HESI PHARMOCOLOGY PRACTICAL
EXAMINATION /CORRECT ANSWERS
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase
inhibitor (MAOI), for a client with depression on the psychiatric unit. Which
information is most important for the nurse to assess?
A. Consumption of any alcohol or tyramine rich foods
B. Reports of nausea or vomiting
C. Therapeutic serum drug levels
D. Blood pressure and pulse prior to taking each dose - ANSWER-A
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time.
What side effects should the nurse assess thr client during the initial dose?
A. Bradykinesia
B. Dystonia
C. Somatization
D. Akathisia - ANSWER-B
While reviewing the client's electronic medical record (EMR), the nurse assesses a
client who is at risk for a possible interaction with an over-the-counter (OTC)
,decongestant. Which client health history should the nurse report to the health care
provider concerning the OTC medication? (Select all that apply)
A. Type 1 diabetes mellitus (DM)
B. Closed angle glaucome
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease - ANSWER-B,C
A client prescribed ipratropium reports nausea, blurred vision, headaches, and
insomnia after using the inhaler. Which action should the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to the healthcare
provider
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes
C. reassure client that the ipratropium given will alleviate the symptoms
D. Delay administration of ipratropium until the next maintenance medication is
scheduled - ANSWER-A
A client diagnosed with multiple sclerosis is experiencing profound weakness,
blurry vision, and shooting pains in both legs. Which medication is considered the
best course of treatment for the nurse to administer?
A. High dose methylprednisolone intravenously
B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
, D. Immunomodulatory drug therapy periodically - ANSWER-A
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic
encephalopathy. Which assessment finding would indicate the medication is being
therapeutic?
A. A decrease in blood ammonia levels
B. A softening in the stools
C. An increase in glucose absorption
D. A suppression of gut acidification - ANSWER-A
The nurse is teaching a client who is newly diagnosed with type 1 diabetes about
neutral protamine Hagedor (NPH) insulin. Which statement by the client indicates
an understanding of how the medication works?
A. It facilitates the transport of glucose into the cells
B. It stimulates the function of beta cells in the pancreas
C. It increases the intracellular receptor site sensitivity
D. It delays the carbohydrate digestion and absorption - ANSWER-A
The nurse should withhold which medication if a client reports nausea, vomiting,
and diarrhea?
A. Colchicine (Mitigare, Colcrys)
B. Erythromycin (E-mycin)
C. Naproxen (Aleve, Naprosyn)
EXAMINATION /CORRECT ANSWERS
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase
inhibitor (MAOI), for a client with depression on the psychiatric unit. Which
information is most important for the nurse to assess?
A. Consumption of any alcohol or tyramine rich foods
B. Reports of nausea or vomiting
C. Therapeutic serum drug levels
D. Blood pressure and pulse prior to taking each dose - ANSWER-A
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time.
What side effects should the nurse assess thr client during the initial dose?
A. Bradykinesia
B. Dystonia
C. Somatization
D. Akathisia - ANSWER-B
While reviewing the client's electronic medical record (EMR), the nurse assesses a
client who is at risk for a possible interaction with an over-the-counter (OTC)
,decongestant. Which client health history should the nurse report to the health care
provider concerning the OTC medication? (Select all that apply)
A. Type 1 diabetes mellitus (DM)
B. Closed angle glaucome
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease - ANSWER-B,C
A client prescribed ipratropium reports nausea, blurred vision, headaches, and
insomnia after using the inhaler. Which action should the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to the healthcare
provider
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes
C. reassure client that the ipratropium given will alleviate the symptoms
D. Delay administration of ipratropium until the next maintenance medication is
scheduled - ANSWER-A
A client diagnosed with multiple sclerosis is experiencing profound weakness,
blurry vision, and shooting pains in both legs. Which medication is considered the
best course of treatment for the nurse to administer?
A. High dose methylprednisolone intravenously
B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
, D. Immunomodulatory drug therapy periodically - ANSWER-A
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic
encephalopathy. Which assessment finding would indicate the medication is being
therapeutic?
A. A decrease in blood ammonia levels
B. A softening in the stools
C. An increase in glucose absorption
D. A suppression of gut acidification - ANSWER-A
The nurse is teaching a client who is newly diagnosed with type 1 diabetes about
neutral protamine Hagedor (NPH) insulin. Which statement by the client indicates
an understanding of how the medication works?
A. It facilitates the transport of glucose into the cells
B. It stimulates the function of beta cells in the pancreas
C. It increases the intracellular receptor site sensitivity
D. It delays the carbohydrate digestion and absorption - ANSWER-A
The nurse should withhold which medication if a client reports nausea, vomiting,
and diarrhea?
A. Colchicine (Mitigare, Colcrys)
B. Erythromycin (E-mycin)
C. Naproxen (Aleve, Naprosyn)
