REAL HESI Pharmacology Exam
A male client who has been taking a high dose of a nonsteroidal anti-
inflammatory
(NSAID) comesdrug to the clinic complaining of gastric pain and blood in his
stool. The provider discontinues the NSAIDs and prescribes
healthcare
esomeprazole.
information Which
should the client include in the nurse's
teaching
A. Once pain plan?subsides, NSAID therapy can be
continued
B. Resume a diet that consists of milk, cream, and
bland
C. foods
Notify the healthcare provider of the passage of
black
D. Callstool
the clinic if diarrhea or headache occur when taking
esomeprazole
answers correct
C. Notify the healthcare provider of the passage of
black stool
When administering zolpidem to an older client, which computer
documentation
indicates that the desired
outcome has
been
achieved?
A. Sleeps soundly through the
night
B. Decreased episodes of
incontinence
C. Exhibits fewer emotional
outburst
D. Improved ability to concentrate correct answers A. Sleeps soundly
through the night
A male client with a fungal infection of the toenail reports to the nurse that
he has been
applying an over-the-counter triple antibiotic ointment to the infection
daily for
weeks two any improvement. Which action should the
without
nurse take?the client to obtain a prescription for oral
A. Instruct
terbinafine
B. Suggest that the client use the ointment twice a day to be
more
C. effective
Reassure that the treatment of fungus-infected toenails often takes
several
D. Advise months
the client to obtain a prescription-strength formulation of the
answers
ointmentA.correct
Instruct the client to obtain a prescription for oral
terbinafine
A client with a nasogastric tube (NGT) has a prescription for sucralfate. The
of the form
liquid medication is not currently available in the pharmacy and tablets
have beento the medication dispensing system. Which action should the
delivered
nurse administering
when include the
medication?
A. Crush the tablet and mix it with water separately from other
medications
B. Crush the tablet and mix it with other crushed tablets
diluted
C. in water
Withhold the medication until a liquid form is available on the
nursing
D. Crushunitthe tablet and mix it with other liquid medications for
administration
answers A. Crush correct
the tablet and mix it with water separately from other
medications
A client with chronic asthma receives a prescription for montelukast, a
leukotriene
modifier. Which statement by the client indicates to the nurse that
medication teaching
was
effective?
, A. I should take this medication only when I am having an
asthma
B. attack
I will take the tablet every evening to control my
asthma
C. This medication will stop an asthma attack
immediately
D. I will not need to use my inhalers twice a day when I start this
medication
answers B. I correct
will take the tablet every evening to control
my asthma
The nurse is planning to administer the antiulcer GI agent sucralfate to a
client with
peptic ulcer disease. Which action should the nurse include in this client's
plan
A. of care?
Assess for secondary Candida
infection
B. Administer sucralfate once a day, preferably at
bedtime
C. Give sucralfate on an empty
stomach
D. Monitor for electrolyte imbalance correct answers C. Give sucralfate
once a day,at
preferably
bedtime
A client with anemia secondary to chronic kidney disease (CKD) started a
prescription
for epoetin alfa two months ago. Which client finding best indicates that the
medication
is
effective?
A. Reports of increased energy levels and decreased
fatigue
B. Takes concurrent iron therapy without adverse
effects
C. Food diary shows increased consumption of iron-
richHemoglobin
D. foods level increased to 12 grams/dL (120 mmol/L) correct
answers D. level increased to 12 grams/dL (120
Hemoglobin
mmol/L)
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's
solution,
iodine a strong
solution, for a client with hyperthyroidism. How should the nurse
schedule the of these
administration
medications?
A. Administer iodine one hour before
PTU
B. Offer both drugs together with a
meal
C. Schedule both medications at
bedtime
D. Give parental dose once every 24 hours correct answers B. Offer
both drugs
together with a
meal
Twenty minutes after the nurse starts a secondary IV infusion of
cefepime
using 2 gramspump to deliver the dose in one hour, the client
an infusion
reports feeling
nauseated. Which action should the nurse
implement?
A. Continue the infusion and administer a PRN antiemetic
B. Stop the medication infusion and notify the healthcare provider of the
prescription
adverse
C. Reassureeffect
the client that the nausea us not related to the IV
infusion
D. Increase the rate of the infusion to complete the dose of the medication
more rapidly
correct answers A. Continue the infusion and administer a PRN antiemetic
prescription
A client with diabetic peripheral neuropathy, who has been taking
pregabalin
weeks for 2
reports diminished foot pain. The nurse notes that there is no
improvement
healing in the
of several toe ulcerations. Which action
should the
nurse
take?
A. Review the plan of care for strategies used to manage the foot
ulcerations
A male client who has been taking a high dose of a nonsteroidal anti-
inflammatory
(NSAID) comesdrug to the clinic complaining of gastric pain and blood in his
stool. The provider discontinues the NSAIDs and prescribes
healthcare
esomeprazole.
information Which
should the client include in the nurse's
teaching
A. Once pain plan?subsides, NSAID therapy can be
continued
B. Resume a diet that consists of milk, cream, and
bland
C. foods
Notify the healthcare provider of the passage of
black
D. Callstool
the clinic if diarrhea or headache occur when taking
esomeprazole
answers correct
C. Notify the healthcare provider of the passage of
black stool
When administering zolpidem to an older client, which computer
documentation
indicates that the desired
outcome has
been
achieved?
A. Sleeps soundly through the
night
B. Decreased episodes of
incontinence
C. Exhibits fewer emotional
outburst
D. Improved ability to concentrate correct answers A. Sleeps soundly
through the night
A male client with a fungal infection of the toenail reports to the nurse that
he has been
applying an over-the-counter triple antibiotic ointment to the infection
daily for
weeks two any improvement. Which action should the
without
nurse take?the client to obtain a prescription for oral
A. Instruct
terbinafine
B. Suggest that the client use the ointment twice a day to be
more
C. effective
Reassure that the treatment of fungus-infected toenails often takes
several
D. Advise months
the client to obtain a prescription-strength formulation of the
answers
ointmentA.correct
Instruct the client to obtain a prescription for oral
terbinafine
A client with a nasogastric tube (NGT) has a prescription for sucralfate. The
of the form
liquid medication is not currently available in the pharmacy and tablets
have beento the medication dispensing system. Which action should the
delivered
nurse administering
when include the
medication?
A. Crush the tablet and mix it with water separately from other
medications
B. Crush the tablet and mix it with other crushed tablets
diluted
C. in water
Withhold the medication until a liquid form is available on the
nursing
D. Crushunitthe tablet and mix it with other liquid medications for
administration
answers A. Crush correct
the tablet and mix it with water separately from other
medications
A client with chronic asthma receives a prescription for montelukast, a
leukotriene
modifier. Which statement by the client indicates to the nurse that
medication teaching
was
effective?
, A. I should take this medication only when I am having an
asthma
B. attack
I will take the tablet every evening to control my
asthma
C. This medication will stop an asthma attack
immediately
D. I will not need to use my inhalers twice a day when I start this
medication
answers B. I correct
will take the tablet every evening to control
my asthma
The nurse is planning to administer the antiulcer GI agent sucralfate to a
client with
peptic ulcer disease. Which action should the nurse include in this client's
plan
A. of care?
Assess for secondary Candida
infection
B. Administer sucralfate once a day, preferably at
bedtime
C. Give sucralfate on an empty
stomach
D. Monitor for electrolyte imbalance correct answers C. Give sucralfate
once a day,at
preferably
bedtime
A client with anemia secondary to chronic kidney disease (CKD) started a
prescription
for epoetin alfa two months ago. Which client finding best indicates that the
medication
is
effective?
A. Reports of increased energy levels and decreased
fatigue
B. Takes concurrent iron therapy without adverse
effects
C. Food diary shows increased consumption of iron-
richHemoglobin
D. foods level increased to 12 grams/dL (120 mmol/L) correct
answers D. level increased to 12 grams/dL (120
Hemoglobin
mmol/L)
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's
solution,
iodine a strong
solution, for a client with hyperthyroidism. How should the nurse
schedule the of these
administration
medications?
A. Administer iodine one hour before
PTU
B. Offer both drugs together with a
meal
C. Schedule both medications at
bedtime
D. Give parental dose once every 24 hours correct answers B. Offer
both drugs
together with a
meal
Twenty minutes after the nurse starts a secondary IV infusion of
cefepime
using 2 gramspump to deliver the dose in one hour, the client
an infusion
reports feeling
nauseated. Which action should the nurse
implement?
A. Continue the infusion and administer a PRN antiemetic
B. Stop the medication infusion and notify the healthcare provider of the
prescription
adverse
C. Reassureeffect
the client that the nausea us not related to the IV
infusion
D. Increase the rate of the infusion to complete the dose of the medication
more rapidly
correct answers A. Continue the infusion and administer a PRN antiemetic
prescription
A client with diabetic peripheral neuropathy, who has been taking
pregabalin
weeks for 2
reports diminished foot pain. The nurse notes that there is no
improvement
healing in the
of several toe ulcerations. Which action
should the
nurse
take?
A. Review the plan of care for strategies used to manage the foot
ulcerations
