EVOLVE HESI PHARMACOLOGY EXAM
AND PRACTICE QUESTIONS EXAM
COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+ // BRAND NEW!!
A male client with prostatic carcinoma has arrived
for his scheduled dose of docetaxel chemotherapy.
What symptom would indicate a need for an
immediate response by the nurse prior to
implementing another dose of this chemotherapeutic
agent?
A. A cough that is new and persistent
B. Persistent nausea and vomiting
C. Fingernail and toenail changes
D. Increasing weakness and neuropathy -
....ANSWER...A. A cough that is new and persistent
Option A is an adverse effect that is immediately life
threatening. Severe fluid retention can cause pleural
,effusion (requiring urgent drainage), dyspnea at rest,
cardiac tamponade, or pronounced abdominal
distention (caused by ascites). Options B, C, and D
are all adverse effects from chemotherapy and need
to be monitored consistently.
A 26-year-old primigravida client is experiencing
increasing discomfort and anxiety during the active
phase of labor. She requests something for pain.
Which analgesic should the nurse anticipate
administering?
A. Butorphanol
B. Hydromorphone
C. Morphine sulfate
D. Codeine sulfate - ....ANSWER...A. Butorphanol
Butorphanol is a mixed agonist-antagonist analgesic
resulting in good analgesia but with less respiratory
depression, nausea, and vomiting compared with
opioid agonist analgesics.
,Which question should the nurse ask a client prior to
the initiation of treatment with IV infusions of
gentamicin sulfate?
A. "Are you having difficulty hearing?"
B. "Have you ever been diagnosed with cancer?"
C. "Do you have any type of diabetes mellitus?"
D. "Have you ever had anemia?" - ....ANSWER...A.
"Are you having difficulty hearing?"
Complications of gentamicin sulfate therapy include
ototoxicity, nephrotoxicity, and neurotoxicity.
Determining if the client is hard of hearing prior to
initiation of this aminoglycoside will be helpful as the
treatment progresses and ototoxicity is identified as
a possible complication. Options B, C, and D are
important elements of any medical history, but they
do not have the priority of option A when assessing
for complications of aminoglycoside therapy.
Which medication is useful in treating digoxin
toxicity?
A. Atropine sulfate
, B. Isoproterenol
C. Xylocaine
D. Digoxin immune Fab - ....ANSWER...D. Digoxin
immune Fab
Digibind is useful in treating this type of drug toxicity
because it is an antibody that binds antigenically to
unbound serum digoxin or digitoxin, resulting in
renal excretion of the bound complex. Options A, B,
and C are not used to treat digitoxin toxicity.
The nurse knows that certain antipsychotic drugs
cause extrapyramidal symptoms. Which
extrapyramidal symptom is a permanent and
irreversible adverse effect of long-term
phenothiazine administration?
A. Dystonia
B. Akathisia
C. Pseudoparkinsonism
D. Tardive dyskinesia - ....ANSWER...D. Tardive
dyskinesia
Tardive dyskinesia is a permanent effect of long-
term phenothiazine administration. Options A, B, and
AND PRACTICE QUESTIONS EXAM
COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+ // BRAND NEW!!
A male client with prostatic carcinoma has arrived
for his scheduled dose of docetaxel chemotherapy.
What symptom would indicate a need for an
immediate response by the nurse prior to
implementing another dose of this chemotherapeutic
agent?
A. A cough that is new and persistent
B. Persistent nausea and vomiting
C. Fingernail and toenail changes
D. Increasing weakness and neuropathy -
....ANSWER...A. A cough that is new and persistent
Option A is an adverse effect that is immediately life
threatening. Severe fluid retention can cause pleural
,effusion (requiring urgent drainage), dyspnea at rest,
cardiac tamponade, or pronounced abdominal
distention (caused by ascites). Options B, C, and D
are all adverse effects from chemotherapy and need
to be monitored consistently.
A 26-year-old primigravida client is experiencing
increasing discomfort and anxiety during the active
phase of labor. She requests something for pain.
Which analgesic should the nurse anticipate
administering?
A. Butorphanol
B. Hydromorphone
C. Morphine sulfate
D. Codeine sulfate - ....ANSWER...A. Butorphanol
Butorphanol is a mixed agonist-antagonist analgesic
resulting in good analgesia but with less respiratory
depression, nausea, and vomiting compared with
opioid agonist analgesics.
,Which question should the nurse ask a client prior to
the initiation of treatment with IV infusions of
gentamicin sulfate?
A. "Are you having difficulty hearing?"
B. "Have you ever been diagnosed with cancer?"
C. "Do you have any type of diabetes mellitus?"
D. "Have you ever had anemia?" - ....ANSWER...A.
"Are you having difficulty hearing?"
Complications of gentamicin sulfate therapy include
ototoxicity, nephrotoxicity, and neurotoxicity.
Determining if the client is hard of hearing prior to
initiation of this aminoglycoside will be helpful as the
treatment progresses and ototoxicity is identified as
a possible complication. Options B, C, and D are
important elements of any medical history, but they
do not have the priority of option A when assessing
for complications of aminoglycoside therapy.
Which medication is useful in treating digoxin
toxicity?
A. Atropine sulfate
, B. Isoproterenol
C. Xylocaine
D. Digoxin immune Fab - ....ANSWER...D. Digoxin
immune Fab
Digibind is useful in treating this type of drug toxicity
because it is an antibody that binds antigenically to
unbound serum digoxin or digitoxin, resulting in
renal excretion of the bound complex. Options A, B,
and C are not used to treat digitoxin toxicity.
The nurse knows that certain antipsychotic drugs
cause extrapyramidal symptoms. Which
extrapyramidal symptom is a permanent and
irreversible adverse effect of long-term
phenothiazine administration?
A. Dystonia
B. Akathisia
C. Pseudoparkinsonism
D. Tardive dyskinesia - ....ANSWER...D. Tardive
dyskinesia
Tardive dyskinesia is a permanent effect of long-
term phenothiazine administration. Options A, B, and
