Pharm HESI 2021.

PHARM_
HESI
_2021
1.Amalecli
entwh
oh asbeentaki
ngahig
hd oseofanonst
eroi
dalant
i-
in
fla
mma torydr
ug(NSAI
D)comestot
hecl
i
nic
co
mp l
aini
ngofgast
ri
cp ai
nandb l
oodi
nhisstool
.Theheal
thca
reprov
iderdi
sconti
nuest
heNSAIDsandpr
esc
ri
bes
es
omep r
azol
e.Whic
hinformat
ionshou
ldthecli
enti
ncl
udeinthen
urse’
steachi
ngp l
an?
A.Oncepainsubs
ides,NSAIDther
apycanb econt
inu
ed
B.Re
sumead
iett
hatc
ons
ist
sofmi
l
k,c
rea
m,a
ndb
lan
dfood
sC.Not
if
y
t
heh
eal
thc
arep
rov
ide
roft
hep
ass
ageofb
lac
kst
ool
D.
Ca l
lt
hecli
ni
cifdi
arr
heaorhea
dacheoccurwhe
ntaki
nges
ome p
razol
e
Ans
we r
:C.Noti
fyt
heheal
thca
repro
viderofth
epass
ageofbl
acksto
o l

2.
Wh ena dmini
steri
ngzolpi
de mtoanold
ercl
ien
t,wh
ichc
omp
ute
rdoc
ume
nta
tioni
ndi
cat
est
hatt
hed
esi
redou
tcomeh
as
be
e nachieved?
A.Sle
ep ssoundlythrou
ghth enig
ht
B.Decreasedepisodesofinconti
nenc
e
C.Exhi
b i
tsfewere moti
onaloutbur
st
D.Improvedabil
itytoconcentr
ate
Answer:A.Sleepss oundl
yth r
oughtheni
ght

3
.Ama
lec
li
entwi
thaf
ung
ali
nfe
cti
onoft
het
oen
ail
rep
ort
stot
hen
urs
eth
ath
eha
sbe
ena
ppl
yi
nga
nov
er-
the
-cou
nte
r




Answe
r:A.Inst
ructt
hecli
entt
oo btai
nap r
escri
pti
onfororalterbi
naf
ine
t
ri
pl
eanti
bi
oti
coint
mentt
othei
nfect
iondai
l
yfort
woweekswithoutanyi
mprov
ement
.Whi
chact
ionshoul
dthenur
se
take?
A.Inst
ructt hecl
ie
n ttoob t
ainapr
escri
ptionfororalt
erbi
nafi
ne .
B.Suggestthatt
heclientus
etheoi
ntmenttwiceadaytobemoreeff
ecti
ve
C.Reassurethatt
het reat
mentoff
ungus-i
nfectedtoe
nai
lsof
tentakessev
eral
mont
hs
D.Ad vi
seth ecl
ienttoob t
ainapr
es c
ript
ion -
str
engthf
ormulat
ionoftheoin
tmen
t

,4
.Ac
li
entwi
than
asog
ast
ri
ctu
be(
NGT)h
asap
res
cri
pti
onf
ors
uca
lfa
te.
Thel
i
qui
dfor
moft
heme
dic
ati
oni
snot
c
urr
ent
lya
vai
l
abl
eint
hep
har
mac
yan
dta
ble
tsh
aveb
eend
eli
ver
edt
oth
eme
dic
ati
ondi
spe
nsi
ngs
yst
em.
Whi
cha
cti
on
s
hou
ldt
hen
urs
ein
clu
dewh
ena
dmi
ni
st
eri
ngt
heme
dic
ati
on?
A.Crus
ht het
abletandmixitwi
thwatersep
a r
atel
yfr
omot hermedi
cat
ions
B.
Cr u
sht het
abletandmixitwi
thotherc
rushedtabl
et
sd i
lute
dinwate
r
C.Wit
hh ol
dtheme d
icat
ionunti
lali
quidf
ormisa v
ail
ableonthenur
si
ngu nit
D.Crus
ht het
abletandmixitwi
thotherl
i
quidme di
cat
ionsforadmi
ni
stra
tion
Answer:A.Cr
u s
ht heta
b l
etandmixitwi
thwa t
erseparat
elyfrmot
herme dica
tio
ns

5.Acli
entwit
hchr
onicast
hmarecei
vesaprescr
ipt
ionf
ormont
el
ukast
,al
euk
otr
ienemodi
fi
er.Whi
chst
atementbyt
he
cli
enti
nd i
catest
othen u
rsethatme di
caionteachi
ngwse ff
ecti
ve?
A.Ishouldtaket
hisme di
cat
ionon l
ywh enIamh avngns thmaatt
ack
B.Iwil
ltakethetabl
etever
ye v
e n
ingtocon t
rolmyasth
ma
s
tudy
C.
Thi
sme
dic
ati
onwi
l
lst
opa
nat
hmaa
tta
cki
mme
dia
tel
yvi
a
D.Iwi
l
l no
tneedtousemynale
rstwi
cea
ywhenIs
tar
tthi
sme
dicat
ion
Ans
wer:B.Iwi
llt
aketet
abl
etev
ery vni
ngtocon
tro
lmyast
hma


6.Thenur
seispl
anni
ngt
oadmi
ni
sterthe nt
iul
cerGIagentsucr
alf
atet
oacl
i
entwi
thpept
icul
cerdi
sease.Whi
chact
ion
shouldthenurs
einclu
deint
hisc l
i
e nt
’sp l
anofcare?
A.As se
ssforsecondar
yCandi
d ainfect
ion
sha r
ed




B.
Ad minist
ersucr
alfa
teoncead a
y,pre
fer
abl
yatbe
dti
me
C.Giv
es ucr
alf
ateona nemptyst
oma ch
D.Monitorf
orelec
trol
ytei
mb al
ance
Answer:B.Giv
es ucra
lfat
eoncead a
y,pre
fer
abl
yatbedt
ime

, 7.Acl
ientwi
thanemiase
cond a
rytoc hr
oni
ck i
dneydis
ease(CKD)st
art
edap
res
cri
pti
onf
ore
poe
ti
nal
fat
womon
ths
ag
o.Wh ichc
li
entfi
ndi
ngbestindi
catestha
ttheme di
cati
onisef
fec
ti
ve?
A.Report
sofin
creas
edenergyle
velsanddecreas
e dfat
igu
e
B.Ta
ke scon
curre
ntir
onth
erapywithoutadve
rseeffe
cts
C.
F ooddi
aryshowsin
creas
edcon
sumpt
ionofi
ron
-ri
chf
ood
sD.
Hemoglob
inle
velin
creas
edto1
2g r
ams
/d L(
120mmol/L
)
An
swe
r:D.He
mogl
obi
nle
vel
inc
rea
sedt
o12gr
ams
/dL(
120mmol
/L)

8.Th ehealt
hcareprovi
derp r
escri
besp ropyl
thi
our
aci
l(PTU)andL u
gol’
ssolu
tion
,ast
rongi
doi
nesol
uti
on,f
oracl
i
entwit
h
hy
p erthyr
oidi
sm. Hows houl
dth enurses c
hedulet
headminis
tra
tionofthe
seme di
cat
ion
s?A.Admi
ni
steri
odi
neonehou
r
be
f orePTU
B.Of f
erbothd r
ugstogetherwithame a
l
C.Sc hedul
eb ot
hme di
cati
onsa tb
e d
t i
me
D.Gi v
ep ar
entaldoseonc eever
y2 4h ours
Ans wer:B.Offerbothdrugstogetherwithame al

9.Twentyminut
esaft
erthenursest
art
sas e
condaryIVinf
u s
ionofcefep
ime2gr
amsu s
inga
ninf
usi
onp
umpt
ode
li
vert
he
doseinonehour,
thecl
ientrepor
tsf
eel
ingnaus
eated.Wh i
cha c
ti
ons h
ouldt
henur
seimpl
ement
?
A.Con t
inuet
heinfus
iona n
da dmini
st
eraPRNa n t
iemeti
cp rescr
ipt
ion
B.Stopthemedi
cati
oninf
usionandnot
if
ytheheal
thcareprovi
deroft
headver
seef
fec
t
C.Rea
ssurethec l
ienttha
tthenaus
eausnotrel
ate
dtoth eI
Vinf
usi
on wa s .
D.I
ncr
easetherateofthei
nfusi
ont
ocompl
etet
hedoseofthemedi
cat
ionmorerapi
dl
y
Answer
:A.Continuetheinfus
iona
ndadmini
ste
raPRNa ntie
meti
cpresc
ript
ion




10.Ac li
entwi thdiabet i
cpe ri
pheral neuropathy,whohasbee nt akingprgabal i
nfor2week sreportsdi
minishedfoot
pain.Thenur s enot est hatt hereisnoi mpr ovementi ntheheal i
ngofs evr altoeulcer
ati
ons.Whi chact
ionshouldthe
nurset a ke?
A.Rev iewt hepl anofcar ef orstrategiesus edtomanaget hef ootl cerations
B.Re as sur
et hec li
e ntthatdi abe t
icf ootulcerstakes everalmnt hst ohe al
C.Ex plaint ha ttheme dic ati
ondos agewi llpr
oba blyneedt obei nc reased
D.Wi thholdt henex tdoseoft hedr ugunt i
lthehealthcarepr oviderisnot ifi
ed
Answer :A.Revi ewt hepl anofcar eforst
s
tudy
r
ategi
esusdt omanaget hef ootulcerati
ons
11.Acl ientwi tht y
pe2di abetesmel li
tuswhot akesgl i
mepiridebymut hdailycall
sthenurset
or eportar
ecentonsetof
nausea, vomi tinganddi arrhea.Whi chr esponses houldthenur sepr ovide?
A.Increasesor alfluidintakeunt ilthesesy mptomssubsi
v
ia
de.
B.Usein s
uli
ns l
i
dingscaleunti
lsympomsa reresol
ve d
C.Schedul
eavisi
tforev
aluat
ionby heheal
thcar
eprovder
D.Re
Ans
t
wer
ur
:1.
5
ntothecli
nicf
orlabor
Th
is
at
oryt
estforaninfect
ion
Answer:A.Incr
easesoralfl
udntakeunti
lthesesymptomssubs
ide.
shar
ed