Pharm HESI Test Questions and Answers Graded A+
Which instruction) should the nurse give to a
female client who just received a prescription for While taking a medical history, the client states, "I
oral metronidazole (Flagyl) for treatment of am allergic to penicillin." What related allergy to
trichomonas vaginalis? (Select all that apply.) another type of antiinfective agent should the
nurse ask the client about when taking the
-Avoid drinking alcohol while taking this nursing history?
medication.
-Use condoms until treatment is completed. -Aminoglycosides.
-Do not abruptly discontinue the medication; -Cephalosporins.
taper use. -Tetracyclines
-Ensure that all sexual partners are treated at the -Sulfonamidea - ANSWER -Cephalosporins
same time.
-Check blood pressure daily to detect
hypertension. A female client calls the clinic and talks with the
-Increase fluid intake, especially cranberry juice. nurse to inquire about a possible reaction after
- ANSWER --Avoid drinking alcohol while taking amoxicillin for 5 days. She reports having
taking this medication. vaginal discomfort, itching, and a white
-Use condoms until treatment is completed. discharge. The nurse should discuss which
-Ensure that all sexual partners are treated at the action with the client?
same time.
-Increase fluid intake, especially cranberry juice. -Continue taking medication until finished until
the symptoms subside.
The healthcare provider prescribes a beta-1 -Discontinue the antibiotic because original
agonist medication to be administered. The symptoms have subsided.
nurse should anticipate the medication to be
prescribed for a client diagnosed with which -Use an over-the-counter (OTC) vaginal wash to
condition? flush out the secretions.
-Hypertension -Consult with healthcare provider about another
-Heart failure treatment for this effect - ANSWER -Consult
-Glaucoma with healthcare provider about another treatment
-Asthma - ANSWER -heart failure for this effect
Which nursing diagnosis is important to include A client is being treated for osteoporosis with
in the plan of care for a client receiving the alendronate (Fosamax), and the nurse has
angiotensin-2 receptor antagonist irbesartan completed discharge teaching regarding
(Avapro)? medication administration. Which morning
schedule would indicate to the nurse that the
-risk for injury client teaching has been effective?
-risk for infection
-fluid volume deficit -Take medication, rest in bed for 30 minutes, eat
-impaired sleep patterns - ANSWER -risk breakfast, go for morning walk
for injury
-Take medication with breakfast, then take a 30
, Pharm HESI Test Questions and Answers Graded A+
minute morning walk. lean body mass is admitted to the hospital. Which
pharmacokinetic process is affected and should
-Take medication, go for a 30 minute morning be considered in the client's dosing of
walk, then eat breakfast. medication?
-Go for a 30 minute morning walk, eat breakfast, Metabolism.
then take medication. - ANSWER --Take
medication, go for a 30 minute morning walk, Absorption.
then eat breakfast.
Distribution.
A client with osteoarthritis receives a new Elimination. - ANSWER -distribution
prescription for celecoxib (Celebrex) orally for
symptom management. The nurse notes the
client is allergic to sulfa. Which action is most In evaluating the effects of lactulose (Cephulac),
important for the nurse to implement prior to which outcome would indicate that the drug is
administering the first dose? performing as intended?
Review the client's hemoglobin results. Two or three soft stools per day.
Inquire about the reaction to sulfa. Increased serum bilirubin.
Notify the healthcare provider Watery, diarrhea stools.
record the client's vital signs - ANSWER - An increase in urine output. - ANSWER -
notify the healthcare provider Two or three soft stools per day.
A client is admitted to the hospital for diagnostic A client asks the nurse if glipizide (Glucotrol) is
testing for possible myasthenia gravis. The nurse an oral insulin. Which response should the nurse
prepares for intravenous administration of provide?
edrophonium chloride (Tensilon). What is the
expected outcome for this client following "No, it is not an oral insulin and can be used only
administration of this pharmacologic agent? when some beta cell function is present."
Improvement in generalized fatigue. "Yes, it is an oral insulin and is distributed,
metabolized, and excreted in the same manner
Progressive difficulty with swallowing. as insulin."
Decreased muscle weakness. "Yes, it is an oral insulin and has the same
actions and properties as intermediate insulin."
Decreased respiratory effort. - ANSWER -
Decreased muscle weakness. "No, it is not an oral insulin, but it is effective for
those who are resistant to injectable insulins." -
ANSWER -"No, it is not an oral insulin and
An older client with a decreased percentage of can be used only when some beta cell function is
Which instruction) should the nurse give to a
female client who just received a prescription for While taking a medical history, the client states, "I
oral metronidazole (Flagyl) for treatment of am allergic to penicillin." What related allergy to
trichomonas vaginalis? (Select all that apply.) another type of antiinfective agent should the
nurse ask the client about when taking the
-Avoid drinking alcohol while taking this nursing history?
medication.
-Use condoms until treatment is completed. -Aminoglycosides.
-Do not abruptly discontinue the medication; -Cephalosporins.
taper use. -Tetracyclines
-Ensure that all sexual partners are treated at the -Sulfonamidea - ANSWER -Cephalosporins
same time.
-Check blood pressure daily to detect
hypertension. A female client calls the clinic and talks with the
-Increase fluid intake, especially cranberry juice. nurse to inquire about a possible reaction after
- ANSWER --Avoid drinking alcohol while taking amoxicillin for 5 days. She reports having
taking this medication. vaginal discomfort, itching, and a white
-Use condoms until treatment is completed. discharge. The nurse should discuss which
-Ensure that all sexual partners are treated at the action with the client?
same time.
-Increase fluid intake, especially cranberry juice. -Continue taking medication until finished until
the symptoms subside.
The healthcare provider prescribes a beta-1 -Discontinue the antibiotic because original
agonist medication to be administered. The symptoms have subsided.
nurse should anticipate the medication to be
prescribed for a client diagnosed with which -Use an over-the-counter (OTC) vaginal wash to
condition? flush out the secretions.
-Hypertension -Consult with healthcare provider about another
-Heart failure treatment for this effect - ANSWER -Consult
-Glaucoma with healthcare provider about another treatment
-Asthma - ANSWER -heart failure for this effect
Which nursing diagnosis is important to include A client is being treated for osteoporosis with
in the plan of care for a client receiving the alendronate (Fosamax), and the nurse has
angiotensin-2 receptor antagonist irbesartan completed discharge teaching regarding
(Avapro)? medication administration. Which morning
schedule would indicate to the nurse that the
-risk for injury client teaching has been effective?
-risk for infection
-fluid volume deficit -Take medication, rest in bed for 30 minutes, eat
-impaired sleep patterns - ANSWER -risk breakfast, go for morning walk
for injury
-Take medication with breakfast, then take a 30
, Pharm HESI Test Questions and Answers Graded A+
minute morning walk. lean body mass is admitted to the hospital. Which
pharmacokinetic process is affected and should
-Take medication, go for a 30 minute morning be considered in the client's dosing of
walk, then eat breakfast. medication?
-Go for a 30 minute morning walk, eat breakfast, Metabolism.
then take medication. - ANSWER --Take
medication, go for a 30 minute morning walk, Absorption.
then eat breakfast.
Distribution.
A client with osteoarthritis receives a new Elimination. - ANSWER -distribution
prescription for celecoxib (Celebrex) orally for
symptom management. The nurse notes the
client is allergic to sulfa. Which action is most In evaluating the effects of lactulose (Cephulac),
important for the nurse to implement prior to which outcome would indicate that the drug is
administering the first dose? performing as intended?
Review the client's hemoglobin results. Two or three soft stools per day.
Inquire about the reaction to sulfa. Increased serum bilirubin.
Notify the healthcare provider Watery, diarrhea stools.
record the client's vital signs - ANSWER - An increase in urine output. - ANSWER -
notify the healthcare provider Two or three soft stools per day.
A client is admitted to the hospital for diagnostic A client asks the nurse if glipizide (Glucotrol) is
testing for possible myasthenia gravis. The nurse an oral insulin. Which response should the nurse
prepares for intravenous administration of provide?
edrophonium chloride (Tensilon). What is the
expected outcome for this client following "No, it is not an oral insulin and can be used only
administration of this pharmacologic agent? when some beta cell function is present."
Improvement in generalized fatigue. "Yes, it is an oral insulin and is distributed,
metabolized, and excreted in the same manner
Progressive difficulty with swallowing. as insulin."
Decreased muscle weakness. "Yes, it is an oral insulin and has the same
actions and properties as intermediate insulin."
Decreased respiratory effort. - ANSWER -
Decreased muscle weakness. "No, it is not an oral insulin, but it is effective for
those who are resistant to injectable insulins." -
ANSWER -"No, it is not an oral insulin and
An older client with a decreased percentage of can be used only when some beta cell function is
