Pharm HESI Practice Exam 2023

Pharm HESI Practice 1. DM peripheral neuropathy prescribed pregabalin x 2 weeks; reports diminished foot pain. Nurse notes no improvement in healing of several toe ulcers A. Review plan for strategies used to manage foot ulcers B. Reassure patient ulcers take several months to heal C. Explain that dose will need to increase D. Withhold next dose until HCP is notified - ANS: A 2. DM Type 2 managed with glimepiride prescribed with additional injectable exenatide. Nurse should teach: A. Notify HCP of anorexia B. Eat foods high in potassium C. Administer subQ after meals D. Watch for jitteriness and diaphoresis - ANS: D 3. Epi injection using auto-injection pen; requires intervention from nurse if client: A. Administers into fleshy outer thigh B. Holds pen in place after injection C. Cleanse pen for reuse D. Insert pen through clothing - ANS: C 4. IV piperacillin-tazobactam; stop infusion if: A. Hypertension B. Pupillary constriction C. Scratchy throat D. Bradycardia - ANS: C 5. Client with influenza and having symptoms asks about oseltamivir. A. Once symptoms occur, it is too late to receive influenza vaccine B. Antibiotics are not helpful in viral infection C. OTC meds are sufficient to manage influenza symptoms D. Refer to HCP to get Rx - ANS: D 6. Order: Streptomycin 200 mg IM Q12 hour. 1 g in 2.5 mL available. How many mL is administered? 200 mg x 1g x 2.5 mL = 0.5 mL 1000 mg g - ANS: 0.5 mL 7. Client is on warfarn. Best communication from nurse: A. Monitor signs of bleeding B. Client repeats back information - ANS: B 8. Azithromycin; need to report A/E: A. Yellow sclera B. Flatulence and nausea C. Urinary frequency D. Headache - ANS: A 9. 1 L infused in 9 hours. What is mL/hour? 1000 mL/ 9 hr - ANS: 111 mL/hr 10. Client receiving multiple antihypertensive medications and has serum potassium of 6.2. Patient will likely be prescribed: A. Aldactone B. Lisinopril C. Hydrochlorothiazide D. Valsartan - ANS: C 11. Sodium polystyrene sulfate for acute kidney injury. Which lab value indicates the medication is effective? A. Hgb 13.5 B. Serum glucose 120 C. Serum ammonia 30 D. Serum potassium 3.8 - ANS: D 12. Chronic Hepatitis C on ribavin with alpha-interferon reports fatigue and dyspnea. Monitor: A. Potassium B. Hemoglobin C. Glucose D. Sodium - ANS: B 13. Probenecid (uricosuric): A. Prevents formation of kidney stones B. Decreases pain and burning during urination C. Increases strength of urine stream D. Promotes excretion of uric acid in urine - ANS: D 14. Gentamycin sulfate IVPB peak and trough on fourth dose. Measure: A. Peak 3 hours after giving 4th dose B. Trough just after receiving 3rd dose C. Peak right before 4th dose D. Trough just before 4th dose - ANS: D 15. Insulin glargine 20 units SubQ at bedtime with additional sliding scale aspart A. Fingerstick glucose at 0730, 1130, 1730, and at bedtime B. Test glucose in the AM and PM C. Test glucose three times a day before meals - ANS: A 16. Reduce risk of rhinitis with nasal spray calcitonin by: