HESI RN PHARMACOLOGY V2 EXAM 2024/2025
NEWLY UPDATED 100% CORRECT QUESTIONS AND
ANSWERS
/Laxative assessment - Answer-Before administering a laxative to a bedfast client, the
nurse should observe the skin integrity of the client's rectal and sacral areas.
/.Ginkgo biloba teaching - Answer-When teaching a client with multiple sclerosis about
ginkgo biloba, the nurse should include information about the potential interaction with
aspirin and nonsteroidal anti-inflammatory drugs.
/.TMP-SMZ rationale - Answer-In explaining the benefits of the combination anti-
infective drug TMP-SMZ (Bactrim) to a client with a urinary tract infection, the nurse
should provide the rationale that while one drug provides relief, the other fights the
infection.
/.Haldol side effects - Answer-If a client being treated with Haldol for schizophrenia
complains of jaw tightness and a stiff neck, the nurse should implement the intervention
of giving a PRN dose of diphenhydramine (Benadryl).
/.Lispro Humalog insulin intervention - Answer-When a client is receiving Lispro
Humalog insulin, the most important intervention for the nurse to implement is to provide
meals at the same time that insulin is given.
/.NSAID daily use intervention - Answer-When a client with rheumatoid arthritis who
takes nonsteroidal anti-inflammatory drugs every day is being treated for anemia, the
most important intervention for the nurse to include in the plan of care is to observe for
gastrointestinal bleeding.
/.Theophylline level interpretation - Answer-If a client receives a prescription for
theophylline (Theo-Dur) PO to be initiated in the morning after the dose of theophylline
IV is complete, and the theophylline level drawn yesterday was 22 mcg/mL, the nurse
can determine that the theophylline dose can be initiated as planned.
/.Neuromuscular blocking agent lab result - Answer-When reviewing a client's laboratory
results before a procedure in which a neuromuscular blocking agent is a standing order,
the nurse should report the finding of hypokalemia to the health care provider.
/.Atropine sulfate purpose - Answer-When administering atropine sulfate (Atropine), IM
STAT to a child prior to an emergency appendectomy, the primary purpose is to
decrease the oral secretions.
, /.Digoxin toxicity risk factor - Answer-When caring for a client on digoxin (Lanoxin)
therapy, the nurse should be alert for digoxin toxicity, which is more likely to occur in a
client with a low serum potassium level.
/.Anti-infective therapy superinfection - Answer-If a client receiving anti-infective drug
therapy for a postoperative infection complains of a sore mouth, it may indicate that the
client has contracted a superinfection.
/.Tetracycline hydrochloride absorption interference - Answer-If a client taking
tetracycline hydrochloride (Sumycin) for urethritis is also taking sucralfate (Carafate),
the nurse should inform the client that sucralfate could interfere with the absorption of
tetracycline.
/.Sublingual nitroglycerin effectiveness - Answer-Following the administration of
sublingual nitroglycerin, a decrease in the level of chest pain indicates that the
medication was effective.
/.Heparin therapeutic goal - Answer-The achievement of a therapeutic goal for heparin
administration is represented by an alteration of the partial thromboplastin time (PTT).
/.Naloxone hydrochloride for opioid overdose - Answer-If a client with opioid overdose
becomes comatose, the nurse should prepare to administer naloxone hydrochloride
(Narcan).
/.Combination anti-infective drug precautions - Answer-When a client is receiving the
combination anti-infective drug TMP-SMZ (Bactrim), the nurse should monitor for signs
of hemolytic and aplastic anemia, agranulocytosis, thrombocytopenia, photosensitivity,
exfoliative dermatitis, and Steven-Johnson syndrome.
/.Gentamicin sulfate IV infusion assessment - Answer-When a client is receiving IV
infusions of gentamicin sulfate (Garamycin), the nurse should assess the urine output to
evaluate the effectiveness of the osmitrol therapy.
/.Medication regimen compliance - Answer-To ensure compliance with a medication
regimen, the nurse should instruct the client to maintain a drug administration record.
/.Tissue plasminogen activator purpose - Answer-When a client is prescribed tissue
plasminogen activator (Activase) for an acute myocardial infarction, the nurse should
explain that the purpose of this drug is to dissolve clots within a coronary artery.
/.Nifedipine side effect - Answer-When a client is receiving nifedipine (Procardia), the
nurse should observe for the common side effect of hypotension.
NEWLY UPDATED 100% CORRECT QUESTIONS AND
ANSWERS
/Laxative assessment - Answer-Before administering a laxative to a bedfast client, the
nurse should observe the skin integrity of the client's rectal and sacral areas.
/.Ginkgo biloba teaching - Answer-When teaching a client with multiple sclerosis about
ginkgo biloba, the nurse should include information about the potential interaction with
aspirin and nonsteroidal anti-inflammatory drugs.
/.TMP-SMZ rationale - Answer-In explaining the benefits of the combination anti-
infective drug TMP-SMZ (Bactrim) to a client with a urinary tract infection, the nurse
should provide the rationale that while one drug provides relief, the other fights the
infection.
/.Haldol side effects - Answer-If a client being treated with Haldol for schizophrenia
complains of jaw tightness and a stiff neck, the nurse should implement the intervention
of giving a PRN dose of diphenhydramine (Benadryl).
/.Lispro Humalog insulin intervention - Answer-When a client is receiving Lispro
Humalog insulin, the most important intervention for the nurse to implement is to provide
meals at the same time that insulin is given.
/.NSAID daily use intervention - Answer-When a client with rheumatoid arthritis who
takes nonsteroidal anti-inflammatory drugs every day is being treated for anemia, the
most important intervention for the nurse to include in the plan of care is to observe for
gastrointestinal bleeding.
/.Theophylline level interpretation - Answer-If a client receives a prescription for
theophylline (Theo-Dur) PO to be initiated in the morning after the dose of theophylline
IV is complete, and the theophylline level drawn yesterday was 22 mcg/mL, the nurse
can determine that the theophylline dose can be initiated as planned.
/.Neuromuscular blocking agent lab result - Answer-When reviewing a client's laboratory
results before a procedure in which a neuromuscular blocking agent is a standing order,
the nurse should report the finding of hypokalemia to the health care provider.
/.Atropine sulfate purpose - Answer-When administering atropine sulfate (Atropine), IM
STAT to a child prior to an emergency appendectomy, the primary purpose is to
decrease the oral secretions.
, /.Digoxin toxicity risk factor - Answer-When caring for a client on digoxin (Lanoxin)
therapy, the nurse should be alert for digoxin toxicity, which is more likely to occur in a
client with a low serum potassium level.
/.Anti-infective therapy superinfection - Answer-If a client receiving anti-infective drug
therapy for a postoperative infection complains of a sore mouth, it may indicate that the
client has contracted a superinfection.
/.Tetracycline hydrochloride absorption interference - Answer-If a client taking
tetracycline hydrochloride (Sumycin) for urethritis is also taking sucralfate (Carafate),
the nurse should inform the client that sucralfate could interfere with the absorption of
tetracycline.
/.Sublingual nitroglycerin effectiveness - Answer-Following the administration of
sublingual nitroglycerin, a decrease in the level of chest pain indicates that the
medication was effective.
/.Heparin therapeutic goal - Answer-The achievement of a therapeutic goal for heparin
administration is represented by an alteration of the partial thromboplastin time (PTT).
/.Naloxone hydrochloride for opioid overdose - Answer-If a client with opioid overdose
becomes comatose, the nurse should prepare to administer naloxone hydrochloride
(Narcan).
/.Combination anti-infective drug precautions - Answer-When a client is receiving the
combination anti-infective drug TMP-SMZ (Bactrim), the nurse should monitor for signs
of hemolytic and aplastic anemia, agranulocytosis, thrombocytopenia, photosensitivity,
exfoliative dermatitis, and Steven-Johnson syndrome.
/.Gentamicin sulfate IV infusion assessment - Answer-When a client is receiving IV
infusions of gentamicin sulfate (Garamycin), the nurse should assess the urine output to
evaluate the effectiveness of the osmitrol therapy.
/.Medication regimen compliance - Answer-To ensure compliance with a medication
regimen, the nurse should instruct the client to maintain a drug administration record.
/.Tissue plasminogen activator purpose - Answer-When a client is prescribed tissue
plasminogen activator (Activase) for an acute myocardial infarction, the nurse should
explain that the purpose of this drug is to dissolve clots within a coronary artery.
/.Nifedipine side effect - Answer-When a client is receiving nifedipine (Procardia), the
nurse should observe for the common side effect of hypotension.
