HESI RN Pharmacology Exam 2022 V2

1. Before administering a laxative to a bedfast client, it is most important for the nurse to perform what assessment? A. Observe the skin integrity of the client's rectal and sacral areas B. assess the client strength in moving and turning in the bed C. evaluate the client's ability to recognize the urge to defecate D. determine the frequency and consistency of bowel movements 2. A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plans for this client? A. Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo B. nausea and diarrhea can occur when using this supplement C. anxiety and headaches increased with use of ginkgo D. ginkgo biloba use should be limited and not taken during pregnancy 3. In explaining the benefits of the combination anti-infective drug code TMP- SMZ (Bactrim) to a client receiving the medication for a urinary tract infection, more rationale to the nurse provide? A. Each drug could cause damage to the kidneys if taken separately B. One drug reduces the risk of side effects caused by the drug C. while one drug provide relief, the other fights the infection D. the two drugs work together to reduce resistance of the bacterial infection of symptoms 4. Client being treated with Haldol for schizophrenia is complaining of jaw tightness and a stiff neck. Which interventions should the nurse implement? A. give PRN dose of diphenhydramine Benadryl B. assess client other sensory hallucinations C. massage neck until muscles begin to relax D. obtain a 12 lead EKG 5. Which intervention is most important for the nurse implement for a client is receiving Lispro Humalog insulin? A. Check blood glucose levels every six hours B. Provide meals at the same time that insulin is given C. Assess for hypoglycemia between meals D. Keeping oral liquid or glucose source available 6. Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid arthritis is being treated for anemia which intervention is most important for the nurse to include any plan of care A. Observe for gastrointestinal bleeding B. Monitor liver function test results C. Protect skin from bruising D. Offered dietary selections rich in iron 7. A client receives a prescription for theophylline (Theo-Dur) PO to be initiated in the morning after the dose of theophylline IV is complete. The nurse determines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this information, which action should the nurse implement? A. Hold the theophylline dose and notify the health care provider. B. Start the client on a half-dose of theophylline PO. C. The theophylline dose can be initiated as planned. D. The client is not ready to be weaned from the IV to the PO route 8. The nurse is reviewing a client's laboratory results before a procedure in which a neuromuscular blocking agent is a standing order. Which finding should the nurse report to the health care provider? A. Hypokalemia B. Hyponatremia C. Hypercalcemia D. Hypomagnesemia 9. The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The anesthesiologist prescribes atropine sulfate (Atropine), IM STAT. What is the primary purpose for administering this drug to the child at this time? A. Decrease the oral secretions B. Reduce the child's anxiety C. Potentiate the opioid effects D. Prevent possible peritonitis 10. When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this client to developing digoxin toxicity? A. Low serum sodium level B. High serum sodium level C. Low serum potassium level D. High serum potassium level