HESI Pharmacology Assignment Exam
An emergency department nurse is interviewing a female client who has
a history with
epilepsy of tonic-clonic seizures controlled by phenytoin (Dilantin). Which
information
is most significant in planning this client's
care?
A. She has missed 2 menstrual
periods
B. She ran out of her medication 4 days
ago.
C. She has smoked 3 packs of cigarettes a day for
10 She
D. yearshas had no dental care for several years correct answers B. She ran
out of her 4 days
medication
ago.
The nurse should instruct a client to avoid which product while taking
carisoprodol
(Soma) for muscle
spasms?
A. Aspirin
Products
B.
Antacids
C. Alcoholic
beverages
D. Dairy products correct answers C. Alcoholic
beverages
A client calls the clinic and states that she forgot to take her oral
contraceptives
past for theinstruction is best for the nurse to provide to
two days. Which
thisTake
A. client?
2 pills a day for 2 days and use an alternate method of contraception
forTake
B. 7 days
one extra pill per day for the rest of this cycle, then resume taking
pills as usual
next
cycle.
C. Quit the pills for this cycle, use an alternate method of contraception,
and
pills resume
on the fifth day of
menstruation.
D. Take 4 pills now and use an alternate method of contraception for the
rest of correct
cycle. this answers A. Take 2 pills a day for 2 days and use an alternate
method of
contraception for 7
days
A 48-year-old client is experiencing a severe anaphylactic reaction to an
injection media.
contrast of What pharmacologic agent is of greatest use in this
situation?
A. Loratadine
(Claritin)
B. Dopamine
(Intropin)
C. Nitroprusside
(Nipride)
D. Epinephrine (Adrenalin) correct answers D. Epinephrine
(Adrenalin)
A resident of a long-term care facility is taking lithium carbonate
(Eskalith)
bipolar to treatWhich instruction should the nurse provide to this client's
disorder.
caregivers?
A. Have the client chew the pill if it is difficult to
swallow
B. Offer the morning dose of the medicine before
breakfast
C. Encourage high energy fluid intake by providing sports drinks
or sodas
D. Report symptoms of hypothyroidism such as fatigue and
constipation
answers correct
D. Report symptoms of hypothyroidism such as fatigue and
constipation
, A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis
9-months
postpartum. A prescription is written for metronidazole (Flagyl). Which
information
most importantis for the nurse to obtain for the client before initiating
treatment?
A. Method of infant
feeding
B. Sexual
history
C. Possibility of
pregnancy
D. Use of oral contraceptives correct answers A. Method of
infant feeding
A client with Paget's disease is started on calcitonin (Calcimar)
500 mcg
subcutaneously daily. During the initial treatment, what is the priority
nursing
A. Assess action?
the injection site for
inflammation
B. Observe the client for signs of
hypersensitivity
C. Evaluate the client's level of
pain
D. Monitor the client's alkaline phosphatase levels correct answers B.
Observe
client for the
signs of
hypersensitivity
When assessing a client prior to the administration of digoxin (Lanoxin),
whichimportant
most data is for the nurse to
consider?
A. Irregular apical pulse with a rate
of 87
B. Presence of a grade 2
murmur
C. Bilateral lower extremity dependent
rubor
D. Nailbed capillary refill of 5 seconds correct answers A. Irregular apical
pulseofwith a
rate
87
The HCP prescribes pyridostigmine bromide (Mestinon) tablets for a
client with gravis (MG). What instruction should the nurse provide
myasthenia
this client?
A. Use a PRN dose for increasing muscular weakness or
fasciculations
B. Take the medication 30 to 45 minutes before
eating.
C. Increase activity in the afternoon when the medication is most
D. Give the client a dietary guide that describes low-protein foods correct
effective
answers
Take the B.medication 30 to 45 minutes before
eating.
A client is admitted for atrial fibrillation, and the HCP prescribes
disopryamide
(Norpace). After explaining the action of this antidysrhythmic agent,
which complaint
should the nurse instruct the client to
A. Daily weight gain of 2
report?
pounds
B. Joint
pain
C. Dizziness or muscle
weakness
D. Dry mouth correct answers A. Daily weight gain of 2
pounds
The nurse receives a unit of blood from the blood bank for a postoperative
client whoinisthe X-ray department. What action should the nurse
currently
implement?
A. Hang the blood transfusion as soon as the client returns to
theReturn
B. unit the blood to the blood bank for refrigeration within
30 Take
C. minutes
the unit of blood to the X-ray department to initiate the
transfusion
An emergency department nurse is interviewing a female client who has
a history with
epilepsy of tonic-clonic seizures controlled by phenytoin (Dilantin). Which
information
is most significant in planning this client's
care?
A. She has missed 2 menstrual
periods
B. She ran out of her medication 4 days
ago.
C. She has smoked 3 packs of cigarettes a day for
10 She
D. yearshas had no dental care for several years correct answers B. She ran
out of her 4 days
medication
ago.
The nurse should instruct a client to avoid which product while taking
carisoprodol
(Soma) for muscle
spasms?
A. Aspirin
Products
B.
Antacids
C. Alcoholic
beverages
D. Dairy products correct answers C. Alcoholic
beverages
A client calls the clinic and states that she forgot to take her oral
contraceptives
past for theinstruction is best for the nurse to provide to
two days. Which
thisTake
A. client?
2 pills a day for 2 days and use an alternate method of contraception
forTake
B. 7 days
one extra pill per day for the rest of this cycle, then resume taking
pills as usual
next
cycle.
C. Quit the pills for this cycle, use an alternate method of contraception,
and
pills resume
on the fifth day of
menstruation.
D. Take 4 pills now and use an alternate method of contraception for the
rest of correct
cycle. this answers A. Take 2 pills a day for 2 days and use an alternate
method of
contraception for 7
days
A 48-year-old client is experiencing a severe anaphylactic reaction to an
injection media.
contrast of What pharmacologic agent is of greatest use in this
situation?
A. Loratadine
(Claritin)
B. Dopamine
(Intropin)
C. Nitroprusside
(Nipride)
D. Epinephrine (Adrenalin) correct answers D. Epinephrine
(Adrenalin)
A resident of a long-term care facility is taking lithium carbonate
(Eskalith)
bipolar to treatWhich instruction should the nurse provide to this client's
disorder.
caregivers?
A. Have the client chew the pill if it is difficult to
swallow
B. Offer the morning dose of the medicine before
breakfast
C. Encourage high energy fluid intake by providing sports drinks
or sodas
D. Report symptoms of hypothyroidism such as fatigue and
constipation
answers correct
D. Report symptoms of hypothyroidism such as fatigue and
constipation
, A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis
9-months
postpartum. A prescription is written for metronidazole (Flagyl). Which
information
most importantis for the nurse to obtain for the client before initiating
treatment?
A. Method of infant
feeding
B. Sexual
history
C. Possibility of
pregnancy
D. Use of oral contraceptives correct answers A. Method of
infant feeding
A client with Paget's disease is started on calcitonin (Calcimar)
500 mcg
subcutaneously daily. During the initial treatment, what is the priority
nursing
A. Assess action?
the injection site for
inflammation
B. Observe the client for signs of
hypersensitivity
C. Evaluate the client's level of
pain
D. Monitor the client's alkaline phosphatase levels correct answers B.
Observe
client for the
signs of
hypersensitivity
When assessing a client prior to the administration of digoxin (Lanoxin),
whichimportant
most data is for the nurse to
consider?
A. Irregular apical pulse with a rate
of 87
B. Presence of a grade 2
murmur
C. Bilateral lower extremity dependent
rubor
D. Nailbed capillary refill of 5 seconds correct answers A. Irregular apical
pulseofwith a
rate
87
The HCP prescribes pyridostigmine bromide (Mestinon) tablets for a
client with gravis (MG). What instruction should the nurse provide
myasthenia
this client?
A. Use a PRN dose for increasing muscular weakness or
fasciculations
B. Take the medication 30 to 45 minutes before
eating.
C. Increase activity in the afternoon when the medication is most
D. Give the client a dietary guide that describes low-protein foods correct
effective
answers
Take the B.medication 30 to 45 minutes before
eating.
A client is admitted for atrial fibrillation, and the HCP prescribes
disopryamide
(Norpace). After explaining the action of this antidysrhythmic agent,
which complaint
should the nurse instruct the client to
A. Daily weight gain of 2
report?
pounds
B. Joint
pain
C. Dizziness or muscle
weakness
D. Dry mouth correct answers A. Daily weight gain of 2
pounds
The nurse receives a unit of blood from the blood bank for a postoperative
client whoinisthe X-ray department. What action should the nurse
currently
implement?
A. Hang the blood transfusion as soon as the client returns to
theReturn
B. unit the blood to the blood bank for refrigeration within
30 Take
C. minutes
the unit of blood to the X-ray department to initiate the
transfusion
