HESI RN Pharmacology
1. Before administering a laxative to a bedfast client, it is determine the fre-
important for the nurse to perform what assessment? quency and con-
sistency of bowel
movements
2. A female client with multiple sclerosis reports having gingko biloba use
less fatigue and improved memory since she began should be limited
using the herbal supplement, gingko biloba. Which and not taken dur-
information is most important for the nurse to include ing pregnancy
in the teaching plans for this client?
3. In explaining the benefits of the combination anti-in- the two drugs work
fective drug code TMP-SMX (Bactrim) to a client re- together to reduce
ceiving the medication for a urinary tract infection, resistance of the
what more information should the nurse provide? bacterial infection
of symptoms
4. A client being treated with Haldol for schizophrenia is give PRN dose
complaining of jaw tightness and a stiff neck. Which of diphenhy-
intervention should the nurse implement? dramine (Be-
nadryl)
5. Which intervention is most important for the nurse to Provide meals at
implement for a client that is receiving Lispro Huma- the same time that
log insulin? insulin is given
6. Client takes nonsteroidal anti-inflammatory drugs observe for gas-
every day for rheumatoid arthritis is being treated for trointestinal bleed-
anemia which intervention is most important for the ing
nurse to include any plan of care
7. A client receives a prescription for theophylline Hold the theo-
(Theo-Dur) PO to be initiated in the morning after the phylline dose and
dose of theophylline IV is complete. The nurse deter- notify the health
mines that a theophylline level drawn yesterday was care provider
22 mcg/mL. Based on this information, which action
should the nurse implement?
8. The nurse is reviewing a client's laboratory results Hypokalemia
before a procedure in
, HESI RN Pharmacology
which a neuromuscular blocking agent is a standing
order. Which finding
should the nurse report to the health care provider?
9. The nurse is preparing a child for transport to the Decrease the oral
operating room for an secretions
emergency appendectomy. The anesthesiologist pre-
scribes atropine sulfate (Atropine), IM STAT. What is
the primary purpose for administering this drug to the
child at this time?
10. When caring for a client on digoxin (Lanoxin) therapy, low serum potassi-
the nurse knows to um level
be alert for digoxin (Lanoxin) toxicity. Which finding
would predispose this
client to developing digoxin toxicity?
11. A client is receiving anti-infective drug therapy for a "My mouth feels
postoperative infection. Which complaint should alert sore"
the nurse to the possibility that the client has contract-
ed a superinfection?
12. During the initial nursing assessment history, a client Sucralfate
tells the nurse that he (Carafate)
is taking tetracycline hydrochloride (Sumycin) for ure-
thritis. Which
medication taken concurrently with Sumycin could
interfere with its
absorption?
13. Following the administration of sublingual nitroglyc- decrease in level
erin, which assessment of chest pain
finding indicates that the medication was effective?
14. Alteration of which laboratory finding represents the partial thrombo-
achievement of a plastin time (PTT)
therapeutic goal for heparin administration?
15. he nurse is assessing a stuporous client in the emer-
gency department
1. Before administering a laxative to a bedfast client, it is determine the fre-
important for the nurse to perform what assessment? quency and con-
sistency of bowel
movements
2. A female client with multiple sclerosis reports having gingko biloba use
less fatigue and improved memory since she began should be limited
using the herbal supplement, gingko biloba. Which and not taken dur-
information is most important for the nurse to include ing pregnancy
in the teaching plans for this client?
3. In explaining the benefits of the combination anti-in- the two drugs work
fective drug code TMP-SMX (Bactrim) to a client re- together to reduce
ceiving the medication for a urinary tract infection, resistance of the
what more information should the nurse provide? bacterial infection
of symptoms
4. A client being treated with Haldol for schizophrenia is give PRN dose
complaining of jaw tightness and a stiff neck. Which of diphenhy-
intervention should the nurse implement? dramine (Be-
nadryl)
5. Which intervention is most important for the nurse to Provide meals at
implement for a client that is receiving Lispro Huma- the same time that
log insulin? insulin is given
6. Client takes nonsteroidal anti-inflammatory drugs observe for gas-
every day for rheumatoid arthritis is being treated for trointestinal bleed-
anemia which intervention is most important for the ing
nurse to include any plan of care
7. A client receives a prescription for theophylline Hold the theo-
(Theo-Dur) PO to be initiated in the morning after the phylline dose and
dose of theophylline IV is complete. The nurse deter- notify the health
mines that a theophylline level drawn yesterday was care provider
22 mcg/mL. Based on this information, which action
should the nurse implement?
8. The nurse is reviewing a client's laboratory results Hypokalemia
before a procedure in
, HESI RN Pharmacology
which a neuromuscular blocking agent is a standing
order. Which finding
should the nurse report to the health care provider?
9. The nurse is preparing a child for transport to the Decrease the oral
operating room for an secretions
emergency appendectomy. The anesthesiologist pre-
scribes atropine sulfate (Atropine), IM STAT. What is
the primary purpose for administering this drug to the
child at this time?
10. When caring for a client on digoxin (Lanoxin) therapy, low serum potassi-
the nurse knows to um level
be alert for digoxin (Lanoxin) toxicity. Which finding
would predispose this
client to developing digoxin toxicity?
11. A client is receiving anti-infective drug therapy for a "My mouth feels
postoperative infection. Which complaint should alert sore"
the nurse to the possibility that the client has contract-
ed a superinfection?
12. During the initial nursing assessment history, a client Sucralfate
tells the nurse that he (Carafate)
is taking tetracycline hydrochloride (Sumycin) for ure-
thritis. Which
medication taken concurrently with Sumycin could
interfere with its
absorption?
13. Following the administration of sublingual nitroglyc- decrease in level
erin, which assessment of chest pain
finding indicates that the medication was effective?
14. Alteration of which laboratory finding represents the partial thrombo-
achievement of a plastin time (PTT)
therapeutic goal for heparin administration?
15. he nurse is assessing a stuporous client in the emer-
gency department
