HESI RN Pharmacology
Study online at https://quizlet.com/_ep45yv
1. Before administering a laxative to a bedfast client, it is important for the
nurse to perform what assessment?: determine the frequency and consistency
of bowel movements
2. A female client with multiple sclerosis reports having less fatigue and im-
proved memory since she began using the herbal supplement, gingko biloba.
Which information is most important for the nurse to include in the teaching
plans for this client?: gingko biloba use should be limited and not taken during
pregnancy
3. In explaining the benefits of the combination anti-infective drug code
TMP-SMX (Bactrim) to a client receiving the medication for a urinary tract
infection, what more information should the nurse provide?: the two drugs work
together to reduce resistance of the bacterial infection of symptoms
4. A client being treated with Haldol for schizophrenia is complaining of jaw
tightness and a stiff neck. Which intervention should the nurse implement?: -
give PRN dose of diphenhydramine (Benadryl)
5. Which intervention is most important for the nurse to implement for a client
that is receiving Lispro Humalog insulin?: Provide meals at the same time that
insulin is given
6. Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid
arthritis is being treated for anemia which intervention is most important for
the nurse to include any plan of care: observe for gastrointestinal bleeding
7. A client receives a prescription for theophylline (Theo-Dur) PO to be initiated
in the morning after the dose of theophylline IV is complete. The nurse deter-
mines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this
information, which action should the nurse implement?: Hold the theophylline
dose and notify the health care provider
8. The nurse is reviewing a client's laboratory results before a procedure in
which a neuromuscular blocking agent is a standing order. Which finding
should the nurse report to the health care provider?: Hypokalemia
9. The nurse is preparing a child for transport to the operating room for an
emergency appendectomy. The anesthesiologist prescribes atropine sulfate
(Atropine), IM STAT. What is the primary purpose for administering this drug
to the child at this time?: Decrease the oral secretions
10. When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to
be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this
client to developing digoxin toxicity?: low serum potassium level
11. A client is receiving anti-infective drug therapy for a postoperative infec-
tion. Which complaint should alert the nurse to the possibility that the client
has contracted a superinfection?: "My mouth feels sore"
1/7
, HESI RN Pharmacology
Study online at https://quizlet.com/_ep45yv
12. During the initial nursing assessment history, a client tells the nurse that
he
is taking tetracycline hydrochloride (Sumycin) for urethritis. Which
medication taken concurrently with Sumycin could interfere with its
absorption?: Sucralfate (Carafate)
13. Following the administration of sublingual nitroglycerin, which assess-
ment
finding indicates that the medication was effective?: decrease in level of chest
pain
14. Alteration of which laboratory finding represents the achievement of a
therapeutic goal for heparin administration?: partial thromboplastin time (PTT)
15. he nurse is assessing a stuporous client in the emergency department
who is suspected of overdosing with opioids. Which agent should the nurse
prepare to administer if the client becomes comatose?: naloxone hydrochloride
(Narcan)
16. A client with HIV who was recently diagnosed with tuberculosis (TB) asks
the nurse, "Why do I need to take all of these medications for TB?" What
information should the nurse provide?: multiple drugs prevent the development
of resistant organisms
17. Two hours after taking the first dose of penicillin, a client arrives at the
emergency department complaining of feeling ill, exhibiting hives, having
difficulty breathing, and experiencing hypotension. These findings are
consistent with which client response that requires immediate action?: severe
acute anaphylactic response
18. Which question should the nurse ask a client prior to the initiation of
treatment with IV infusions of gentamicin sulfate (Garamycin)?: "Are you hav-
ing difficulty hearing?"
19. A male client who has chronic back pain is on long-term pain
medication management and asks the nurse why his pain relief therapy
is not as effective as it was 2 months ago. How should the nurse
respond?: Pharmacodynamics tolerance requires increased drug levels to achieve
the same effect.
20. The nurse is providing discharge instructions to a client who has received
a
prescription for an antibiotic that is hepatotoxic. Which information should
the nurse include in the instructions?: Avoid ingesting any alcohol or aceta-
minophen (Tylenol).
21. A client with mild Parkinsonism is started on oral amantadine (Symme-
trel).
2/7
Study online at https://quizlet.com/_ep45yv
1. Before administering a laxative to a bedfast client, it is important for the
nurse to perform what assessment?: determine the frequency and consistency
of bowel movements
2. A female client with multiple sclerosis reports having less fatigue and im-
proved memory since she began using the herbal supplement, gingko biloba.
Which information is most important for the nurse to include in the teaching
plans for this client?: gingko biloba use should be limited and not taken during
pregnancy
3. In explaining the benefits of the combination anti-infective drug code
TMP-SMX (Bactrim) to a client receiving the medication for a urinary tract
infection, what more information should the nurse provide?: the two drugs work
together to reduce resistance of the bacterial infection of symptoms
4. A client being treated with Haldol for schizophrenia is complaining of jaw
tightness and a stiff neck. Which intervention should the nurse implement?: -
give PRN dose of diphenhydramine (Benadryl)
5. Which intervention is most important for the nurse to implement for a client
that is receiving Lispro Humalog insulin?: Provide meals at the same time that
insulin is given
6. Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid
arthritis is being treated for anemia which intervention is most important for
the nurse to include any plan of care: observe for gastrointestinal bleeding
7. A client receives a prescription for theophylline (Theo-Dur) PO to be initiated
in the morning after the dose of theophylline IV is complete. The nurse deter-
mines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this
information, which action should the nurse implement?: Hold the theophylline
dose and notify the health care provider
8. The nurse is reviewing a client's laboratory results before a procedure in
which a neuromuscular blocking agent is a standing order. Which finding
should the nurse report to the health care provider?: Hypokalemia
9. The nurse is preparing a child for transport to the operating room for an
emergency appendectomy. The anesthesiologist prescribes atropine sulfate
(Atropine), IM STAT. What is the primary purpose for administering this drug
to the child at this time?: Decrease the oral secretions
10. When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to
be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this
client to developing digoxin toxicity?: low serum potassium level
11. A client is receiving anti-infective drug therapy for a postoperative infec-
tion. Which complaint should alert the nurse to the possibility that the client
has contracted a superinfection?: "My mouth feels sore"
1/7
, HESI RN Pharmacology
Study online at https://quizlet.com/_ep45yv
12. During the initial nursing assessment history, a client tells the nurse that
he
is taking tetracycline hydrochloride (Sumycin) for urethritis. Which
medication taken concurrently with Sumycin could interfere with its
absorption?: Sucralfate (Carafate)
13. Following the administration of sublingual nitroglycerin, which assess-
ment
finding indicates that the medication was effective?: decrease in level of chest
pain
14. Alteration of which laboratory finding represents the achievement of a
therapeutic goal for heparin administration?: partial thromboplastin time (PTT)
15. he nurse is assessing a stuporous client in the emergency department
who is suspected of overdosing with opioids. Which agent should the nurse
prepare to administer if the client becomes comatose?: naloxone hydrochloride
(Narcan)
16. A client with HIV who was recently diagnosed with tuberculosis (TB) asks
the nurse, "Why do I need to take all of these medications for TB?" What
information should the nurse provide?: multiple drugs prevent the development
of resistant organisms
17. Two hours after taking the first dose of penicillin, a client arrives at the
emergency department complaining of feeling ill, exhibiting hives, having
difficulty breathing, and experiencing hypotension. These findings are
consistent with which client response that requires immediate action?: severe
acute anaphylactic response
18. Which question should the nurse ask a client prior to the initiation of
treatment with IV infusions of gentamicin sulfate (Garamycin)?: "Are you hav-
ing difficulty hearing?"
19. A male client who has chronic back pain is on long-term pain
medication management and asks the nurse why his pain relief therapy
is not as effective as it was 2 months ago. How should the nurse
respond?: Pharmacodynamics tolerance requires increased drug levels to achieve
the same effect.
20. The nurse is providing discharge instructions to a client who has received
a
prescription for an antibiotic that is hepatotoxic. Which information should
the nurse include in the instructions?: Avoid ingesting any alcohol or aceta-
minophen (Tylenol).
21. A client with mild Parkinsonism is started on oral amantadine (Symme-
trel).
2/7
