Pharmacology practice exam 1 - Hesi Questions And Answers

The LPN administers isoproterenol (Isuprel) to a client with heart block. The LPN should evaluate the client for which physical response? a)thirst and dry mucous membranes b)decrease in gastric motility c)increased heart rate d)bronchoconstriction - ANS c a client who is comatose is admitted after an overdose of baclofen (lioresal). what nursing action should the practical nurse implement? A) provide continuous telemetry monitoring B) monitor for signs of respiratory arrest C) administer prescribed naloxone (narcan) D) keep a dose of diazepam at the bedside - ANS b a client with ADHD is prescribed amphetamine (adderall). which side effect should the practical nurse explain is commonly experienced? A) difficulty sleeping B) increased fatigue C) improved appetite D) decreased heart rate - ANS A the practical nurse discusses antihypertensive drug therapy with several clients diagnoses with high blood pressure. to improve client understanding, the PN should emphasize that which medication preserves renal function in a client with diabetes? A) verapamil (calan) B) captopril (capoten) C) clonidine (catapres) D) nifedipine (procardia) - ANS B the practical nurse should recommend that oral contraceptives be avoided in which group of women? A) women who smoke B) multigravidous women C) monogamous women D) women with an intrauterine device - ANS A a female client with recurring headaches tells the practical nurse that she has been taking at least 4 grams of acetaminophen a day. which lab study should the lpn review for this client? a) creatinine clearance b) hepatic enzymes c) coagulation values d) arterial blood gases - ANS B the healthcare provider prescribes cycloplegic and mydriatric opthalmic drops for a client who is having a cataract removal. what explanation about the drug actions should the practical nurse provide the client? A) reduces intraocular pressure B) relieves eye pain c) treats conjunctivitis D) dilates the pupil - ANS d the lpn ovserves a think white coating on the tongue of a client who takes fluphenazine (prolixing). what instructions should the lpn reinforce with the client about this medication? a-no treatment is needed as the coating should subside in a couple of weeks b- attempt to stop smoking if the white coating on your tongue persists c- if you taking any inhalants, was the mouthpiece after each use D- brush your teeth and tongue, floss, gargle, and notify the healthcare provider - ANS D an older client who takes risperidone (risperdal), an antipsychotic, is complaining of constipation. which dietary changes should the lpn recommend? A- increase daily green veggies and bran B- take a laxative and stool softener daily C- eat liver and turnips once a week D- use a retention enema every four days - ANS A a 35 week gestation primigravida who takes lithium (eskalith) tells the lpn that she would like to breastfeed her infant. what information should the pn provide to the client A- the medication does not cross the placental barrier B- mood swings will occur if lithium is discontinued C- breast mil should be discarded after each oral dose of lithium D- the drug is excreted in breast milk so use formula to feed the infant - ANS D