Test Bank RN HESI Pharmacology Exam
Question and Answer | A+ Verified | Exam
Success Companion
• The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-
old client with arthritis. The client reports that she can't hear the nurse's questions
because her ears are ringing. What action should the nurse implement?
Refer the client to an audiologist for evaluation of her hearing.
Advise the client that this is a common side effect of aspirin therapy.
Notify the healthcare provider of this finding immediately.
Ask the client to turn off her hearing aid during the exam. -✓✓Notify the healthcare
provider of this finding immediately.
• A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis.
The nurse prepares for intravenous administration of edrophonium chloride (Tensilon).
What is the expected outcome for this client following administration of this
pharmacologic agent?
Progressive difficulty with swallowing.
Decreased respiratory effort.
Improvement in generalized fatigue.
Decreased muscle weakness. -✓✓Decreased muscle weakness.
• A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity should
the nurse instruct the client to report promptly to the healthcare provider?
Tinnitus and dizziness.
Tachycardia and chest pain.
Dry skin and intolerance to cold.
Weight gain and increased appetite. -✓✓Tachycardia and chest pain.
• A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally
for symptom management. The nurse notes the client is allergic to sulfa. Which action is
most important for the nurse to implement prior to administering the first dose?
Review the client's hemoglobin results.
Notify the healthcare provider.
Inquire about the reaction to sulfa.
Record the client's vital signs. -✓✓Notify the healthcare provider.
, • 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 1 mg IV
per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally
per hour. What assessment has the highest priority before initiating the PCA pump?
The expiration date on the morphine syringe in the pump.
The rate and depth of the client's respirations.
The type of anesthesia used during the surgical procedure.
The client's subjective and objective signs of pain. -✓✓The rate and depth of the client's
respirations.
• A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse
anticipates an increase in which laboratory value as the result of this medication?
Serum glucose.
Serum calcium.
Red blood cells.
Serum potassium. -✓✓Serum glucose.
• In evaluating the effects of lactulose (Cephulac), which outcome would indicate that
the drug is performing as intended?
An increase in urine output.
Two or three soft stools per day.
Watery, diarrhea stools.
Increased serum bilirubin. -✓✓Two or three soft stools per day.
• A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The nurse
should instruct the client to notify the healthcare provider immediately if which symptom
occurs?
Rash.
Nausea.
Headache.
Dizziness. -✓✓Rash.
• The nurse is teaching a client with cancer about opioid management for intractable
pain and tolerance related side effects. The nurse should prepare the client for which
side effect that is most likely to persist during long-term use of opioids?
Sedation.
Constipation.
Urinary retention.
Respiratory depression. -✓✓Constipation.
Question and Answer | A+ Verified | Exam
Success Companion
• The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-
old client with arthritis. The client reports that she can't hear the nurse's questions
because her ears are ringing. What action should the nurse implement?
Refer the client to an audiologist for evaluation of her hearing.
Advise the client that this is a common side effect of aspirin therapy.
Notify the healthcare provider of this finding immediately.
Ask the client to turn off her hearing aid during the exam. -✓✓Notify the healthcare
provider of this finding immediately.
• A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis.
The nurse prepares for intravenous administration of edrophonium chloride (Tensilon).
What is the expected outcome for this client following administration of this
pharmacologic agent?
Progressive difficulty with swallowing.
Decreased respiratory effort.
Improvement in generalized fatigue.
Decreased muscle weakness. -✓✓Decreased muscle weakness.
• A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity should
the nurse instruct the client to report promptly to the healthcare provider?
Tinnitus and dizziness.
Tachycardia and chest pain.
Dry skin and intolerance to cold.
Weight gain and increased appetite. -✓✓Tachycardia and chest pain.
• A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally
for symptom management. The nurse notes the client is allergic to sulfa. Which action is
most important for the nurse to implement prior to administering the first dose?
Review the client's hemoglobin results.
Notify the healthcare provider.
Inquire about the reaction to sulfa.
Record the client's vital signs. -✓✓Notify the healthcare provider.
, • 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 1 mg IV
per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally
per hour. What assessment has the highest priority before initiating the PCA pump?
The expiration date on the morphine syringe in the pump.
The rate and depth of the client's respirations.
The type of anesthesia used during the surgical procedure.
The client's subjective and objective signs of pain. -✓✓The rate and depth of the client's
respirations.
• A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse
anticipates an increase in which laboratory value as the result of this medication?
Serum glucose.
Serum calcium.
Red blood cells.
Serum potassium. -✓✓Serum glucose.
• In evaluating the effects of lactulose (Cephulac), which outcome would indicate that
the drug is performing as intended?
An increase in urine output.
Two or three soft stools per day.
Watery, diarrhea stools.
Increased serum bilirubin. -✓✓Two or three soft stools per day.
• A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The nurse
should instruct the client to notify the healthcare provider immediately if which symptom
occurs?
Rash.
Nausea.
Headache.
Dizziness. -✓✓Rash.
• The nurse is teaching a client with cancer about opioid management for intractable
pain and tolerance related side effects. The nurse should prepare the client for which
side effect that is most likely to persist during long-term use of opioids?
Sedation.
Constipation.
Urinary retention.
Respiratory depression. -✓✓Constipation.
