Pharm HESI Practice Exam Latest update with
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correct detailed answers
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The |nurse |is |caring |for |a |client |who |has |taken |atenolol |for |2 |years. |The |healthcare |provider |
recently |changed |the |medication |to |enalapril |to |manage |the |client's |blood |pressure. |Which |
instruction |should |the |nurse |provide |the |client |regarding |the |new |medication?
A. |Take |the |medication |at |bedtime.
B. |Report |presence |of |increased |bruising.
C. |Check |pulse |before |taking |medication.
D. |Rise |slowly |when |getting |out |of |bed |or |chair. |- | |correct |answers |D. |Rise |slowly |when |getting
|out |of |bed |or |chair.
A |female |client |calls |the |clinic |and |talks |with |the |nurse |to |inquire |about |a |possible |reaction |
after |taking |amoxicillin |for |5 |days. |She |reports |having |vaginal |discomfort, |itching, |and |a |white |
discharge. |The |nurse |should |discuss |which |action |with |the |client?
A. |Discontinue |the |antibiotic |because |original |symptoms |have |subsided.
B. |Continue |taking |medication |until |finished |until |the |symptoms |subside.
C. |Consult |with |healthcare |provider |about |another |treatment |for |this |effect. |
D. |Use |an |over-the-counter |(OTC) |vaginal |wash |to |flush |out |the |secretions. |- | |correct |answers |
C. |Consult |with |healthcare |provider |about |another |treatment |for |this |effect.
The |nurse |is |making |early |morning |rounds |on |a |group |of |clients |when |a |client |begins |
exhibiting |symptoms |of |an |acute |asthma |attack. |The |nurse |administers |a |PRN |prescription |for |
a |Beta |2 |receptor |agonist |agent. |Which |client |response |should |the |nurse |expect?
,A. |Tachycardia.
B. |Increased |blood |pressure.
C. |Rapid |resolution |of |wheezing. |
D. |Improved |pulse |oximetry |values. |
E. |Reduce |fever |airway |inflammation. |- | |correct |answers |C, |D
A |client |prescribed |atenolol |has |a |blood |pressure |of |120/68 |mmHg, |displaying |a |sinus |
bradycardia |with |a |rate |of |58 |beats/minute, |and |a |P-R |interval |of |0.24. |Which |action |should |
the |nurse |take?
A. |Lower |the |head |of |the |bed |and |assess |the |client |for |orthostatic |vital |sign |changes.
B. |Give |the |medication |as |prescribed |and |continue |to |monitor |the |client. |
C. |Prepare |to |administer |atropine |sulfate |IV |push.
D. |Hold |the |prescribed |dose |and |contact |the |healthcare |provider. |- | |correct |answers |B. |Give |
the |medication |as |prescribed |and |continue |to |monitor |the |client.
The |nurse |is |preparing |the |0900 |dose |of |losartan |(Cozaar), |an |angiotensin |II |receptor |blocker |
(ARB), |for |a |client |with |hypertension |and |heart |failure. |The |nurse |reviews |the |client's |
laboratory |results |and |notes |that |the |client's |serum |potassium |level |is |5.9 |mEq/L. |Which |
action |should |the |nurse |take |first?
A. |Withhold |the |scheduled |dose. |
B. |Check |the |client's |apical |pulse.
C. |Notify |the |healthcare |provider.
D. |Repeat |the |serum |potassium |level. |- | |correct |answers |A. |Withhold |the |scheduled |dose.
Upon |admission |to |the |emergency |center, |an |adult |client |with |acute |status |asthmaticus |is |
prescribed |this |series |of |medications. |In |which |order |should |the |nurse |administer |the |
, prescribed |medications? |(Arrange |from |first |to |last.) |- | |correct |answers |1. |Albuterol |(Proventil) |
puffs.
2. |Salmeterol |(Serevent |Diskus).
3. |Prednisone |(Deltasone) |orally.
4. |Gentamicin |(Garamycin) |IM.
An |adult |client |is |given |a |prescription |for |a |scopolamine |patch |(Transderm |Scop) |to |prevent |
motion |sickness |while |on |a |cruise. |Which |information |should |the |nurse |provide |to |the |client?
A. |Apply |the |patch |at |least |4 |hours |prior |to |departure. |
B. |Change |the |patch |every |other |day |while |on |the |cruise.
C. |Place |the |patch |on |a |hairless |area |at |the |base |of |the |skull.
D. |Drink |no |more |than |2 |alcoholic |drinks |during |the |cruise. |- | |correct |answers |A. |Apply |the |
patch |at |least |4 |hours |prior |to |departure.
A |client |with |giardiasis |is |taking |metronidazole |(Flagyl) |2 |grams |PO. |Which |information |should |
the |nurse |include |in |the |client's |instruction?
A. |Notify |the |clinic |of |any |changes |in |the |color |of |urine.
B. |Avoid |overexposure |to |the |sun.
C. |Stop |the |medication |after |the |diarrhea |resolves.
D. |Take |the |medication |with |food. |- | |correct |answers |D. |Take |the |medication |with |food.
A |female |client |with |rheumatoid |arthritis |takes |ibuprofen |(Motrin) |600 |mg |PO |4 |times |a |day. |
To |prevent |gastrointestinal |bleeding, |misoprostol |(Cytotec) |100 |mcg |PO |is |prescribed. |Which |
information |is |most |important |for |the |nurse |to |include |in |client |teaching?
A. |Use |contraception |during |intercourse. |
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correct detailed answers
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The |nurse |is |caring |for |a |client |who |has |taken |atenolol |for |2 |years. |The |healthcare |provider |
recently |changed |the |medication |to |enalapril |to |manage |the |client's |blood |pressure. |Which |
instruction |should |the |nurse |provide |the |client |regarding |the |new |medication?
A. |Take |the |medication |at |bedtime.
B. |Report |presence |of |increased |bruising.
C. |Check |pulse |before |taking |medication.
D. |Rise |slowly |when |getting |out |of |bed |or |chair. |- | |correct |answers |D. |Rise |slowly |when |getting
|out |of |bed |or |chair.
A |female |client |calls |the |clinic |and |talks |with |the |nurse |to |inquire |about |a |possible |reaction |
after |taking |amoxicillin |for |5 |days. |She |reports |having |vaginal |discomfort, |itching, |and |a |white |
discharge. |The |nurse |should |discuss |which |action |with |the |client?
A. |Discontinue |the |antibiotic |because |original |symptoms |have |subsided.
B. |Continue |taking |medication |until |finished |until |the |symptoms |subside.
C. |Consult |with |healthcare |provider |about |another |treatment |for |this |effect. |
D. |Use |an |over-the-counter |(OTC) |vaginal |wash |to |flush |out |the |secretions. |- | |correct |answers |
C. |Consult |with |healthcare |provider |about |another |treatment |for |this |effect.
The |nurse |is |making |early |morning |rounds |on |a |group |of |clients |when |a |client |begins |
exhibiting |symptoms |of |an |acute |asthma |attack. |The |nurse |administers |a |PRN |prescription |for |
a |Beta |2 |receptor |agonist |agent. |Which |client |response |should |the |nurse |expect?
,A. |Tachycardia.
B. |Increased |blood |pressure.
C. |Rapid |resolution |of |wheezing. |
D. |Improved |pulse |oximetry |values. |
E. |Reduce |fever |airway |inflammation. |- | |correct |answers |C, |D
A |client |prescribed |atenolol |has |a |blood |pressure |of |120/68 |mmHg, |displaying |a |sinus |
bradycardia |with |a |rate |of |58 |beats/minute, |and |a |P-R |interval |of |0.24. |Which |action |should |
the |nurse |take?
A. |Lower |the |head |of |the |bed |and |assess |the |client |for |orthostatic |vital |sign |changes.
B. |Give |the |medication |as |prescribed |and |continue |to |monitor |the |client. |
C. |Prepare |to |administer |atropine |sulfate |IV |push.
D. |Hold |the |prescribed |dose |and |contact |the |healthcare |provider. |- | |correct |answers |B. |Give |
the |medication |as |prescribed |and |continue |to |monitor |the |client.
The |nurse |is |preparing |the |0900 |dose |of |losartan |(Cozaar), |an |angiotensin |II |receptor |blocker |
(ARB), |for |a |client |with |hypertension |and |heart |failure. |The |nurse |reviews |the |client's |
laboratory |results |and |notes |that |the |client's |serum |potassium |level |is |5.9 |mEq/L. |Which |
action |should |the |nurse |take |first?
A. |Withhold |the |scheduled |dose. |
B. |Check |the |client's |apical |pulse.
C. |Notify |the |healthcare |provider.
D. |Repeat |the |serum |potassium |level. |- | |correct |answers |A. |Withhold |the |scheduled |dose.
Upon |admission |to |the |emergency |center, |an |adult |client |with |acute |status |asthmaticus |is |
prescribed |this |series |of |medications. |In |which |order |should |the |nurse |administer |the |
, prescribed |medications? |(Arrange |from |first |to |last.) |- | |correct |answers |1. |Albuterol |(Proventil) |
puffs.
2. |Salmeterol |(Serevent |Diskus).
3. |Prednisone |(Deltasone) |orally.
4. |Gentamicin |(Garamycin) |IM.
An |adult |client |is |given |a |prescription |for |a |scopolamine |patch |(Transderm |Scop) |to |prevent |
motion |sickness |while |on |a |cruise. |Which |information |should |the |nurse |provide |to |the |client?
A. |Apply |the |patch |at |least |4 |hours |prior |to |departure. |
B. |Change |the |patch |every |other |day |while |on |the |cruise.
C. |Place |the |patch |on |a |hairless |area |at |the |base |of |the |skull.
D. |Drink |no |more |than |2 |alcoholic |drinks |during |the |cruise. |- | |correct |answers |A. |Apply |the |
patch |at |least |4 |hours |prior |to |departure.
A |client |with |giardiasis |is |taking |metronidazole |(Flagyl) |2 |grams |PO. |Which |information |should |
the |nurse |include |in |the |client's |instruction?
A. |Notify |the |clinic |of |any |changes |in |the |color |of |urine.
B. |Avoid |overexposure |to |the |sun.
C. |Stop |the |medication |after |the |diarrhea |resolves.
D. |Take |the |medication |with |food. |- | |correct |answers |D. |Take |the |medication |with |food.
A |female |client |with |rheumatoid |arthritis |takes |ibuprofen |(Motrin) |600 |mg |PO |4 |times |a |day. |
To |prevent |gastrointestinal |bleeding, |misoprostol |(Cytotec) |100 |mcg |PO |is |prescribed. |Which |
information |is |most |important |for |the |nurse |to |include |in |client |teaching?
A. |Use |contraception |during |intercourse. |
