Pharmacology HESI V2 Preparation Exam With
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ss ss ss ss ss ss ss
A ssclient ssis ssprescribed ssphenobarbital sssodium ss(Luminal) ssfor ssa ssseizure ssdisorder. ssThe
ssmedication sshas ssa sslong sshalf-life ssof ss4 ssdays. ssBased sson ssthis sshalf-life, ssthe ssmedication sswill
ssmost sslikely ssbe ssprescribed
A. ssonce ssa ssday.
B. sstwice ssa ssday.
C. ssthree sstimes ssa ssday.
D. ssfour sstimes ssa ssday. ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS: ssA
Medication sswith sslong sshalf-lives ssremain ssat sstheir sstherapeutic sslevels ssbetween ssdoses ssfor sslong
ssperiods ssof sstime. ssTherefore, ssthis ssmedication sscan ssbe ss administered ssonce ss a ssday.
A ssnurse sseducator ssis ssreviewing ssmedication ssdosages ssand ssfactors ssthat ssinfluence ssmedication
ssmetabolism sswith ssa ssgroup ssof ssnurses. ssMedication ssdosages ssmay ssneed ssto ssbe ssdecreased
ssfor sswhich ssof ssthe ssfollowing ssreasons? ss (Select ssall ssthat ssapply.)
A. ssIncreased ssrenal ssexcretion
B. ssIncreased ssmedication-metabolizing ssenzymes
C. ssLiver ssfailure
D. ssPeripheral ssvascular ssdisease
E. ssConcurrent ssuse ssof ssmedication ssmetabolized ssby ssthe sssame sspathway ss- ssCORRECT
ssANSWERS ss ss ss ss ss ss ss ssANS: ssC, ssE
Liver ssfailure ssdecreases ssmetabolism ssand ssthus ssincrease ssthe ssconcentration ssof ssmedication.
ssThis ssmay ssrequire ssdecreasing ssthe ssdosage ss of ss medication. ssWhen sstwo ssmedications ssare
ssmetabolized ssin ssthe sssame ssway, ssthey ssmay sscompete ssfor ssmetabolism, ssthereby ssincreasing
ssthe ssconcentration ssof ss one ssor ssboth ssmedications. ss
Increased ssrenal ssexcretion ssmay ssdecrease ssconcentration ssof ssthe ssmedication, ssrequiring
ssincreased ssdosage. ssIncreased ssmedication-metabolizing ssenzymes sscan ssdecrease ssthe
ssconcentration ss of ssthe ssmedication. ssThe ssdose ssmight ssneed ssincreased. ssPeripheral ssvascular
ssdisease ssmay ssimpair ssdistribution, ssand ssmore ssof ssthe ssmedication ssmay ssbe ssneeded.
A ssnurse sss sspreparing ssto ssadminister sseye ssdrops ssto ssa ssclient. ssWhich ssof ssthe ssfollowing ssare
ssappropriate ssnursing ssinterventions ssrelated ssto ssthis ssprocedure? ss(Select ssall ssthat ssapply.)
A. ssUsing ssmedical ssaseptic sstechnique
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ss ss ss ss ss ss ss
B. ssAsking ssthe ssclient ssto sslook ssup ssat ssthe ssceiling
C. ssHaving ssthe ssclient sslie ssin ssa ssside-lying ssposition
D. ssDropping ssmedication ssinto ssthe sscenter ssof ssthe ssclient's ssconjunctival sssac
E. ssInstructing ssthe ssclient ssto ssclose ssthe sseye ssgently ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS:B,
ssD, ssE
The ssmedication ssshould ssbe ssdropped ssinto ssthe sscenter ssof ssthe ssconjunctival sssac ssto sspromote
ssbetter ssdistribution ssof ssthe ssmedication. ssThe ssclient ssshould ssclose ssthe sseye ssgently ssto ssallow
ssimproved ssdistribution ssof ssthe ssmedication. ss
Surgical ssaseptic sstechnique ssis ssused ssto ssadminister sseye ssdrops. ssThe ssclient ssshould ssbe sssitting
ssor ssin ssa sssupine ssposition ssto ssfacilitate ssproper ssadministration ssof sseye ssdrops.
A ssnurse ssis sscompleting ssdischarge ssteaching ssto ssa ssclient sswho sshas ssa ssnew ssprescription ssfor ssa
sstransdermal ssmedication. ssWhich ss of ssthe ss following ssstatements ssby ssthe ssclient ssindicates
ssunderstanding ssof ssthe ssteaching? ss
A. ss"I sswill ssclean ssthe sssite sswith ssan ssalcohol ssswab ssprior ssto ssapplying ssthe sspatch."
B. ss"I sswill ssrotate ssthe ssapplication sssite ssweekly."
C. ss"I sswill ssapply ssthe sspatch ssto ssan ssarea ssof ssskin sswith ssno sshair."
D. ss"I sswill ssplace ssthe ssnew sspatch sson ssthe sssite ssof ssthe ssold sspatch." ss- ssCORRECT ssANSWERS ss ss
ss ss ss ss ss ssANS: ssC
Transdermal ssmedication ssshould ssbe ssapplied ssto ssa sshairless ssarea ssof ssskin ssto sspromote
ssabsorption ssof ssmedication.
The ssskin ssshould ssbe sswashed sswith sssoap ssand sswater ssand ssdried ssthoroughly ssbefore ssapplying
ssa sstransdermal sspatch. ssApplication sssites ssshould ssbe ssrotated sson ssa ssdaily ssbasis ssto ssprevent
ssskin ssirritation.
A ssnurse ssis ssreviewing ssa ssclient's sshealth ssrecord ssand ssnotes ssa ssnew ssprescription ssby ssthe
ssprovider ssto ssverify ssthe sstrough sslevel ssof ssthe ssclient's ssmedication. ssWhich ssof ssthe ssfollowing
ssactions ss should ssthe ssnurse sstake? ss
A. ssHave ssa ssblood ssspecimen ssobtained ssimmediately ssprior ssto ssthe ssnext ssdose ssof ssmedication.
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B. ssVerify ssthat ssthe ssclient sshas ssbeen sson ssthe ssmedication ssfor ss24 sshr ssbefore ssordering ssa ssblood
ssspecimen.
C. ssAsk ssthe ssclient ssto ssprovide ssa ssurine ssspecimen ssafter ssthe ssnext ssdose ssof ssmedication.
D. ssBegin ssadministering ssthe ssmedication, ssand ssobtain ssa ssblood ssspecimen. ss- ssCORRECT
ssANSWERS ss ss ss ss ss ss ss ssANS: ssA
To ssverify sstrough sslevels ssof ssa ssmedication, ssa ssblood ssspecimen ssis ssobtained ssimmediately
ssbefore ssthe ssnext ssdose ssof ssmedication.
A ssnurse ssis sspreparing ssa ssclient's ssmedication. ssWhich ssof ssthe ssfollowing ssare sslegal
ssresponsibilities ssof ssthe ssnurse? ss(Select ss all ssthat ss apply.)
A. ssMaintaining ssskill sscompetency
B. ssDetermining ssthe ssdosage
C. ssMonitoring ssfor ssadverse sseffects
D. ssSafeguarding ssmedications
E. ssIdentifying ssthe ssclient's ssdiagnosis ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS: ssA, ssC, ssD
Determining ssmedication ssdosage ssand ssidentifying ssa ssdiagnosis ssis ssthe ssrole/responsibility ssof
ssthe ssprovider. ssThe ssnurse ssshould ssbe ssinformed ss about ssa ssclient's ssdiagnosis.
A ssnurse ssis ssreviewing ssa ssclient's sshealth ssrecord ssand ssnotes ssa ssnew ssprescription ssby ssthe
ssprovider ssfor sslisinopril ss(Zestril) ss10 ssmg ssPO ssevery ssday. ssThe ssnurse ssshould ssrecognize ssthis ssas
sswhich ssof ssthe ssfollowing sstypes ssof ssprescription?
A. ssSingle ssprescription
B. ssStat ssprescription
C. ssRoutine ssprescription
D. ssStanding ssprescription ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS: ssC
A ssroutine ssprescription ssidentifies ssa ssmedication ssthat ssis ssgiven sson ssa ssregular ssschedule. ssThis
ssmedication ssis ssadministered ssevery ssday ssuntil ssdiscontinued. ss
A sssingle ssprescription ssis ssto ssbe ssgiven ssonce ssat ssa ssspecified sstime ssor ssas sssoon ssas sspossible.
ssA ssstat ssprescription ssis ssonly ssgiven ss once, ss and ssit ssis ssgiven ssimmediately. ssA ssstanding
ssprescription ssis sswritten ssfor ssspecific sscircumstances ssor ssa ss specific ssunit.
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ss ss ss ss ss ss ss
A ssnurse ssis ssreviewing ssa ssnew ssprescription ssfor ssondansetron ss(Zofran) ss4 ssmg ssPO ssPRN ssnausea
ssand ssvomiting ssfor ssa ssclient sswho sshas sshyperemesis ssgravidarum. ssThe ssnurse ss should ssclarify
sswhich ssof ssthe ssfollowing ssparts ssof ssthe ssprescription sswith ssthe ssprovider? ss
A. ssName
B. ssDosage
C. ssRoute
D. ssTime ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS: ssD
The sstime ssand ssfrequency ssof ssmedication ssadministration ssis ssnot ssincluded ssand ssshould ssbe
ssclarified sswith ssthe ssprovider.
A ssnurse ssis ssorienting ssa ssnewly sshired ssnurse ssand ssdiscussing sshow ssto sstake sstelephone
ssprescription. ssWhich ssof ssthe ssfollowing ssstatements ssby ssthe ssnewly sshired ssnurse ssindicates
ssunderstanding ssof ssthe ssdiscussion? ss
A. ss"A sssecond ssnurse ssenters ssthe ssprescription ssinto ssthe ssclient's sshealth ssrecord."
B. ss"Another ssnurse ssshould sslisten ssto ssthe ssphone sscall."
C. ss"The ssprovider sscan ssclarify ssthe ssprescription sswhen sshe sssigns ssthe sshealth ssrecord."
D. ss"The ss'read ssback' ssis ssomitted ssif ssthis ssis ssa ssone-time ssprescription." ss- ssCORRECT
ssANSWERS ss ss ss ss ss ss ss ssANS: ssB
The sssecond ssnurse ssshould sslisten ssto ssa sstelephone ssprescription ssto ssprevent sserrors ssin
sscommunication. ss
The ssnurse sswho sstakes ssthe sstelephone ssprescription ssshould ssenter ssit ssinto ssthe ssclient's sshealth
ssrecord ssto ssprevent sserrors ssin sstranslation. ssThe ssnurse ssverifies ssthe ssprescription ssis sscomplete
ssand ssaccurate ssat ssthe sstime ssit ssis ssgiven ssby ssreading ssit ssback ssto ssthe ssprovider. ssA sstelephone
ssprescription ssincludes ssreading ssback ssall sstypes ssof ssmedication ssprescription.
A ssnurse sson ssa ssmedical ssunit ssis ssadmitting ssa ssclient ssand sscompleting ssa sspreassessment
ssbefore ssadministration ssof ssmedications. ssWhich ss of ssthe ssfollowing ssdata ssshould ssthe ss nurse
ssinclude ssin ssthe sspreassessment? ss(Select ssall ssthat ssapply.)
A. ssUse ssof ssherbal ssteas
B. ssDaily ssfluid ssintake
ss ss ss ss ss
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ss ss ss ss ss ss ss
A ssclient ssis ssprescribed ssphenobarbital sssodium ss(Luminal) ssfor ssa ssseizure ssdisorder. ssThe
ssmedication sshas ssa sslong sshalf-life ssof ss4 ssdays. ssBased sson ssthis sshalf-life, ssthe ssmedication sswill
ssmost sslikely ssbe ssprescribed
A. ssonce ssa ssday.
B. sstwice ssa ssday.
C. ssthree sstimes ssa ssday.
D. ssfour sstimes ssa ssday. ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS: ssA
Medication sswith sslong sshalf-lives ssremain ssat sstheir sstherapeutic sslevels ssbetween ssdoses ssfor sslong
ssperiods ssof sstime. ssTherefore, ssthis ssmedication sscan ssbe ss administered ssonce ss a ssday.
A ssnurse sseducator ssis ssreviewing ssmedication ssdosages ssand ssfactors ssthat ssinfluence ssmedication
ssmetabolism sswith ssa ssgroup ssof ssnurses. ssMedication ssdosages ssmay ssneed ssto ssbe ssdecreased
ssfor sswhich ssof ssthe ssfollowing ssreasons? ss (Select ssall ssthat ssapply.)
A. ssIncreased ssrenal ssexcretion
B. ssIncreased ssmedication-metabolizing ssenzymes
C. ssLiver ssfailure
D. ssPeripheral ssvascular ssdisease
E. ssConcurrent ssuse ssof ssmedication ssmetabolized ssby ssthe sssame sspathway ss- ssCORRECT
ssANSWERS ss ss ss ss ss ss ss ssANS: ssC, ssE
Liver ssfailure ssdecreases ssmetabolism ssand ssthus ssincrease ssthe ssconcentration ssof ssmedication.
ssThis ssmay ssrequire ssdecreasing ssthe ssdosage ss of ss medication. ssWhen sstwo ssmedications ssare
ssmetabolized ssin ssthe sssame ssway, ssthey ssmay sscompete ssfor ssmetabolism, ssthereby ssincreasing
ssthe ssconcentration ssof ss one ssor ssboth ssmedications. ss
Increased ssrenal ssexcretion ssmay ssdecrease ssconcentration ssof ssthe ssmedication, ssrequiring
ssincreased ssdosage. ssIncreased ssmedication-metabolizing ssenzymes sscan ssdecrease ssthe
ssconcentration ss of ssthe ssmedication. ssThe ssdose ssmight ssneed ssincreased. ssPeripheral ssvascular
ssdisease ssmay ssimpair ssdistribution, ssand ssmore ssof ssthe ssmedication ssmay ssbe ssneeded.
A ssnurse sss sspreparing ssto ssadminister sseye ssdrops ssto ssa ssclient. ssWhich ssof ssthe ssfollowing ssare
ssappropriate ssnursing ssinterventions ssrelated ssto ssthis ssprocedure? ss(Select ssall ssthat ssapply.)
A. ssUsing ssmedical ssaseptic sstechnique
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ss ss ss ss ss ss ss
B. ssAsking ssthe ssclient ssto sslook ssup ssat ssthe ssceiling
C. ssHaving ssthe ssclient sslie ssin ssa ssside-lying ssposition
D. ssDropping ssmedication ssinto ssthe sscenter ssof ssthe ssclient's ssconjunctival sssac
E. ssInstructing ssthe ssclient ssto ssclose ssthe sseye ssgently ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS:B,
ssD, ssE
The ssmedication ssshould ssbe ssdropped ssinto ssthe sscenter ssof ssthe ssconjunctival sssac ssto sspromote
ssbetter ssdistribution ssof ssthe ssmedication. ssThe ssclient ssshould ssclose ssthe sseye ssgently ssto ssallow
ssimproved ssdistribution ssof ssthe ssmedication. ss
Surgical ssaseptic sstechnique ssis ssused ssto ssadminister sseye ssdrops. ssThe ssclient ssshould ssbe sssitting
ssor ssin ssa sssupine ssposition ssto ssfacilitate ssproper ssadministration ssof sseye ssdrops.
A ssnurse ssis sscompleting ssdischarge ssteaching ssto ssa ssclient sswho sshas ssa ssnew ssprescription ssfor ssa
sstransdermal ssmedication. ssWhich ss of ssthe ss following ssstatements ssby ssthe ssclient ssindicates
ssunderstanding ssof ssthe ssteaching? ss
A. ss"I sswill ssclean ssthe sssite sswith ssan ssalcohol ssswab ssprior ssto ssapplying ssthe sspatch."
B. ss"I sswill ssrotate ssthe ssapplication sssite ssweekly."
C. ss"I sswill ssapply ssthe sspatch ssto ssan ssarea ssof ssskin sswith ssno sshair."
D. ss"I sswill ssplace ssthe ssnew sspatch sson ssthe sssite ssof ssthe ssold sspatch." ss- ssCORRECT ssANSWERS ss ss
ss ss ss ss ss ssANS: ssC
Transdermal ssmedication ssshould ssbe ssapplied ssto ssa sshairless ssarea ssof ssskin ssto sspromote
ssabsorption ssof ssmedication.
The ssskin ssshould ssbe sswashed sswith sssoap ssand sswater ssand ssdried ssthoroughly ssbefore ssapplying
ssa sstransdermal sspatch. ssApplication sssites ssshould ssbe ssrotated sson ssa ssdaily ssbasis ssto ssprevent
ssskin ssirritation.
A ssnurse ssis ssreviewing ssa ssclient's sshealth ssrecord ssand ssnotes ssa ssnew ssprescription ssby ssthe
ssprovider ssto ssverify ssthe sstrough sslevel ssof ssthe ssclient's ssmedication. ssWhich ssof ssthe ssfollowing
ssactions ss should ssthe ssnurse sstake? ss
A. ssHave ssa ssblood ssspecimen ssobtained ssimmediately ssprior ssto ssthe ssnext ssdose ssof ssmedication.
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ss ss ss ss ss ss ss
B. ssVerify ssthat ssthe ssclient sshas ssbeen sson ssthe ssmedication ssfor ss24 sshr ssbefore ssordering ssa ssblood
ssspecimen.
C. ssAsk ssthe ssclient ssto ssprovide ssa ssurine ssspecimen ssafter ssthe ssnext ssdose ssof ssmedication.
D. ssBegin ssadministering ssthe ssmedication, ssand ssobtain ssa ssblood ssspecimen. ss- ssCORRECT
ssANSWERS ss ss ss ss ss ss ss ssANS: ssA
To ssverify sstrough sslevels ssof ssa ssmedication, ssa ssblood ssspecimen ssis ssobtained ssimmediately
ssbefore ssthe ssnext ssdose ssof ssmedication.
A ssnurse ssis sspreparing ssa ssclient's ssmedication. ssWhich ssof ssthe ssfollowing ssare sslegal
ssresponsibilities ssof ssthe ssnurse? ss(Select ss all ssthat ss apply.)
A. ssMaintaining ssskill sscompetency
B. ssDetermining ssthe ssdosage
C. ssMonitoring ssfor ssadverse sseffects
D. ssSafeguarding ssmedications
E. ssIdentifying ssthe ssclient's ssdiagnosis ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS: ssA, ssC, ssD
Determining ssmedication ssdosage ssand ssidentifying ssa ssdiagnosis ssis ssthe ssrole/responsibility ssof
ssthe ssprovider. ssThe ssnurse ssshould ssbe ssinformed ss about ssa ssclient's ssdiagnosis.
A ssnurse ssis ssreviewing ssa ssclient's sshealth ssrecord ssand ssnotes ssa ssnew ssprescription ssby ssthe
ssprovider ssfor sslisinopril ss(Zestril) ss10 ssmg ssPO ssevery ssday. ssThe ssnurse ssshould ssrecognize ssthis ssas
sswhich ssof ssthe ssfollowing sstypes ssof ssprescription?
A. ssSingle ssprescription
B. ssStat ssprescription
C. ssRoutine ssprescription
D. ssStanding ssprescription ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS: ssC
A ssroutine ssprescription ssidentifies ssa ssmedication ssthat ssis ssgiven sson ssa ssregular ssschedule. ssThis
ssmedication ssis ssadministered ssevery ssday ssuntil ssdiscontinued. ss
A sssingle ssprescription ssis ssto ssbe ssgiven ssonce ssat ssa ssspecified sstime ssor ssas sssoon ssas sspossible.
ssA ssstat ssprescription ssis ssonly ssgiven ss once, ss and ssit ssis ssgiven ssimmediately. ssA ssstanding
ssprescription ssis sswritten ssfor ssspecific sscircumstances ssor ssa ss specific ssunit.
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ss ss ss ss ss ss ss
A ssnurse ssis ssreviewing ssa ssnew ssprescription ssfor ssondansetron ss(Zofran) ss4 ssmg ssPO ssPRN ssnausea
ssand ssvomiting ssfor ssa ssclient sswho sshas sshyperemesis ssgravidarum. ssThe ssnurse ss should ssclarify
sswhich ssof ssthe ssfollowing ssparts ssof ssthe ssprescription sswith ssthe ssprovider? ss
A. ssName
B. ssDosage
C. ssRoute
D. ssTime ss- ssCORRECT ssANSWERS ss ss ss ss ss ss ss ssANS: ssD
The sstime ssand ssfrequency ssof ssmedication ssadministration ssis ssnot ssincluded ssand ssshould ssbe
ssclarified sswith ssthe ssprovider.
A ssnurse ssis ssorienting ssa ssnewly sshired ssnurse ssand ssdiscussing sshow ssto sstake sstelephone
ssprescription. ssWhich ssof ssthe ssfollowing ssstatements ssby ssthe ssnewly sshired ssnurse ssindicates
ssunderstanding ssof ssthe ssdiscussion? ss
A. ss"A sssecond ssnurse ssenters ssthe ssprescription ssinto ssthe ssclient's sshealth ssrecord."
B. ss"Another ssnurse ssshould sslisten ssto ssthe ssphone sscall."
C. ss"The ssprovider sscan ssclarify ssthe ssprescription sswhen sshe sssigns ssthe sshealth ssrecord."
D. ss"The ss'read ssback' ssis ssomitted ssif ssthis ssis ssa ssone-time ssprescription." ss- ssCORRECT
ssANSWERS ss ss ss ss ss ss ss ssANS: ssB
The sssecond ssnurse ssshould sslisten ssto ssa sstelephone ssprescription ssto ssprevent sserrors ssin
sscommunication. ss
The ssnurse sswho sstakes ssthe sstelephone ssprescription ssshould ssenter ssit ssinto ssthe ssclient's sshealth
ssrecord ssto ssprevent sserrors ssin sstranslation. ssThe ssnurse ssverifies ssthe ssprescription ssis sscomplete
ssand ssaccurate ssat ssthe sstime ssit ssis ssgiven ssby ssreading ssit ssback ssto ssthe ssprovider. ssA sstelephone
ssprescription ssincludes ssreading ssback ssall sstypes ssof ssmedication ssprescription.
A ssnurse sson ssa ssmedical ssunit ssis ssadmitting ssa ssclient ssand sscompleting ssa sspreassessment
ssbefore ssadministration ssof ssmedications. ssWhich ss of ssthe ssfollowing ssdata ssshould ssthe ss nurse
ssinclude ssin ssthe sspreassessment? ss(Select ssall ssthat ssapply.)
A. ssUse ssof ssherbal ssteas
B. ssDaily ssfluid ssintake
