with Correct Answers & Detailed Rationales | Evolve HESI
PN Pharmacology Latest Update This Year | Instant Pdf
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Key PN HESI Pharmacology Topics Covered:
Cardiovascular: Antihypertensives, antianginals, dysrhythmics, heart
failure meds, anticoagulants
Endocrine: Diabetes meds, thyroid, steroids
Respiratory: Bronchodilators, corticosteroids, antihistamines
GI: PPIs, H2 blockers, antiemetics, laxatives
Neuro/Psych: Antidepressants (SSRIs, TCAs), antianxiety, antipsychotics,
anticonvulsants, analgesics (opioids, non-opioids)
Infectious: Antibiotics, antivirals, antifungals
Fluids/Electrolytes: Diuretics, potassium, magnesium, calcium
Maternal/Newborn: Oxytocics, magnesium sulfate, terbutaline,
methylergonovine, carboprost, misoprostol, dinoprostone
Safety: Medication administration, side effects, contraindications, patient
teaching
1. A nurse is teaching a client about a new prescription for metformin. Which
instruction should the nurse include?
A. “Take this medication with a full glass of milk.”
B. “Avoid excessive alcohol intake while taking this medication.”
, C. “Expect your urine to turn orange.”
D. “Take this medication on an empty stomach.”
2. A client is receiving heparin IV for a pulmonary embolism. Which lab value
should the nurse monitor?
A. PT
B. INR
C. aPTT
D. Platelet count
3. A nurse is administering insulin glargine to a client. Which action should
the nurse take?
A. Shake the vial before use
B. Administer at the same time each day
C. Mix with regular insulin in the same syringe
D. Administer immediately after meals
4. A client is prescribed furosemide 40 mg PO daily. Which finding should
the nurse report to the provider?
A. Weight loss of 1 lb in 2 days
B. Muscle weakness and cramping
C. Blood pressure 130/80 mm Hg
D. Urine output 1,500 mL/day
5. A nurse is caring for a client who is receiving morphine via PCA. Which
finding indicates an adverse effect?
, A. Respiratory rate 10/min
B. Respiratory rate 8/min and sedation
C. Blood pressure 110/70 mm Hg
D. Pain rating 3/10
6. A client is taking warfarin. Which instruction should the nurse include?
A. “Increase your intake of green leafy vegetables.”
B. “Use a soft-bristle toothbrush to prevent bleeding.”
C. “Take this medication with aspirin for pain.”
D. “Expect your urine to turn dark brown.”
7. A nurse is preparing to administer digoxin to a client. Which finding should
cause the nurse to withhold the dose?
A. Apical pulse 62/min
B. Apical pulse 54/min
C. Blood pressure 120/80 mm Hg
D. Potassium 4.0 mEq/L
8. A client is receiving vancomycin IV. Which lab value should the nurse
monitor?
A. Serum sodium
B. Trough level
C. Hemoglobin
D. Glucose
, 9. A nurse is teaching a client about a new prescription for lisinopril. Which
instruction should the nurse include?
A. “Take this medication with food.”
B. “Report a persistent dry cough to your provider.”
C. “Expect your urine to turn red-orange.”
D. “Avoid potassium-rich foods.”
10. A client is prescribed albuterol inhaler. Which instruction should the
nurse include?
A. “Rinse your mouth after each use.”
B. “Wait 1 minute between puffs.”
C. “Use this inhaler before the corticosteroid inhaler.”
D. “Shake the inhaler after each use.”
11. A nurse is caring for a client who is receiving total parenteral
nutrition (TPN). Which action should the nurse take?
A. Change the TPN tubing every 72 hours
B. Monitor blood glucose levels every 6 hours
C. Administer medications through the TPN line
D. Discontinue TPN abruptly
12. A client is taking prednisone for rheumatoid arthritis. Which
instruction should the nurse include?
A. “Take this medication on an empty stomach.”
B. “Do not stop taking this medication abruptly.”