HESI Pharmacology
A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2 mL.
How many milliliters should be administered? _____ mL - ANS2.2
Dopamine is administered to a client who is hypotensive. Which finding should the nurse identify
as a therapeutic response? - ANSIncrease in urine output
The health care provider prescribes ipratropium for a client. An allergic reaction to which other
medication would cause the nurse to question the prescription for ipratropium? - ANSAtropine
sulfate
The nurse is teaching a student about the dynamics of medication administration. Which
physiologic mechanism will the nurse include in the teaching which explains a drug's increased
metabolism triggered by a disease process? - ANSPharmacokinetics
A client is taking famotidine. Which client statement should the nurse further assess because it
may indicate that the client is experiencing a side effect of this drug? - ANS"I seem to be having
difficulty thinking clearly."
A client has a positive skin test for tuberculosis. Which prophylactic drug should the nurse
expect to administer to this client? - ANSIsoniazid
In addition to nitrate therapy, a client is receiving nifedipine, 10 mg PO every 6 hours. The nurse
should plan to observe for which common side effect of this treatment regimen? -
ANSHypotension
A client with chronic gouty arthritis is talking allopurinol, 100 mg PO daily. Which laboratory
serum level should the nurse report to the health care provider to determine the therapeutic
outcome? - ANSUric acid level
The health care provider prescribes the anticonvulsant carbamazepine for an adolescent client
with a seizure disorder. The nurse should instruct the client to notify the health care provider if
which condition occurs? - ANSDevelops a sore throat
Methylphenidate is prescribed for daily administration to a 10-year-old child with
attention-deficit/hyperactivity disorder (ADHD). In preparing a teaching plan for the parents of
this child newly diagnosed with ADHD, which instruction is most important for the nurse to
provide to the parents? - ANSAdminister the medication in the morning before the child goes to
school.
, A client with metastatic cancer reports severe continuous pain. Which route of administration
should the nurse use to provide the most effective continuous analgesia? - ANSTransdermal
A client is receiving antiinfective drug therapy for a postoperative infection. Which complaint
should alert the nurse to the possibility that the client has contracted a superinfection? -
ANS"My mouth feels sore."
A client receives an antihypertensive agent daily. Which action is most important for the nurse to
implement prior to administering the medication? - ANSObtain the client's blood pressure.
A male client asks the nurse why condoms should not be lubricated with the spermicide
nonoxynol-9. Which response is best for the nurse to provide? - ANSNonoxynol-9 provides no
protection from STDs and has been linked to the transmission of HIV.
A client who is HIV-positive is receiving combination therapy with the antiviral medication
zidovudine. Which instruction should the nurse include in this client's teaching plan? -
ANSReturn to the clinic every 2 weeks for blood counts.
A female client is receiving tamoxifen following surgery for breast cancer. She reports to the
nurse the onset of hot flashes. Which is the best nursing action? - ANSInstruct the client that hot
flashes are a side effect that often occurs with the use of this medication.
A client with angina pectoris is instructed to take sublingual nitroglycerin tablets PRN for chest
pain. Which instruction should the nurse include in the client's teaching plan? - ANSTake one
tablet at the onset of angina and stop activity.
A client who has chronic back pain is on long-term pain medication management and asks the
nurse why his pain relief therapy is not as effective as it was 2 months ago. How should the
nurse respond? - ANS"Tolerance to medication requires increased drug levels to achieve the
same effect."
A client with metastatic cancer who has been receiving fentanyl for several weeks reports to the
nurse that the medication is not effectively controlling the pain. Which action should the nurse
initiate? - ANSNotify the health care provider of the need to increase the dose.
A client who is experiencing an acute attack of gouty arthritis is prescribed colchicine USP, 1 mg
PO daily. Which information is most important for the nurse to provide the client? - ANSReport
any vomiting to the clinic.
A mother brings her 18-month-old child to the community health center because the child has
had "bad diarrhea" for the last 3 days. She states, "I bought some of this liquid at the pharmacy
and gave my child a half-ounce." The nurse sees that the bottle contains loperamide. What is
the next nursing action? - ANSAsk the mother when the child last voided
A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2 mL.
How many milliliters should be administered? _____ mL - ANS2.2
Dopamine is administered to a client who is hypotensive. Which finding should the nurse identify
as a therapeutic response? - ANSIncrease in urine output
The health care provider prescribes ipratropium for a client. An allergic reaction to which other
medication would cause the nurse to question the prescription for ipratropium? - ANSAtropine
sulfate
The nurse is teaching a student about the dynamics of medication administration. Which
physiologic mechanism will the nurse include in the teaching which explains a drug's increased
metabolism triggered by a disease process? - ANSPharmacokinetics
A client is taking famotidine. Which client statement should the nurse further assess because it
may indicate that the client is experiencing a side effect of this drug? - ANS"I seem to be having
difficulty thinking clearly."
A client has a positive skin test for tuberculosis. Which prophylactic drug should the nurse
expect to administer to this client? - ANSIsoniazid
In addition to nitrate therapy, a client is receiving nifedipine, 10 mg PO every 6 hours. The nurse
should plan to observe for which common side effect of this treatment regimen? -
ANSHypotension
A client with chronic gouty arthritis is talking allopurinol, 100 mg PO daily. Which laboratory
serum level should the nurse report to the health care provider to determine the therapeutic
outcome? - ANSUric acid level
The health care provider prescribes the anticonvulsant carbamazepine for an adolescent client
with a seizure disorder. The nurse should instruct the client to notify the health care provider if
which condition occurs? - ANSDevelops a sore throat
Methylphenidate is prescribed for daily administration to a 10-year-old child with
attention-deficit/hyperactivity disorder (ADHD). In preparing a teaching plan for the parents of
this child newly diagnosed with ADHD, which instruction is most important for the nurse to
provide to the parents? - ANSAdminister the medication in the morning before the child goes to
school.
, A client with metastatic cancer reports severe continuous pain. Which route of administration
should the nurse use to provide the most effective continuous analgesia? - ANSTransdermal
A client is receiving antiinfective drug therapy for a postoperative infection. Which complaint
should alert the nurse to the possibility that the client has contracted a superinfection? -
ANS"My mouth feels sore."
A client receives an antihypertensive agent daily. Which action is most important for the nurse to
implement prior to administering the medication? - ANSObtain the client's blood pressure.
A male client asks the nurse why condoms should not be lubricated with the spermicide
nonoxynol-9. Which response is best for the nurse to provide? - ANSNonoxynol-9 provides no
protection from STDs and has been linked to the transmission of HIV.
A client who is HIV-positive is receiving combination therapy with the antiviral medication
zidovudine. Which instruction should the nurse include in this client's teaching plan? -
ANSReturn to the clinic every 2 weeks for blood counts.
A female client is receiving tamoxifen following surgery for breast cancer. She reports to the
nurse the onset of hot flashes. Which is the best nursing action? - ANSInstruct the client that hot
flashes are a side effect that often occurs with the use of this medication.
A client with angina pectoris is instructed to take sublingual nitroglycerin tablets PRN for chest
pain. Which instruction should the nurse include in the client's teaching plan? - ANSTake one
tablet at the onset of angina and stop activity.
A client who has chronic back pain is on long-term pain medication management and asks the
nurse why his pain relief therapy is not as effective as it was 2 months ago. How should the
nurse respond? - ANS"Tolerance to medication requires increased drug levels to achieve the
same effect."
A client with metastatic cancer who has been receiving fentanyl for several weeks reports to the
nurse that the medication is not effectively controlling the pain. Which action should the nurse
initiate? - ANSNotify the health care provider of the need to increase the dose.
A client who is experiencing an acute attack of gouty arthritis is prescribed colchicine USP, 1 mg
PO daily. Which information is most important for the nurse to provide the client? - ANSReport
any vomiting to the clinic.
A mother brings her 18-month-old child to the community health center because the child has
had "bad diarrhea" for the last 3 days. She states, "I bought some of this liquid at the pharmacy
and gave my child a half-ounce." The nurse sees that the bottle contains loperamide. What is
the next nursing action? - ANSAsk the mother when the child last voided
