Evolve Hesi Pharm Actual Exam Version 1,2,3 And 4
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an antacid (Maalox) is prescribed for a client with peptic
ulcer disease. the nurse knows that the purpose of this
medicatio is:
A. decrease production of gastric secretions
B. produce an adherent barrier over the ulcer
C. maintain a gastric pH of 3.5 or higher
D. decrease gastric motor activity - Answer-C. maintain a
gastric pH of 3.5 or higher
rationale: objective of antacids is to neutralize gastric
acids and keep a pH of 3.5 or above, which is necessary
for pepsinogen activity
In evaluation the effects of lactulose (Cephulac), which
outcome would indicate that the drug is performing as
intended?
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A. increase in urine output
B. 2 or 3 soft stools per day.
C. watery, diarrhea stools
D. increased serum bilirubin - Answer-B. 2 or 3 soft stools
per day.
The healthcare provider prescribes digitalis (Digoxin) for a
client diagnosed with CHF. which intervention should the
nurse implement prior to administering Digoxin?
A. observe respiratory rate and depth
B. assess serum potassium level
C. obtain the client's BP
D. Monitor the serum glucose level - Answer-B. assess
serum potassium level
Following the administration of sublingual nitroglycerin to a
client experiencing an acute anginal attack, which
assessment finding indicates to the nurse that the desired
effect has been achieved?
A. client states chest pain is relieved
B. client's pulse decreases from 120 to 90
C. client's systolic BP decreases from 180 to 90.
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D. clients Oxygen level increases form 92% to 96% -
Answer-A. client states chest pain is relieved
A client with CHF is being discharges with a new
prescription for ACE inhibitor Captopril (Capoten). The
nurse's discharge instruction should include reporting
which problem to the health care provider?
A. weight loss
B. Dizziness
C. Muscle cramps
D. Dry mucous membreanes - Answer-B. Dizziness
A client is being treated for hyperthyroidism with
propylthiouracil (PTU). The nurse knows that the action of
this drug is to:
A. decrease the amount of thyroid-stimulating hormone
circulating in the blood.
B. increase the amount of thyroid-stimulating hormone
circulating in the blood.
C. increase the amount of T4 and decrease the amount of
T3 produced by the thyroid.
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D. inhibit synthesis of T3 and T4 by the thyroid glanf -
Answer-D. inhibits synthesis of T3 and T4 by the thyroid
gland.
A client with Parkinson's disease is taking carbidopa-
levadopa (Sinemet). which observation by the nurse would
indicate that the desired outcome of the medication is
being achieved?
A. decreased BP
B. lessening of tremors
C. increased salivation
D. increased attention span - Answer-B. lessening of
tremors
rationale: sinemet carbidopa increases the amount of
levodopa to the CNS (dopamine to the brain). increased
amounts of dopamine improve the symptoms of
Parkinsons, such as involuntary movements, resting
tremors, shuffling air, etc. dec drooling would be a desired
effect of levodopa/carbidopa
Following heparin treatment for a pulmonary embolism, a
client is being discharged with a prescription for warfarin