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Exam (elaborations)

HESI PHARMACOLOGY V1 EXAM QUESTIONS AND CORRECT ANSWERS

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HESI PHARMACOLOGY V1 EXAM QUESTIONS AND CORRECT ANSWERS

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2023-2024 HESI PHARMACOLOGY V1
EXAM QUESTIONS AND CORRECT
ANSWERS
Agbnursegbisgbcaringgbforgbagbclientgbwithgbhyperparathyroidismgbandgbnotesgbthatgbthegbc
lient'sgbserumgbcalciumgblevelgbisgb13gbmg/
dL.gbWhichgbmedicationgbshouldgbthegbnursegbpreparegbtogbadministergbasgbprescribedgbt
ogbthegbclient?1.gbCalciumgbchloride
2.gbCalciumgbgluconate
3.gbCalcitoningb(Miacalcin)
4.gbLargegbdosesgbofgbvitamingbDgb-gbANS--3.gbCalcitoningb(Miacalcin)

Rationale:gb
Thegbnormalgbserumgbcalciumgblevelgbisgb8.6gbtogb10.0gbmg/
dL.gbThisgbclientgbisgbexperiencinggbhypercalcemia.gbCalciumgbgluconategbandgbcalciumg
bchloridegbaregbmedicationsgbusedgbforgbthegbtreatmentgbofgbtetany,gbwhichgboccursgbasgb
agbresultgbofgbacutegbhypocalcemia.gbIngbhypercalcemia,gblargegbdosesgbofgbvitamingbDgb
needgbtogbbegbavoided.gbCalcitonin,gbagbthyroidgbhormone,gbdecreasesgbthegbplasmagbca
lciumgblevelgbbygbinhibitinggbbonegbresorptiongbandgbloweringgbthegbserumgbcalciumgbcon
centration.

Oralgbirongbsupplementsgbaregbprescribedgbforgbagb6-year-
oldgbchildgbwithgbirongbdeficiencygbanemia.gbThegbnursegbinstructsgbthegbmothergbtogbadm
inistergbthegbirongbwithgbwhichgbbestgbfoodgbitem?
1.gbMilk
2.gbWater
3.gbApplegbjuice
4.gbOrangegbjuicegb-gbANS--4.gbOrangegbjuice

Rationale:gb
VitamingbCgbincreasesgbthegbabsorptiongbofgbirongbbygbthegbbody.gbThegbmothergbshouldg
bbegbinstructedgbtogbadministergbthegbmedicationgbwithgbagbcitrusgbfruitgborgbagbjuicegbthat
gbisgbhighgbingbvitamingbC.gbMilkgbmaygbaffectgbabsorptiongbofgbthegbiron.gbWatergbwillgbno
tgbassistgbingbabsorption.gbOrangegbjuicegbcontainsgbagbgreatergbamountgbofgbvitamingbCg
bthangbapplegbjuice.


Salicylicgbacidgbisgbprescribedgbforgbagbclientgbwithgbagbdiagnosisgbofgbpsoriasis.gbThegbnu
rsegbmonitorsgbthegbclient,gbknowinggbthatgbwhichgbofgbthegbfollowinggbwouldgbindicategbt
hegbpresencegbofgbsystemicgbtoxicitygbfromgbthisgbmedication?
1.gbTinnitus
2.gbDiarrheagb
3.gbConstipationgb

,4.gbDecreasedgbRespirationsgb-gbANS--1.gbTinnitus

Rationale:gb
Salicylicgbacidgbisgbabsorbedgbreadilygbthroughgbthegbskin,gbandgbsystemicgbtoxicitygb(sali
cylism)gbcangbresult.gbSymptomsgbincludegbtinnitus,gbdizziness,gbhyperpnea,gbandgbpsyc
hologicalgbdisturbances.gbConstipationgbandgbdiarrheagbaregbnotgbassociatedgbwithgbsalic
ylism.

Thegbcampgbnursegbasksgbthegbchildrengbpreparinggbtogbswimgbingbthegblakegbifgbtheygbha
vegbappliedgbsunscreen.gbThegbnursegbremindsgbthegbchildrengbthatgbchemicalgbsunscree
nsgbaregbmostgbeffectivegbwhengbapplied:
1.gbImmediatelygbbeforegbswimming
2.gb15gbminutesgbbeforegbexposuregbtogbthegbsun
3.gbImmediatelygbbeforegbexposuregbtogbthegbsun
4.gbAtgbleastgb30gbminutesgbbeforegbexposuregbtogbthegbsungb-gbANS--
4.gbAtgbleastgb30gbminutesgbbeforegbexposuregbtogbthegbsun

Rationale:gb
Sunscreensgbaregbmostgbeffectivegbwhengbappliedgbatgbleastgb30gbminutesgbbeforegbexpo
suregbtogbthegbsungbsogbthatgbtheygbcangbpenetrategbthegbskin.gbAllgbsunscreensgbshouldg
bbegbreappliedgbaftergbswimminggborgbsweating


Mafenidegbacetategb(Sulfamylon)gbisgbprescribedgbforgbthegbclientgbwithgbagbburngbinjury.g
bWhengbapplyinggbthegbmedication,gbthegbclientgbcomplainsgbofgblocalgbdiscomfortgbandgb
burning.gbWhichgbofgbthegbfollowinggbisgbthegbmostgbappropriategbnursinggbaction?
1.gbNotifyinggbthegbregisteredgbnurse
2.gbDiscontinuinggbthegbmedication
3.gbInforminggbthegbclientgbthatgbthisgbisgbnormal
4.gbApplyinggbagbthinnergbfilmgbthangbprescribedgbtogbthegbburngbsitegb-gbANS--
3.gbInforminggbthegbclientgbthatgbthisgbisgbnormal

Rationale:gb
Mafenidegbacetategbisgbbacteriostaticgbforgbgram-negativegbandgbgram-
positivegborganismsgbandgbisgbusedgbtogbtreatgbburnsgbtogbreducegbbacteriagbpresentgbing
bavasculargbtissues.gbThegbclientgbshouldgbbegbinformedgbthatgbthegbmedicationgbwillgbca
usegblocalgbdiscomfortgbandgbburninggbandgbthatgbthisgbisgbagbnormalgbreaction;gbtherefor
egboptionsgb1,gb2,gbandgb4gbaregbincorrect

Thegbburngbclientgbisgbreceivinggbtreatmentsgbofgbtopicalgbmafenidegbacetategb(Sulfamylo
n)gbtogbthegbsitegbofgbinjury.gbThegbnursegbmonitorsgbthegbclient,gbknowinggbthatgbwhichgb
ofgbthegbfollowinggbindicatesgbthatgbagbsystemicgbeffectgbhasgboccurred?
1.Hyperventilation
2.Elevatedgbbloodgbpressuregb
3.Localgbpaingbatgbthegbburngbsitegb
4.Localgbrashgbatgbthegbburngbsitegb-gbANS--1.Hyperventilation

,Rationale:gb
Mafenidegbacetategbisgbagbcarbonicgbanhydrasegbinhibitorgbandgbcangbsuppressgbrenalgbe
xcretiongbofgbacid,gbtherebygbcausinggbacidosis.gbClientsgbreceivinggbthisgbtreatmentgbsho
uldgbbegbmonitoredgbforgbsignsgbofgbangbacid-
basegbimbalancegb(hyperventilation).gbIfgbthisgboccurs,gbthegbmedicationgbshouldgbbegbdis
continuedgbforgb1gbtogb2gbdays.gbOptionsgb3gbandgb4gbdescribegblocalgbrathergbthangbsyeff
ects.gbAngbelevatedgbbloodgbpressuregbmaygbbegbexpectedgbfromgbthegbpaingbthatgboccur
sgbwithgbagbburngbinjury.

Isotretinoingbisgbprescribedgbforgbagbclientgbwithgbseveregbacne.gbBeforegbthegbadministrat
iongbofgbthisgbmedication,gbthegbnursegbanticipatesgbthatgbwhichgblaboratorygbtestgbwillgbb
egbprescribed?
1.gbPlateletgbcount
2.gbTriglyceridegblevel
3.gbCompletegbbloodgbcountgb
4.gbWhitegbbloodgbcellgbcountgb-gbANS--2.gbTriglyceridegblevel

Rationale:gb
Isotretinoingbcangbelevategbtriglyceridegblevels.gbBloodgbtriglyceridegblevelsgbshouldgbbegb
measuredgbbeforegbtreatmentgbandgbperiodicallygbthereaftergbuntilgbthegbeffectgbongbthegb
triglyceridesgbhasgbbeengbevaluated.gbOptionsgb1,gb3,gbandgb4gbdogbnotgbneedgbtogbbegb
monitoredgbspecificallygbduringgbthisgbtreatment.

Agbclientgbwithgbseveregbacnegbisgbseengbingbthegbclinicgbandgbthegbhealthgbcaregbprovider
gb(HCP)gbprescribesgbisotretinoin.gbThegbnursegbreviewsgbthegbclient'sgbmedicationgbreco
rdgbandgbwouldgbcontactgbthegb(HCP)gbifgbthegbclientgbisgbtakinggbwhichgbmedication?
1.gbVitamingbA
2.gbDigoxingb(Lanoxin)gb
3.gbFurosemidegb(Lasix)gb
4.gbPhenytoingb(Dilantin)gb-gbANS--1.gbVitamingbA

Rationale:gb
IsotretinoingbisgbagbmetabolitegbofgbvitamingbAgbandgbcangbproducegbgeneralizedgbintensif
icationgbofgbisotretinoingbtoxicity.gbBecausegbofgbthegbpotentialgbforgbincreasedgbtoxicity,gb
vitamingbAgbsupplementsgbshouldgbbegbdiscontinuedgbbeforegbisotretinoingbtherapy.gbOpti
onsgb2,gb3,gbandgb4gbaregbnotgbcontraindicatedgbwithgbthegbusegbofgbisotretinoin

Thegbnursegbisgbapplyinggbagbtopicalgbcorticosteroidgbtogbagbclientgbwithgbeczema.gbThegb
nursegbwouldgbmonitorgbforgbthegbpotentialgbforgbincreasedgbsystemicgbabsorptiongbofgbth
egbmedicationgbifgbthegbmedicationgbweregbbeinggbappliedgbtogbwhichgbofgbthegbfollowingg
bbodygbareas?
1.gbBack
2.gbAxilla
3.gbSolesgbofgbthegbfeet
4.gbPalmsgbofgbthegbhandsgb-gbANS--2.gbAxilla

, Rationale:gb
Topicalgbcorticosteroidsgbcangbbegbabsorbedgbintogbthegbsystemicgbcirculation.gbAbsorpti
ongbisgbhighergbfromgbregionsgbwheregbthegbskingbisgbespeciallygbpermeablegb(scalp,gbaxil
la,gbface,gbeyelids,gbneck,gbperineum,gbgenitalia),gbandgblowergbfromgbregionsgbingbwhich
gbpermeabilitygbisgbpoorgb(back,gbpalms,gbsoles).


Thegbclinicgbnursegbisgbperforminggbangbadmissiongbassessmentgbongbagbclient.gbThegbnu
rsegbnotesgbthatgbthegbclientgbisgbtakinggbazelaicgbacidgb(Azelex).gbBecausegbofgbthegbme
dicationgbprescription,gbthegbnursegbwouldgbsuspectgbthatgbthegbclientgbisgbbeinggbtreated
gbfor:
1.gbAcne
2.gbEczema
3.gbHairgbloss
4.gbHerpesgbsimplexgb-gbANS--1.gbAcne

Rationale:gb
Azelaicgbacidgbisgbagbtopicalgbmedicationgbusedgbtogbtreatgbmildgbtogbmoderategbacne.gbT
hegbacidgbappearsgbtogbworkgbbygbsuppressinggbthegbgrowthgbofgbPropionibacteriumgbac
nesgbandgbdecreasinggbthegbproliferationgbofgbkeratinocytes.gbOptionsgb2,gb3,gbandgb4gbar
egbincorrect.

Thegbhealthgbcaregbprovidergbhasgbprescribedgbsilvergbsulfadiazinegb(Silvadene)gbforgbthe
gbclientgbwithgbagbpartial-thicknessgbburn,gbwhichgbhasgbculturedgbpositivegbforgbgram-
negativegbbacteria.gbThegbnursegbisgbreinforcinggbinformationgbtogbthegbclientgbaboutgbthe
gbmedication.gbWhichgbstatementgbmadegbbygbthegbclientgbindicatesgbagblackgbofgbunderst
andinggbaboutgbthegbtreatments?
1.gb"Thegbmedicationgbisgbangbantibacterial."
2.gb"Thegbmedicationgbwillgbhelpgbhealgbthegbburn."
3.gb"Thegbmedicationgbwillgbpermanentlygbstaingbmygbskin."
4.gb"Thegbmedicationgbshouldgbbegbappliedgbdirectlygbtogbthegbwound."gb-gbANS--
3.gb"Thegbmedicationgbwillgbpermanentlygbstaingbmygbskin."

Rationale:gb
Silvergbsulfadiazinegb(Silvadene)gbisgbangbantibacterialgbthatgbhasgbagbbroadgbspectrumgb
ofgbactivitygbagainstgbgram-negativegbbacteria,gbgram-
positivegbbacteria,gbandgbyeast.gbItgbisgbappliedgbdirectlygbtogbthegbwoundgbtogbassistgbingb
healing.gbItgbdoesgbnotgbstaingbthegbskin.

Agbnursegbisgbcaringgbforgbagbclientgbwhogbisgbreceivinggbangbintravenousgb(IV)gbinfusiongb
ofgbangbantineoplasticgbmedication.gbDuringgbthegbinfusion,gbthegbclientgbcomplainsgbofgb
paingbatgbthegbinsertiongbsite.gbDuringgbangbinspectiongbofgbthegbsite,gbthegbnursegbnotesg
brednessgbandgbswellinggbandgbthatgbthegbrategbofgbinfusiongbofgbthegbmedicationgbhasgbsl
owed.gbThegbnursegbshouldgbtakegbwhichgbappropriategbaction?
1.gbNotifygbthegbregisteredgbnurse.
2.gbAdministergbpaingbmedicationgbtogbreducegbthegbdiscomfort.
3.gbApplygbicegbandgbmaintaingbthegbinfusiongbrate,gbasgbprescribed.gb

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