PHARMACOLOGY RN HESI EXIT EXAM
2024VERSION 4 /HESI RN PHARMACOLOGY EXIT
EXAM VERSION 4 COMPLETE ALL 55
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
The healthcare provider prescribes digitalis (Digoxin) for a
client diagnosed with congestive heart failure. Which
intervention should the nurse implement prior to
adminstering the digoxin?
A. Observe resp rate and depth
B. assess the serum potassium level
C. Obtain the clients blood pressure
D. Monitor the serum glucose level - ....ANSWER...B.
RATIONALE: hypokalemia (decreased serum
potassium) will precipitate digitalis toxicity in persons
receiving digoxin
An antacid (maalox) is prescribed for a client with PUD.
The nurse knows that the purpose of this medication is to
A. Decrease production of gastric secretions
B. produce an adherent barrier over the ulcer
C. Maintain a gastric pH of 3.5 or above
D. decrease gastric motor activity - ....ANSWER...C.
Which client should the nurse identify as being at the
highest risk for complications during the use of an opioid
analgesic?
A. an older client with type 2 diabetes
, B. A client with chronic rheumatoid arthritis
C. A client with a open compound fracture
D. A young adult with inflammatory bowel disease -
....ANSWER...D
A client is being treated for osteoporosis with alendronate
(fosamax), and the nurse has completed discharge teaching
regarding medication administration. Which morning
schedule would indicated to the nurse that the client
teaching has been effective?
A. take medication, go for a30 minutes morning walk,
then eat breakfast
B. take med, rest in bed for 30 min., eat breakfast, go
for morning walk
C. take medication with breakfast, then take a 30
minute morning walk
D. go for a 30minute morning walk, eat breakfast, then
take the med - ....ANSWER...A.
A client is receiving clonidine (catapres) 0.1mg/24hr via
transdermal patch. Which assessment finding indicates that
the desired effect of the medication has been achieved?
A. client denies recent episodes of angina
B. Change in peripheral edema from +3 to +1
C. Client denies recent nausea or vomiting
D. Blood pressure has changed from 180/120 to 140/70 -
....ANSWER...D.
RATIONALE: Catapres acts as a centrally-acting analgesic
and antihypertensive agent. D. indicates a reduction in
hypertention
,A female client with RA takes ibuprofen (motrin) 600mg
PO 4xday. To preven GI bleeding, misoprostol (cytotec)
100mcg PO is prescribed. Which information is most
important for the nurse to include in client teaching?
A. use contraception during intercourse
B. ensure the cytotec is taken on an empty stomach
C. encourage oral fluid intake to prevent constipation
D. take cytotec 30min prior to motrin - ....ANSWER...A.
RATIONALE: Cytotec, a synthetic form of
prostaglandin, is classified as pregnancy category X and
can act as an abortifacient, so the client should be
instructed to use contraception during intercourse to
prevent loss of early pregnancy
Which dosing schedule should the nurse teach the client to
observe for a controlled-release oxycodone prescription -
....ANSWER...Q12H
The nurse is reviewing the use of the patient-controlled
analgesia (PCA) pump with a client in the immediate
postoperative period. The client will receive morphine 1mg
IV/hour basal rate with 1mg IV every 15minutes per PCA to
toal 5mg IV max per hour. WHat assessment has the highest
priority before initating the PCA pump
A. The expiration date on the morphine syringe in the pump
B. The rate and depth of the client's respirations
C. The type of anesthesia used during the surgical procedure
D. The client's subjective and objective signs of pain -
....ANSWER...ANS: B
RATIONALE:A life-threatening side effect of intravenous
administration of morphine sulfate, an opiate narcotic, is
, respiratory depression (B). The PCA pump should be
stopped and the healthcare provider notified if the client's
respiratory rate falls below 12 breaths per minute, and the
nurse should anticipate adjustments in the client's dosage
before the PCA pump is restarted.
A client receiving albuterol (Proventil) tablets complains of
nausea every evening with her 9 p.m. dose. What action
should the nurse take to alleviate this side effect?
A) Change the time of the dose.
B) Hold the 9 p.m. dose.
C) Administer the dose with a snack.
D) Administer an antiemetic with the dose. -
....ANSWER...C.
RATIONALE:Administering oral doses with food (C)
helps minimize GI discomfort. (A) would be appropriate
only if changing the time of the dose corresponds to meal
times while at the same time maintaining an appropriate
time interval between doses. (B) would disrupt the dosing
schedule, and could result in a nontherapeutic serum level
of the medication. (D) should not be attempted before other
interventions, such as (C), have been proven ineffective in
relieving the nausea.
In evaluating the effects of lactulose (Cephulac), which
outcome should indicate that the drug is performing as
intended?
A) An increase in urine output.
B) Two or three soft stools per day.
C) Watery, diarrhea stools.
D) Increased serum bilirubin. - ....ANSWER...B.
2024VERSION 4 /HESI RN PHARMACOLOGY EXIT
EXAM VERSION 4 COMPLETE ALL 55
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
The healthcare provider prescribes digitalis (Digoxin) for a
client diagnosed with congestive heart failure. Which
intervention should the nurse implement prior to
adminstering the digoxin?
A. Observe resp rate and depth
B. assess the serum potassium level
C. Obtain the clients blood pressure
D. Monitor the serum glucose level - ....ANSWER...B.
RATIONALE: hypokalemia (decreased serum
potassium) will precipitate digitalis toxicity in persons
receiving digoxin
An antacid (maalox) is prescribed for a client with PUD.
The nurse knows that the purpose of this medication is to
A. Decrease production of gastric secretions
B. produce an adherent barrier over the ulcer
C. Maintain a gastric pH of 3.5 or above
D. decrease gastric motor activity - ....ANSWER...C.
Which client should the nurse identify as being at the
highest risk for complications during the use of an opioid
analgesic?
A. an older client with type 2 diabetes
, B. A client with chronic rheumatoid arthritis
C. A client with a open compound fracture
D. A young adult with inflammatory bowel disease -
....ANSWER...D
A client is being treated for osteoporosis with alendronate
(fosamax), and the nurse has completed discharge teaching
regarding medication administration. Which morning
schedule would indicated to the nurse that the client
teaching has been effective?
A. take medication, go for a30 minutes morning walk,
then eat breakfast
B. take med, rest in bed for 30 min., eat breakfast, go
for morning walk
C. take medication with breakfast, then take a 30
minute morning walk
D. go for a 30minute morning walk, eat breakfast, then
take the med - ....ANSWER...A.
A client is receiving clonidine (catapres) 0.1mg/24hr via
transdermal patch. Which assessment finding indicates that
the desired effect of the medication has been achieved?
A. client denies recent episodes of angina
B. Change in peripheral edema from +3 to +1
C. Client denies recent nausea or vomiting
D. Blood pressure has changed from 180/120 to 140/70 -
....ANSWER...D.
RATIONALE: Catapres acts as a centrally-acting analgesic
and antihypertensive agent. D. indicates a reduction in
hypertention
,A female client with RA takes ibuprofen (motrin) 600mg
PO 4xday. To preven GI bleeding, misoprostol (cytotec)
100mcg PO is prescribed. Which information is most
important for the nurse to include in client teaching?
A. use contraception during intercourse
B. ensure the cytotec is taken on an empty stomach
C. encourage oral fluid intake to prevent constipation
D. take cytotec 30min prior to motrin - ....ANSWER...A.
RATIONALE: Cytotec, a synthetic form of
prostaglandin, is classified as pregnancy category X and
can act as an abortifacient, so the client should be
instructed to use contraception during intercourse to
prevent loss of early pregnancy
Which dosing schedule should the nurse teach the client to
observe for a controlled-release oxycodone prescription -
....ANSWER...Q12H
The nurse is reviewing the use of the patient-controlled
analgesia (PCA) pump with a client in the immediate
postoperative period. The client will receive morphine 1mg
IV/hour basal rate with 1mg IV every 15minutes per PCA to
toal 5mg IV max per hour. WHat assessment has the highest
priority before initating the PCA pump
A. The expiration date on the morphine syringe in the pump
B. The rate and depth of the client's respirations
C. The type of anesthesia used during the surgical procedure
D. The client's subjective and objective signs of pain -
....ANSWER...ANS: B
RATIONALE:A life-threatening side effect of intravenous
administration of morphine sulfate, an opiate narcotic, is
, respiratory depression (B). The PCA pump should be
stopped and the healthcare provider notified if the client's
respiratory rate falls below 12 breaths per minute, and the
nurse should anticipate adjustments in the client's dosage
before the PCA pump is restarted.
A client receiving albuterol (Proventil) tablets complains of
nausea every evening with her 9 p.m. dose. What action
should the nurse take to alleviate this side effect?
A) Change the time of the dose.
B) Hold the 9 p.m. dose.
C) Administer the dose with a snack.
D) Administer an antiemetic with the dose. -
....ANSWER...C.
RATIONALE:Administering oral doses with food (C)
helps minimize GI discomfort. (A) would be appropriate
only if changing the time of the dose corresponds to meal
times while at the same time maintaining an appropriate
time interval between doses. (B) would disrupt the dosing
schedule, and could result in a nontherapeutic serum level
of the medication. (D) should not be attempted before other
interventions, such as (C), have been proven ineffective in
relieving the nausea.
In evaluating the effects of lactulose (Cephulac), which
outcome should indicate that the drug is performing as
intended?
A) An increase in urine output.
B) Two or three soft stools per day.
C) Watery, diarrhea stools.
D) Increased serum bilirubin. - ....ANSWER...B.
