HESI Pharmacology Evolve Exam
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1. A 19-year-
m
old male client who has sustained a severe head injury is in-
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tubated and placed on assisted mechanical ventilation. To f
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acilitate optimal ventilation and prevent the client from "fight
m m m m m m m m
ing" the ventilator, the health care provider administers pan
m m m m m m m m
curonium bromide IV, with adjunctive opioid analgesia. What
m m m m m m m
medication should be immediately accessible for a potential
m m m m m m m m
complication with this drug?
m m m m
A. Dantrolene sodium m
B. Neostigmine bromide m
C. Succinylcholine bromide m
D. Epinephrine: B. Neostigmine bromide m m m
Neostigmine bromide and atropine sulfate, both anticholinergic dr
m m m m m m m
ugs, reverse the respiratory muscle paralysis caused by pancuron
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ium bromide. Options A, C, and D are not antagonists to pancuroni
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um bromide and would not be helpful in reversing the effects of th
m m m m m m m m m m m m
e drug compared with the use of anticholinergics.
m m m m m m m
2. A client with viral influenza is receiving vitamin C, 1000 mg
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PO daily, and acetaminophen elixir, 650 mg PO every 4 hours
m m m m m m m m m m m
,PRN.The nurse calls the health care provider to report that th
m m m m m m m m m m
e client has developed diarrhea. Which change in prescriptio
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ns should the nurse anticipate?
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A. Change the acetaminophen to ibuprofen. B. Change the
m m m m m m m m
elixir to an injectable route. C. Decrease the dose of vitamin
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C.
m
D. Begin treatment with an antibiotic.: C. Decrease the dose of
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vitamin C. m
3. When providing nursing care for a client receiving pyridost
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igmine bromide for myasthenia gravis, which nursing interve
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ntion has the highest priority?
m m m m
A. Monitor the client frequently for urinary retention.
m m m m m m
B. Assess respiratory status and breath sounds often.
m m m m m m
C. Monitor blood pressure each shift to screen for
m m m m m m m
hypertension.
m
D. Administer most medications after meals to decrease g
m m m m m m m
astrointestinal irri- m
tation.: B. Assess respiratory status and breath sounds often.
m m m m m m m m m
4. A client with a dislocated shoulder is being prepared for a
m m m m m m m m m m
closed manual reduction using conscious sedation. Which
m m m m m m m
,medication should the nurse ex- m m m m
plain as a sedative used during the procedure?
m m m m m m m m
A. Inhaled nitrous oxide m m
B.Midazolam IV
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C. Ketamine IM m
D. Fentanyl and droperidol IM: B. Midazolam IV
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5. A client is being discharged with a prescription for sulfas
m m m m m m m m m
alazine to treat ulcerative colitis. Which instruction should th
m m m m m m m m
e nurse provide to this client prior to discharge?
m m m m m m m m
A. Maintain good oral hygiene. m m m
B. Take the medication 30 minutes before a meal. C.
m m m m m m m m
Discontinue use of the drug gradually.
m m m m m m
D. Drink at least eight glasses of fluid a day.: D. Drink at least e
m m m m m m m m m m m m m m
ight glasses of fluid a day.
m m m m m
6. The health care provider prescribes carbamazepine for a
m m m m m m m m
child whose ton- ic-
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clonic seizures have been poorly controlled. The nurse info
m m m m m m m m
rms the mother that the child must have blood tests every w
m m m m m m m m m m m
eek.The mother asks why so many blood tests are necessa
m m m m m m m m m
ry. Which complication is assessed through frequent labor
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atory testing that the nurse should explain to this mother?
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, A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression D.Hepatotoxicit m
y: C. Myelosuppression
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Myelosuppression is the highest priority complication that can pot
m m m m m m m m
entially affect clients managed with carbamazepine therapy. The c
m m m m m m m m
lient requires close monitoring for this condition by weekly laborat
m m m m m m m m m
ory testing. Hepatic function may be altered, but this complication
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does not have as great a potential for occurrence as option C. Opti
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ons A and B are not typical complications of carbamazepine thera
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py.
7. When developing a written nursing care plan for a client
m m m m m m m m m
receiving chemotherapy for treatment of cancer, the nurs
m m m m m m m m
e writes, "Assess each voiding for hematuria." The admini
m m m m m m m m
stration of which type of chemotherapeutic agent would p
m m m m m m m m
rompt the nurse to add this intervention?
m m m m m m
A. Vincristine
B. Bleomycin sulfate m
C. Chlorambucil
D. Cyclophosphamide: D. Cyclophosphamide m m
m m m
1. A 19-year-
m
old male client who has sustained a severe head injury is in-
m m m m m m m m m m m
tubated and placed on assisted mechanical ventilation. To f
m m m m m m m m m
acilitate optimal ventilation and prevent the client from "fight
m m m m m m m m
ing" the ventilator, the health care provider administers pan
m m m m m m m m
curonium bromide IV, with adjunctive opioid analgesia. What
m m m m m m m
medication should be immediately accessible for a potential
m m m m m m m m
complication with this drug?
m m m m
A. Dantrolene sodium m
B. Neostigmine bromide m
C. Succinylcholine bromide m
D. Epinephrine: B. Neostigmine bromide m m m
Neostigmine bromide and atropine sulfate, both anticholinergic dr
m m m m m m m
ugs, reverse the respiratory muscle paralysis caused by pancuron
m m m m m m m m
ium bromide. Options A, C, and D are not antagonists to pancuroni
m m m m m m m m m m m
um bromide and would not be helpful in reversing the effects of th
m m m m m m m m m m m m
e drug compared with the use of anticholinergics.
m m m m m m m
2. A client with viral influenza is receiving vitamin C, 1000 mg
m m m m m m m m m m
PO daily, and acetaminophen elixir, 650 mg PO every 4 hours
m m m m m m m m m m m
,PRN.The nurse calls the health care provider to report that th
m m m m m m m m m m
e client has developed diarrhea. Which change in prescriptio
m m m m m m m m
ns should the nurse anticipate?
m m m m
A. Change the acetaminophen to ibuprofen. B. Change the
m m m m m m m m
elixir to an injectable route. C. Decrease the dose of vitamin
m m m m m m m m m m
C.
m
D. Begin treatment with an antibiotic.: C. Decrease the dose of
m m m m m m m m m m m
vitamin C. m
3. When providing nursing care for a client receiving pyridost
m m m m m m m m
igmine bromide for myasthenia gravis, which nursing interve
m m m m m m m
ntion has the highest priority?
m m m m
A. Monitor the client frequently for urinary retention.
m m m m m m
B. Assess respiratory status and breath sounds often.
m m m m m m
C. Monitor blood pressure each shift to screen for
m m m m m m m
hypertension.
m
D. Administer most medications after meals to decrease g
m m m m m m m
astrointestinal irri- m
tation.: B. Assess respiratory status and breath sounds often.
m m m m m m m m m
4. A client with a dislocated shoulder is being prepared for a
m m m m m m m m m m
closed manual reduction using conscious sedation. Which
m m m m m m m
,medication should the nurse ex- m m m m
plain as a sedative used during the procedure?
m m m m m m m m
A. Inhaled nitrous oxide m m
B.Midazolam IV
m m
C. Ketamine IM m
D. Fentanyl and droperidol IM: B. Midazolam IV
m m m m m m
5. A client is being discharged with a prescription for sulfas
m m m m m m m m m
alazine to treat ulcerative colitis. Which instruction should th
m m m m m m m m
e nurse provide to this client prior to discharge?
m m m m m m m m
A. Maintain good oral hygiene. m m m
B. Take the medication 30 minutes before a meal. C.
m m m m m m m m
Discontinue use of the drug gradually.
m m m m m m
D. Drink at least eight glasses of fluid a day.: D. Drink at least e
m m m m m m m m m m m m m m
ight glasses of fluid a day.
m m m m m
6. The health care provider prescribes carbamazepine for a
m m m m m m m m
child whose ton- ic-
m m m
clonic seizures have been poorly controlled. The nurse info
m m m m m m m m
rms the mother that the child must have blood tests every w
m m m m m m m m m m m
eek.The mother asks why so many blood tests are necessa
m m m m m m m m m
ry. Which complication is assessed through frequent labor
m m m m m m m
atory testing that the nurse should explain to this mother?
m m m m m m m m m
, A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression D.Hepatotoxicit m
y: C. Myelosuppression
m m
Myelosuppression is the highest priority complication that can pot
m m m m m m m m
entially affect clients managed with carbamazepine therapy. The c
m m m m m m m m
lient requires close monitoring for this condition by weekly laborat
m m m m m m m m m
ory testing. Hepatic function may be altered, but this complication
m m m m m m m m m m
does not have as great a potential for occurrence as option C. Opti
m m m m m m m m m m m m
ons A and B are not typical complications of carbamazepine thera
m m m m m m m m m m
py.
7. When developing a written nursing care plan for a client
m m m m m m m m m
receiving chemotherapy for treatment of cancer, the nurs
m m m m m m m m
e writes, "Assess each voiding for hematuria." The admini
m m m m m m m m
stration of which type of chemotherapeutic agent would p
m m m m m m m m
rompt the nurse to add this intervention?
m m m m m m
A. Vincristine
B. Bleomycin sulfate m
C. Chlorambucil
D. Cyclophosphamide: D. Cyclophosphamide m m
