforitheiinfantiati2imonthsiofiage.

Ai26-year-
oldiprimigravidaiclientiisiexperiencingiincreasingidiscomfortiandianxietyiduringitheiactiveiph
aseiofilabor.iSheirequestsisomethingiforipain.iWhichianalgesicishoulditheinurseianticipateia
dministering?

A.iButorphanol
B.iHydromorphone
C.iMorphineisulfate
D.iCodeineisulfatei-iCORRECTiiANSWER-A.iButorphanol

,Butorphanoliisiaimixediagonist-
antagonistianalgesiciresultingiinigoodianalgesiaibutiwithilessirespiratoryidepression,inause
a,iandivomitingicomparediwithiopioidiagonistianalgesics.

Ai3-year-
oldiboyiisiadmitteditoitheiemergencyidepartmentiafteriingestingianiunknowniamountiofiphen
obarbitalielixiriprescribediforihisibrother'siseizureidisorder.iWhichinursingiinterventionishoul
ditheinurseiimplementifirst?

A.iAdministerisyrupiofiipecac.
B.iTakeitheichild'sivitalisigns.
C.iDrawiaibloodispecimeniforiaiphenobarbitalilevel.
D.iTeachitheimotherisafeimedicationistorageipractices.i-iCORRECTiiANSWER-
B.iTakeitheichild'sivitalisigns.

Phenobarbitalicausesirespiratoryidepression,isoitheipriorityiinterventioniisiassessmentiofivit
alisigns.iOptionsiA,iC,iandiDiareiactionsithatimayiallibeiusediinitheitreatmentiofithisichild,ibutit
heyidoinotihaveitheipriorityiofioptioniB.

Ai4-year-
oldichildiisireceivingichemotherapyiforiacuteilymphocyticileukemia.iWhichilaboratoryiresulti
shoulditheinurseiexamineitoiassessitheichild'siriskiforiinfection?

A.iNeutrophilicount
B.iPlateleticount
C.iReticulocyteicount
D.iLymphocyteicounti-iCORRECTiiANSWER-A.iNeutrophil

Duringichemotherapy,igranulocytesiareisignificantlyisuppressed.iBecauseineutrophilsicom
prisei60%itoi70%iofitheigranulocyteicount,itheseilevelsiareitheimostiusefulilaboratoryiresultsi
ofitheioptionsipresenteditoidetermineitheichild'siriskiforiinfection.iOptionsiB,iC,iandiDiareinoti
asiusefuliasioptioniAiinideterminingiriskiofiinfection.

Ai42-year-
oldiclientiisiadmitteditoitheiemergencyidepartmentiafteritakingianioverdoseiofiamitriptylineiini
aisuicideiattempt.iWhichidrugishoulditheinurseiplanitoiadministeritoireverseitheicardiaciandic
entralinervousisystemieffectsiofiamitriptyline?

A.iSodiumibicarbonate
B.iNaloxone
C.iPhentolamineimesylate
D.iAtropineisulfatei-iCORRECTiiANSWER-A.iSodiumibicarbonate

Sodiumibicarbonateiisianieffectiveitreatmentiforianioverdoseiofitricycliciantidepressantsisuc
hiasiamitriptylineitoireverseiQRSiprolongation.iOptionsiB,iC,iandiDiareinotitheipreferrediage
ntsiforitreatingithisidrugioverdose.

,Ai45-year-
oldifemaleiclientiisireceivingialprazolamiforianxiety.iWhichiclientibehavioriwouldiindicateitha
titheidrugiisieffective?

A.iPersonalihygieneiisimaintainedibyitheiclientiforitheifirstitimeiiniaiweek.
B.iTheiclientihasianiaverageirestingiheartirateiofi120ibeats/min.
C.iTheistaffiobservesitheiclientisittingiinitheidayiroomireadingiaibook.
D.iTheinurseirecordsithatitheiclientilosti2ilbiofibodyiweightiinitheipastiweek.i-
iCORRECTiiANSWER-C.iTheistaffiobservesitheiclientisittingiinitheidayiroomireadingiaibook.



Theiabilityitoisitiandiconcentrateionireadingiindicatesidecreasedianxiety.iOptionsiA,iB,iandiD
iareinotirelateditoitheiuseiofialprazolamiforianxiety.



Ai55-year-
oldiclientiwasidiagnosediwithischizophreniai5iyearsiearlier.iNumerousihospitalizationsihave
ioccurredisinceitheidiagnosisibecauseiofinoncomplianceiwithitheiprescribedimedicationiregi

men.iWhichidrugimightiworkibestiforithisiparticulariclient?

A.iChlorpromazineiHCl
B.iLithiumicarbonate
C.iFluphenazineidecanoate
D.iDiazepami-iCORRECTiiANSWER-C.iFluphenazineidecanoate

Fluphenazine,ianiantipsychoticidrugithaticanibeigiveniIM,ihasiairapidionseti(1itoi2ihours)iandi
ailongidurationiofiactioni(upitoi3iori4iweeks),isoiitiwouldibeitheidrugiofichoiceiforiainoncomplia
ntipsychoticiclient.iOptioniAiisianiantipsychoticidrugiuseditoitreatischizophreniaiandiisiusuall
yiadministerediPOi(IMidosesiareishort-
acting).iTheiclientimustibeicompliantiinitakingithisidrugiforiititoibeieffective.iOptioniBiisimostief
fectiveiwithimaniciandidepressiveibipolariaffectiveidisorders.iOptioniDiisianiantianxietyidrugi
andiwouldinotibeieffectiveiforiaipsychoticidisorder.

Ai6-year-
oldichildiisiadmitteditoitheiemergencyidepartmentiwithistatusiepilepticus.iHisiparentsireportit
hatihisiseizureidisorderihasibeenimanagediwithiphenytoin,i50imgiPOibid,iforitheipastiyear.iW
hichidrugishoulditheinurseiplanitoiadministeriinitheiemergencyidepartment?

A.iPhenytoin
B.iDiazepam
C.iPhenobarbital
D.iCarbamazepinei-iCORRECTiiANSWER-B.iDiazepam

Diazepamiisitheidrugiofichoiceiforitreatmentiofistatusiepilepticus.iOptionsiA,iC,iandiDiareiuse
diforitheilong-
termimanagementiofiseizureidisordersibutiareinotiasiusefuliinitheiemergencyimanagementi
ofistatusiepilepticus.

, Ai67-year-
oldiclientiisidischargedifromitheihospitaliwithiaiprescriptioniforidigoxin,i0.25imgidaily.iWhichii
nstructionishoulditheinurseiincludeiinithisiclient'sidischargeiteachingiplan?

A.iTakeitheimedicationiinitheimorningibeforeirising.
B.iTakeiandirecordiradialipulseirateidaily.
C.iExpectisomeivisionichangesicausedibyitheimedication.
D.iIncreaseiintakeiofifoodsirichiinivitaminiK.i-iCORRECTiiANSWER-
B.iTakeiandirecordiradialipulseirateidaily.

Monitoringipulseirateiisiveryiimportantiwhenitakingidigoxin.iTheiclientishouldibeifurtheriinstr
ucteditoireportipulseiratesi<60iori>110ibeats/minianditoiwithholditheidosageiuntiliconsultingi
withitheihealthicareiprovideriinisuchiaicase.iOptionsiAiandiDiareinotinecessary.iOptioniCiisia
niindicationiofidrugitoxicity,ianditheiclientishouldibeiinstructeditoireportithisiimmediately.

AichemotherapeuticiregimeniwithidoxorubiciniHCliisibeingiplannediforiaiclientirecentlyidiagn
osediwithicancer.iWhatidiagnosticitestiresultsishoulditheinurseireviewiprioritoiinitiatingithisitr
eatment?

A.iElectrocardiogrami(ECG)
B.iArterialibloodigasesi(ABGs)
C.iSerumicholesterolilevel
D.iPelviciultrasoundi-iCORRECTiiANSWER-A.iElectrocardiogrami(ECG)

Baselineicardiacifunctionistudiesiareirequireditoimonitoritheiirreversibleicardiotoxicieffectsio
fidoxorubiciniHCl.iOptioniBiassessesidisturbancesiofiacid-
baseibalance.iOptioniCiisinotiaffectedibyithisichemotherapeuticiagent.iOptioniDiisiuseditoide
tectipelviciabnormalitiesisuchiasitumorsibutiisinotispecificiforitheiadministrationiofidoxorubici
niHCl.

Aichildiisibeingitreatediwithimebendazoleiforipinworms.iWhichitypeiofidietishoulditheimotheri
beiinstructeditoifeeditheichildiwhileitheichildiisireceivingithisimedication?

A.iLactose-freeifoods
B.iHigh-fatidiet
C.iVitaminiC-enrichedifoods
D.iHigh-fiberidieti-iCORRECTiiANSWER-B.iHigh-fatidiet

Aihigh-
fatidietiincreasesitheiabsorptioniofimebendazole,iwhichiboostsitheieffectivenessiofitheimedi
cationiinieliminatingitheipinworms.iOptionsiA,iC,iandiDiareinotirelateditoitheiadministrationiof
ithisimedication.