Which assessment would the nurse perform for a condition? - ANSWER -3 mEq/L serum
10 yr old client prescribed methylphenidate to lithium levels
treat ADHD? SATA
A. grades
B. Weight A client in the hyperactive phase of bipolar
C. Appetite disorder is receiving lithium.The nurse sees at
D. Behavior the client's lithium. Blood level is 1.8.mEQ/L.
E. Heart rate - ANSWER -all of the above Which action should the nurse take? -
ANSWER -Hold Medication and notify HCP
immediately because the blood lithium level may
Which instruction would the nurse provide to a be toxic (Normal: 0.6-1.2)
client who has anxiety and depression and is
prescribed venlafaxine ER, tablets. SATA -
ANSWER -Do not crush the tablets. Which complication can occur if a client receiving
report any suicidal thoughts isocarboxazid fails to adhere to necessary dietary
the medication takes 3 to 4 weeks restrictions? - ANSWER -HTN crisis
That suddenly stopped taking the medication.
Temper your dose up to the required dose.
A client who has been taking the prescribed dose
of Zolpidem for five days returns to the clinic for a
Which manifestation is an extrapyramidal SE of follow up visit. Which statement by the client
chlorpromazine? SATA - ANSWER - indicates the medication has been effective? -
Drooling ANSWER -" i have been sleeping much
Facial tics better"
Shuffling gait
tongue rolling because it is a sedative-hypnotic that causes
restless mvt CNS depression
An antidepressant is prescribed for a depressed A 45-year-old client who recently completed
older client. After one week, the clients son alcohol detoxification reports plans to begin
expresses concern that there does not seem to using. disulfirams as part of the alcoholism
be much improvement. Which is the best treatment regime. which client teaching would the
response by the nurse? - ANSWER - nurse share regarding this medication -
Antidepressant therapy requires several weeks ANSWER -foods, meds, and any topical
before it becomes effective. preparation containing alcohol should be
avoided.
Lab reports reveal that the client's thyroxine
levels are low. Which medication might have led Which statement by the nurse reflects teachings
to this condition? - ANSWER -Lithium for a client recently initiated on anticonvulsants?
SATA - ANSWER -All correct
take at same time everyday
the nurse observed seizures in a client who is Do not drink excessive amounts of caffeine-
taking lithium for cycles of mania. Which containing beverages or alcohol
laboratory parameters may lead to this
1/9
, Pharm HESI Test Questions and Answers Graded A
Avoid driving or hazardous activities until any SR during the admin of an antibiotic?
such as drowsiness can be determined 1. Check the client's temp
Interfere with vitamin and mineral absorption so 2. take pt BP
you may need a supplement 3. Obtain pt's pulse ox
Oral hygiene, gum massages and tooth brushing 4. Assess pt's resp. status - ANSWER -
are important Assess the client's respiratory status
which data collection assessment would be Which statement is important for the nurse to
performed to evaluate the effectiveness of include in the teaching plan of a client with
Furosemide administered to a client with irritable bowel syndrome who has instructions to
congestive heart failure. SATA - take psyllium for constipation?
ANSWER -Daily weight. a. urine may be discolored
I&O b. stop taking laxatives once bowel movement
monitor for edema occurs
Daily pulse oximeter. c. daily use may inhibit the absorption of some
auscultate breath sounds fat-soluble vitamins
d. Each dose should be taken with a full glass of
water or juice - ANSWER -"Each dose
which purpose is served by an evening snack of should be taken with a full glass of water or juice
milk, crackers, and cheese for a client who is
receiving NPH insulin? - ANSWER -food to
counteract late insulin activity Neuroleptic malignant syndrome is a potentially
fatal reaction to antipsychotic therapy. Which
signs and symptoms of this syndrome will the
which statement by a client who has gastric ulcer nurse ID? SATA
and asks what to do if epigastric pain occurs
indicates that teaching was effective? - Jaundice
ANSWER -"Taking an antacid preparation Diaphoresis
will decrease pain due to gastric acid" Hyperrigidity
Hyperthermia
Photosensitivity - ANSWER -Diaphoresis
which topic will the nurse include in the discharge Hyperrigidity
teaching of a client who has had a total Hyperthermia
gastrectomy? - ANSWER -injections of
vitamin B12 for life
Which essential test results will the nurse review
before starting antitubercular pharmacotherapy
which medication is indicated for management of when caring for a client with human
clinical manifestations associated with an opioid immunodeficiency virus (HIV) infection who is
OD? - ANSWER -Naloxone diagnosed with TB?
Liver function studies
which action will the nurse take after stopping the Pulmonary function studies
antibiotic infusion of a client who becomes Electrocardiogram and echocardiogram
restless and flushed, and begins to wheeze WBC counts and sedimentation rate -
2/9