PHARMACOLOGY HESI (FALL 2023)
QUESTIONS AND ANSWERS 2024/2025
UPDATED LATEST GRADED A+.
The nurse cares for a client receiving vancomycin for methicillin-resistant
Staphylococcus aureus. After reviewing the list of medications that the
client is taking concurrently, which drug interactions concern the nurse?
Select all that apply.
1. Polyethylene glycol
2. NSAIDs
3. Aminoglycosides
4. Cyclosporine
5. Acetaminophen - Precise answer 2, 3, 4
The nurse cares for a client who has a history of congestive heart failure.
The client has prescriptions of furosemide and gentamicin for a diagnosis
with a Klebsiella pneumoniae respiratory infection. The healthcare provider
adds a new order of digoxin administration. Which nursing action is
essential?
1. Administer intravenous gentamicin at the same time as furosemide
2. Discontinue furosemide and digoxin during the administration of
gentamicin
3. Contact the healthcare provider about an al - Precise answer 4
The nurse provides health education about furosemide to a client
diagnosed with heart failure, arthritis, and hypertension. Which statement
by the client shows an understanding of the teaching?
1. "I can continue taking furosemide, even if I become pregnant."
2. "I should check my blood pressure every day."
,3. "When I get up from sitting on the couch, I should get up quickly."
4. "Furosemide can also manage my arthritis." - Precise answer 2
The nurse is caring for a client receiving digoxin, furosemide, and cefazolin
for congestive heart failure and pyelonephritis. During the assessment, the
nurse notes a temperature of 38.6℃ (101.4℉) and oliguria with dark-
colored urine. The client reports nausea and vomiting. Which possible
complications does the nurse suspect? Select all that apply.
1. Nephrotoxicity
2. Digoxin toxicity
3. Sepsis
4. Dehydration
5. Hypervolemia - Precise answer 1, 2, 3, 4
The nurse cares for a client diagnosed with congestive heart failure and
bipolar disorder. The client's medications include lithium and furosemide.
During the assessment, the nurse notes a serum sodium level of 131
mmol/L and a serum potassium level of 3.5 mmol/L. Which action by the
nurse is a priority?
1.Assess for serum creatinine level
2.Assess for serum lithium level
3.Assess for serum digoxin level
4.Assess for serum furosemide level - Precise answer 2
The nurse is caring for a client diagnosed with traumatic brain injury. During
the assessment, the nurse notes an elevated intracranial pressure and
decreasing level of consciousness. Which action does the nurse
implement?
1.Prepare for the administration of furosemide
2.Infuse hydrochlorothiazide immediately
3.Administer mannitol intravenously
4.Administer IV spironolactone - Precise answer 3
, The nurse provides health teaching about hydrochlorothiazide to a client
diagnosed with hypertension and diabetes. Which statement demonstrates
an understanding of the teaching?
1."I will take the medication daily at bedtime to prevent dizziness during the
day."
2."This drug will start working 12 hours after I take it."
3."I should take this drug if my blood pressure is too low."
4."I need to watch my blood sugar because the drug can raise it." - Precise
answer 4
The nurse monitors a client diagnosed with renal failure secondary to
diabetes mellitus. Which finding does the nurse directly associate with
kidney dysfunction? Select all that apply.
1.Ecchymosis on the lower extremities
2.Increased blood pressure
3.Acid-base imbalances
4.Increased blood glucose level
5.Increased serum drug levels - Precise answer 2, 3, 5
The nurse administers loop diuretics to a client diagnosed with severe
edema. The client asks how the drug works. Which statement by the nurse
is correct?
1."The loop diuretic's site of action is at the distal collecting tubule."
2.The loop diuretic's location of action is at the proximal collecting tubule.
3.Loop diuretics are more potent than potassium-sparing diuretics.
4.The combination of loop and potassium-sparing diuretics can cause
severe hypokalemia. - Precise answer 3
QUESTIONS AND ANSWERS 2024/2025
UPDATED LATEST GRADED A+.
The nurse cares for a client receiving vancomycin for methicillin-resistant
Staphylococcus aureus. After reviewing the list of medications that the
client is taking concurrently, which drug interactions concern the nurse?
Select all that apply.
1. Polyethylene glycol
2. NSAIDs
3. Aminoglycosides
4. Cyclosporine
5. Acetaminophen - Precise answer 2, 3, 4
The nurse cares for a client who has a history of congestive heart failure.
The client has prescriptions of furosemide and gentamicin for a diagnosis
with a Klebsiella pneumoniae respiratory infection. The healthcare provider
adds a new order of digoxin administration. Which nursing action is
essential?
1. Administer intravenous gentamicin at the same time as furosemide
2. Discontinue furosemide and digoxin during the administration of
gentamicin
3. Contact the healthcare provider about an al - Precise answer 4
The nurse provides health education about furosemide to a client
diagnosed with heart failure, arthritis, and hypertension. Which statement
by the client shows an understanding of the teaching?
1. "I can continue taking furosemide, even if I become pregnant."
2. "I should check my blood pressure every day."
,3. "When I get up from sitting on the couch, I should get up quickly."
4. "Furosemide can also manage my arthritis." - Precise answer 2
The nurse is caring for a client receiving digoxin, furosemide, and cefazolin
for congestive heart failure and pyelonephritis. During the assessment, the
nurse notes a temperature of 38.6℃ (101.4℉) and oliguria with dark-
colored urine. The client reports nausea and vomiting. Which possible
complications does the nurse suspect? Select all that apply.
1. Nephrotoxicity
2. Digoxin toxicity
3. Sepsis
4. Dehydration
5. Hypervolemia - Precise answer 1, 2, 3, 4
The nurse cares for a client diagnosed with congestive heart failure and
bipolar disorder. The client's medications include lithium and furosemide.
During the assessment, the nurse notes a serum sodium level of 131
mmol/L and a serum potassium level of 3.5 mmol/L. Which action by the
nurse is a priority?
1.Assess for serum creatinine level
2.Assess for serum lithium level
3.Assess for serum digoxin level
4.Assess for serum furosemide level - Precise answer 2
The nurse is caring for a client diagnosed with traumatic brain injury. During
the assessment, the nurse notes an elevated intracranial pressure and
decreasing level of consciousness. Which action does the nurse
implement?
1.Prepare for the administration of furosemide
2.Infuse hydrochlorothiazide immediately
3.Administer mannitol intravenously
4.Administer IV spironolactone - Precise answer 3
, The nurse provides health teaching about hydrochlorothiazide to a client
diagnosed with hypertension and diabetes. Which statement demonstrates
an understanding of the teaching?
1."I will take the medication daily at bedtime to prevent dizziness during the
day."
2."This drug will start working 12 hours after I take it."
3."I should take this drug if my blood pressure is too low."
4."I need to watch my blood sugar because the drug can raise it." - Precise
answer 4
The nurse monitors a client diagnosed with renal failure secondary to
diabetes mellitus. Which finding does the nurse directly associate with
kidney dysfunction? Select all that apply.
1.Ecchymosis on the lower extremities
2.Increased blood pressure
3.Acid-base imbalances
4.Increased blood glucose level
5.Increased serum drug levels - Precise answer 2, 3, 5
The nurse administers loop diuretics to a client diagnosed with severe
edema. The client asks how the drug works. Which statement by the nurse
is correct?
1."The loop diuretic's site of action is at the distal collecting tubule."
2.The loop diuretic's location of action is at the proximal collecting tubule.
3.Loop diuretics are more potent than potassium-sparing diuretics.
4.The combination of loop and potassium-sparing diuretics can cause
severe hypokalemia. - Precise answer 3
