PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 4
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 4
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is providing medication education for a client prescribed a beta-
blocking agents for treatment of glaucoma. Which statement by the client
demonstrates an understanding of the mechanism of the medication?
a. It inhibits the aqueous humor production.
b. It enhances the aqueous humor outflow.
c. It increases the intraocular pressure.
d. It prevents extraocular infection. - ANSWER-a. it inhibits the aqueous
humor production
The healthcare provider (HCP) prescribes a medication for an older adult
client who is reporting insomnia, and the HCP instructs the client to return
in two weeks. The nurse should question which prescription?
a. Zolpidem (Ambien) 10 milligrams orally at bedtime.
b. Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
c. Temazepam (Restoril) 7.5 milligrams orally at bedtime.
d. Ramelteon (Rozerem) 8 milligrams orally at bedtime. - ANSWER-b.
eszopiclone (lunesta) 10 miligrams orally at bedtime
A client is diagnosed with peptic ulcer disease and receives a prescription
for esomeprazole (Nexium) 20 mg capsule daily. When providing this client
with discharge teaching, the nurse should include which instruction?
a. Drink fluids between meals to relieve gastric distress.
b. Monitor for an increase in blood pressure during therapy.
c. Dissolve capsule contents in fruit juice for easier ingestion.
d. Take at same time each day one hour before eating a meal. -
ANSWER-d. take at same time each day one hour before eating a meal
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic
quinolone. When teaching about this drug, which information in the client's
history requires special emphasis by the nurse?
, PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 4
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 4
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
a. Snacks on dairy products such as yogurt or ice cream.
b. Previously had a mild allergic reaction to a cephalosporin.
c. Consumes alcoholic drinks occasionally on the weekends.
d. Works twenty hours a week as a lifeguard at the local pool. - ANSWER-
d. works twenty hours a week as a lifeguard at the local pool
Cipro can cause both dizziness and photosensitivity. Since the client
works as a lifeguard outdoors, measures related to these adverse
effects should be addressed.
Based on the blood culture and sensitivity results, the healthcare provider
prescribes an IV aminoglycoside antibiotic and discontinues the current
prescription for another broad spectrum antibiotic. The medication
administration record indicates that the client received the broad spectrum
antibiotic two hours ago. Which action should the nurse implement?
a. Obtain peak and trough serum levels so the aminoglycoside antibiotic
can be initiated.
b. Administer the initial dose of the aminoglycoside antibiotic as soon as
possible.
c. Withhold antibiotic administration until the healthcare provider clarifies
the prescriptions.
d. Schedule the initial dose of the aminoglycoside antibiotic for the
following day. - ANSWER-b. administer the initial dose of the
aminoglycoside antibiotic as soon as possible
Based on the blood culture and sensitivity results, the prescribed
aminoglycoside antibiotic is the most effective in treating the client's
infection, so it should be administered as soon as possible.
, PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 4
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 4
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is providing medication teaching for a client who recently
received a prescription for clozapine (Clozaril). Which instruction should be
included in this client's teaching plan?
a. Avoid prolonged sun exposure.
b. Rise slowly from a lying position.
c. Do not eat any aged cheese.
d. Take as needed for anxiety. - ANSWER-b. rise slowly from a lying
position
Which side effects should the nurse monitor for a client who is receiving
dexamethasone (Decadron) following neurosurgery? (Select all that apply.)
a. Mood swings.
b. Decreased appetite.
c. Increased weight gain.
d. Serum glucose level of 65 mg/dl.
e. Delayed incisional wound healing.
f. Serum hemoglobin level of 9 mg/dl. - ANSWER-a. mood swings
c. increased weight gain
e. delayed incisional wound healing
f. serum hemoglobin level of 9mg/dl
A client prescribed sulfisoxazole for a urinary tract infection (UTI) reports
nausea and gastric upset since starting the medication. Which additional
assessment finding should the nurse report to the healthcare provider
immediately?
a. Rash.
b. Diarrhea.
c. Hematuria.
d. Muscle cramping. - ANSWER-a. rash
, PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 4
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 4
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Side effects of sulfisoxazole include possible allergic response
manifested by skin rash and itching that can progress to Stevens-
Johnson syndrome, erythema multiforme, a severe hypersensitivity
reaction.
What teaching should the nurse provide a client who has received a new
prescription for sildenafil (Viagra)? (Select all that apply.)
a. Frequent use can lead to the development of hypertension.
b. Most effective if taken after at least 6 hours of REM sleep.
c. Take within 30 to 60 minutes of sexual stimulation.
d. Report rebound priapism that occurs for 4 hours or more.
e. Can cause facial flushing and headache. - ANSWER-c. take within 30 to
60 min of sexual stimulation
d. report rebound priapism that occurs for 4 hours or more
e. can cause facial flushing and headache
A client is administered an injection of medroxyprogesterone acetate
(Depo-Provera). Which physical finding should the nurse instruct the client
is an expected side effect of the medication?
a. Leg or calf pain.
b. Headaches or visual changes.
c. Vaginal bleeding or spotting.
d. Jaundice or angioedema. - ANSWER-c. vaginal bleeding or spotting
A client is diagnosed with peptic ulcer disease caused by Helicobacter
pylori. Which medications should the nurse anticipate the healthcare
provider to prescribe for the client? (Select all that apply.)
a. Clarithromycin (Biaxin).
b. Sulfisoxazole (Gantrisin).
c. Misoprostol (Cytotec).
d. Omeprazole (Prilosec).
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 4
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is providing medication education for a client prescribed a beta-
blocking agents for treatment of glaucoma. Which statement by the client
demonstrates an understanding of the mechanism of the medication?
a. It inhibits the aqueous humor production.
b. It enhances the aqueous humor outflow.
c. It increases the intraocular pressure.
d. It prevents extraocular infection. - ANSWER-a. it inhibits the aqueous
humor production
The healthcare provider (HCP) prescribes a medication for an older adult
client who is reporting insomnia, and the HCP instructs the client to return
in two weeks. The nurse should question which prescription?
a. Zolpidem (Ambien) 10 milligrams orally at bedtime.
b. Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
c. Temazepam (Restoril) 7.5 milligrams orally at bedtime.
d. Ramelteon (Rozerem) 8 milligrams orally at bedtime. - ANSWER-b.
eszopiclone (lunesta) 10 miligrams orally at bedtime
A client is diagnosed with peptic ulcer disease and receives a prescription
for esomeprazole (Nexium) 20 mg capsule daily. When providing this client
with discharge teaching, the nurse should include which instruction?
a. Drink fluids between meals to relieve gastric distress.
b. Monitor for an increase in blood pressure during therapy.
c. Dissolve capsule contents in fruit juice for easier ingestion.
d. Take at same time each day one hour before eating a meal. -
ANSWER-d. take at same time each day one hour before eating a meal
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic
quinolone. When teaching about this drug, which information in the client's
history requires special emphasis by the nurse?
, PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 4
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 4
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
a. Snacks on dairy products such as yogurt or ice cream.
b. Previously had a mild allergic reaction to a cephalosporin.
c. Consumes alcoholic drinks occasionally on the weekends.
d. Works twenty hours a week as a lifeguard at the local pool. - ANSWER-
d. works twenty hours a week as a lifeguard at the local pool
Cipro can cause both dizziness and photosensitivity. Since the client
works as a lifeguard outdoors, measures related to these adverse
effects should be addressed.
Based on the blood culture and sensitivity results, the healthcare provider
prescribes an IV aminoglycoside antibiotic and discontinues the current
prescription for another broad spectrum antibiotic. The medication
administration record indicates that the client received the broad spectrum
antibiotic two hours ago. Which action should the nurse implement?
a. Obtain peak and trough serum levels so the aminoglycoside antibiotic
can be initiated.
b. Administer the initial dose of the aminoglycoside antibiotic as soon as
possible.
c. Withhold antibiotic administration until the healthcare provider clarifies
the prescriptions.
d. Schedule the initial dose of the aminoglycoside antibiotic for the
following day. - ANSWER-b. administer the initial dose of the
aminoglycoside antibiotic as soon as possible
Based on the blood culture and sensitivity results, the prescribed
aminoglycoside antibiotic is the most effective in treating the client's
infection, so it should be administered as soon as possible.
, PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 4
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 4
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The nurse is providing medication teaching for a client who recently
received a prescription for clozapine (Clozaril). Which instruction should be
included in this client's teaching plan?
a. Avoid prolonged sun exposure.
b. Rise slowly from a lying position.
c. Do not eat any aged cheese.
d. Take as needed for anxiety. - ANSWER-b. rise slowly from a lying
position
Which side effects should the nurse monitor for a client who is receiving
dexamethasone (Decadron) following neurosurgery? (Select all that apply.)
a. Mood swings.
b. Decreased appetite.
c. Increased weight gain.
d. Serum glucose level of 65 mg/dl.
e. Delayed incisional wound healing.
f. Serum hemoglobin level of 9 mg/dl. - ANSWER-a. mood swings
c. increased weight gain
e. delayed incisional wound healing
f. serum hemoglobin level of 9mg/dl
A client prescribed sulfisoxazole for a urinary tract infection (UTI) reports
nausea and gastric upset since starting the medication. Which additional
assessment finding should the nurse report to the healthcare provider
immediately?
a. Rash.
b. Diarrhea.
c. Hematuria.
d. Muscle cramping. - ANSWER-a. rash
, PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 4
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 4
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Side effects of sulfisoxazole include possible allergic response
manifested by skin rash and itching that can progress to Stevens-
Johnson syndrome, erythema multiforme, a severe hypersensitivity
reaction.
What teaching should the nurse provide a client who has received a new
prescription for sildenafil (Viagra)? (Select all that apply.)
a. Frequent use can lead to the development of hypertension.
b. Most effective if taken after at least 6 hours of REM sleep.
c. Take within 30 to 60 minutes of sexual stimulation.
d. Report rebound priapism that occurs for 4 hours or more.
e. Can cause facial flushing and headache. - ANSWER-c. take within 30 to
60 min of sexual stimulation
d. report rebound priapism that occurs for 4 hours or more
e. can cause facial flushing and headache
A client is administered an injection of medroxyprogesterone acetate
(Depo-Provera). Which physical finding should the nurse instruct the client
is an expected side effect of the medication?
a. Leg or calf pain.
b. Headaches or visual changes.
c. Vaginal bleeding or spotting.
d. Jaundice or angioedema. - ANSWER-c. vaginal bleeding or spotting
A client is diagnosed with peptic ulcer disease caused by Helicobacter
pylori. Which medications should the nurse anticipate the healthcare
provider to prescribe for the client? (Select all that apply.)
a. Clarithromycin (Biaxin).
b. Sulfisoxazole (Gantrisin).
c. Misoprostol (Cytotec).
d. Omeprazole (Prilosec).
