MED SURG HESI EXIT RN EXAM QUESTIONS
AND ANSWERS CORRECT/VERIFIED /Latest
2025/Test Bank
The health care provider prescribes the H2 antagonist famotidine (Pepcid),
20 mg PO in the morning & at bedtime. Which statement regarding the
action of H2 antagonists offersthe correct rationale for administering the
medication at bedtime?
✓ Hydrochloric acid secreted during the night is blocked.
Dopamine (Intropin) is administered to a client who is hypotensive.
Which findingshould the nurse identify as a therapeutic response?
✓ Increase in urine output - Intropin activates dopamine receptors in the
kidney
& dilates blood vessels to improve renal perfusion, so an
increase in urineoutput indicates an increase in glomerular
filtration caused by increased arterial blood pressure.
The health care provider prescribes carbamazepine (Tegretol) for a child
whose tonic- clonic seizures have been poorly controlled. The nurse
informs the mother that the childmust have blood tests every week. The
mother asks why so many blood tests are necessary. Which complication is
assessed through frequent laboratory testing that the nurse should explain
to this mother?
, ✓ Myelosuppression
The nurse is preparing a teaching plan for a client who has received a new
prescriptionfor levothyroxine sodium (Synthroid). Which instruction
should be included?
✓ "Take your pulse daily, & if it exceeds 100 beats/min, contact the health
care
provider." - Levothyroxine sodium (Synthroid) should be withheld
if the pulseis over 100 beats/min. To prevent insomnia, the daily
dose should be taken early in the morning before breakfast, not at
bedtime.
Two hours after taking the first dose of penicillin, a client arrives at the
emergency department complaining of feeling ill, exhibiting hives, having
difficulty breathing, & experiencing hypotension. These findings are
consistent with which client response thatrequires immediate action?
✓ Severe acute anaphylactic response
A child with cystic fibrosis is receiving ticarcillin disodium (Ticar)
for Pseudomonas pneumonia. For which adverse effect should the nurse assess
& reportpromptly to the health care provider?
✓ Petechiae - Adverse effects of ticarcillin disodium (Ticar) include
hypothrombinemia & decreased platelet adhesion, which can result
in thepresence of petechiae.
A client with metastatic cancer who has been receiving fentanyl
(Duragesic) for severalweeks reports to the nurse that the medication is
not effectively controlling the pain. Which intervention should the nurse
initiate?
✓ Notify the health care provider of the need to increase the dose.
A client is receiving acyclovir sodium (Zovirax) IV for a severe herpes
simplex infection.Which intervention should the nurse implement during
this drug therapy?
✓ Increase daily fluids to 2000 to 4000 mL/day.
During the initial nursing assessment history, a client tells the nurse that he
is taking tetracycline hydrochloride (Sumycin) for urethritis. Which
medication taken concurrentlywith Sumycin could interfere with its
absorption?
, ✓ Sucralfate (Carafate) - Sucralfate (Carafate) is used to treat
duodenal ulcers &
will bind with tetracycline hydrochloride (Sumycin), inhibiting this
antibiotic's absorption.
The nurse is reviewing prescribed medications with a female client who is
preparing fordischarge. The client asks the nurse why the oral dose of an
opioid analgesic is higher
, than the IV dose that she received during hospitalization. Which response is
best for thenurse to provide?
✓ Oral forms of drugs must pass through the liver first, where more of the
dose is
metabolized.
The health care provider prescribes the anticonvulsant carbamazepine
(Tegretol) for an adolescent client with a seizure disorder. The nurse should
instruct the client to notify thehealth care provider if which condition occurs?
✓ Develops a sore throat - Blood dyscrasias (aplastic anemia, leukopenia,
anemia, & thrombocytopenia) can be an adverse effect of
carbamazepine (Tegretol). Flulike symptoms, such as pallor,
fatigue, sore throat, & fever, areindications of such dyscrasias.
During therapy with isoniazid (INH), it is most important for the nurse to
monitor whichlaboratory value closely?
✓ Liver enzyme levels
A client with mild parkinsonism is started on oral amantadine
(Symmetrel). Whichstatement accurately describes the action of this
medication?
✓ Dopamine in the central nervous system is increased.
Which statement indicates that client teaching regarding the
administration of thechemotherapeutic agent daunorubicin HCl
(Cerubidine) has been effective?
✓ "I expect my urine to be red for the next few days."
When providing nursing care for a client receiving pyridostigmine
bromide (Mestinon)for myasthenia gravis, which nursing intervention has
the highest priority?
✓ Assess respiratory status & breath sounds often. - The client with
myasthenia
gravis is at greatest risk for life-threatening respiratory
complications because of the weakness of the diaphragm &
ancillary respiratory muscles caused by the disease process.
Cholinergic agents used to reduce muscle weakness can also
cause hypersalivation, increased respiratory secretions, &
possible bronchoconstriction.
Which factor is most important to ensure compliance when planning to
teach a clientabout a drug regimen?
AND ANSWERS CORRECT/VERIFIED /Latest
2025/Test Bank
The health care provider prescribes the H2 antagonist famotidine (Pepcid),
20 mg PO in the morning & at bedtime. Which statement regarding the
action of H2 antagonists offersthe correct rationale for administering the
medication at bedtime?
✓ Hydrochloric acid secreted during the night is blocked.
Dopamine (Intropin) is administered to a client who is hypotensive.
Which findingshould the nurse identify as a therapeutic response?
✓ Increase in urine output - Intropin activates dopamine receptors in the
kidney
& dilates blood vessels to improve renal perfusion, so an
increase in urineoutput indicates an increase in glomerular
filtration caused by increased arterial blood pressure.
The health care provider prescribes carbamazepine (Tegretol) for a child
whose tonic- clonic seizures have been poorly controlled. The nurse
informs the mother that the childmust have blood tests every week. The
mother asks why so many blood tests are necessary. Which complication is
assessed through frequent laboratory testing that the nurse should explain
to this mother?
, ✓ Myelosuppression
The nurse is preparing a teaching plan for a client who has received a new
prescriptionfor levothyroxine sodium (Synthroid). Which instruction
should be included?
✓ "Take your pulse daily, & if it exceeds 100 beats/min, contact the health
care
provider." - Levothyroxine sodium (Synthroid) should be withheld
if the pulseis over 100 beats/min. To prevent insomnia, the daily
dose should be taken early in the morning before breakfast, not at
bedtime.
Two hours after taking the first dose of penicillin, a client arrives at the
emergency department complaining of feeling ill, exhibiting hives, having
difficulty breathing, & experiencing hypotension. These findings are
consistent with which client response thatrequires immediate action?
✓ Severe acute anaphylactic response
A child with cystic fibrosis is receiving ticarcillin disodium (Ticar)
for Pseudomonas pneumonia. For which adverse effect should the nurse assess
& reportpromptly to the health care provider?
✓ Petechiae - Adverse effects of ticarcillin disodium (Ticar) include
hypothrombinemia & decreased platelet adhesion, which can result
in thepresence of petechiae.
A client with metastatic cancer who has been receiving fentanyl
(Duragesic) for severalweeks reports to the nurse that the medication is
not effectively controlling the pain. Which intervention should the nurse
initiate?
✓ Notify the health care provider of the need to increase the dose.
A client is receiving acyclovir sodium (Zovirax) IV for a severe herpes
simplex infection.Which intervention should the nurse implement during
this drug therapy?
✓ Increase daily fluids to 2000 to 4000 mL/day.
During the initial nursing assessment history, a client tells the nurse that he
is taking tetracycline hydrochloride (Sumycin) for urethritis. Which
medication taken concurrentlywith Sumycin could interfere with its
absorption?
, ✓ Sucralfate (Carafate) - Sucralfate (Carafate) is used to treat
duodenal ulcers &
will bind with tetracycline hydrochloride (Sumycin), inhibiting this
antibiotic's absorption.
The nurse is reviewing prescribed medications with a female client who is
preparing fordischarge. The client asks the nurse why the oral dose of an
opioid analgesic is higher
, than the IV dose that she received during hospitalization. Which response is
best for thenurse to provide?
✓ Oral forms of drugs must pass through the liver first, where more of the
dose is
metabolized.
The health care provider prescribes the anticonvulsant carbamazepine
(Tegretol) for an adolescent client with a seizure disorder. The nurse should
instruct the client to notify thehealth care provider if which condition occurs?
✓ Develops a sore throat - Blood dyscrasias (aplastic anemia, leukopenia,
anemia, & thrombocytopenia) can be an adverse effect of
carbamazepine (Tegretol). Flulike symptoms, such as pallor,
fatigue, sore throat, & fever, areindications of such dyscrasias.
During therapy with isoniazid (INH), it is most important for the nurse to
monitor whichlaboratory value closely?
✓ Liver enzyme levels
A client with mild parkinsonism is started on oral amantadine
(Symmetrel). Whichstatement accurately describes the action of this
medication?
✓ Dopamine in the central nervous system is increased.
Which statement indicates that client teaching regarding the
administration of thechemotherapeutic agent daunorubicin HCl
(Cerubidine) has been effective?
✓ "I expect my urine to be red for the next few days."
When providing nursing care for a client receiving pyridostigmine
bromide (Mestinon)for myasthenia gravis, which nursing intervention has
the highest priority?
✓ Assess respiratory status & breath sounds often. - The client with
myasthenia
gravis is at greatest risk for life-threatening respiratory
complications because of the weakness of the diaphragm &
ancillary respiratory muscles caused by the disease process.
Cholinergic agents used to reduce muscle weakness can also
cause hypersalivation, increased respiratory secretions, &
possible bronchoconstriction.
Which factor is most important to ensure compliance when planning to
teach a clientabout a drug regimen?
