2025 Evolve Pharmacology hesi practice exam
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Terms in this set (62)
A client who has been C) Have you had any relief from urinary pain, burning,
taking phenazopyridine or urgency?
(Pyridium) for symptoms Feedback:
of urethritis and cystitis Phenazopyridine, an over-the-counter urinary
comes to the clinic analgesic, acts on the mucosa of the urinary tract to
because her urine is relieve urinary pain, burning, itching, or urgency (C)
reddish-orange. Which associated with urethritis and cystitis. Although
question should the determining if the client is forcing fluids (A),
practical nurse ask to experiencing staining from Pyridium's side effect (B),
determine if the or having signs of a urinary infection (D) are
medication has been worthwhile assessments, the therapeutic response of
effective? Pyridium is related to urinary discomforts only.
A) How much water have
you been drinking each
day?
B) Does the urine color
stain your toilet bowl or
undergarments?
C) Have you had any relief
from urinary pain, burning,
or urgency?
D) Did your urine appear
cloudy or have a foul odor
on voiding?
,A male client who has D) Shave with an electric razor.
been receiving an Feedback:
antineoplastic drug has Thrombocytopenia is a common side effect of bone
developed marrow depression caused by several antineoplastic
thrombocytopenia. What agents. The client is experiencing a low platelet count
instructions should the and should use an electric razor (D) to reduce his risk
practical nurse (PN) of bleeding. (A, B, and C) are not indicated for a client
reinforce? who needs to implement thrombocytopenia
A) Use suppository form precautions.
of drugs.
B) Avoid large public
gatherings.
C) Rise slowly when
standing up.
D) Shave with an electric
razor.
The practical nurse (PN) is B) Weight gain.
caring for a client who has Feedback:
been taking prednisone Long term use of prednisone causes fluid retention
(Deltasone) daily for a and redistribution of fat deposition. Weight gain (B)
year. Which adverse effect and moon face reflect adverse effects of long-term
should the PN document prednisone use and should be documented. (A, C,
in the client's record? and D) do not occur with treatment using prednisone.
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color.
,A female client with B) Hepatic enzymes.
recurring headaches tells Feedback:
the practical nurse (PN) Liver toxicity can occur when doses of
that she has been taking at acetaminophen exceed 4 grams a day, resulting in an
least 4 grams of elevation in hepatic enzyme values (B). (A, C, and D)
acetaminophen a day. do not reveal findings related to acetaminophen
Which laboratory studies toxicity.
should the PN review for
this client?
A) Creatinine clearance.
B) Hepatic enzymes.
C) Coagulation values.
D) Arterial blood gases.
A client receives a A) Constipation.
prescription for an oral Feedback:
opioid analgesic for post- Opioid analgesics slow peristalsis, which leads to
operative pain. Which constipation (A), a common side effect of opiates. (B,
adverse effect should the C, and D) are not associated with opioid analgesics.
practical nurse (PN)
monitor for with the
client?
A) Constipation.
B) Photosensitivity.
C) Decreased heart rate.
D) Frequent urination.
, Which action should the D) Place the medication between the upper molar
practical nurse implement teeth and cheek.
when administering a Feedback:
buccal medication? Buccal medications are placed between the upper
A) Encourage the client to molar teeth and the cheek (D) for absorption by the
swallow. capillaries of the oral mucosa. The client should be
B) Administer water with cautioned against swallowing, not (A). Buccal
medication. medications are not administered with water (B). (C)
C) Ensure the medication describes sublingual administration.
is positioned under the
tongue.
D) Place the medication
between the upper molar
teeth and cheek.
C) Understanding of diet modification.
Feedback:
What assessment is most
To prevent a potentially lethal hypertensive crisis, a
important for the practical
tyramine-free diet should be maintained during
nurse (PN) to obtain prior
antidepressant therapy with Nardil, a monoamine
to initiating medication
oxidase inhibitor (MAOI). It is most important to
therapy with phenelzine
determine if the client understands diet modification
(Nardil) for a client with
(C) before Nardil is initiated to prevent consumption
depression?
of foods that interact with Nardil. Although a client's
A) Activity level.
activity level (A) and mood and affect (B) should be
B) Mood and affect.
monitored during antidepressant therapy, it is most
C) Understanding of diet
important that the client understand diet
modification.
modifications. The client's support system (D) and
D) The client's support
network of family and friends is important, but the
system.
client should understand the responsibility of dietary
compliance with the medication regimen.
latest questions with verified answers BRAND
NEW!!
Terms in this set (62)
A client who has been C) Have you had any relief from urinary pain, burning,
taking phenazopyridine or urgency?
(Pyridium) for symptoms Feedback:
of urethritis and cystitis Phenazopyridine, an over-the-counter urinary
comes to the clinic analgesic, acts on the mucosa of the urinary tract to
because her urine is relieve urinary pain, burning, itching, or urgency (C)
reddish-orange. Which associated with urethritis and cystitis. Although
question should the determining if the client is forcing fluids (A),
practical nurse ask to experiencing staining from Pyridium's side effect (B),
determine if the or having signs of a urinary infection (D) are
medication has been worthwhile assessments, the therapeutic response of
effective? Pyridium is related to urinary discomforts only.
A) How much water have
you been drinking each
day?
B) Does the urine color
stain your toilet bowl or
undergarments?
C) Have you had any relief
from urinary pain, burning,
or urgency?
D) Did your urine appear
cloudy or have a foul odor
on voiding?
,A male client who has D) Shave with an electric razor.
been receiving an Feedback:
antineoplastic drug has Thrombocytopenia is a common side effect of bone
developed marrow depression caused by several antineoplastic
thrombocytopenia. What agents. The client is experiencing a low platelet count
instructions should the and should use an electric razor (D) to reduce his risk
practical nurse (PN) of bleeding. (A, B, and C) are not indicated for a client
reinforce? who needs to implement thrombocytopenia
A) Use suppository form precautions.
of drugs.
B) Avoid large public
gatherings.
C) Rise slowly when
standing up.
D) Shave with an electric
razor.
The practical nurse (PN) is B) Weight gain.
caring for a client who has Feedback:
been taking prednisone Long term use of prednisone causes fluid retention
(Deltasone) daily for a and redistribution of fat deposition. Weight gain (B)
year. Which adverse effect and moon face reflect adverse effects of long-term
should the PN document prednisone use and should be documented. (A, C,
in the client's record? and D) do not occur with treatment using prednisone.
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color.
,A female client with B) Hepatic enzymes.
recurring headaches tells Feedback:
the practical nurse (PN) Liver toxicity can occur when doses of
that she has been taking at acetaminophen exceed 4 grams a day, resulting in an
least 4 grams of elevation in hepatic enzyme values (B). (A, C, and D)
acetaminophen a day. do not reveal findings related to acetaminophen
Which laboratory studies toxicity.
should the PN review for
this client?
A) Creatinine clearance.
B) Hepatic enzymes.
C) Coagulation values.
D) Arterial blood gases.
A client receives a A) Constipation.
prescription for an oral Feedback:
opioid analgesic for post- Opioid analgesics slow peristalsis, which leads to
operative pain. Which constipation (A), a common side effect of opiates. (B,
adverse effect should the C, and D) are not associated with opioid analgesics.
practical nurse (PN)
monitor for with the
client?
A) Constipation.
B) Photosensitivity.
C) Decreased heart rate.
D) Frequent urination.
, Which action should the D) Place the medication between the upper molar
practical nurse implement teeth and cheek.
when administering a Feedback:
buccal medication? Buccal medications are placed between the upper
A) Encourage the client to molar teeth and the cheek (D) for absorption by the
swallow. capillaries of the oral mucosa. The client should be
B) Administer water with cautioned against swallowing, not (A). Buccal
medication. medications are not administered with water (B). (C)
C) Ensure the medication describes sublingual administration.
is positioned under the
tongue.
D) Place the medication
between the upper molar
teeth and cheek.
C) Understanding of diet modification.
Feedback:
What assessment is most
To prevent a potentially lethal hypertensive crisis, a
important for the practical
tyramine-free diet should be maintained during
nurse (PN) to obtain prior
antidepressant therapy with Nardil, a monoamine
to initiating medication
oxidase inhibitor (MAOI). It is most important to
therapy with phenelzine
determine if the client understands diet modification
(Nardil) for a client with
(C) before Nardil is initiated to prevent consumption
depression?
of foods that interact with Nardil. Although a client's
A) Activity level.
activity level (A) and mood and affect (B) should be
B) Mood and affect.
monitored during antidepressant therapy, it is most
C) Understanding of diet
important that the client understand diet
modification.
modifications. The client's support system (D) and
D) The client's support
network of family and friends is important, but the
system.
client should understand the responsibility of dietary
compliance with the medication regimen.
