HESI Pharmacology Nightingale College
Fall 2022 verified and approved.
HESI Pharmacology Nightingale College
Fall 2022 verified and approved.
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for PE. Which
information in the client's history requires follow up by the nurse? - ANSWER Takes metformin
hydrochloride for type 2 DM.
A client diagnosed with MS who self-administers beta 1 a interferon, reports feeling increasingly
depressed. Which action should the nurse implement? - ANSWER Notify the healthcare provider of the
findings immediately.
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache. It is
most important to determine if the client's history includes which problem? - ANSWER CAD
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours which is to be
infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200mL.
How many mL/hr should the nurse program the infusion pump to deliver? - ANSWER 200
Before administering a laxative to a bedfast client it is most important for the nurse to perform which
assessment? - ANSWER Determine the frequency and consistency of bowel movements.
Hormone replacement therapy with levothyroxine sodium is prescribed for a client with
hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that
the client is taking too much of the hormonal agent levothyroxine sodium? - ANSWER Restlessness
A male client reports to the nurse that he is experiencing gastrointestinal distress from a high dose of a
corticosteroid and is planning to stop taking the medication. In response to the client's statement which
nursing action is most important for the nurse to implement? - ANSWER Advise the client that
medication should be gradually stopped rather than abruptly.
, HESI Pharmacology Nightingale College
Fall 2022 verified and approved.
A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic
nurse and reports difficulty seeing at night. Which explanation should the nurse provide? - ANSWER The
eye drops slow pupil response to accommodate for darkness
A client is receiving rifampin an antitubercular medication. Which statement by this client should
prompt the nurse to notify the healthcare provider of a potential problem? - ANSWER Reports that the
sclera are yellow.
Which action should the nurse implement to assess the effectiveness of the Calcium channel blocker
amlodipine? - ANSWER Measure the client's BP.
A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours for several
days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of
gentamicin? - ANSWER Hearing has decreased.
An older adult client with restless legs syndrome begins taking melatonin at bedtime. When evaluating
the effectiveness of the herb which assessment should the nurse complete? - ANSWER Determine sleep
patterns.
The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with HTN. The
client's V/Signs are temp 99% (37.2*C) heart rate 48 beats/ minute RR 16 breaths/min and BP 150/90
mm/Hg. Which action should the nurse take? - ANSWER Withhold the scheduled dose and notify the
healthcare provider.
The nurse is planning discharge teaching for a client with DM who has a new prescription for insulin
glargine. Which action should the nurse plan to include in the discharge teaching? - ANSWER Teach the
client self-injection skills for daily subcutaneous administration.
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and is now prescribed
adalimumab. Which instructions should the nurse provide the client? - ANSWER Have a chest x ray prior
to your first dose.
Fall 2022 verified and approved.
HESI Pharmacology Nightingale College
Fall 2022 verified and approved.
A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for PE. Which
information in the client's history requires follow up by the nurse? - ANSWER Takes metformin
hydrochloride for type 2 DM.
A client diagnosed with MS who self-administers beta 1 a interferon, reports feeling increasingly
depressed. Which action should the nurse implement? - ANSWER Notify the healthcare provider of the
findings immediately.
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache. It is
most important to determine if the client's history includes which problem? - ANSWER CAD
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours which is to be
infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200mL.
How many mL/hr should the nurse program the infusion pump to deliver? - ANSWER 200
Before administering a laxative to a bedfast client it is most important for the nurse to perform which
assessment? - ANSWER Determine the frequency and consistency of bowel movements.
Hormone replacement therapy with levothyroxine sodium is prescribed for a client with
hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that
the client is taking too much of the hormonal agent levothyroxine sodium? - ANSWER Restlessness
A male client reports to the nurse that he is experiencing gastrointestinal distress from a high dose of a
corticosteroid and is planning to stop taking the medication. In response to the client's statement which
nursing action is most important for the nurse to implement? - ANSWER Advise the client that
medication should be gradually stopped rather than abruptly.
, HESI Pharmacology Nightingale College
Fall 2022 verified and approved.
A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic
nurse and reports difficulty seeing at night. Which explanation should the nurse provide? - ANSWER The
eye drops slow pupil response to accommodate for darkness
A client is receiving rifampin an antitubercular medication. Which statement by this client should
prompt the nurse to notify the healthcare provider of a potential problem? - ANSWER Reports that the
sclera are yellow.
Which action should the nurse implement to assess the effectiveness of the Calcium channel blocker
amlodipine? - ANSWER Measure the client's BP.
A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours for several
days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of
gentamicin? - ANSWER Hearing has decreased.
An older adult client with restless legs syndrome begins taking melatonin at bedtime. When evaluating
the effectiveness of the herb which assessment should the nurse complete? - ANSWER Determine sleep
patterns.
The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with HTN. The
client's V/Signs are temp 99% (37.2*C) heart rate 48 beats/ minute RR 16 breaths/min and BP 150/90
mm/Hg. Which action should the nurse take? - ANSWER Withhold the scheduled dose and notify the
healthcare provider.
The nurse is planning discharge teaching for a client with DM who has a new prescription for insulin
glargine. Which action should the nurse plan to include in the discharge teaching? - ANSWER Teach the
client self-injection skills for daily subcutaneous administration.
The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and is now prescribed
adalimumab. Which instructions should the nurse provide the client? - ANSWER Have a chest x ray prior
to your first dose.
