Pharmacology HESI RN practice test WITH CORRECT AND VERRIFIED ANSWERS 2024

A female client with rheumatoid arthritis take ibuprofen Motrin 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol Cytotec 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? - CORRECT ANSWERS-Use contraception during intercourse A client is receiving clonidine Catapres 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? - CORRECT ANSWERS-Blood pressure has changed from 180/120 to 140/70 A client is admitted to the hospital for diagnostic testing for possible myasthenia gravis. The nurse prepares for intravenous administration of edrophonium chloride Tensilon. What is the expected outcome for this client following administration of this pharmacologic agent? - CORRECT ANSWERS-Decreased muscle weakness Dobutamine, Dobutrex is an emergency drug most commonly prescribed for a client with which condition? - CORRECT ANSWERS-Heart failure . A postoperative client has been receiving a continuous IV infusion of meperidine Demerol 35 mg/hr for four days. The client has a PRN prescription for Demerol 100 mg PO q3h. The nurse notes that the client has become increasingly restless, irritable and confused, stating that there are bugs all over the walls. What action should the nurse take first? - CORRECT ANSWERS-Decrease the IV infusion rate of the meperidine, Demerol per protocol The healthcare provider prescribes naproxen Naproxen twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide? - CORRECT ANSWERS-Another type of nonsteroidal antiinflammatory drug may be indicated A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with which condition? - CORRECT ANSWERS-Heart failure Which nursing intervention is most important when caring for a client receiving the antimetabolite cytosine arabinoside Arc-C for chemotherapy? - CORRECT ANSWERS-Inspect the client's oral mucosa for ulcerations Which drug is used as a palliative treatment for a client with tumor-induced spinal cord compression? - CORRECT ANSWERS-Dexamethasone Decadron Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan Diovan has been achieved? - CORRECT ANSWERS-Blood pressure reduced from 160/90 to 130/80 . Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis? - CORRECT ANSWERS-Bismuth subsalicylate Pepto Bismol A client receiving Doxorubicin Adriamycin intravenously IV complains of pain at the insertion site, and the nurse notes edema at the site. Which intervention is most important for the nurse to implement? - CORRECT ANSWERS-Discontinue the IV fluids The nurse is transcribing a new prescription for spironolactone Adactone for a client who receives an angiotensin-converting enzyme ACE inhibitor. Which action should the nurse implement? - CORRECT ANSWERS-Verify both prescriptions with the healthcare provider The healthcare provider prescribes naloxone Narcan for a client in the emergency room. Which assessment data would indicate that the naloxone has been effective? - CORRECT ANSWERS-The client's respiratory rate is 16 breaths/minute The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What action should the nurse implement? - CORRECT ANSWERS-Notify the healthcare provider of this finding immediately A client is taking hydromorphone Dilaudid PO q4h at home. Following surgery, Dilaudid IV q4h PRN and butorphanol tartrate Stadol IV q4h PRN are prescribed for pain. The client received a dose of the Dilaudid IV four hours ago, and is again requesting pain medication. What intervention should the nurse implement? - CORRECT ANSWERS-Administer only the Dilaudid q4h PRN for pain