HESI Pharmacology Nightingale College Fall
A client is scheduled for a spiral computed tomography (CT) scan with contrast to
evaluate for PE. Which information in the client's history requires follow up by the
nurse?: Takes metformin hydrochloride for type 2 DM.
Which action should the nurse implement to assess the effectiveness of the
Calcium channel blocker amlodipine?: Measure the client's BP.
A male client has been receiving the antibiotic gentamicin sulfate IV piggyback
every 12 hours for several days. Which observation by the nurse indicates that the
client may be experiencing an adverse effect of gentamicin?: Hearing has
decreased.
An older adult client with restless legs syndrome begins taking melatonin at
bedtime. When evaluating the effectiveness of the herb which assessment should
the nurse complete?: Determine sleep patterns.
The nurse prepares to administer a scheduled dose of labetalol by mouth to a
client with HTN. The client's V/Signs are temp 99% (37.2*C) heart rate 48 beats/
minute RR 16 breaths/min and BP 150/90 mm/Hg. Which action should the nurse
take?: Withhold the scheduled dose and notify the healthcare provider.
The nurse is planning discharge teaching for a client with DM who has a new
prescription for insulin glargine. Which action should the nurse plan to include in
1/9
, the discharge teaching?: Teach the client self-injection skills for daily
subcutaneous administration.
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis
and is now prescribed adalimumab. Which instructions should the nurse provide
the client?: Have a chest x ray prior to your first dose.
The healthcare provider prescribes ceftazidime 1500 mg intravenously (IV) every
12 hours. The available vial is labeled "ceftazidime 1 gram." And the instructions
for reconstitution state for IV use add 10 ml sterile water for injection.
Concentration after reconstitution 100 mg/ml. How many ml should the nurse
administer?: 15
The nurse observes that a client has become lethargic 30 minutes after receiving
an opioid injection for pain. Which V/S should the nurse obtain first?: RR 39. The
home health nurse observes a client self - administering an epinephrine injection
using an auto-injector pen. Which client requires intervention by the nurse?:
Cleanses the injection pen for re-use.
A client has a prescription for clopidogrel bisulfate 75mg by mouth daily at 0900.
In which situation should the nurse hold this medication?: Elective surgery is
scheduled in two hours
An adolescent with MDD has been taking duloxetine for the past 12 days. Which
assessment finding requires immediate follow up?: Describes life as without
purpose
2/9
A client is scheduled for a spiral computed tomography (CT) scan with contrast to
evaluate for PE. Which information in the client's history requires follow up by the
nurse?: Takes metformin hydrochloride for type 2 DM.
Which action should the nurse implement to assess the effectiveness of the
Calcium channel blocker amlodipine?: Measure the client's BP.
A male client has been receiving the antibiotic gentamicin sulfate IV piggyback
every 12 hours for several days. Which observation by the nurse indicates that the
client may be experiencing an adverse effect of gentamicin?: Hearing has
decreased.
An older adult client with restless legs syndrome begins taking melatonin at
bedtime. When evaluating the effectiveness of the herb which assessment should
the nurse complete?: Determine sleep patterns.
The nurse prepares to administer a scheduled dose of labetalol by mouth to a
client with HTN. The client's V/Signs are temp 99% (37.2*C) heart rate 48 beats/
minute RR 16 breaths/min and BP 150/90 mm/Hg. Which action should the nurse
take?: Withhold the scheduled dose and notify the healthcare provider.
The nurse is planning discharge teaching for a client with DM who has a new
prescription for insulin glargine. Which action should the nurse plan to include in
1/9
, the discharge teaching?: Teach the client self-injection skills for daily
subcutaneous administration.
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis
and is now prescribed adalimumab. Which instructions should the nurse provide
the client?: Have a chest x ray prior to your first dose.
The healthcare provider prescribes ceftazidime 1500 mg intravenously (IV) every
12 hours. The available vial is labeled "ceftazidime 1 gram." And the instructions
for reconstitution state for IV use add 10 ml sterile water for injection.
Concentration after reconstitution 100 mg/ml. How many ml should the nurse
administer?: 15
The nurse observes that a client has become lethargic 30 minutes after receiving
an opioid injection for pain. Which V/S should the nurse obtain first?: RR 39. The
home health nurse observes a client self - administering an epinephrine injection
using an auto-injector pen. Which client requires intervention by the nurse?:
Cleanses the injection pen for re-use.
A client has a prescription for clopidogrel bisulfate 75mg by mouth daily at 0900.
In which situation should the nurse hold this medication?: Elective surgery is
scheduled in two hours
An adolescent with MDD has been taking duloxetine for the past 12 days. Which
assessment finding requires immediate follow up?: Describes life as without
purpose
2/9
