HESI PHARMACOLOGY TEST BANK LATEST UPDATED REAL
2025 RN V2 FINAL EXAM WITH COMPLETE DETAILED
QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY A+
GRADED
The nurse is reviewing medical record notes of a client with bladder
cancer who is prescribed concentrations of methotrexate followed by
leucovorin (citrovorum factor, folic acid). The nurse should include in
the client's education which information about the anticipated
therapeutic effect of leucovorin?
1.
"It promotes medication excretion."
2.
"It will promote protein synthesis."
3.
"It will help to preserve normal cells."
4.
"It speeds up the effect of the methotrexate."
ANSWER-3. It will help preserve normal cells
,The administration of leucovorin with methotrexate is known as
leucovorin rescue. High concentrations of methotrexate cause harm
and damage to normal cells. Leucovorin bypasses the metabolic block
caused by methotrexate, thereby permitting normal cells to synthesize.
Leucovorin rescue is potentially hazardous because failure to
administer leucovorin in the right dose at the right time can be fatal.
A topical corticosteroid is prescribed for an infant with dermatitis in the
gluteal area. The nurse provides instructions to the mother regarding
the use of the medication. Which statement by the mother indicates an
understanding of the use of the medication?
1."I should not rub the medication into the skin."
2."The medication will help relieve the inflammation."
3."I need to apply the medication in a thick layer to protect the skin."
4."I should protect the area by covering it with a diaper and plastic
pants."
ANSWER-2. The medication will help relieve the inflammation
A topical corticosteroid will relieve inflammation. The mother should be
advised not to apply a tight-fitting diaper or plastic pants after applying
the medication because these items will act as an occlusive dressing.
The use of occlusive dressings (bandages or plastic wraps) over the
affected site is avoided after application of the topical corticosteroid
,unless the health care provider specifically prescribes this wound
coverage. The medication is gently rubbed into the skin after a thin
layer is applied.
A client is seen in the clinic for complaints of thirst, frequent urination,
and headaches. After diagnostic studies, diabetes insipidus is
diagnosed. Desmopressin is prescribed. The client asks why this
medication was prescribed. Which is a correct statement by the nurse?
1."It relieves the headaches."
2."It increases water reabsorption."
3."It stimulates the production of aldosterone."
4."It decreases the production of the antidiuretic hormone."
ANSWER-2. It increases water reabsorption
Desmopressin is an antidiuretic hormone (ADH) used in the treatment
of diabetes insipidus. It promotes renal conservation of water by acting
on the collecting ducts of the kidney to increase the permeability to
water, which results in increased water reabsorption. Desmopressin
does not relieve headaches, stimulate aldosterone, or decrease
production of ADH.
, A client's medication sheet contains a prescription for sertraline. To
ensure safe administration of the medication, how should the nurse
administer the dose?
1.On an empty stomach
2.At the same time each evening
3.Evenly spaced around the clock
4.As needed when the client complains of depression
ANSWER-2. At the same time every evening
Sertraline is classified as an antidepressant. Sertraline generally is
administered once every 24 hours. It may be administered in the
morning or evening, but evening administration may be preferable
because drowsiness is a side effect. The medication may be
administered without food or with food if gastrointestinal distress
occurs. Sertraline is not prescribed for use as needed.
The nurse teaches a client newly diagnosed with type 1 diabetes about
storing Humulin N insulin. Which statement indicates to the nurse that
the client understood the discharge teaching?
1."I should keep the insulin in the cabinet during the day only."
2025 RN V2 FINAL EXAM WITH COMPLETE DETAILED
QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY A+
GRADED
The nurse is reviewing medical record notes of a client with bladder
cancer who is prescribed concentrations of methotrexate followed by
leucovorin (citrovorum factor, folic acid). The nurse should include in
the client's education which information about the anticipated
therapeutic effect of leucovorin?
1.
"It promotes medication excretion."
2.
"It will promote protein synthesis."
3.
"It will help to preserve normal cells."
4.
"It speeds up the effect of the methotrexate."
ANSWER-3. It will help preserve normal cells
,The administration of leucovorin with methotrexate is known as
leucovorin rescue. High concentrations of methotrexate cause harm
and damage to normal cells. Leucovorin bypasses the metabolic block
caused by methotrexate, thereby permitting normal cells to synthesize.
Leucovorin rescue is potentially hazardous because failure to
administer leucovorin in the right dose at the right time can be fatal.
A topical corticosteroid is prescribed for an infant with dermatitis in the
gluteal area. The nurse provides instructions to the mother regarding
the use of the medication. Which statement by the mother indicates an
understanding of the use of the medication?
1."I should not rub the medication into the skin."
2."The medication will help relieve the inflammation."
3."I need to apply the medication in a thick layer to protect the skin."
4."I should protect the area by covering it with a diaper and plastic
pants."
ANSWER-2. The medication will help relieve the inflammation
A topical corticosteroid will relieve inflammation. The mother should be
advised not to apply a tight-fitting diaper or plastic pants after applying
the medication because these items will act as an occlusive dressing.
The use of occlusive dressings (bandages or plastic wraps) over the
affected site is avoided after application of the topical corticosteroid
,unless the health care provider specifically prescribes this wound
coverage. The medication is gently rubbed into the skin after a thin
layer is applied.
A client is seen in the clinic for complaints of thirst, frequent urination,
and headaches. After diagnostic studies, diabetes insipidus is
diagnosed. Desmopressin is prescribed. The client asks why this
medication was prescribed. Which is a correct statement by the nurse?
1."It relieves the headaches."
2."It increases water reabsorption."
3."It stimulates the production of aldosterone."
4."It decreases the production of the antidiuretic hormone."
ANSWER-2. It increases water reabsorption
Desmopressin is an antidiuretic hormone (ADH) used in the treatment
of diabetes insipidus. It promotes renal conservation of water by acting
on the collecting ducts of the kidney to increase the permeability to
water, which results in increased water reabsorption. Desmopressin
does not relieve headaches, stimulate aldosterone, or decrease
production of ADH.
, A client's medication sheet contains a prescription for sertraline. To
ensure safe administration of the medication, how should the nurse
administer the dose?
1.On an empty stomach
2.At the same time each evening
3.Evenly spaced around the clock
4.As needed when the client complains of depression
ANSWER-2. At the same time every evening
Sertraline is classified as an antidepressant. Sertraline generally is
administered once every 24 hours. It may be administered in the
morning or evening, but evening administration may be preferable
because drowsiness is a side effect. The medication may be
administered without food or with food if gastrointestinal distress
occurs. Sertraline is not prescribed for use as needed.
The nurse teaches a client newly diagnosed with type 1 diabetes about
storing Humulin N insulin. Which statement indicates to the nurse that
the client understood the discharge teaching?
1."I should keep the insulin in the cabinet during the day only."
