HESI-Pharmacology-Exam-Practice

FOR REVIEW PURPOSED.The insulin is withdrawn from the Penlet into an insulin syringe to prepare for administration.29.) A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions for the client and tells the client that the most likely time for a hypoglycemic reaction to occur is:A.2 to 4 hours after administrationB.4 to 12 hours after administrationC.16 to 18 hours after administrationD.18 to 24 hours after administration30.) A client with diabetes mellitus visits a health care clinic. The client's diabetes mellitus previously had been well controlled with glyburide (DiaBeta) daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL. Which medication, if added to the client's regimen, may have contributed to the hyperglycemia?A. Prednisone B. Phenelzine (Nardil) C. Atenolol (Tenormin) D. Allopurinol (Zyloprim)31.) A community health nurse visits a client at home. Prednisone 10 mg orally daily has been prescribed for the client and the nurse reinforces teaching for the client about the medication. Which statement, if made by the client, indicates that further teaching is necessary?A."I can take aspirin or my antihistamine if I need it."B."I need to take the medication every day at the same time."C."I need to avoid coffee, tea, cola, and chocolate in my diet."D."If I gain more than 5 pounds a week, I will call my doctor."32.) Desmopressin acetate (DDAVP) is prescribed for the treatment of diabetes insipidus. The nurse monitors the client after medication administration for which therapeutic response?A.Decreased urinary outputB.Decreased blood pressureC.Decreased peripheral edemaD.Decreased blood glucose level33.) The home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client is prescribed repaglinide (Prandin) and metformin (Glucophage) and asks the nurse to explain these medications. The nurse should reinforce which instructions to the client? Selectall that apply.A.Diarrhea can occur secondary to the metformin.B.The repaglinide is not taken if a meal is skipped.C.The repaglinide is taken 30 minutes before eating.D.Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes.E.Metformin increases hepatic glucose production to prevent hypoglycemia associated with repaglinide.F.Muscle pain is an expected side effect of metformin and may be treated with acetaminophen (Tylenol).34.) A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). The nurse assisting in caring for the client should take which action to monitor theeffectiveness of treatment?5 FOR REVIEW PURPOSEA.Monitoring the leukocyte count for 2 days after the infusionB.Checking the frequency and consistency of bowel movementsC.Checking serum liver enzyme levels before and after the infusionD.Carrying out a Hematest on gastric fluids after the infusion is completed35.) The client has a PRN prescription for loperamide hydrochloride (Imodium). The nurse understands that this medication is used for which condition?A.ConstipationB.Abdominal painC.An episode of diarrheaD.Hematest-positive nasogastric tube drainage36.) The client has a PRN prescription for ondansetron (Zofran). For which condition should thismedication be administered to the postoperative client?A.Paralytic ileusB.Incisional painC.Urinary retentionD.Nausea and vomiting37.) The client has begun medication therapy with pancrelipase (Pancrease MT). The nurse evaluates that the medication is having the optimal intended benefit if which effect is observed?A.Weight lossC. Reduction of steatorrheaB.Relief of heartburnD. Absence of abdominal pain38.) An older client recently has been taking cimetidine (Tagamet). The nurse monitors the client for which most frequent central nervous system side effect of this medication?A. TremorsC. ConfusionB. DizzinessD. Hallucinations39.) The client with a gastric ulcer has a prescription for sucralfate (Carafate), 1 g by mouth fourtimes daily. The nurse schedules the medication for which times? A. With meals and at bedtimeC. One hour after meals and at bedtime B. Every 6 hours around the clockD. One hour before meals and at bedtime40.) The client who chronically uses nonsteroidal anti-inflammatory drugs has been taking misoprostol (Cytotec). The nurse determines that the medication is having the intended therapeutic effect if which of the following is noted?A. Resolved diarrheaC. Decreased platelet countB. Relief of epigastric painD. Decreased white blood cell count41.) The client has been taking omeprazole (Prilosec) for 4 weeks. The ambulatory care nurse evaluates that the client is receiving optimal intended effect of the medication if the client reportsthe absence of which symptom?A. DiarrheaC. FlatulenceB. HeartburnD. Constipation