HESI PHARMACOLOGY FINAL EXAM WITH
CORRECT ANSWERS /GRADED A+
A hospitalized patient has been complaining that she is having issues
sleeping the past few nights. Which medication would the nurse anticipate
that the HCP will prescribe for the patient? - ANSWER-zolpidem (Ambien)
Treats insomnia.
A lVN is preparing to administer phenytoin (Dilantin) to a patient with a
history of partial seizures. The nurse is going to administer the phenytoin
(Dilantin) and ondansetron (Zofran) via IV at the same time. Why did the RN
stop the LVN prior to the administration? - ANSWER-Phenytoin (Dilantin)
cannot be mixed with any other medication when administered via IV.
Also, phenytoin (Dilantin) must be pushed slowly to avoid hypotension.
Check renal and liver functions often.
A nurse is about to administer aspart (Novolog) to a diabetic patient before
breakfast. Which is a priority nursing intervention prior to administering this
insulin? - ANSWER-Ensure that meals will be ready within 30 minutes to avoid
hypoglycemia.
A patient admitted to the emergency room has been diagnosed with cerebral
edema. Which osmotic diuretic would the nurse anticipate to administer to
this patient? - ANSWER-Mannitol (Osmitrol)
Reduces intracranial pressure.
,May cause electrolyte imbalance.
A patient who has been taking psyllium (Metamucil) as prescribed
complained of bloating. How should the nurse respond? - ANSWER-Abdominal
discomfort and bloating is a normal side effect of psyllium (Metamucil).
A patient who is being discharged has a prescription for psyllium
(Metamucil). What teachings should the nurse give this patient? - ANSWER-
Mix with 8 ounces of water and drink immediately.
Drink at least 6-8 glasses of water each day.
Do not take any other medications within 2 hours of taking psyllium
(Metamucil).
An elderly patient has been admitted to the emergency room with signs and
symptoms of jaundice. The patient states that he takes over the counter
acetaminophen (Tylenol) to relieve his arthritis pains often. Which adverse
effect of this medication does the nurse suspect the patient is experiencing?
- ANSWER-Acetaminophen (Tylenol) overdose can cause liver toxicity.
An unconscious patient was admitted to the hospital with respiration of 10
breaths per minute and pinpoint pupils. Which medication should the nurse
anticipate to administer to this patient? - ANSWER-Naloxone (Narcan)
Monitor for respiratory depression after administration.
Define: bactericidal - ANSWER-Kills bacteria.
Define: bacteriostatic - ANSWER-Blocks bacterial reproduction or slows down
the bacterial growth.
, How do you safely prepare medication? - ANSWER-Have good lighting & work
alone.
Check medication label 3 times (When you grab the medication, Before
dispensing medication, & When you replace medication.)
Don't use anything without a label.
Bottles with bad labels need to be returned to the pharmacy.
Never transfer medication into another bottle.
Check expiration date.
Inspect & throw away decomposing medications.
How should the nurse prepare the insulin prior to administering it to a
patient? - ANSWER-Roll the intermediate acting NPH insulin to mix it's
content.
Add air into the intermediate action NPH insulin (Humulin N, Novolin N).
Then add air into the short acting aka regular insulin (lispro Humalog, aspart
(Novolog), glulisine (Apidra).
Then draw up the shorting acting insulin then draw up the intermediate
acting insulin.
How would the nurse prepare psyllium (Metamucil) for administration? -
ANSWER-Mix with 8 ounces of water at the bedside and administer
immediately.
How would you administer medication via IM? - ANSWER-Injecting at 90°
using the Z-Track method.
CORRECT ANSWERS /GRADED A+
A hospitalized patient has been complaining that she is having issues
sleeping the past few nights. Which medication would the nurse anticipate
that the HCP will prescribe for the patient? - ANSWER-zolpidem (Ambien)
Treats insomnia.
A lVN is preparing to administer phenytoin (Dilantin) to a patient with a
history of partial seizures. The nurse is going to administer the phenytoin
(Dilantin) and ondansetron (Zofran) via IV at the same time. Why did the RN
stop the LVN prior to the administration? - ANSWER-Phenytoin (Dilantin)
cannot be mixed with any other medication when administered via IV.
Also, phenytoin (Dilantin) must be pushed slowly to avoid hypotension.
Check renal and liver functions often.
A nurse is about to administer aspart (Novolog) to a diabetic patient before
breakfast. Which is a priority nursing intervention prior to administering this
insulin? - ANSWER-Ensure that meals will be ready within 30 minutes to avoid
hypoglycemia.
A patient admitted to the emergency room has been diagnosed with cerebral
edema. Which osmotic diuretic would the nurse anticipate to administer to
this patient? - ANSWER-Mannitol (Osmitrol)
Reduces intracranial pressure.
,May cause electrolyte imbalance.
A patient who has been taking psyllium (Metamucil) as prescribed
complained of bloating. How should the nurse respond? - ANSWER-Abdominal
discomfort and bloating is a normal side effect of psyllium (Metamucil).
A patient who is being discharged has a prescription for psyllium
(Metamucil). What teachings should the nurse give this patient? - ANSWER-
Mix with 8 ounces of water and drink immediately.
Drink at least 6-8 glasses of water each day.
Do not take any other medications within 2 hours of taking psyllium
(Metamucil).
An elderly patient has been admitted to the emergency room with signs and
symptoms of jaundice. The patient states that he takes over the counter
acetaminophen (Tylenol) to relieve his arthritis pains often. Which adverse
effect of this medication does the nurse suspect the patient is experiencing?
- ANSWER-Acetaminophen (Tylenol) overdose can cause liver toxicity.
An unconscious patient was admitted to the hospital with respiration of 10
breaths per minute and pinpoint pupils. Which medication should the nurse
anticipate to administer to this patient? - ANSWER-Naloxone (Narcan)
Monitor for respiratory depression after administration.
Define: bactericidal - ANSWER-Kills bacteria.
Define: bacteriostatic - ANSWER-Blocks bacterial reproduction or slows down
the bacterial growth.
, How do you safely prepare medication? - ANSWER-Have good lighting & work
alone.
Check medication label 3 times (When you grab the medication, Before
dispensing medication, & When you replace medication.)
Don't use anything without a label.
Bottles with bad labels need to be returned to the pharmacy.
Never transfer medication into another bottle.
Check expiration date.
Inspect & throw away decomposing medications.
How should the nurse prepare the insulin prior to administering it to a
patient? - ANSWER-Roll the intermediate acting NPH insulin to mix it's
content.
Add air into the intermediate action NPH insulin (Humulin N, Novolin N).
Then add air into the short acting aka regular insulin (lispro Humalog, aspart
(Novolog), glulisine (Apidra).
Then draw up the shorting acting insulin then draw up the intermediate
acting insulin.
How would the nurse prepare psyllium (Metamucil) for administration? -
ANSWER-Mix with 8 ounces of water at the bedside and administer
immediately.
How would you administer medication via IM? - ANSWER-Injecting at 90°
using the Z-Track method.
