EVOLVE HESI PHARM ACTUAL EXAM
QUESTIONS WITH DETAILED VERIFIED
SOLUTIONS
◉Which condition is contraindicated for Bupropion? Answer: Seizures
◉Which condition is contraindicated for Valerian? Answer: Cardiac
Disease
◉Which condition is contraindicated for ginseng herbal therapy?
Answer: Pregnancy
◉Which antidepressant medication is a selective monoamine oxidase-B
inhibitor?
a. Selegiline
b. Phenelzine
c. Isocarboxazid
d. Tranylcypromine Answer: Selegiline is a a selective monoamine
oxidase-B inhibitor.
,The other medications are nonselective monoamine oxidase-A and B
inhibitors.
◉Which response identified by the nurse is unrelated to an
extrapyramidal tract effect? Answer: opisthotonos, oculogyric crisis,
akathisia are all examples. Hypertension is unrelated.
Extrapyramidal tracts: Originate in the brainstem, carrying motor fibres
to the spinal cord. They are responsible for the unconscious, reflexive or
responsive control of musculature, eg muscle tone, balance, posture and
locomotion.
◉Zolipidem (Ambien) Answer: Sedative/hypnotic; short use for
INSOMNIA
o Can cause daytime sleepiness
o schedule 4 drug; risk for dependence
o avoid ETOH, barbiturates, opioids and other CNS depressants when
taking
◉Semi-Fowler's Position Answer: the head of the bed is raised 30
degrees; or the head of the bed is raised 30 degrees and the knee portion
is raised 15 degrees
,◉Which body region is most at risk for pressure injury when the client
is in semi-fowlers position? Answer: Sacrum
◉Which body region is most at risk for pressure injury when the client
is in upright sitting position? Answer: Ischial spine
◉Which body region is most at risk for pressure injury when the client
is in side lying position? Answer: Greater trochanter
◉What do neuroleptics do? Answer: o it blocks dopamine
o treats schizophrenia, does not treat Parkinson's
o increases serotonin at post synaptic sites
◉Clozapine is used for what and poses a risk for what? Answer: o
antipsychotic medication
o risk for development of agranulocytosis, especially when combined
with SSRI (such as prozac)
o monitor WBC
◉In adolescents, the volume of solution required for an enema is:
Answer: 500-750 mL
◉In infants, the volume of solution required for an enema is: Answer:
150-250 mL warmed solution
, ◉Second generation antipsychotics may cause: Answer: metabolic side
effects such as diabetes and dyslipiemia
clozapine is more effective than others
◉first generation antipsychotics may cause Answer: extrapyramidal
side effects
◉Which medication may lead to bruxism? Answer: levomilnacipran
◉Which age related effects occur in the older client? Answer: increased
autoantibodies
◉Which age related effects DECREASE in the older client? Answer:
expression of IL-2 receptors, delayed hypersensitivity reaction, and
primary/secondary antibody responses
◉Autoantibodies Answer: Antibodies produced by B cells that
mistakenly attack and destroy "self" cells belonging to the patient;
autoantibodies are the pathophysiologic agent of most autoimmune
disorders
QUESTIONS WITH DETAILED VERIFIED
SOLUTIONS
◉Which condition is contraindicated for Bupropion? Answer: Seizures
◉Which condition is contraindicated for Valerian? Answer: Cardiac
Disease
◉Which condition is contraindicated for ginseng herbal therapy?
Answer: Pregnancy
◉Which antidepressant medication is a selective monoamine oxidase-B
inhibitor?
a. Selegiline
b. Phenelzine
c. Isocarboxazid
d. Tranylcypromine Answer: Selegiline is a a selective monoamine
oxidase-B inhibitor.
,The other medications are nonselective monoamine oxidase-A and B
inhibitors.
◉Which response identified by the nurse is unrelated to an
extrapyramidal tract effect? Answer: opisthotonos, oculogyric crisis,
akathisia are all examples. Hypertension is unrelated.
Extrapyramidal tracts: Originate in the brainstem, carrying motor fibres
to the spinal cord. They are responsible for the unconscious, reflexive or
responsive control of musculature, eg muscle tone, balance, posture and
locomotion.
◉Zolipidem (Ambien) Answer: Sedative/hypnotic; short use for
INSOMNIA
o Can cause daytime sleepiness
o schedule 4 drug; risk for dependence
o avoid ETOH, barbiturates, opioids and other CNS depressants when
taking
◉Semi-Fowler's Position Answer: the head of the bed is raised 30
degrees; or the head of the bed is raised 30 degrees and the knee portion
is raised 15 degrees
,◉Which body region is most at risk for pressure injury when the client
is in semi-fowlers position? Answer: Sacrum
◉Which body region is most at risk for pressure injury when the client
is in upright sitting position? Answer: Ischial spine
◉Which body region is most at risk for pressure injury when the client
is in side lying position? Answer: Greater trochanter
◉What do neuroleptics do? Answer: o it blocks dopamine
o treats schizophrenia, does not treat Parkinson's
o increases serotonin at post synaptic sites
◉Clozapine is used for what and poses a risk for what? Answer: o
antipsychotic medication
o risk for development of agranulocytosis, especially when combined
with SSRI (such as prozac)
o monitor WBC
◉In adolescents, the volume of solution required for an enema is:
Answer: 500-750 mL
◉In infants, the volume of solution required for an enema is: Answer:
150-250 mL warmed solution
, ◉Second generation antipsychotics may cause: Answer: metabolic side
effects such as diabetes and dyslipiemia
clozapine is more effective than others
◉first generation antipsychotics may cause Answer: extrapyramidal
side effects
◉Which medication may lead to bruxism? Answer: levomilnacipran
◉Which age related effects occur in the older client? Answer: increased
autoantibodies
◉Which age related effects DECREASE in the older client? Answer:
expression of IL-2 receptors, delayed hypersensitivity reaction, and
primary/secondary antibody responses
◉Autoantibodies Answer: Antibodies produced by B cells that
mistakenly attack and destroy "self" cells belonging to the patient;
autoantibodies are the pathophysiologic agent of most autoimmune
disorders
