PHARM HESI V2 exam.
PHARM HESI V2 exam.
1. Before administering a laxative to a bedfast client, it is most important for the nurse to perform what
assessment? A. Observe the skin integrity of the client's rectal and sacral areas B. assess the client
strength in moving and turning in the bed C. evaluate the client's ability to recognize the urge to
defecate D. determine the frequency and consistency of bowel movements - ANSWER D. determine the
frequency and consistency of bowel movements
2. A female client with multiple sclerosis reports having less fatigue and improved memory since she
began using the herbal supplement , ginkgo biloba . Which information is most important for the nurse
to include in the teaching plans for this client ? A. Aspirin and nonsteroidal anti - inflammatory drugs
interact with ginkgo B. nausea and diarrhea can occur when using this supplement C. anxiety and
headaches increased with use of ginkgo D. ginkgo biloba use should be limited and not taken during
pregnancy - ANSWER D. ginkgo biloba use should be limited and not taken during pregnancy
3. In explaining the benefits of the combination anti - infective drug code TMP - SMZ ( Bactrim ) to a
client receiving the medication for a urinary tract infection , more rationale to the nurse provide ? A.
Each drug could cause damage to the kidneys if taken separately B. One drug reduces the risk of side
effects caused by the drug C. while one drug provide relief , the other fights the infection D. the two
drugs work together to reduce resistance of the bacterial infection of symptoms - ANSWER D. the two
drugs work together to reduce resistance of the bacterial infection of symptoms
4. Client being treated with Haldol for schizophrenia is complaining of jaw tightness and a stiff neck .
Which interventions should the nurse implement ?A. give PRN dose of diphenhydramine Benadryl B.
assess client other sensory hallucinations C. massage neck until muscles begin to relax D. obtain a 12
lead EKG - ANSWER A. give PRN dose of diphenhydramine Benadryl
5. Which intervention is most important for the nurse implement for a client is receiving Lispro Humalog
insulin ? A. Check blood glucose levels every six hours B. Provide meals at the same time that insulin is
given C. Assess for hypoglycemia between meals D. Keeping oral liquid or glucose source available -
ANSWER B. 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 A. Observe for
gastrointestinal bleeding B. Monitor liver function test results C. Protect skin from bruising D. Offered
dietary selections rich in iron - ANSWER A. Observe for gastrointestinal bleeding
, PHARM HESI V2 exam.
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 determines that a theophylline level drawn yesterday
was 22 mcg / mL . Based on this information , which action should the nurse implement ? A. Hold the
theophylline dose and notify the health care provider . B. Start the client on a half - dose of theophylline
PO . C. The theophylline dose can be initiated as planned . D. The client is not ready to be weaned from
the IV to the PO route - ANSWER A. 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 ?A.
Hypokalemia B. Hyponatremia C. Hypercalcemia D. Hypomagnesemia - ANSWER A. Hypokalemia
9. The nurse 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 ? A. Decrease the oral secretions B. Reduce the child's
anxiety C. Potentiate the opioid effects D. Prevent possible peritonitis - ANSWER D. Prevent possible
peritonitis
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 ? A. Low
serum sodium level B. High serum sodium level C. Low serum potassium level D. High serum potassium
level - ANSWER C. Low serum potassium level
11. A client is receiving anti - infective drug therapy for a postoperative infection . Which complaint
should alert the nurse to the possibility that the client has contracted a superinfection ? A. " My mouth
feels sore " B. " I have a headache . " C. " My ears feel plugged up . " D. " I feel constipated " - ANSWER
A. " My mouth feels sore "
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 ? A. Sucralfate ( Carafate ) B. Hydrochlorothiazide ( Diuril ) C.
Acetaminophen ( Tylenol ) D. Phenytoin ( Dilantin - ANSWER A. Sucralfate ( Carafate )
13. Following the administration of sublingual nitroglycerin , which assessment finding indicates that the
medication was effective ? A. Decrease in level of chest pain B. Clear bilateral breath sounds C. Increase
in blood pressure D. Increase in urinary output - ANSWER A. Decrease in level of chest pain
PHARM HESI V2 exam.
1. Before administering a laxative to a bedfast client, it is most important for the nurse to perform what
assessment? A. Observe the skin integrity of the client's rectal and sacral areas B. assess the client
strength in moving and turning in the bed C. evaluate the client's ability to recognize the urge to
defecate D. determine the frequency and consistency of bowel movements - ANSWER D. determine the
frequency and consistency of bowel movements
2. A female client with multiple sclerosis reports having less fatigue and improved memory since she
began using the herbal supplement , ginkgo biloba . Which information is most important for the nurse
to include in the teaching plans for this client ? A. Aspirin and nonsteroidal anti - inflammatory drugs
interact with ginkgo B. nausea and diarrhea can occur when using this supplement C. anxiety and
headaches increased with use of ginkgo D. ginkgo biloba use should be limited and not taken during
pregnancy - ANSWER D. ginkgo biloba use should be limited and not taken during pregnancy
3. In explaining the benefits of the combination anti - infective drug code TMP - SMZ ( Bactrim ) to a
client receiving the medication for a urinary tract infection , more rationale to the nurse provide ? A.
Each drug could cause damage to the kidneys if taken separately B. One drug reduces the risk of side
effects caused by the drug C. while one drug provide relief , the other fights the infection D. the two
drugs work together to reduce resistance of the bacterial infection of symptoms - ANSWER D. the two
drugs work together to reduce resistance of the bacterial infection of symptoms
4. Client being treated with Haldol for schizophrenia is complaining of jaw tightness and a stiff neck .
Which interventions should the nurse implement ?A. give PRN dose of diphenhydramine Benadryl B.
assess client other sensory hallucinations C. massage neck until muscles begin to relax D. obtain a 12
lead EKG - ANSWER A. give PRN dose of diphenhydramine Benadryl
5. Which intervention is most important for the nurse implement for a client is receiving Lispro Humalog
insulin ? A. Check blood glucose levels every six hours B. Provide meals at the same time that insulin is
given C. Assess for hypoglycemia between meals D. Keeping oral liquid or glucose source available -
ANSWER B. 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 A. Observe for
gastrointestinal bleeding B. Monitor liver function test results C. Protect skin from bruising D. Offered
dietary selections rich in iron - ANSWER A. Observe for gastrointestinal bleeding
, PHARM HESI V2 exam.
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 determines that a theophylline level drawn yesterday
was 22 mcg / mL . Based on this information , which action should the nurse implement ? A. Hold the
theophylline dose and notify the health care provider . B. Start the client on a half - dose of theophylline
PO . C. The theophylline dose can be initiated as planned . D. The client is not ready to be weaned from
the IV to the PO route - ANSWER A. 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 ?A.
Hypokalemia B. Hyponatremia C. Hypercalcemia D. Hypomagnesemia - ANSWER A. Hypokalemia
9. The nurse 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 ? A. Decrease the oral secretions B. Reduce the child's
anxiety C. Potentiate the opioid effects D. Prevent possible peritonitis - ANSWER D. Prevent possible
peritonitis
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 ? A. Low
serum sodium level B. High serum sodium level C. Low serum potassium level D. High serum potassium
level - ANSWER C. Low serum potassium level
11. A client is receiving anti - infective drug therapy for a postoperative infection . Which complaint
should alert the nurse to the possibility that the client has contracted a superinfection ? A. " My mouth
feels sore " B. " I have a headache . " C. " My ears feel plugged up . " D. " I feel constipated " - ANSWER
A. " My mouth feels sore "
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 ? A. Sucralfate ( Carafate ) B. Hydrochlorothiazide ( Diuril ) C.
Acetaminophen ( Tylenol ) D. Phenytoin ( Dilantin - ANSWER A. Sucralfate ( Carafate )
13. Following the administration of sublingual nitroglycerin , which assessment finding indicates that the
medication was effective ? A. Decrease in level of chest pain B. Clear bilateral breath sounds C. Increase
in blood pressure D. Increase in urinary output - ANSWER A. Decrease in level of chest pain
