HESI Pharmacology Exam Version 4| 55 Questions and Verified Answers | 2021/ 2022

HESI Pharmacology Exam Version 4| 55 Questions and Verified Answers | 2021/ 2022 Q: A client, who has a myocardial infarction last year, has a daily prescription for aspirin 325 mg by mouth. Which assessment finding should alert the nurse to withhold the medication? a. Low prothrombin time. b. High white blood cell count. c. Oral temperature of 97.9 F. d. Low platelet count. Answer: D. Q: A nurse administered a second dose of an opioid containing codeine and acetaminophen to a client fifteen minutes after a first dose was administered by another nurse, because the first dose was not documented in the medication record. Which intervention is most important for the nurse to implement? a. Assess the client's pain on a 10 point scale. b. Obtain a serum liver enzyme panel. c. Complete a medication error form. d. Evaluate the client's vital signs. Answer: D. Q: Azithromycin is prescribed to a client with Chlamydia trachomatis. In providing client teaching about the medication, the nurse should emphasize the importance of reporting the onset of which symptom to the healthcare provider? a. Yellow sclera. b. Headache. c. Urinary frequency. d. Flatulence and nausea. Answer: D. Q: Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address? a. White blood cell count of 8,500/mm3 b. Employed as a construction worker. c. Toenails appear thick and yellow. d. Reported history of alcoholism. Answer: D. Q: The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement? a. Initiate cardiopulmonary resuscitation (CPR). b. Prepare to assist with chest tube insertion. c. Administer a second dose of naloxone. d. Determine Glasgow coma scale. Answer: A. Q: An older adult client with restless legs syndrome begins taking melatonin at bedtime. When evaluating the effectiveness of the herb, which client assessment should the nurse complete? a. Determine sleep patterns. b. Palpate pedal pulse volume. c. Observe for peripheral edema. d. Assess anxiety level. Answer: A. Q: A client who is newly diagnosed with erosive esophagitis secondary to GERD reports to the home health nurse that there has been only a minimal reduction in symptoms after taking lansoprazole PO for one full week. Which action should the nurse take? a. Auscultate the client's bowel sounds and measure abdominal girth. b. Notify the healthcare provider that the client may need a change in dosage. c. Advise the client that healing typically takes several weeks to occur. d. Confirm that the client is taking the medication one hour after meals. Answer: C. Q: A client recently diagnosed with Parkinson's Disease receives a new prescription for carbidopa levodopa, a dopaminergic drug. To reduce the client's risk for injury, which instruction should the nurse provide? a. Use caution when changing from sitting to standing position. b. Place small rugs on smooth surfaces such as tile or wood floors. c. Ambulate using a four-point cane or a walker with wheels. d. Obtain a hospital bed with side rails and an over-bed trapeze. Answer: C. Q: A client diagnosed with myasthenia gravis receives a prescription for the anticholinesterase medication, pyridostigmine. Which intervention should the nurse implement when preparing to administer this medication? a. Schedule the medication to be given just before bedtime. b. Administer the medication thirty minutes prior to meals. c. Break the medication into small pieces and sprinkle onto food. d. Instruct the client to avoid dairy products for at least 30 minutes. Answer: B. Q: A client who is receiving pregabalin for fibromyalgia complains of tremors in the hands. Which action should the nurse implement? a. Collect a capillary glucose level.