HESI PHARMACOLOGY EXAM 2024
COMPLETE 240 QUESTIONS WITH
DETAILED VERIFIED ANSWERS WITH
RATIONALES ANSWERS ARE 100%
CORRECT ACTUAL BRAND-NEW EXAM
ALREADY GRADED A+
1.) 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 - ....ANSWER...2. Uric acid level
Rationale:
Busulfan (Myleran) can cause an increase in the uric acid
level. Hyperuricemia can produce uric acid nephropathy,
renal stones, and acute renal failure. Options 1, 3, and 4 are
not specifically related to this medication.
2.) 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 administration understands
that which side effect is specifically associated with this
medication?
1
,1. Alopecia
2. Chest pain
3. Pulmonary fibrosis
4. Orthostatic hypotension - ....ANSWER...4. Orthostatic
hypotension
Rationale:
A side effect specific to etoposide is orthostatic
hypotension. The client's blood pressure is monitored
during the infusion. Hair loss occurs with nearly all the
antineoplastic medications. Chest pain and pulmonary
fibrosis are unrelated to this medication.
3.) 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 -
....ANSWER...3. Consult with health care providers
(HCPs) before receiving immunizations
Rationale:
2
,Because antineoplastic medications lower the resistance of
the body, clients must be informed not to receive
immunizations without a HCP's approval. Clients also
need to avoid contact with individuals who have recently
received a live virus vaccine. Clients need to avoid aspirin
and aspirin-containing products to minimize the risk of
bleeding, and they need to avoid alcohol to minimize the
risk of toxicity and side effects.
5.) 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
2. Hair loss
3. Chest pain
4. Numbness and tingling in the fingers and toes -
....ANSWER...4. Numbness and tingling in the fingers and
toes
Rationale:
A side effect specific to vincristine is peripheral
neuropathy, which occurs in almost every client.
Peripheral neuropathy can be manifested as numbness and
tingling in the fingers and toes. Depression of the Achilles
tendon reflex may be the first clinical sign indicating
peripheral neuropathy. Constipation rather than diarrhea is
3
, most likely to occur with this medication, although
diarrhea may occur occasionally. Hair loss occurs with
nearly all the antineoplastic medications. Chest pain is
unrelated to this medication.
6.) The nurse is reviewing the history and physical
examination of a client who will be receiving asparaginase
(Elspar), an antineoplastic agent. The nurse consults with
the registered nurse regarding the administration of the
medication if which of the following is documented in the
client's history?
1. Pancreatitis
2. Diabetes mellitus
3. Myocardial infarction
4. Chronic obstructive pulmonary disease -
....ANSWER...1. Pancreatitis
Rationale:
Asparaginase (Elspar) is contraindicated if hypersensitivity
exists, in pancreatitis, or if the client has a history of
pancreatitis. The medication impairs pancreatic function
and pancreatic function tests should be performed before
therapy begins and when a week or more has elapsed
between administration of the doses. The client needs to be
monitored for signs of pancreatitis, which include nausea,
vomiting, and abdominal pain. The conditions noted in
4
COMPLETE 240 QUESTIONS WITH
DETAILED VERIFIED ANSWERS WITH
RATIONALES ANSWERS ARE 100%
CORRECT ACTUAL BRAND-NEW EXAM
ALREADY GRADED A+
1.) 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 - ....ANSWER...2. Uric acid level
Rationale:
Busulfan (Myleran) can cause an increase in the uric acid
level. Hyperuricemia can produce uric acid nephropathy,
renal stones, and acute renal failure. Options 1, 3, and 4 are
not specifically related to this medication.
2.) 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 administration understands
that which side effect is specifically associated with this
medication?
1
,1. Alopecia
2. Chest pain
3. Pulmonary fibrosis
4. Orthostatic hypotension - ....ANSWER...4. Orthostatic
hypotension
Rationale:
A side effect specific to etoposide is orthostatic
hypotension. The client's blood pressure is monitored
during the infusion. Hair loss occurs with nearly all the
antineoplastic medications. Chest pain and pulmonary
fibrosis are unrelated to this medication.
3.) 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 -
....ANSWER...3. Consult with health care providers
(HCPs) before receiving immunizations
Rationale:
2
,Because antineoplastic medications lower the resistance of
the body, clients must be informed not to receive
immunizations without a HCP's approval. Clients also
need to avoid contact with individuals who have recently
received a live virus vaccine. Clients need to avoid aspirin
and aspirin-containing products to minimize the risk of
bleeding, and they need to avoid alcohol to minimize the
risk of toxicity and side effects.
5.) 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
2. Hair loss
3. Chest pain
4. Numbness and tingling in the fingers and toes -
....ANSWER...4. Numbness and tingling in the fingers and
toes
Rationale:
A side effect specific to vincristine is peripheral
neuropathy, which occurs in almost every client.
Peripheral neuropathy can be manifested as numbness and
tingling in the fingers and toes. Depression of the Achilles
tendon reflex may be the first clinical sign indicating
peripheral neuropathy. Constipation rather than diarrhea is
3
, most likely to occur with this medication, although
diarrhea may occur occasionally. Hair loss occurs with
nearly all the antineoplastic medications. Chest pain is
unrelated to this medication.
6.) The nurse is reviewing the history and physical
examination of a client who will be receiving asparaginase
(Elspar), an antineoplastic agent. The nurse consults with
the registered nurse regarding the administration of the
medication if which of the following is documented in the
client's history?
1. Pancreatitis
2. Diabetes mellitus
3. Myocardial infarction
4. Chronic obstructive pulmonary disease -
....ANSWER...1. Pancreatitis
Rationale:
Asparaginase (Elspar) is contraindicated if hypersensitivity
exists, in pancreatitis, or if the client has a history of
pancreatitis. The medication impairs pancreatic function
and pancreatic function tests should be performed before
therapy begins and when a week or more has elapsed
between administration of the doses. The client needs to be
monitored for signs of pancreatitis, which include nausea,
vomiting, and abdominal pain. The conditions noted in
4
