HESI Pharmacology 2022 & 2021
HESI Pharmacology 2022
1. The nurse is caring for a client who has taken atenolol for 2 years. The
healthcare provider recently changed the medication to enalapril to manage
the client's blood pressure. Which instruction should the nurse provide the
client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair.
2. A female client calls the clinic and talks with the nurse to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having
vaginal discomfort, itching, and a white discharge. The nurse should discuss
which action with the client?
A. Discontinue the antibiotic because original symptoms have subsided.
B. Continue taking medication until finished until the symptoms subside.
C. Consult with healthcare provider about another treatment for this effect.
D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
3. The nurse is making early morning rounds on a group of clients when a
client begins exhibiting symptoms of an acute asthma attack. The nurse
administers a PRN prescription for a Beta 2 receptor agonist agent. Which
client response should the nurse expect?
A. Tachycardia.
B. Increased blood pressure.
C. Rapid resolution of wheezing.
,D. Improved pulse oximetry values.
E. Reduce fever airway inflammation.
4. A client prescribed atenolol has a blood pressure of 120/68 mmHg,
displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R
interval of 0.24. Which action should the nurse take?
A. Lower the head of the bed and assess the client for orthostatic vital sign
changes.
B. Give the medication as prescribed and continue to monitor the client.
C. Prepare to administer atropine sulfate IV push.
D. Hold the prescribed dose and contact the healthcare provider.
5. The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin
II receptor blocker (ARB), for a client with hypertension and heart failure. The
nurse reviews the client's laboratory results and notes that the client's serum
potassium level is 5.9 mEq/L. Which action should the nurse take first?
A. Withhold the scheduled dose.
B. Check the client's apical pulse.
C. Notify the healthcare provider.
D. Repeat the serum potassium level.
6. Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should
the nurse administer the prescribed medications? (Arrange from first to last.)
1. Albuterol (Proventil) puffs.
2. Salmeterol (Serevent Diskus).
3. Prednisone (Deltasone) orally.
4. Gentamicin (Garamycin) IM.
1, 3, 2, 4
,7. An adult client is given a prescription for a scopolamine patch (Transderm
Scop) to prevent motion sickness while on a cruise. Which information should
the nurse provide to the client?
A. Apply the patch at least 4 hours prior to departure.
B. Change the patch every other day while on the cruise.
C. Place the patch on a hairless area at the base of the skull.
D. Drink no more than 2 alcoholic drinks during the cruise.
8. A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which
information should the nurse include in the client's instruction?
A. Notify the clinic of any changes in the color of urine.
B. Avoid overexposure to the sun.
C. Stop the medication after the diarrhea resolves.
D. Take the medication with food.
9. A female client with rheumatoid arthritis takes 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?
A. Use contraception during intercourse.
B. Ensure the Cytotec is taken on an empty stomach.
C. Encourage oral fluid intake to prevent constipation.
D. Take Cytotec 30 minutes prior to Motrin.
10. A client with osteoarthritis receives a new prescription for celecoxib
(Celebrex) orally for symptom management. The nurse notes the client is
allergic to sulfa. Which action is most important for the nurse to implement
prior to administering the first dose?
A. Review the client's hemoglobin results.
B. Notify the healthcare provider.
, C. Inquire about the reaction to sulfa.
D. Record the client's vital signs.
11. A client is admitted to the hospital for a new onset of supraventricular
tachycardia (SVT) and is prescribed digoxin. For which laboratory finding
should the nurse notify the healthcare provider immediately?
A. Potassium level of 3.1 mEq/L.
B. Sodium level of 132 mEq/L.
C. Calcium level of 8.6 mg/dL.
D. Magnesium level of 1.2 mEq/L.
12. The nurse is transcribing a new prescription for spironolactone
(Aldactone) for a client who receives an angiotensin-converting enzyme
(ACE) inhibitor. Which action should the nurse implement?
A. Verify both prescriptions with the healthcare provider.
B. Report the medication interactions to the nurse manager.
C. Hold the ACE inhibitor and give the new prescription.
D. Transcribe and send the prescription to the pharmacy.
13. The nurse admits a client with tumor-induced spinal cord compression.
Which medication should the nurse anticipate to be prescribed to offer the
best palliative treatment for this client?
A. Morphine sulfate.
B. Ibuprofen.
C. Amitriptyline.
D. Dexamethasone.
14. The nurse is preparing an education session for a client prescribed
opioids for intractable cancer pain. The nurse should include strategies to
HESI Pharmacology 2022
1. The nurse is caring for a client who has taken atenolol for 2 years. The
healthcare provider recently changed the medication to enalapril to manage
the client's blood pressure. Which instruction should the nurse provide the
client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair.
2. A female client calls the clinic and talks with the nurse to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having
vaginal discomfort, itching, and a white discharge. The nurse should discuss
which action with the client?
A. Discontinue the antibiotic because original symptoms have subsided.
B. Continue taking medication until finished until the symptoms subside.
C. Consult with healthcare provider about another treatment for this effect.
D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
3. The nurse is making early morning rounds on a group of clients when a
client begins exhibiting symptoms of an acute asthma attack. The nurse
administers a PRN prescription for a Beta 2 receptor agonist agent. Which
client response should the nurse expect?
A. Tachycardia.
B. Increased blood pressure.
C. Rapid resolution of wheezing.
,D. Improved pulse oximetry values.
E. Reduce fever airway inflammation.
4. A client prescribed atenolol has a blood pressure of 120/68 mmHg,
displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R
interval of 0.24. Which action should the nurse take?
A. Lower the head of the bed and assess the client for orthostatic vital sign
changes.
B. Give the medication as prescribed and continue to monitor the client.
C. Prepare to administer atropine sulfate IV push.
D. Hold the prescribed dose and contact the healthcare provider.
5. The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin
II receptor blocker (ARB), for a client with hypertension and heart failure. The
nurse reviews the client's laboratory results and notes that the client's serum
potassium level is 5.9 mEq/L. Which action should the nurse take first?
A. Withhold the scheduled dose.
B. Check the client's apical pulse.
C. Notify the healthcare provider.
D. Repeat the serum potassium level.
6. Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should
the nurse administer the prescribed medications? (Arrange from first to last.)
1. Albuterol (Proventil) puffs.
2. Salmeterol (Serevent Diskus).
3. Prednisone (Deltasone) orally.
4. Gentamicin (Garamycin) IM.
1, 3, 2, 4
,7. An adult client is given a prescription for a scopolamine patch (Transderm
Scop) to prevent motion sickness while on a cruise. Which information should
the nurse provide to the client?
A. Apply the patch at least 4 hours prior to departure.
B. Change the patch every other day while on the cruise.
C. Place the patch on a hairless area at the base of the skull.
D. Drink no more than 2 alcoholic drinks during the cruise.
8. A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which
information should the nurse include in the client's instruction?
A. Notify the clinic of any changes in the color of urine.
B. Avoid overexposure to the sun.
C. Stop the medication after the diarrhea resolves.
D. Take the medication with food.
9. A female client with rheumatoid arthritis takes 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?
A. Use contraception during intercourse.
B. Ensure the Cytotec is taken on an empty stomach.
C. Encourage oral fluid intake to prevent constipation.
D. Take Cytotec 30 minutes prior to Motrin.
10. A client with osteoarthritis receives a new prescription for celecoxib
(Celebrex) orally for symptom management. The nurse notes the client is
allergic to sulfa. Which action is most important for the nurse to implement
prior to administering the first dose?
A. Review the client's hemoglobin results.
B. Notify the healthcare provider.
, C. Inquire about the reaction to sulfa.
D. Record the client's vital signs.
11. A client is admitted to the hospital for a new onset of supraventricular
tachycardia (SVT) and is prescribed digoxin. For which laboratory finding
should the nurse notify the healthcare provider immediately?
A. Potassium level of 3.1 mEq/L.
B. Sodium level of 132 mEq/L.
C. Calcium level of 8.6 mg/dL.
D. Magnesium level of 1.2 mEq/L.
12. The nurse is transcribing a new prescription for spironolactone
(Aldactone) for a client who receives an angiotensin-converting enzyme
(ACE) inhibitor. Which action should the nurse implement?
A. Verify both prescriptions with the healthcare provider.
B. Report the medication interactions to the nurse manager.
C. Hold the ACE inhibitor and give the new prescription.
D. Transcribe and send the prescription to the pharmacy.
13. The nurse admits a client with tumor-induced spinal cord compression.
Which medication should the nurse anticipate to be prescribed to offer the
best palliative treatment for this client?
A. Morphine sulfate.
B. Ibuprofen.
C. Amitriptyline.
D. Dexamethasone.
14. The nurse is preparing an education session for a client prescribed
opioids for intractable cancer pain. The nurse should include strategies to
