EVOLVE HESI PHARM EXAM REVIEW SOLVED QUESTIONS COMPLETE ANSWERS GRADED
A PLUS
Question:
a client is receiving fentanyl via an epidural infusion. which side effect should the nurse anticipate in
the first 24 hours of epidural analgesia?
Answer:
headache agitation urinary retention
Question:
abdominal cramping and diarrhea
Answer:
urinary retention a client who takes a statin and gemfibrozil for hyperlipidemia reports onset of
muscle pain and weakness. what additional assessment is most important for the nurse to obtain?
serum liver enzymes T3 and T4 blood levels bowel function
Question:
peripheral sensation
Answer:
serum liver enzymes a client is taking danazol for endometriosis and calls the clinic nurse to
complain of a dark, swollen and painful leg. what instructions should the nurse provide the client?
wear support stockings elevate both legs and apply heat proceed to closest ER
Question:
walk for 20 to 30 mins to reduce muscle cramps
Answer:
,proceed to the closest emergency room a client receives a new prescription for pentazocine, a mixed
opioid agonist antagonist, after an opioid agonist is discontinued. what is the advantage for the client
when the new prescription is implemented? tolerance does not occur less agitation is experienced
the analgesic ceiling is higher
Question:
respiratory depression is less
Answer:
respiratory depression is less a client beginning therapy with montelukast PO 10 mg once per day in
the evening. the client asks the nurse 'when should i begin to feel better?' how should the nurse
respond? immediately within 24 hours in about 12 hours
Question:
30 minutes to 1 hour
Answer:
within 24 hours a client is taking sulfisoxazole for a urinary tract infection and complains of nausea
and gastric upset since starting the med. which additional adverse reaction should the nurse instruct
the client to report? rash diarrhea hematuria
Question:
muscle cramping
Answer:
rash when prescribed for a client with hepatic encephalopathy, what is the therapeutic action of
lactulose? lowers pH of the colon softens the stool increase glucose absorption
Question:
stimulates peristalsis
Answer:
lowers pH of the colon which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication? tinnitus and hearing loss photosensitivity and nervousness acute gi
,bleeding and anorexia
Question:
hyperventilation and CNS effects
Answer:
tinnitus and hearing loss a client with paget's disease is started on calcitonin 500 mch sub-q daily.
during the initial treatment, what is the priority nursing action? assess injection site for inflammation
evaluate the client's level of pain monitor the client's alkaline phosphate levels
Question:
observe client for signs of hypersensitivity
Answer:
observe the client for signs of hypersensitivity 38 year old gravida 2 para 2 is diagnosed with
bacterial vaginosis 9 months postpartum. a prescription is written for metronidazole. which info is
most important for the nurse to obtain from the client before initiating treatment? sexual history use
of oral contraceptive method of infant feeding
Question:
possibility of pregnancy
Answer:
method of infant feeding the nurse receives a unit of blood from the blood bank for a postoperative
client who is currently in the x ray department. which action should the nurse implement? return
blood to blood bank for refrigeration within 30 mins hand the blood transfusion as soon as client
returns to the unit store blood bag in the nursing unit's refrigerator until client returns
Question:
take unit of blood to the x ray department to initiate the transfusion
Answer:
return blood to the blood bank for refrigeration within 30 mins client who is recently diagnosed with
myasthenia gravis receives a prescription for pyridostigmine, a cholinergic agent. which info should
, the nurse instruct the client to implement when taking this medication? always take with meals to
avoid GI distress plan doses close together for maximal therapeutic effect take the med at least 30
mins before eating meals
Question:
avoid dairy products 2 hours before and after taking medications
Answer:
take the medication at least 30 mins before eating meals what teaching should the nurse provide a
client who has received a new prescription for sildenafil? (SAA) frequent use can lead to
development of hypertension most effective if taken after at least 6 hours of REM sleep take within
30 to 60 mins of sexual stimulation report rebound priapism that occurs for 4 hours or more
Question:
can cause facial flushing and headache
Answer:
- take within 30 to 60 mins of sexual intercourse report rebound priapism that occurs for 4 hours or
more can cause facial flushing and headache the therapeutic effect of insulin in treating type 1
diabetes mellitus is based on which physiologic action? facilitates transport of glucose into the cells
stimulates function of beta cells in the pancreas increases intra-cellular receptor site sensitivity
Question:
delays carb digestion and absorption
Answer:
facilitates transport of glucose into the cells a client receives a new prescription for nitroglycerin
tablets. which instruction should the nurse include in this client's teaching? take the med at least an
hour before every meal monitor your pulse for 60 seconds before admin place under the tongue as
needed every 5 minutes up to 3 times
Question:
resume normal activities after chest pain relief is obtained
A PLUS
Question:
a client is receiving fentanyl via an epidural infusion. which side effect should the nurse anticipate in
the first 24 hours of epidural analgesia?
Answer:
headache agitation urinary retention
Question:
abdominal cramping and diarrhea
Answer:
urinary retention a client who takes a statin and gemfibrozil for hyperlipidemia reports onset of
muscle pain and weakness. what additional assessment is most important for the nurse to obtain?
serum liver enzymes T3 and T4 blood levels bowel function
Question:
peripheral sensation
Answer:
serum liver enzymes a client is taking danazol for endometriosis and calls the clinic nurse to
complain of a dark, swollen and painful leg. what instructions should the nurse provide the client?
wear support stockings elevate both legs and apply heat proceed to closest ER
Question:
walk for 20 to 30 mins to reduce muscle cramps
Answer:
,proceed to the closest emergency room a client receives a new prescription for pentazocine, a mixed
opioid agonist antagonist, after an opioid agonist is discontinued. what is the advantage for the client
when the new prescription is implemented? tolerance does not occur less agitation is experienced
the analgesic ceiling is higher
Question:
respiratory depression is less
Answer:
respiratory depression is less a client beginning therapy with montelukast PO 10 mg once per day in
the evening. the client asks the nurse 'when should i begin to feel better?' how should the nurse
respond? immediately within 24 hours in about 12 hours
Question:
30 minutes to 1 hour
Answer:
within 24 hours a client is taking sulfisoxazole for a urinary tract infection and complains of nausea
and gastric upset since starting the med. which additional adverse reaction should the nurse instruct
the client to report? rash diarrhea hematuria
Question:
muscle cramping
Answer:
rash when prescribed for a client with hepatic encephalopathy, what is the therapeutic action of
lactulose? lowers pH of the colon softens the stool increase glucose absorption
Question:
stimulates peristalsis
Answer:
lowers pH of the colon which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication? tinnitus and hearing loss photosensitivity and nervousness acute gi
,bleeding and anorexia
Question:
hyperventilation and CNS effects
Answer:
tinnitus and hearing loss a client with paget's disease is started on calcitonin 500 mch sub-q daily.
during the initial treatment, what is the priority nursing action? assess injection site for inflammation
evaluate the client's level of pain monitor the client's alkaline phosphate levels
Question:
observe client for signs of hypersensitivity
Answer:
observe the client for signs of hypersensitivity 38 year old gravida 2 para 2 is diagnosed with
bacterial vaginosis 9 months postpartum. a prescription is written for metronidazole. which info is
most important for the nurse to obtain from the client before initiating treatment? sexual history use
of oral contraceptive method of infant feeding
Question:
possibility of pregnancy
Answer:
method of infant feeding the nurse receives a unit of blood from the blood bank for a postoperative
client who is currently in the x ray department. which action should the nurse implement? return
blood to blood bank for refrigeration within 30 mins hand the blood transfusion as soon as client
returns to the unit store blood bag in the nursing unit's refrigerator until client returns
Question:
take unit of blood to the x ray department to initiate the transfusion
Answer:
return blood to the blood bank for refrigeration within 30 mins client who is recently diagnosed with
myasthenia gravis receives a prescription for pyridostigmine, a cholinergic agent. which info should
, the nurse instruct the client to implement when taking this medication? always take with meals to
avoid GI distress plan doses close together for maximal therapeutic effect take the med at least 30
mins before eating meals
Question:
avoid dairy products 2 hours before and after taking medications
Answer:
take the medication at least 30 mins before eating meals what teaching should the nurse provide a
client who has received a new prescription for sildenafil? (SAA) frequent use can lead to
development of hypertension most effective if taken after at least 6 hours of REM sleep take within
30 to 60 mins of sexual stimulation report rebound priapism that occurs for 4 hours or more
Question:
can cause facial flushing and headache
Answer:
- take within 30 to 60 mins of sexual intercourse report rebound priapism that occurs for 4 hours or
more can cause facial flushing and headache the therapeutic effect of insulin in treating type 1
diabetes mellitus is based on which physiologic action? facilitates transport of glucose into the cells
stimulates function of beta cells in the pancreas increases intra-cellular receptor site sensitivity
Question:
delays carb digestion and absorption
Answer:
facilitates transport of glucose into the cells a client receives a new prescription for nitroglycerin
tablets. which instruction should the nurse include in this client's teaching? take the med at least an
hour before every meal monitor your pulse for 60 seconds before admin place under the tongue as
needed every 5 minutes up to 3 times
Question:
resume normal activities after chest pain relief is obtained
