Pharmacology Hesi #1 Questions with Accurate Answers.
a. consumption of any alcohol or tyramine-rich foods - accurate answers-The
nurse reviews the new prescription, phenelzine (Nardil), a monoamine
oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit.
Which information is most important for the nurse to assess?
a. Consumption of any alcohol or tyramine-rich foods.
b. Reports of nausea or vomiting.
c. Therapeutic serum drug levels.
d. Blood pressure and pulse prior to taking each dose.
b. dystonia - accurate answers-The nurse is administering haloperidol 0.5 mg
IM PRN to a client for the first time. What side effects should the nurse assess
the client for during the initial dose?
a. Bradykinesia.
b. Dystonia.
c. Somatization.
d. Akathisia.
b. closed angle glaucoma
c. chronic hypertension - accurate answers-While reviewing the client's
electronic medical record (EMR), the nurse assesses a client who is at risk for
a possible interaction with an over-the-counter (OTC) decongestant. Which
client health history should the nurse report to the healthcare provider
concerning the OTC medication? (Select all that apply.)
a. Type I diabetes mellitus (DM).
b. Closed angle glaucoma.
c. Chronic hypertension.
d. Rheumatoid arthritis.
e. Crohn's disease.
a. withhold medication and report symptoms and vital signs to healthcare
provider - accurate answers-A client prescribed ipratropium reports nausea,
blurred vision, headaches, and insomnia after using the inhaler. Which action
should the nurse implement first?
, a. Withhold medication and report symptoms and vital signs to healthcare
provider.
b. Give PRN medication for nausea and vomiting and evaluate client in 30
minutes.
c. Reassure client that the ipratropium given will alleviate the symptoms.
d. Delay administration of ipratropium until next maintenance medication is
scheduled.
a. high dose methylprednisolone intravenously - accurate answers-A client
diagnosed with multiple sclerosis is experiencing profound weakness, blurry
vision, and shooting pains in both legs. Which medication is considered the
best course of treatment for the nurse to administer?
a. High dose methylprednisolone intravenously.
b. Baclofen three times a day.
c. Broad spectrum antibiotic coverage orally.
d. Immunomodulatory drug therapy periodically.
a. a decrease in blood ammonia levels
Colonic bacteria digest lactulose to create a drug-induced acidic and
hyperosmotic environment that draws water and blood ammonia into the
colon. The physiologic action of lactulose for the client with hepatic
encephalopathy is to lower the pH of the colon which inhibits diffusion of
ammonia into the bloodstream. - accurate answers-The nurse administers 30
mL of lactulose for a client with stage 2 hepatic encephalopathy. Which
assessment finding would indicate the medication is being therapeutic?
a. A decrease in blood ammonia levels.
b. A softening in the stools.
c. An increase in glucose absorption.
d. A suppression of gut acidification.
a. it facilitates the transport of glucose to the cells - accurate answers-The
nurse is teaching a client who is newly diagnosed with Type 1 diabetes about
neutral protamine Hagedor (NPH) insulin. Which statement by the client
indicates an understanding of how the medication works?
, a. It facilitates the transport of glucose into the cells.
b. It stimulates the function of beta cells in the pancreas.
c. It increases the intracellular receptor site sensitivity.
d. It delays the carbohydrate digestion and absorption.
a. Colchicine - accurate answers-The nurse should withhold which medication
if a client reports nausea, vomiting, and diarrhea?
a. Colchicine (Mitigare, Colcrys).
b. Erythromycin (E-Mycin).
c. Naproxen (Aleve, Naprosyn).
d. Labetolol (Normodyne).
a. it will promote rapid tissue healing
Esomeprazole is a proton pump inhibitor that inhibits gastric acid secretion
and promotes the rapid healing of esophageal tissue. - accurate answers-A
client newly prescribed esomeprazole for gastroesophageal reflux disease
(GERD) asks the nurse how the medication will help. Which is the best
explanation to provide the client?
a. It will promote rapid tissue healing.
b. It will increase gastric emptying.
c. It will improve esophageal peristalsis.
d. It will neutralize gastric secretions.
a. it inhibits the aqueous humor production - accurate answers-A nurse is
providing medication education for a client prescribed a beta-blocking agents
for treatment of glaucoma. Which statement by the client demonstrates an
understanding of the mechanism of the medication?
a. It inhibits the aqueous humor production.
b. It enhances the aqueous humor outflow.
c. It increases the intraocular pressure.
d. It prevents extraocular infection.
b. eszopiclone (lunesta) 10 miligrams orally at bedtime - accurate answers-
The healthcare provider (HCP) prescribes a medication for an older adult
a. consumption of any alcohol or tyramine-rich foods - accurate answers-The
nurse reviews the new prescription, phenelzine (Nardil), a monoamine
oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit.
Which information is most important for the nurse to assess?
a. Consumption of any alcohol or tyramine-rich foods.
b. Reports of nausea or vomiting.
c. Therapeutic serum drug levels.
d. Blood pressure and pulse prior to taking each dose.
b. dystonia - accurate answers-The nurse is administering haloperidol 0.5 mg
IM PRN to a client for the first time. What side effects should the nurse assess
the client for during the initial dose?
a. Bradykinesia.
b. Dystonia.
c. Somatization.
d. Akathisia.
b. closed angle glaucoma
c. chronic hypertension - accurate answers-While reviewing the client's
electronic medical record (EMR), the nurse assesses a client who is at risk for
a possible interaction with an over-the-counter (OTC) decongestant. Which
client health history should the nurse report to the healthcare provider
concerning the OTC medication? (Select all that apply.)
a. Type I diabetes mellitus (DM).
b. Closed angle glaucoma.
c. Chronic hypertension.
d. Rheumatoid arthritis.
e. Crohn's disease.
a. withhold medication and report symptoms and vital signs to healthcare
provider - accurate answers-A client prescribed ipratropium reports nausea,
blurred vision, headaches, and insomnia after using the inhaler. Which action
should the nurse implement first?
, a. Withhold medication and report symptoms and vital signs to healthcare
provider.
b. Give PRN medication for nausea and vomiting and evaluate client in 30
minutes.
c. Reassure client that the ipratropium given will alleviate the symptoms.
d. Delay administration of ipratropium until next maintenance medication is
scheduled.
a. high dose methylprednisolone intravenously - accurate answers-A client
diagnosed with multiple sclerosis is experiencing profound weakness, blurry
vision, and shooting pains in both legs. Which medication is considered the
best course of treatment for the nurse to administer?
a. High dose methylprednisolone intravenously.
b. Baclofen three times a day.
c. Broad spectrum antibiotic coverage orally.
d. Immunomodulatory drug therapy periodically.
a. a decrease in blood ammonia levels
Colonic bacteria digest lactulose to create a drug-induced acidic and
hyperosmotic environment that draws water and blood ammonia into the
colon. The physiologic action of lactulose for the client with hepatic
encephalopathy is to lower the pH of the colon which inhibits diffusion of
ammonia into the bloodstream. - accurate answers-The nurse administers 30
mL of lactulose for a client with stage 2 hepatic encephalopathy. Which
assessment finding would indicate the medication is being therapeutic?
a. A decrease in blood ammonia levels.
b. A softening in the stools.
c. An increase in glucose absorption.
d. A suppression of gut acidification.
a. it facilitates the transport of glucose to the cells - accurate answers-The
nurse is teaching a client who is newly diagnosed with Type 1 diabetes about
neutral protamine Hagedor (NPH) insulin. Which statement by the client
indicates an understanding of how the medication works?
, a. It facilitates the transport of glucose into the cells.
b. It stimulates the function of beta cells in the pancreas.
c. It increases the intracellular receptor site sensitivity.
d. It delays the carbohydrate digestion and absorption.
a. Colchicine - accurate answers-The nurse should withhold which medication
if a client reports nausea, vomiting, and diarrhea?
a. Colchicine (Mitigare, Colcrys).
b. Erythromycin (E-Mycin).
c. Naproxen (Aleve, Naprosyn).
d. Labetolol (Normodyne).
a. it will promote rapid tissue healing
Esomeprazole is a proton pump inhibitor that inhibits gastric acid secretion
and promotes the rapid healing of esophageal tissue. - accurate answers-A
client newly prescribed esomeprazole for gastroesophageal reflux disease
(GERD) asks the nurse how the medication will help. Which is the best
explanation to provide the client?
a. It will promote rapid tissue healing.
b. It will increase gastric emptying.
c. It will improve esophageal peristalsis.
d. It will neutralize gastric secretions.
a. it inhibits the aqueous humor production - accurate answers-A nurse is
providing medication education for a client prescribed a beta-blocking agents
for treatment of glaucoma. Which statement by the client demonstrates an
understanding of the mechanism of the medication?
a. It inhibits the aqueous humor production.
b. It enhances the aqueous humor outflow.
c. It increases the intraocular pressure.
d. It prevents extraocular infection.
b. eszopiclone (lunesta) 10 miligrams orally at bedtime - accurate answers-
The healthcare provider (HCP) prescribes a medication for an older adult
