2022-2023 HESI Pharmacology Question Bank 100%
Verified Questions with Rationale
100.) Disulfiram (Antabuse) is prescribed for a client who
is seen in the psychiatric health care clinic. The nurse
is collecting data on the client and is providing
instructions regarding the use of this medication.
Which is most important for the nurse to determine
before administration of this medication?
1. A history of hyperthyroidism
2. A history of diabetes insipidus
3. When the last full meal was consumed
4. When the last alcoholic drink was consumed 4. When
the last alcoholic drink was consumed Rationale:
Disulfiram is used as an adjunct treatment for selected
clients with chronic alcoholism who want
,2022-2023 HESI Pharmacology Question Bank 100%
Verified Questions with Rationale
to remain in a state of enforced sobriety. Clients must
abstain from alcohol intake for at least 12 hours before
the initial dose of the medication is administered. The
most important data are to determine when the last
alcoholic drink was consumed. The medication is used
with caution in clients with diabetes mellitus,
hypothyroidism, epilepsy, cerebral damage, nephritis,
and hepatic disease. It is also contraindicated in severe
heart disease, psychosis, or hypersensitivity related to
the medication.
101.) A nurse is collecting data from a client and the
client's spouse reports that the client is taking
donepezil hydrochloride (Aricept). Which disorder would
the nurse suspect that this client may have based on
the use of this medication?
1. Dementia
2. Schizophrenia
3. Seizure disorder
4. Obsessive-compulsive
disorder 1.
Dementia Rationale:
Donepezil hydrochloride is a cholinergic agent used in
the treatment of mild to moderate dementia of the
Alzheimer type. It enhances cholinergic functions by
increasing the concentration of acetylcholine. It slows
the progression of Alzheimer's disease. Options 2, 3,
,2022-2023 HESI Pharmacology Question Bank 100%
Verified Questions with Rationale
and 4 are incorrect.
102.) Fluoxetine (Prozac) is prescribed for the client. The
nurse reinforces instructions to the client regarding the
administration of the medication. Which statement by
the client indicates an understanding about
administration of the medication?
1. "I should take the medication with my evening meal."
2. "I should take the medication at noon with an antacid."
3. "I
should take the medication in the morning when I first
arise."
4. "I should take the medication right before bedtime
with a snack." 3. "I should
take the medication in the morning when I first
arise."
Rationale:
Fluoxetine hydrochloride is administered in the early
morning without consideration to meals.
**Eliminate options 1, 2, and 4 because they are
comparable or alike and indicate taking the medication
with an antacid or food.**
103.) A
client receiving a tricyclic antidepressant arrives at
the mental health clinic. Which
, 2022-2023 HESI Pharmacology Question Bank 100%
Verified Questions with Rationale
observation indicates that the client is correctly following
the medication plan?
1. Reports not going to work for this past week
2. Complains of not being able to "do anything" anymore
3. Arrives at the clinic neat and appropriate in appearance
4. Reports sleeping 12 hours per night and 3 to 4 hours
during the day 3. Arrives at
the clinic neat and appropriate in appearance
Rationale:
Depressed individuals will sleep for long periods, are
not able to go to work, and feel as if they cannot "do
anything." Once they have had some therapeutic effect
from their medication, they will report resolution of
many of these complaints as well as demonstrate an
improvement in their appearance.
104.) A nurse is performing a follow-up teaching session
with a client discharged 1 month ago who is taking
fluoxetine (Prozac). What information would be
important for the nurse to gather regarding the
adverse effects related to the medication?
1. Cardiovascular symptoms
2. Gastrointestinal dysfunctions
3. Problems with mouth dryness
4. Problems with excessive sweating 2.
Gastrointestinal dysfunctions Rationale:
Verified Questions with Rationale
100.) Disulfiram (Antabuse) is prescribed for a client who
is seen in the psychiatric health care clinic. The nurse
is collecting data on the client and is providing
instructions regarding the use of this medication.
Which is most important for the nurse to determine
before administration of this medication?
1. A history of hyperthyroidism
2. A history of diabetes insipidus
3. When the last full meal was consumed
4. When the last alcoholic drink was consumed 4. When
the last alcoholic drink was consumed Rationale:
Disulfiram is used as an adjunct treatment for selected
clients with chronic alcoholism who want
,2022-2023 HESI Pharmacology Question Bank 100%
Verified Questions with Rationale
to remain in a state of enforced sobriety. Clients must
abstain from alcohol intake for at least 12 hours before
the initial dose of the medication is administered. The
most important data are to determine when the last
alcoholic drink was consumed. The medication is used
with caution in clients with diabetes mellitus,
hypothyroidism, epilepsy, cerebral damage, nephritis,
and hepatic disease. It is also contraindicated in severe
heart disease, psychosis, or hypersensitivity related to
the medication.
101.) A nurse is collecting data from a client and the
client's spouse reports that the client is taking
donepezil hydrochloride (Aricept). Which disorder would
the nurse suspect that this client may have based on
the use of this medication?
1. Dementia
2. Schizophrenia
3. Seizure disorder
4. Obsessive-compulsive
disorder 1.
Dementia Rationale:
Donepezil hydrochloride is a cholinergic agent used in
the treatment of mild to moderate dementia of the
Alzheimer type. It enhances cholinergic functions by
increasing the concentration of acetylcholine. It slows
the progression of Alzheimer's disease. Options 2, 3,
,2022-2023 HESI Pharmacology Question Bank 100%
Verified Questions with Rationale
and 4 are incorrect.
102.) Fluoxetine (Prozac) is prescribed for the client. The
nurse reinforces instructions to the client regarding the
administration of the medication. Which statement by
the client indicates an understanding about
administration of the medication?
1. "I should take the medication with my evening meal."
2. "I should take the medication at noon with an antacid."
3. "I
should take the medication in the morning when I first
arise."
4. "I should take the medication right before bedtime
with a snack." 3. "I should
take the medication in the morning when I first
arise."
Rationale:
Fluoxetine hydrochloride is administered in the early
morning without consideration to meals.
**Eliminate options 1, 2, and 4 because they are
comparable or alike and indicate taking the medication
with an antacid or food.**
103.) A
client receiving a tricyclic antidepressant arrives at
the mental health clinic. Which
, 2022-2023 HESI Pharmacology Question Bank 100%
Verified Questions with Rationale
observation indicates that the client is correctly following
the medication plan?
1. Reports not going to work for this past week
2. Complains of not being able to "do anything" anymore
3. Arrives at the clinic neat and appropriate in appearance
4. Reports sleeping 12 hours per night and 3 to 4 hours
during the day 3. Arrives at
the clinic neat and appropriate in appearance
Rationale:
Depressed individuals will sleep for long periods, are
not able to go to work, and feel as if they cannot "do
anything." Once they have had some therapeutic effect
from their medication, they will report resolution of
many of these complaints as well as demonstrate an
improvement in their appearance.
104.) A nurse is performing a follow-up teaching session
with a client discharged 1 month ago who is taking
fluoxetine (Prozac). What information would be
important for the nurse to gather regarding the
adverse effects related to the medication?
1. Cardiovascular symptoms
2. Gastrointestinal dysfunctions
3. Problems with mouth dryness
4. Problems with excessive sweating 2.
Gastrointestinal dysfunctions Rationale:
