HESI Pharmacology Exam Practice
1) A nurse is caring for a client with hyperparathyroidism and notes that
the client's
serum calcium level is 13 mg/dL. Which medication should the nurse
prepare to as prescribed to the
administer
client?
1. Calcium
chloride
2. Calcium
gluconate
3. Calcitonin
(Miacalcin)
4. Large doses of vitamin D correct answers 3. Calcitonin
(Miacalcin)
2.) Oral iron supplements are prescribed for a 6-year-old child with iron
deficiency
anemia. The nurse instructs the mother to administer the iron with
which best food
item
?1.
Milk
2.
Water
3. Apple
juice
4. Orange juice correct answers 4.Orange
juice
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis.
The nursethe client, knowing that which of the following would indicate the
monitors
presence toxicity
systemic of from this
medication?
1.
Tinnitus
2.
Diarrhea
3.
Constipation
4. Decreased respirations correct answers 1.
Tinnitus
4.) The camp nurse asks the children preparing to swim in the lake if they
have applied
sunscreen. The nurse reminds the children that chemical sunscreens are
most effective
when
applied:
1. Immediately before
swimming
2. 15 minutes before exposure to
theImmediately
3. sun before exposure to
theAtsun
4. least 30 minutes before exposure to the sun correct answers 4.
minutes
At least before
30 exposure to
the sun
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn
injury. When
applying the medication, the client complains of local discomfort and
burning.
the Which
following is of
the most appropriate nursing
action?
1. Notifying the registered
nurse
2. Discontinuing the
medication
3. Informing the client that this is
normal
4. Applying a thinner film than prescribed to the burn site correct answers
3. Informing
the client that this is
normal
,6.) The burn client is receiving treatments of topical mafenide acetate
(Sulfamylon)
the to The nurse monitors the client, knowing that which of
site of injury.
the following
indicates that a systemic effect has
occurred?
1.Hyperventilati
on
2.Elevated blood
pressurepain at the burn
3.Local
site
4.Local rash at the burn site correct answers
1.hyperventiation
7.) Isotretinoin is prescribed for a client with severe acne. Before the
administration
this medication,ofthe nurse anticipates that which laboratory test will be
prescribed?
1. Platelet
count
2. Triglyceride
level
3. Complete blood
count
4. White blood cell count correct answers 2.
Triglyceride level
8.) A client with severe acne is seen in the clinic and the health care
provider (HCP)
prescribes isotretinoin. The nurse reviews the client's medication record
and would
contact the (HCP) if the client is taking which
medication?
1. Vitamin
A. Digoxin
2
(Lanoxin)
3. Furosemide
(Lasix)
4. Phenytoin (Dilantin) correct answers 1.
Vitamin A
9.) The nurse is applying a topical corticosteroid to a client with eczema.
The nurse
would monitor for the potential for increased systemic absorption of the
medication wereif the being applied to which of the following
body
1. areas?
Back
2.
Axilla
3. Soles of the
4.
feet
Palms of the hands correct answers 2.
Axilla
10.) The clinic nurse is performing an admission assessment on a client.
The nurse
notes that the client is taking azelaic acid (Azelex). Because of the
medication
prescription, the nurse would suspect that the client is being
treated
1. for:
2.
Acne
Eczema
3. Hair
loss
4. Herpes simplex correct answers 1.
Acne
11.) The health care provider has prescribed silver sulfadiazine (Silvadene)
for the
with client
a partial-thickness burn, which has cultured positive for gram-
negative
The nursebacteria.
is reinforcing information to the client about the medication. Which
statement
made by the client indicates a lack of understanding about the
treatments?
1. "The medication is an
antibacterial."
2. "The medication will help heal the
burn."
, 3. "The medication will permanently stain
my skin."
4. "The medication should be applied directly to the wound." correct
answers 3. will
medication "Thepermanently stain
my skin
12.) A nurse is caring for a client who is receiving an intravenous (IV)
infusion of an medication. During the infusion, the client complains of
antineoplastic
pain at the
insertion site. During an inspection of the site, the nurse notes redness and
swelling
that and of infusion of the medication has slowed. The nurse should
the rate
take which
appropriate
action?
1. Notify the registered
nurse.
2. Administer pain medication to reduce the
discomfort.
3. Apply ice and maintain the infusion rate, as
prescribed.
4. Elevate the extremity of the IV site, and slow the infusion. correct
answers
the 1. Notify
registered
nurse.
13.) The client with squamous cell carcinoma of the larynx is receiving
bleomycin
intravenously. The nurse caring for the client anticipates that which
diagnostic study will
be
prescribed?
1.
Echocardiography
2.
Electrocardiography
3. Cervical
radiography
4. Pulmonary function studies correct answers 4. Pulmonary
function studies
14.) The client with acute myelocytic leukemia is being treated with
busulfan
Which (Myleran).
laboratory value would the nurse specifically monitor during
treatment with this
medicatio
n?
1. Clotting
time
2. Uric acid
level
3. Potassium
level
4. Blood glucose level correct answers 2. Uric
acid leave
15.) The client with small cell lung cancer is being treated with etoposide
(VePesid).
nurse who The
is assisting in caring for the client during its administration
understands
which that is specifically associated with this
side effect
medication?
1.
Alopecia
2. Chest
pain
3. Pulmonary
fibrosis
4. Orthostatic hypotension correct answers 4. Orthostatic
hypotension
16.) The clinic nurse is reviewing a teaching plan for the client
receiving an medication. When implementing the plan, the nurse tells
antineoplastic
the client:
1. To take aspirin (acetylsalicylic acid) as needed for
headache
2. Drink beverages containing alcohol in moderate amounts each
evening
3. Consult with health care providers (HCPs) before receiving
immunizations
, 4. That it is not necessary to consult HCPs before receiving a flu vaccine
at the fair
health localcorrect answers 3. Consult with health care providers
(HCPs) before
receiving a flu
vac
17.) The client with ovarian cancer is being treated with vincristine
(Oncovin).the
monitors The nurseknowing that which of the following indicates a side
client,
effect specific to
this
medication?
1.
Diarrhea
2. Hair
loss
3. Chest
pain
4. Numbness and tingling in the fingers and toes correct answers 4.
Numbness
tingling and
in the fingers and
toes
18.) The nurse is reviewing the history and physical examination of a client
who will be
receiving asparaginase (Elspar), an antineoplastic agent. The nurse
consults with
registered theregarding the administration of the medication if which of
nurse
the following
is documented in the client's
history?
1.
Pancreatitis
2. Diabetes
mellitus
3. Myocardial
infarction
4. Chronic obstructive pulmonary disease correct answers 1.
Pancreatitis
19.) Tamoxifen is prescribed for the client with metastatic breast carcinoma.
The nurse
understands that the primary action of this
medication
1. Increase is to: and RNA
DNA
synthesis.
2. Promote the biosynthesis of nucleic
acids.
3. Increase estrogen concentration and estrogen
response.
4. Compete with estradiol for binding to estrogen in tissues
containing highof receptors. correct answers 4. Compete with estradiol for
concentrations
binding toin tissues containing high concentrations of
estrogen
receptors.
20.) The client with metastatic breast cancer is receiving tamoxifen.
The nurse monitors which laboratory value while the client is taking this
specifically
medication?
1. Glucose
level
2. Calcium
level
3. Potassium
4. Prothrombin time correct answers
level
2.Calcium level
21.) A nurse is assisting with caring for a client with cancer who is
receiving
Select thecisplatin.
adverse effects that the nurse monitors for that are
associated with
medication. thisall that
Select
apply.
1.
Tinnitus
2.
Ototoxicity
3.
Hyperkalemia
4.
Hypercalcemia
5.
Nephrotoxicity
1) A nurse is caring for a client with hyperparathyroidism and notes that
the client's
serum calcium level is 13 mg/dL. Which medication should the nurse
prepare to as prescribed to the
administer
client?
1. Calcium
chloride
2. Calcium
gluconate
3. Calcitonin
(Miacalcin)
4. Large doses of vitamin D correct answers 3. Calcitonin
(Miacalcin)
2.) Oral iron supplements are prescribed for a 6-year-old child with iron
deficiency
anemia. The nurse instructs the mother to administer the iron with
which best food
item
?1.
Milk
2.
Water
3. Apple
juice
4. Orange juice correct answers 4.Orange
juice
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis.
The nursethe client, knowing that which of the following would indicate the
monitors
presence toxicity
systemic of from this
medication?
1.
Tinnitus
2.
Diarrhea
3.
Constipation
4. Decreased respirations correct answers 1.
Tinnitus
4.) The camp nurse asks the children preparing to swim in the lake if they
have applied
sunscreen. The nurse reminds the children that chemical sunscreens are
most effective
when
applied:
1. Immediately before
swimming
2. 15 minutes before exposure to
theImmediately
3. sun before exposure to
theAtsun
4. least 30 minutes before exposure to the sun correct answers 4.
minutes
At least before
30 exposure to
the sun
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn
injury. When
applying the medication, the client complains of local discomfort and
burning.
the Which
following is of
the most appropriate nursing
action?
1. Notifying the registered
nurse
2. Discontinuing the
medication
3. Informing the client that this is
normal
4. Applying a thinner film than prescribed to the burn site correct answers
3. Informing
the client that this is
normal
,6.) The burn client is receiving treatments of topical mafenide acetate
(Sulfamylon)
the to The nurse monitors the client, knowing that which of
site of injury.
the following
indicates that a systemic effect has
occurred?
1.Hyperventilati
on
2.Elevated blood
pressurepain at the burn
3.Local
site
4.Local rash at the burn site correct answers
1.hyperventiation
7.) Isotretinoin is prescribed for a client with severe acne. Before the
administration
this medication,ofthe nurse anticipates that which laboratory test will be
prescribed?
1. Platelet
count
2. Triglyceride
level
3. Complete blood
count
4. White blood cell count correct answers 2.
Triglyceride level
8.) A client with severe acne is seen in the clinic and the health care
provider (HCP)
prescribes isotretinoin. The nurse reviews the client's medication record
and would
contact the (HCP) if the client is taking which
medication?
1. Vitamin
A. Digoxin
2
(Lanoxin)
3. Furosemide
(Lasix)
4. Phenytoin (Dilantin) correct answers 1.
Vitamin A
9.) The nurse is applying a topical corticosteroid to a client with eczema.
The nurse
would monitor for the potential for increased systemic absorption of the
medication wereif the being applied to which of the following
body
1. areas?
Back
2.
Axilla
3. Soles of the
4.
feet
Palms of the hands correct answers 2.
Axilla
10.) The clinic nurse is performing an admission assessment on a client.
The nurse
notes that the client is taking azelaic acid (Azelex). Because of the
medication
prescription, the nurse would suspect that the client is being
treated
1. for:
2.
Acne
Eczema
3. Hair
loss
4. Herpes simplex correct answers 1.
Acne
11.) The health care provider has prescribed silver sulfadiazine (Silvadene)
for the
with client
a partial-thickness burn, which has cultured positive for gram-
negative
The nursebacteria.
is reinforcing information to the client about the medication. Which
statement
made by the client indicates a lack of understanding about the
treatments?
1. "The medication is an
antibacterial."
2. "The medication will help heal the
burn."
, 3. "The medication will permanently stain
my skin."
4. "The medication should be applied directly to the wound." correct
answers 3. will
medication "Thepermanently stain
my skin
12.) A nurse is caring for a client who is receiving an intravenous (IV)
infusion of an medication. During the infusion, the client complains of
antineoplastic
pain at the
insertion site. During an inspection of the site, the nurse notes redness and
swelling
that and of infusion of the medication has slowed. The nurse should
the rate
take which
appropriate
action?
1. Notify the registered
nurse.
2. Administer pain medication to reduce the
discomfort.
3. Apply ice and maintain the infusion rate, as
prescribed.
4. Elevate the extremity of the IV site, and slow the infusion. correct
answers
the 1. Notify
registered
nurse.
13.) The client with squamous cell carcinoma of the larynx is receiving
bleomycin
intravenously. The nurse caring for the client anticipates that which
diagnostic study will
be
prescribed?
1.
Echocardiography
2.
Electrocardiography
3. Cervical
radiography
4. Pulmonary function studies correct answers 4. Pulmonary
function studies
14.) The client with acute myelocytic leukemia is being treated with
busulfan
Which (Myleran).
laboratory value would the nurse specifically monitor during
treatment with this
medicatio
n?
1. Clotting
time
2. Uric acid
level
3. Potassium
level
4. Blood glucose level correct answers 2. Uric
acid leave
15.) The client with small cell lung cancer is being treated with etoposide
(VePesid).
nurse who The
is assisting in caring for the client during its administration
understands
which that is specifically associated with this
side effect
medication?
1.
Alopecia
2. Chest
pain
3. Pulmonary
fibrosis
4. Orthostatic hypotension correct answers 4. Orthostatic
hypotension
16.) The clinic nurse is reviewing a teaching plan for the client
receiving an medication. When implementing the plan, the nurse tells
antineoplastic
the client:
1. To take aspirin (acetylsalicylic acid) as needed for
headache
2. Drink beverages containing alcohol in moderate amounts each
evening
3. Consult with health care providers (HCPs) before receiving
immunizations
, 4. That it is not necessary to consult HCPs before receiving a flu vaccine
at the fair
health localcorrect answers 3. Consult with health care providers
(HCPs) before
receiving a flu
vac
17.) The client with ovarian cancer is being treated with vincristine
(Oncovin).the
monitors The nurseknowing that which of the following indicates a side
client,
effect specific to
this
medication?
1.
Diarrhea
2. Hair
loss
3. Chest
pain
4. Numbness and tingling in the fingers and toes correct answers 4.
Numbness
tingling and
in the fingers and
toes
18.) The nurse is reviewing the history and physical examination of a client
who will be
receiving asparaginase (Elspar), an antineoplastic agent. The nurse
consults with
registered theregarding the administration of the medication if which of
nurse
the following
is documented in the client's
history?
1.
Pancreatitis
2. Diabetes
mellitus
3. Myocardial
infarction
4. Chronic obstructive pulmonary disease correct answers 1.
Pancreatitis
19.) Tamoxifen is prescribed for the client with metastatic breast carcinoma.
The nurse
understands that the primary action of this
medication
1. Increase is to: and RNA
DNA
synthesis.
2. Promote the biosynthesis of nucleic
acids.
3. Increase estrogen concentration and estrogen
response.
4. Compete with estradiol for binding to estrogen in tissues
containing highof receptors. correct answers 4. Compete with estradiol for
concentrations
binding toin tissues containing high concentrations of
estrogen
receptors.
20.) The client with metastatic breast cancer is receiving tamoxifen.
The nurse monitors which laboratory value while the client is taking this
specifically
medication?
1. Glucose
level
2. Calcium
level
3. Potassium
4. Prothrombin time correct answers
level
2.Calcium level
21.) A nurse is assisting with caring for a client with cancer who is
receiving
Select thecisplatin.
adverse effects that the nurse monitors for that are
associated with
medication. thisall that
Select
apply.
1.
Tinnitus
2.
Ototoxicity
3.
Hyperkalemia
4.
Hypercalcemia
5.
Nephrotoxicity
