Hesi Pharmacology Exam Questions 2024

A male client who has been taking a high dose of a non-steroidal anti-inflammatory drug (NSAID) comes to the clinic complaining of gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the client include in the nurse’s teaching plan? Answer: C. Notify the healthcare provider of the passage of black stool When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved? Answer: A. Sleeps soundly through the night A male client with a fungal infection of the toenail reports to the nurse that he has been applying an over-the-counter triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take? Answer: A. Instruct the client to obtain a prescription for oral terbinafine A client with a nasogastric tube (NGT) has a prescription for sucralfate. The liquid form of the medication is not currently available in the pharmacy and tablets have been delivered to the medication dispensing system. Which action should the nurse include when administering the medication? Answer: A. Crush the tablet and mix it with water separately from other medications A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the client indicates to the nurse that medication teaching was effective? Answer: B. I will take the tablet every evening to control my asthma The nurse is planning to administer the antiulcer GI agent sucralfate to a client with peptic ulcer disease. Which action should the nurse include in this client’s plan of care? Answer: C. Give sucralfate once a day, preferably at bedtime A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? Answer: D. Hemoglobin level increased to 12 grams/dL (120 mmol/L) The healthcare provider prescribes propylthiouracil (PTU) and Lugol’s solution, a strong idoine solution, for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?Answer: B. Offer both drugs together with a meal Twenty minutes after the nurse starts a secondary IV infusion of cefepime 2 grams using an infusion pump to deliver the dose in one hour, the client reports feeling nauseated. Which action should the nurse implement? Answer: A. Continue the infusion and administer a PRN antiemetic prescription A client with diabetic peripheral neuropathy, who has been taking pregabalin for 2 weeks reports diminished foot pain. The nurse notes that there is no improvement in the healing of several toe ulcerations. Which action should the nurse take? Answer: A. Review the plan of care for strategies used to manage the foot ulcerations A client with type 2 diabetes mellitus who takes glimepiride by mouth daily calls the nurse to report a recent onset of nausea, vomiting and diarrhea. Which response should the nurse provide? Answer: A. Increases oral fluid intake until these symptoms subside. The healthcare provider increases a client’s prescription for glipizide 5mg to glipizide 7.5 mg by mouth every 12 hours. The medication is available in 5 mg scored tablets. How many tablets should the nurse administer with each dose? Answer: 1.5 The nurse is administering the muscle relaxant baclofen PO to a client diagnosed with multiple sclerosis. Which interventions should the nurse implement? Answer: D. Evaluate muscle strength every 4 hours The nurse retrieves hydromorphone 4 mg/ml from the Pyxis Medstation, an automated dispensing system, for a client who is receiving hydromorphone 3 mg IM every 8 hours PRN severe pain. How many mL should the nurse administer to the client? (Round to the nearest tenth) Answer: 0.8 When conducting a drug education about an oral prescription for cyclosporine, which juice should the nurse instruct the client to avoid because it can increase the serum cyclosporine levels? Answer: C. Grapefruit