HESI Pharmacology V1 questions with
correct answers to practice for the exam
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 - CORRECT ANSWERS ✔✔3.
Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
experiencing hypercalcemia. Calcium gluconate and calcium
chloride are medications used for the treatment of tetany, which
occurs as a result of acute hypocalcemia. In hypercalcemia, large
doses of vitamin D need to be avoided. Calcitonin, a thyroid
hormone, decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
,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 - CORRECT ANSWERS ✔✔4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother
should be instructed to administer the medication with a citrus
fruit or a juice that is high in vitamin C. Milk may affect absorption
of the iron. Water will not assist in absorption. Orange juice
contains a greater amount of vitamin C than apple juice.
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 - CORRECT ANSWERS ✔✔1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic
toxicity (salicylism) can result. Symptoms include tinnitus,
dizziness, hyperpnea, and psychological disturbances. Constipation
and diarrhea are not associated with salicylism.
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 - CORRECT
ANSWERS ✔✔4. At least 30 minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes
, before exposure to the sun so that they can penetrate the skin. All
sunscreens should be reapplied after swimming or sweating
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?
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 -
CORRECT ANSWERS ✔✔3. Informing the client that this is
normal
Rationale:
Mafenide acetate is bacteriostatic for gram-negative and gram-
positive organisms and is used to treat burns to reduce bacteria
present in avascular tissues. The client should be informed that the
medication will cause local discomfort and burning and that this is
a normal reaction; therefore options 1, 2, and 4 are incorrect
correct answers to practice for the exam
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 - CORRECT ANSWERS ✔✔3.
Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is
experiencing hypercalcemia. Calcium gluconate and calcium
chloride are medications used for the treatment of tetany, which
occurs as a result of acute hypocalcemia. In hypercalcemia, large
doses of vitamin D need to be avoided. Calcitonin, a thyroid
hormone, decreases the plasma calcium level by inhibiting bone
resorption and lowering the serum calcium concentration.
,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 - CORRECT ANSWERS ✔✔4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother
should be instructed to administer the medication with a citrus
fruit or a juice that is high in vitamin C. Milk may affect absorption
of the iron. Water will not assist in absorption. Orange juice
contains a greater amount of vitamin C than apple juice.
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 - CORRECT ANSWERS ✔✔1. Tinnitus
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic
toxicity (salicylism) can result. Symptoms include tinnitus,
dizziness, hyperpnea, and psychological disturbances. Constipation
and diarrhea are not associated with salicylism.
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 - CORRECT
ANSWERS ✔✔4. At least 30 minutes before exposure to the sun
Rationale:
Sunscreens are most effective when applied at least 30 minutes
, before exposure to the sun so that they can penetrate the skin. All
sunscreens should be reapplied after swimming or sweating
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?
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 -
CORRECT ANSWERS ✔✔3. Informing the client that this is
normal
Rationale:
Mafenide acetate is bacteriostatic for gram-negative and gram-
positive organisms and is used to treat burns to reduce bacteria
present in avascular tissues. The client should be informed that the
medication will cause local discomfort and burning and that this is
a normal reaction; therefore options 1, 2, and 4 are incorrect
