EVOLVE HESI PHARMACOLOGY WELL
RESEARCHED EXAM AND PRACTICE
QUESTIONS WITH 100% DETAILED
VERIFIED AND CORRECT ANSWERS
ACTUAL BRAND-NEW EXAM ALREADY
GRADED A+
A client receives an antihypertensive agent daily. Which
action is most important for the nurse to implement prior to
administering the medication?
A. Verify the expiration date.
B. Obtain the client's blood pressure.
C. Determine the client's history of adverse
reactions.
D. Review the client's medical record for a change in drug
route. - ....ANSWER...B. Obtain the client's blood pressure.
To determine the most accurate response to
antihypertensive therapy, baseline blood pressures should
be obtained before an antihypertensive drug is
administered and should be compared with orthostatic vital
1
,signs to determine whether any side effects are occurring.
Although options A, C, and D are required nursing actions
prior to giving any drug, the therapeutic response should be
determined before another dose is administered.
The health care provider prescribes ipratropium for a
client. An allergic reaction to which other medication
would cause the nurse to question the prescription for?
A. Albuterol
B. Theophylline
C. Metaproterenol
D. Atropine sulfate - ....ANSWER...D. Atropine sulfate
Clients who have experienced allergic reactions to
atropine sulfate and belladonna alkaloids may also be
allergic to ipratropium, so the prescription for Atrovent
should be questioned. Allergies to options A, B, and C
would not cause the nurse to question a prescription for
ipratropium.
The apical heart rate of an infant receiving digoxin for
congestive heart failure is 80 beats/min. Which
intervention should the nurse implement first?
2
,A. Administer the next dose of digoxin as scheduled.
B. Obtain a serum digoxin level.
3
, C. Administer a PRN dose of atropine sulfate.
D. Assess for S3 and S4 heart sounds. -
....ANSWER...B. Obtain a serum digoxin level.
Sinus bradycardia (rate <90 to 110 beats/min in an infant)
is an indication of digoxin toxicity, so assessment of the
client's digoxin level is the highest priority. Further doses
of digoxin should be withheld until the serum level is
obtained. Option C is not indicated unless the client
exhibits symptoms of diminished cardiac output. Option
D provides information about cardiac function but is of
less priority than option B.
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
4
RESEARCHED EXAM AND PRACTICE
QUESTIONS WITH 100% DETAILED
VERIFIED AND CORRECT ANSWERS
ACTUAL BRAND-NEW EXAM ALREADY
GRADED A+
A client receives an antihypertensive agent daily. Which
action is most important for the nurse to implement prior to
administering the medication?
A. Verify the expiration date.
B. Obtain the client's blood pressure.
C. Determine the client's history of adverse
reactions.
D. Review the client's medical record for a change in drug
route. - ....ANSWER...B. Obtain the client's blood pressure.
To determine the most accurate response to
antihypertensive therapy, baseline blood pressures should
be obtained before an antihypertensive drug is
administered and should be compared with orthostatic vital
1
,signs to determine whether any side effects are occurring.
Although options A, C, and D are required nursing actions
prior to giving any drug, the therapeutic response should be
determined before another dose is administered.
The health care provider prescribes ipratropium for a
client. An allergic reaction to which other medication
would cause the nurse to question the prescription for?
A. Albuterol
B. Theophylline
C. Metaproterenol
D. Atropine sulfate - ....ANSWER...D. Atropine sulfate
Clients who have experienced allergic reactions to
atropine sulfate and belladonna alkaloids may also be
allergic to ipratropium, so the prescription for Atrovent
should be questioned. Allergies to options A, B, and C
would not cause the nurse to question a prescription for
ipratropium.
The apical heart rate of an infant receiving digoxin for
congestive heart failure is 80 beats/min. Which
intervention should the nurse implement first?
2
,A. Administer the next dose of digoxin as scheduled.
B. Obtain a serum digoxin level.
3
, C. Administer a PRN dose of atropine sulfate.
D. Assess for S3 and S4 heart sounds. -
....ANSWER...B. Obtain a serum digoxin level.
Sinus bradycardia (rate <90 to 110 beats/min in an infant)
is an indication of digoxin toxicity, so assessment of the
client's digoxin level is the highest priority. Further doses
of digoxin should be withheld until the serum level is
obtained. Option C is not indicated unless the client
exhibits symptoms of diminished cardiac output. Option
D provides information about cardiac function but is of
less priority than option B.
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
4
