PHARMACOLOGY HESI 315 TEST EXAM QUESTION
WITH CORRECT ANSWERS
1. A client taking atorvastatin develops an increased serum creatine phospho- kinase (CK) level. The nurse should
| | | | | | | | | | | | | | |
| assess |the |client |for |the |onset |of |which |problem?
A. Muscle tenderness. |
B. Nausea and vomiting. | |
C. Excessive bruising. |
D. Peripheral edema.: answer A. Muscle tenderness. | | | | |
2. An increase in which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the
| | | | | | | | | | | | | | | | | |
| desired |effect |for |a |client |at |risk |for |coronary |artery |disease?
A. LDL (Low-density lipoprotein) | |
B. Triglycerides (Type of fat) | | |
C. HDL (High-density lipoprotein) | |
D. VLDL (Very low-density lipoprotein): answer C. HDL (High-density lipoprotein)
| | | | | | | |
3. NGN - Patient Data History | | | |
| and |Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
| | | | | | | | | | |
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol
| | | | | | | | | |
90 mcg/inhalation 2 inhalations every 4-6 hours as needed.
| | | | | | | | |
Nurses notes: |
The client states that she has had more severe asthma symptoms than usual
| | | | | | | | | | | |
in the past week. Her forced expiratory volume has been 60-65% even with
| | | | | | | | | | | | |
multiple doses of albuterol for several days in a row. She came to the hospital
| | | | | | | | | | | | | | |
feeling dizzy, lightheaded, and complaining of "heart palpitations". Upon as-
| | | | | | | | | |
sessment, no wheezes were found. Her oxygen saturation is 99%.
| | | | | | | | | |
Review H and P, and nurse's note. Identify from the choices below which
| | | | | | | | | | | |
condition the client is most likely experiencing, two actions the nurse should
| | | | | | | | | | | |
take to address that condition, and two parameters the nurse should monitor
| | | | | | | | | | | |
to assess the client's progress.: answer Potential Condition:
| | | | | | | |
Methemoglobinemia
1 |/ |28
,Actions |to |Take:
1. Draw blood for a complete blood count
| | | | | |
2. Administer methylene blue
| |
2 |/ |28
, Parameters |to |Monitor:
1. Methemoglobin level |
2. Heart rate and rhythm
| | |
4. The nurse provide discharge instructions to a client who has been pre- scribed gabapentin 300 mg by mouth
| | | | | | | | | | | | | | | | |
|three |times |a |day |for |post |herpetic |neuralgia. |Which |symptoms |should |the |nurse |tell |the |client |to |report |to |the
|healthcare |provider?
A. Sexual dysfunction |
B. Gastric irritation |
C. Rapid weight gain | |
D. Photosensitivity: answer B. Gastric irritation | | | |
5. A client with chronic lower back pain has been taking non steroidal anti-in- flammatory (NSAID) drug ibuprofen by
| | | | | | | | | | | | | | | | |
| mouth |twice |a |day |for |several |months. |Which |assessment |is |most |important |for |the |nurse |to |complete?
A. Assess back pain using numeric scale
| | | | |
B. Palpate volume of pedal pulses | | | |
C. Determine presence of abdominal pain | | | |
D. Evaluate ongoing sleep patterns: answer C. Determine presence of abdominal pain
| | | | | | | | | |
6. The nurse administers risedrineate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink
| | | | | | | | | | | | | | | | | | | |
| with |the |medication. |Which |action |should |the |nurse |take?
A. Instruct the client that it is necessary to take nothing but water with the medication.
| | | | | | | | | | | | | |
B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.
| | | | | | | | | | | | | | |
C. Withhold the medication until the client's breakfast tray is available on the unit.
| | | | | | | | | | | |
D. Consult with a pharmacist about scheduling the dose one hour after the client eats.: answer A. Instruct the client
| | | | | | | | | | | | | | | | | |
| that |it |is |necessary |to |take |nothing |but |water |with |the |medication.
7. Which action should the nurse implement to assess the effectiveness of calcium channel blocker amlodipine?
| | | | | | | | | | | | | |
A. Note the clients serum calcium levels
| | | | |
B. Monitor the clients serum electrolytes
| | | |
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WITH CORRECT ANSWERS
1. A client taking atorvastatin develops an increased serum creatine phospho- kinase (CK) level. The nurse should
| | | | | | | | | | | | | | |
| assess |the |client |for |the |onset |of |which |problem?
A. Muscle tenderness. |
B. Nausea and vomiting. | |
C. Excessive bruising. |
D. Peripheral edema.: answer A. Muscle tenderness. | | | | |
2. An increase in which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the
| | | | | | | | | | | | | | | | | |
| desired |effect |for |a |client |at |risk |for |coronary |artery |disease?
A. LDL (Low-density lipoprotein) | |
B. Triglycerides (Type of fat) | | |
C. HDL (High-density lipoprotein) | |
D. VLDL (Very low-density lipoprotein): answer C. HDL (High-density lipoprotein)
| | | | | | | |
3. NGN - Patient Data History | | | |
| and |Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
| | | | | | | | | | |
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol
| | | | | | | | | |
90 mcg/inhalation 2 inhalations every 4-6 hours as needed.
| | | | | | | | |
Nurses notes: |
The client states that she has had more severe asthma symptoms than usual
| | | | | | | | | | | |
in the past week. Her forced expiratory volume has been 60-65% even with
| | | | | | | | | | | | |
multiple doses of albuterol for several days in a row. She came to the hospital
| | | | | | | | | | | | | | |
feeling dizzy, lightheaded, and complaining of "heart palpitations". Upon as-
| | | | | | | | | |
sessment, no wheezes were found. Her oxygen saturation is 99%.
| | | | | | | | | |
Review H and P, and nurse's note. Identify from the choices below which
| | | | | | | | | | | |
condition the client is most likely experiencing, two actions the nurse should
| | | | | | | | | | | |
take to address that condition, and two parameters the nurse should monitor
| | | | | | | | | | | |
to assess the client's progress.: answer Potential Condition:
| | | | | | | |
Methemoglobinemia
1 |/ |28
,Actions |to |Take:
1. Draw blood for a complete blood count
| | | | | |
2. Administer methylene blue
| |
2 |/ |28
, Parameters |to |Monitor:
1. Methemoglobin level |
2. Heart rate and rhythm
| | |
4. The nurse provide discharge instructions to a client who has been pre- scribed gabapentin 300 mg by mouth
| | | | | | | | | | | | | | | | |
|three |times |a |day |for |post |herpetic |neuralgia. |Which |symptoms |should |the |nurse |tell |the |client |to |report |to |the
|healthcare |provider?
A. Sexual dysfunction |
B. Gastric irritation |
C. Rapid weight gain | |
D. Photosensitivity: answer B. Gastric irritation | | | |
5. A client with chronic lower back pain has been taking non steroidal anti-in- flammatory (NSAID) drug ibuprofen by
| | | | | | | | | | | | | | | | |
| mouth |twice |a |day |for |several |months. |Which |assessment |is |most |important |for |the |nurse |to |complete?
A. Assess back pain using numeric scale
| | | | |
B. Palpate volume of pedal pulses | | | |
C. Determine presence of abdominal pain | | | |
D. Evaluate ongoing sleep patterns: answer C. Determine presence of abdominal pain
| | | | | | | | | |
6. The nurse administers risedrineate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink
| | | | | | | | | | | | | | | | | | | |
| with |the |medication. |Which |action |should |the |nurse |take?
A. Instruct the client that it is necessary to take nothing but water with the medication.
| | | | | | | | | | | | | |
B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.
| | | | | | | | | | | | | | |
C. Withhold the medication until the client's breakfast tray is available on the unit.
| | | | | | | | | | | |
D. Consult with a pharmacist about scheduling the dose one hour after the client eats.: answer A. Instruct the client
| | | | | | | | | | | | | | | | | |
| that |it |is |necessary |to |take |nothing |but |water |with |the |medication.
7. Which action should the nurse implement to assess the effectiveness of calcium channel blocker amlodipine?
| | | | | | | | | | | | | |
A. Note the clients serum calcium levels
| | | | |
B. Monitor the clients serum electrolytes
| | | |
3 |/ |28
