Pharmacology HESI study
guide with latest solutions
updated 2023-2024
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI),
for a client with depression on the psychiatric unit. Which information is most important for the
nurse to assess?
-Reports of nausea or vomiting.
-Consumption of any alcohol or tyramine-rich foods.
-Therapeutic serum drug levels.
-Blood pressure and pulse prior to taking each dose. - AnswersConsumption of any alcohol or
tyramine-rich foods.
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side effects
should the nurse assess the client for during the initial dose?
-Somatization.
,-Akathisia.
-Dystonia.
-Bradykinesia. - AnswersDystonia.
While reviewing the client's electronic medical record (EMR), the nurse assesses a client who is at
risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client health
history should the nurse report to the healthcare provider concerning the OTC medication? (Select
all that apply.)
-Type I diabetes mellitus (DM).
-Chronic hypertension.
-Closed angle glaucoma.
-Crohn's disease.
-Rheumatoid arthritis. - AnswersClosed angle glaucoma.
Chronic hypertension.
A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia after using
the inhaler. Which action should the nurse implement first?
-Give PRN medication for nausea and vomiting and evaluate client in 30 minutes.
-Delay administration of ipratropium until next maintenance medication is scheduled.
-Withhold medication and report symptoms and vital signs to healthcare provider.
-Reassure client that the ipratropium given will alleviate the symptoms. - AnswersWithhold
medication and report symptoms and vital signs to healthcare provider.
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry vision, and
shooting pains in both legs. Which medication is considered the best course of treatment for the
nurse to administer?
-Baclofen three times a day.
-High dose methylprednisolone intravenously.
-Immunomodulatory drug therapy periodically.
-Broad spectrum antibiotic coverage orally. - AnswersHigh dose methylprednisolone intravenously.
, The nurse administers 30 mL of lactulose for a client with stage 2 hepatic encephalopathy. Which
assessment finding would indicate the medication is being therapeuitc?
-An increase in glucose absorption.
-A suppression of gut acidification.
-A softening in the stools.
-A decrease in blood ammonia levels. - AnswersA decrease in blood ammonia levels.
The nurse is teaching a client who is newly diagnosed with Type 1 diabetes about neutral protamine
Hagedor (NPH) insulin. Which statement by the client indicates an understanding of how the
medication works?
-It delays the carbohydrate digestion and absorption.
-It increases the intracellular receptor site sensitivity.
-It stimulates the function of beta cells in the pancreas.
-It facilitates the transport of glucose into the cells. - AnswersIt facilitates the transport of glucose
into the cells.
The nurse should withhold which medication if a client reports nausea, vomiting, and diarrhea?
-Erythromycin (E-Mycin).
-Colchicine (Mitigare, Colcrys).
-Labetolol (Normodyne).
-Naproxen (Aleve, Naprosyn). - AnswersColchicine (Mitigare, Colcrys).
A client newly prescribed esomeprazole for gastroesophageal reflux disease (GERD) asks the nurse
how the medication will help. Which is the best explanation to provide the client?
-It will promote rapid tissue healing.
-It will improve esophageal peristalsis.
-It will increase gastric emptying.
-It will neutralize gastric secretions. - AnswersIt will promote rapid tissue healing.
guide with latest solutions
updated 2023-2024
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI),
for a client with depression on the psychiatric unit. Which information is most important for the
nurse to assess?
-Reports of nausea or vomiting.
-Consumption of any alcohol or tyramine-rich foods.
-Therapeutic serum drug levels.
-Blood pressure and pulse prior to taking each dose. - AnswersConsumption of any alcohol or
tyramine-rich foods.
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side effects
should the nurse assess the client for during the initial dose?
-Somatization.
,-Akathisia.
-Dystonia.
-Bradykinesia. - AnswersDystonia.
While reviewing the client's electronic medical record (EMR), the nurse assesses a client who is at
risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client health
history should the nurse report to the healthcare provider concerning the OTC medication? (Select
all that apply.)
-Type I diabetes mellitus (DM).
-Chronic hypertension.
-Closed angle glaucoma.
-Crohn's disease.
-Rheumatoid arthritis. - AnswersClosed angle glaucoma.
Chronic hypertension.
A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia after using
the inhaler. Which action should the nurse implement first?
-Give PRN medication for nausea and vomiting and evaluate client in 30 minutes.
-Delay administration of ipratropium until next maintenance medication is scheduled.
-Withhold medication and report symptoms and vital signs to healthcare provider.
-Reassure client that the ipratropium given will alleviate the symptoms. - AnswersWithhold
medication and report symptoms and vital signs to healthcare provider.
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry vision, and
shooting pains in both legs. Which medication is considered the best course of treatment for the
nurse to administer?
-Baclofen three times a day.
-High dose methylprednisolone intravenously.
-Immunomodulatory drug therapy periodically.
-Broad spectrum antibiotic coverage orally. - AnswersHigh dose methylprednisolone intravenously.
, The nurse administers 30 mL of lactulose for a client with stage 2 hepatic encephalopathy. Which
assessment finding would indicate the medication is being therapeuitc?
-An increase in glucose absorption.
-A suppression of gut acidification.
-A softening in the stools.
-A decrease in blood ammonia levels. - AnswersA decrease in blood ammonia levels.
The nurse is teaching a client who is newly diagnosed with Type 1 diabetes about neutral protamine
Hagedor (NPH) insulin. Which statement by the client indicates an understanding of how the
medication works?
-It delays the carbohydrate digestion and absorption.
-It increases the intracellular receptor site sensitivity.
-It stimulates the function of beta cells in the pancreas.
-It facilitates the transport of glucose into the cells. - AnswersIt facilitates the transport of glucose
into the cells.
The nurse should withhold which medication if a client reports nausea, vomiting, and diarrhea?
-Erythromycin (E-Mycin).
-Colchicine (Mitigare, Colcrys).
-Labetolol (Normodyne).
-Naproxen (Aleve, Naprosyn). - AnswersColchicine (Mitigare, Colcrys).
A client newly prescribed esomeprazole for gastroesophageal reflux disease (GERD) asks the nurse
how the medication will help. Which is the best explanation to provide the client?
-It will promote rapid tissue healing.
-It will improve esophageal peristalsis.
-It will increase gastric emptying.
-It will neutralize gastric secretions. - AnswersIt will promote rapid tissue healing.
