HESI: Pharmacology Questions with Correct Answers.
The nurse notes that the hemoglobin level of a client receiving darbepoetin
alfa (Aranesp) has increased from 6 to 10 g/dL over the first 2 weeks of
treatment. Which action should the nurse take? - accurate answers-Notify the
health care provider of the change in the client's laboratory values.
A rapid increase (more than 1 g/dL in a 2-week period) may lead to... -
accurate answers-Hypertension
A client is receiving pyridostigmine bromide (Mestinon) to control the
symptoms of myasthenia gravis. Which client behavior would indicate that the
drug therapy is effective? - accurate answers-Clear speech--this shows
increased muscle strength
What is often the first sign of myasthenia gravis? - accurate answers-Muscle
weakness in the head and neck
What are symptoms of ineffective drug management of multiple sclerosis? -
accurate answers-Ptosis and decreased oral secretions
MOA of Metoclopramide HCl (Reglan) - accurate answers-Blocks dopamine--
risk for EPS
Pt education on tetracycline (Vibramycin) - accurate answers-Oral
contraceptives may not be effective
The nurse is preparing to administer amphotericin B (Fungizone) IV to a
client. What laboratory data is most important for the nurse to assess before
initiating an IV infusion of this medication? - accurate answers-Potassium
levels---amphotericin B changes cellular permeability. This will allow
potassium to leave the cell.
Watch for hypokalemia.
Important interventions for a pt taking methotrexate for rheumatoid
arthritis? - accurate answers--Confirm with another nurse that it is not
intended as chemo
, -Assess LFTs
-Monitor I&Os
-Expected side effect: stomatitis
Chemotherapy--daunorubicin HCl (Cerubidine) sign of effective treatment -
accurate answers-Red urine
The health care provider prescribes the anticonvulsant carbamazepine
(Tegretol) for an adolescent client with a seizure disorder. The nurse should
instruct the client to notify the health care provider if which condition occurs?
- accurate answers-Develops a sore throat--Blood dyscrasias (aplastic anemia,
leukopenia, anemia, and thrombocytopenia) can be an adverse effect of
carbamazepine (Tegretol).
Flulike symptoms, such as pallor, fatigue, sore throat, and fever, are
indications of such dyscrasias.
Expected reaction to carbamazepine/tegretol - accurate answers-Dizziness
and dry mouth
Doxorubicin HCl (Adriamycin) - accurate answers-Do ECG for risk for
cardiotoxicity
Adverse effect of too much vitamin C - accurate answers-Diarrhea
During infusion of Mechlorethamine HCl (nitrogen mustard) and actinomycin
(Actinomycin D), what should the nurse do first? - accurate answers-Assess
for extravasation--they are vesicants
Watch for blisters and tissue sloughing
Where is the DPT injection done in infants younger than 2 yrs? - accurate
answers-IM--vastus lateralis
Indication of venlafaxine (Effexor XR) - accurate answers-Depression
Fluphenazine (Prolixin) an antipsychotic for schizophrenics is often seen in
pts that... - accurate answers-Noncompliant with medications
The nurse notes that the hemoglobin level of a client receiving darbepoetin
alfa (Aranesp) has increased from 6 to 10 g/dL over the first 2 weeks of
treatment. Which action should the nurse take? - accurate answers-Notify the
health care provider of the change in the client's laboratory values.
A rapid increase (more than 1 g/dL in a 2-week period) may lead to... -
accurate answers-Hypertension
A client is receiving pyridostigmine bromide (Mestinon) to control the
symptoms of myasthenia gravis. Which client behavior would indicate that the
drug therapy is effective? - accurate answers-Clear speech--this shows
increased muscle strength
What is often the first sign of myasthenia gravis? - accurate answers-Muscle
weakness in the head and neck
What are symptoms of ineffective drug management of multiple sclerosis? -
accurate answers-Ptosis and decreased oral secretions
MOA of Metoclopramide HCl (Reglan) - accurate answers-Blocks dopamine--
risk for EPS
Pt education on tetracycline (Vibramycin) - accurate answers-Oral
contraceptives may not be effective
The nurse is preparing to administer amphotericin B (Fungizone) IV to a
client. What laboratory data is most important for the nurse to assess before
initiating an IV infusion of this medication? - accurate answers-Potassium
levels---amphotericin B changes cellular permeability. This will allow
potassium to leave the cell.
Watch for hypokalemia.
Important interventions for a pt taking methotrexate for rheumatoid
arthritis? - accurate answers--Confirm with another nurse that it is not
intended as chemo
, -Assess LFTs
-Monitor I&Os
-Expected side effect: stomatitis
Chemotherapy--daunorubicin HCl (Cerubidine) sign of effective treatment -
accurate answers-Red urine
The health care provider prescribes the anticonvulsant carbamazepine
(Tegretol) for an adolescent client with a seizure disorder. The nurse should
instruct the client to notify the health care provider if which condition occurs?
- accurate answers-Develops a sore throat--Blood dyscrasias (aplastic anemia,
leukopenia, anemia, and thrombocytopenia) can be an adverse effect of
carbamazepine (Tegretol).
Flulike symptoms, such as pallor, fatigue, sore throat, and fever, are
indications of such dyscrasias.
Expected reaction to carbamazepine/tegretol - accurate answers-Dizziness
and dry mouth
Doxorubicin HCl (Adriamycin) - accurate answers-Do ECG for risk for
cardiotoxicity
Adverse effect of too much vitamin C - accurate answers-Diarrhea
During infusion of Mechlorethamine HCl (nitrogen mustard) and actinomycin
(Actinomycin D), what should the nurse do first? - accurate answers-Assess
for extravasation--they are vesicants
Watch for blisters and tissue sloughing
Where is the DPT injection done in infants younger than 2 yrs? - accurate
answers-IM--vastus lateralis
Indication of venlafaxine (Effexor XR) - accurate answers-Depression
Fluphenazine (Prolixin) an antipsychotic for schizophrenics is often seen in
pts that... - accurate answers-Noncompliant with medications
