Pharmacology HESI V2 Preparation
Study online at https://quizlet.com/_5m41zc
1. A client is prescribed phenobarbi- ANS: A
tal sodium (Luminal) for a seizure Medication with long half-lives remain at their thera-
disorder. The medication has a peutic levels between doses for long periods of time.
long half-life of 4 days. Based on Therefore, this medication can be administered once a
this half-life, the medication will day.
most likely be prescribed
A. once a day.
B. twice a day.
C. three times a day.
D. four times a day.
2. A nurse educator is reviewing med- ANS: C, E
ication dosages and factors that Liver failure decreases metabolism and thus increase
influence medication metabolism the concentration of medication. This may require de-
with a group of nurses. Medication creasing the dosage of medication. When two med-
dosages may need to be decreased ications are metabolized in the same way, they may
for which of the following reasons? compete for metabolism, thereby increasing the con-
(Select all that apply.) centration of one or both medications.
A. Increased renal excretion
B. Increased medication-metabo- Increased renal excretion may decrease concentra-
lizing enzymes tion of the medication, requiring increased dosage.
C. Liver failure Increased medication-metabolizing enzymes can de-
D. Peripheral vascular disease crease the concentration of the medication. The dose
E. Concurrent use of medication might need increased. Peripheral vascular disease may
metabolized by the same pathway impair distribution, and more of the medication may be
needed.
3. A nurse s preparing to administer ANS:B, D, E
eye drops to a client. Which of the The medication should be dropped into the center of
following are appropriate nursing the conjunctival sac to promote better distribution of
interventions related to this proce- the medication. The client should close the eye gently
dure? (Select all that apply.) to allow improved distribution of the medication.
, Pharmacology HESI V2 Preparation
Study online at https://quizlet.com/_5m41zc
A. Using medical aseptic tech-
nique Surgical aseptic technique is used to administer eye
B. Asking the client to look up at drops. The client should be sitting or in a supine po-
the ceiling sition to facilitate proper administration of eye drops.
C. Having the client lie in a side-ly-
ing position
D. Dropping medication into the
center of the client's conjunctival
sac
E. Instructing the client to close the
eye gently
4. A nurse is completing discharge ANS: C
teaching to a client who has a Transdermal medication should be applied to a hairless
new prescription for a transdermal area of skin to promote absorption of medication.
medication. Which of the following
statements by the client indicates The skin should be washed with soap and water and
understanding of the teaching? dried thoroughly before applying a transdermal patch.
A. "I will clean the site with an al- Application sites should be rotated on a daily basis to
cohol swab prior to applying the prevent skin irritation.
patch."
B. "I will rotate the application site
weekly."
C. "I will apply the patch to an area
of skin with no hair."
D. "I will place the new patch on the
site of the old patch."
5. A nurse is reviewing a client's ANS: A
health record and notes a new pre- To verify trough levels of a medication, a blood speci-
scription by the provider to verify men is obtained immediately before the next dose of
the trough level of the client's med- medication.
, Pharmacology HESI V2 Preparation
Study online at https://quizlet.com/_5m41zc
ication. Which of the following ac-
tions should the nurse take?
A. Have a blood specimen obtained
immediately prior to the next dose
of medication.
B. Verify that the client has been
on the medication for 24 hr before
ordering a blood specimen.
C. Ask the client to provide a urine
specimen after the next dose of
medication.
D. Begin administering the medica-
tion, and obtain a blood specimen.
6. A nurse is preparing a client's med- ANS: A, C, D
ication. Which of the following are Determining medication dosage and identifying a di-
legal responsibilities of the nurse? agnosis is the role/responsibility of the provider. The
(Select all that apply.) nurse should be informed about a client's diagnosis.
A. Maintaining skill competency
B. Determining the dosage
C. Monitoring for adverse effects
D. Safeguarding medications
E. Identifying the client's diagnosis
7. A nurse is reviewing a client's ANS: C
health record and notes a new pre- A routine prescription identifies a medication that is
scription by the provider for lisino- given on a regular schedule. This medication is admin-
pril (Zestril) 10 mg PO every day. istered every day until discontinued.
The nurse should recognize this as
which of the following types of pre- A single prescription is to be given once at a specified
scription? time or as soon as possible. A stat prescription is only
A. Single prescription given once, and it is given immediately. A standing
, Pharmacology HESI V2 Preparation
Study online at https://quizlet.com/_5m41zc
B. Stat prescription prescription is written for specific circumstances or a
C. Routine prescription specific unit.
D. Standing prescription
8. A nurse is reviewing a new pre- ANS: D
scription for ondansetron (Zofran) The time and frequency of medication administration is
4 mg PO PRN nausea and vomiting not included and should be clarified with the provider.
for a client who has hyperemesis
gravidarum. The nurse should clar-
ify which of the following parts of
the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Time
9. A nurse is orienting a newly hired ANS: B
nurse and discussing how to take The second nurse should listen to a telephone pre-
telephone prescription. Which of scription to prevent errors in communication.
the following statements by the
newly hired nurse indicates under- The nurse who takes the telephone prescription should
standing of the discussion? enter it into the client's health record to prevent er-
A. "A second nurse enters the pre- rors in translation. The nurse verifies the prescription
scription into the client's health is complete and accurate at the time it is given by
record." reading it back to the provider. A telephone prescription
B. "Another nurse should listen to includes reading back all types of medication prescrip-
the phone call." tion.
C. "The provider can clarify the pre-
scription when he signs the health
record."
D. "The 'read back' is omitted if this
is a one-time prescription."
Study online at https://quizlet.com/_5m41zc
1. A client is prescribed phenobarbi- ANS: A
tal sodium (Luminal) for a seizure Medication with long half-lives remain at their thera-
disorder. The medication has a peutic levels between doses for long periods of time.
long half-life of 4 days. Based on Therefore, this medication can be administered once a
this half-life, the medication will day.
most likely be prescribed
A. once a day.
B. twice a day.
C. three times a day.
D. four times a day.
2. A nurse educator is reviewing med- ANS: C, E
ication dosages and factors that Liver failure decreases metabolism and thus increase
influence medication metabolism the concentration of medication. This may require de-
with a group of nurses. Medication creasing the dosage of medication. When two med-
dosages may need to be decreased ications are metabolized in the same way, they may
for which of the following reasons? compete for metabolism, thereby increasing the con-
(Select all that apply.) centration of one or both medications.
A. Increased renal excretion
B. Increased medication-metabo- Increased renal excretion may decrease concentra-
lizing enzymes tion of the medication, requiring increased dosage.
C. Liver failure Increased medication-metabolizing enzymes can de-
D. Peripheral vascular disease crease the concentration of the medication. The dose
E. Concurrent use of medication might need increased. Peripheral vascular disease may
metabolized by the same pathway impair distribution, and more of the medication may be
needed.
3. A nurse s preparing to administer ANS:B, D, E
eye drops to a client. Which of the The medication should be dropped into the center of
following are appropriate nursing the conjunctival sac to promote better distribution of
interventions related to this proce- the medication. The client should close the eye gently
dure? (Select all that apply.) to allow improved distribution of the medication.
, Pharmacology HESI V2 Preparation
Study online at https://quizlet.com/_5m41zc
A. Using medical aseptic tech-
nique Surgical aseptic technique is used to administer eye
B. Asking the client to look up at drops. The client should be sitting or in a supine po-
the ceiling sition to facilitate proper administration of eye drops.
C. Having the client lie in a side-ly-
ing position
D. Dropping medication into the
center of the client's conjunctival
sac
E. Instructing the client to close the
eye gently
4. A nurse is completing discharge ANS: C
teaching to a client who has a Transdermal medication should be applied to a hairless
new prescription for a transdermal area of skin to promote absorption of medication.
medication. Which of the following
statements by the client indicates The skin should be washed with soap and water and
understanding of the teaching? dried thoroughly before applying a transdermal patch.
A. "I will clean the site with an al- Application sites should be rotated on a daily basis to
cohol swab prior to applying the prevent skin irritation.
patch."
B. "I will rotate the application site
weekly."
C. "I will apply the patch to an area
of skin with no hair."
D. "I will place the new patch on the
site of the old patch."
5. A nurse is reviewing a client's ANS: A
health record and notes a new pre- To verify trough levels of a medication, a blood speci-
scription by the provider to verify men is obtained immediately before the next dose of
the trough level of the client's med- medication.
, Pharmacology HESI V2 Preparation
Study online at https://quizlet.com/_5m41zc
ication. Which of the following ac-
tions should the nurse take?
A. Have a blood specimen obtained
immediately prior to the next dose
of medication.
B. Verify that the client has been
on the medication for 24 hr before
ordering a blood specimen.
C. Ask the client to provide a urine
specimen after the next dose of
medication.
D. Begin administering the medica-
tion, and obtain a blood specimen.
6. A nurse is preparing a client's med- ANS: A, C, D
ication. Which of the following are Determining medication dosage and identifying a di-
legal responsibilities of the nurse? agnosis is the role/responsibility of the provider. The
(Select all that apply.) nurse should be informed about a client's diagnosis.
A. Maintaining skill competency
B. Determining the dosage
C. Monitoring for adverse effects
D. Safeguarding medications
E. Identifying the client's diagnosis
7. A nurse is reviewing a client's ANS: C
health record and notes a new pre- A routine prescription identifies a medication that is
scription by the provider for lisino- given on a regular schedule. This medication is admin-
pril (Zestril) 10 mg PO every day. istered every day until discontinued.
The nurse should recognize this as
which of the following types of pre- A single prescription is to be given once at a specified
scription? time or as soon as possible. A stat prescription is only
A. Single prescription given once, and it is given immediately. A standing
, Pharmacology HESI V2 Preparation
Study online at https://quizlet.com/_5m41zc
B. Stat prescription prescription is written for specific circumstances or a
C. Routine prescription specific unit.
D. Standing prescription
8. A nurse is reviewing a new pre- ANS: D
scription for ondansetron (Zofran) The time and frequency of medication administration is
4 mg PO PRN nausea and vomiting not included and should be clarified with the provider.
for a client who has hyperemesis
gravidarum. The nurse should clar-
ify which of the following parts of
the prescription with the provider?
A. Name
B. Dosage
C. Route
D. Time
9. A nurse is orienting a newly hired ANS: B
nurse and discussing how to take The second nurse should listen to a telephone pre-
telephone prescription. Which of scription to prevent errors in communication.
the following statements by the
newly hired nurse indicates under- The nurse who takes the telephone prescription should
standing of the discussion? enter it into the client's health record to prevent er-
A. "A second nurse enters the pre- rors in translation. The nurse verifies the prescription
scription into the client's health is complete and accurate at the time it is given by
record." reading it back to the provider. A telephone prescription
B. "Another nurse should listen to includes reading back all types of medication prescrip-
the phone call." tion.
C. "The provider can clarify the pre-
scription when he signs the health
record."
D. "The 'read back' is omitted if this
is a one-time prescription."
