HESI Pharmacology Exam Practice
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1. 1) A nurse is caring for a client with hyperparathyroidism and notes that the
client's serum calcium level is 13 mg/dL. Which medication should the nurse
prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D: 3. Calcitonin (Miacalcin)
2. 2.) Oral iron supplements are prescribed for a 6-year-old child with iron
deficiency anemia. The nurse instructs the mother to administer the iron with
which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice: 4.Orange juice
3. 3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The
nurse monitors the client, knowing that which of the following would indicate
the presence of systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations: 1. Tinnitus
4. 4.) The camp nurse asks the children preparing to swim in the lake if they have
applied sunscreen. The nurse reminds the children that chemical sunscreens
are most effective when applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun: 4. At least 30 minutes before exposure to
the sun
5. 5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn
injury. When applying the medication, the client complains of local discomfort
and burning. Which of the following is the most appropriate nursing action?
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1. Notifying the registered nurse
2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site: 3. Informing the client that
this is normal
6. 6.) The burn client is receiving treatments of topical mafenide acetate (Sul-
famylon) to the site of injury. The nurse monitors the client, knowing that which
of the following indicates that a systemic effect has occurred?
1.Hyperventilation
2.Elevated blood pressure
3.Local pain at the burn site
4.Local rash at the burn site: 1.hyperventiation
7. 7.) Isotretinoin is prescribed for a client with severe acne. Before the adminis-
tration of this medication, the nurse anticipates that which laboratory test will
be prescribed?
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count: 2. Triglyceride level
8. 8.) A client with severe acne is seen in the clinic and the health care provider
(HCP) prescribes isotretinoin. The nurse reviews the client's medication record
and would contact the (HCP) if the client is taking which medication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin): 1. Vitamin A
9. 9.) The nurse is applying a topical corticosteroid to a client with eczema. The
nurse would monitor for the potential for increased systemic absorption of the
medication if the medication were being applied to which of the following body
areas?
1. Back
2. Axilla
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3. Soles of the feet
4. Palms of the hands: 2. Axilla
10. 10.) The clinic nurse is performing an admission assessment on a client. The
nurse notes that the client is taking azelaic acid (Azelex). Because of the med-
ication prescription, the nurse would suspect that the client is being treated
for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex: 1. Acne
11. 11.) The health care provider has prescribed silver sulfadiazine (Silvadene)
for the client with a partial-thickness burn, which has cultured positive for
gram-negative bacteria. The nurse is reinforcing information to the client about
the medication. Which statement made by the client indicates a lack of under-
standing about the treatments?
1. "The medication is an antibacterial."
2. "The medication will help heal the burn."
3. "The medication will permanently stain my skin."
4. "The medication should be applied directly to the wound.": 3. "The medication will
permanently stain my skin
12. 12.) A nurse is caring for a client who is receiving an intravenous (IV) infusion
of an antineoplastic medication. During the infusion, the client complains of
pain at the insertion site. During an inspection of the site, the nurse notes
redness and swelling and that the rate of infusion of the medication has slowed.
The nurse should take which appropriate action?
1. Notify the registered nurse.
2. Administer pain medication to reduce the discomfort.
3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion.: 1. Notify the registered
nurse.
13. 13.) The client with squamous cell carcinoma of the larynx is receiving
bleomycin intravenously. The nurse caring for the client anticipates that which
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diagnostic study will be prescribed?
1. Echocardiography
2. Electrocardiography
3. Cervical radiography
4. Pulmonary function studies: 4. Pulmonary function studies
14. 14.) The client with acute myelocytic leukemia is being treated with busulfan
(Myleran). Which laboratory value would the nurse specifically monitor during
treatment with this medication?
1. Clotting time
2. Uric acid level
3. Potassium level
4. Blood glucose level: 2. Uric acid leave
15. 15.) The client with small cell lung cancer is being treated with etoposide
(VePesid). The nurse who is assisting in caring for the client during its admin-
istration understands that which side effect is specifically associated with this
medication?
1. Alopecia
2. Chest pain
3. Pulmonary fibrosis
4. Orthostatic hypotension: 4. Orthostatic hypotension
16. 16.) The clinic nurse is reviewing a teaching plan for the client receiving an
antineoplastic medication. When implementing the plan, the nurse tells the
client:
1. To take aspirin (acetylsalicylic acid) as needed for headache
2. Drink beverages containing alcohol in moderate amounts each evening
3. Consult with health care providers (HCPs) before receiving immunizations
4. That it is not necessary to consult HCPs before receiving a flu vaccine at the
local health fair: 3. Consult with health care providers (HCPs) before receiving a flu vac
17. 17.) The client with ovarian cancer is being treated with vincristine (Oncovin).
The nurse monitors the client, knowing that which of the following indicates a
side effect specific to this medication?
1. Diarrhea
Study online at https://quizlet.com/_6vc6kg
1. 1) A nurse is caring for a client with hyperparathyroidism and notes that the
client's serum calcium level is 13 mg/dL. Which medication should the nurse
prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D: 3. Calcitonin (Miacalcin)
2. 2.) Oral iron supplements are prescribed for a 6-year-old child with iron
deficiency anemia. The nurse instructs the mother to administer the iron with
which best food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice: 4.Orange juice
3. 3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The
nurse monitors the client, knowing that which of the following would indicate
the presence of systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations: 1. Tinnitus
4. 4.) The camp nurse asks the children preparing to swim in the lake if they have
applied sunscreen. The nurse reminds the children that chemical sunscreens
are most effective when applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun: 4. At least 30 minutes before exposure to
the sun
5. 5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn
injury. When applying the medication, the client complains of local discomfort
and burning. Which of the following is the most appropriate nursing action?
, HESI Pharmacology Exam Practice
Study online at https://quizlet.com/_6vc6kg
1. Notifying the registered nurse
2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site: 3. Informing the client that
this is normal
6. 6.) The burn client is receiving treatments of topical mafenide acetate (Sul-
famylon) to the site of injury. The nurse monitors the client, knowing that which
of the following indicates that a systemic effect has occurred?
1.Hyperventilation
2.Elevated blood pressure
3.Local pain at the burn site
4.Local rash at the burn site: 1.hyperventiation
7. 7.) Isotretinoin is prescribed for a client with severe acne. Before the adminis-
tration of this medication, the nurse anticipates that which laboratory test will
be prescribed?
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count: 2. Triglyceride level
8. 8.) A client with severe acne is seen in the clinic and the health care provider
(HCP) prescribes isotretinoin. The nurse reviews the client's medication record
and would contact the (HCP) if the client is taking which medication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin): 1. Vitamin A
9. 9.) The nurse is applying a topical corticosteroid to a client with eczema. The
nurse would monitor for the potential for increased systemic absorption of the
medication if the medication were being applied to which of the following body
areas?
1. Back
2. Axilla
, HESI Pharmacology Exam Practice
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3. Soles of the feet
4. Palms of the hands: 2. Axilla
10. 10.) The clinic nurse is performing an admission assessment on a client. The
nurse notes that the client is taking azelaic acid (Azelex). Because of the med-
ication prescription, the nurse would suspect that the client is being treated
for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex: 1. Acne
11. 11.) The health care provider has prescribed silver sulfadiazine (Silvadene)
for the client with a partial-thickness burn, which has cultured positive for
gram-negative bacteria. The nurse is reinforcing information to the client about
the medication. Which statement made by the client indicates a lack of under-
standing about the treatments?
1. "The medication is an antibacterial."
2. "The medication will help heal the burn."
3. "The medication will permanently stain my skin."
4. "The medication should be applied directly to the wound.": 3. "The medication will
permanently stain my skin
12. 12.) A nurse is caring for a client who is receiving an intravenous (IV) infusion
of an antineoplastic medication. During the infusion, the client complains of
pain at the insertion site. During an inspection of the site, the nurse notes
redness and swelling and that the rate of infusion of the medication has slowed.
The nurse should take which appropriate action?
1. Notify the registered nurse.
2. Administer pain medication to reduce the discomfort.
3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion.: 1. Notify the registered
nurse.
13. 13.) The client with squamous cell carcinoma of the larynx is receiving
bleomycin intravenously. The nurse caring for the client anticipates that which
, HESI Pharmacology Exam Practice
Study online at https://quizlet.com/_6vc6kg
diagnostic study will be prescribed?
1. Echocardiography
2. Electrocardiography
3. Cervical radiography
4. Pulmonary function studies: 4. Pulmonary function studies
14. 14.) The client with acute myelocytic leukemia is being treated with busulfan
(Myleran). Which laboratory value would the nurse specifically monitor during
treatment with this medication?
1. Clotting time
2. Uric acid level
3. Potassium level
4. Blood glucose level: 2. Uric acid leave
15. 15.) The client with small cell lung cancer is being treated with etoposide
(VePesid). The nurse who is assisting in caring for the client during its admin-
istration understands that which side effect is specifically associated with this
medication?
1. Alopecia
2. Chest pain
3. Pulmonary fibrosis
4. Orthostatic hypotension: 4. Orthostatic hypotension
16. 16.) The clinic nurse is reviewing a teaching plan for the client receiving an
antineoplastic medication. When implementing the plan, the nurse tells the
client:
1. To take aspirin (acetylsalicylic acid) as needed for headache
2. Drink beverages containing alcohol in moderate amounts each evening
3. Consult with health care providers (HCPs) before receiving immunizations
4. That it is not necessary to consult HCPs before receiving a flu vaccine at the
local health fair: 3. Consult with health care providers (HCPs) before receiving a flu vac
17. 17.) The client with ovarian cancer is being treated with vincristine (Oncovin).
The nurse monitors the client, knowing that which of the following indicates a
side effect specific to this medication?
1. Diarrhea
