1|Page
HESI RN ADVANCED PHARMACOLOGY EXAM LATEST 2024 EXACT
EXAM WITH COMPLETE, CORRECT, WELL DETAILED AND VERFIED
ANSWERS ||GRADED A+||
A nurse is caring for a postsurgical patient who has small tortuous
veins and had a difficult IV insertion. The patient is now receiving
IV medications on a
regular basis. What is the best nursing intervention to minimize
the adverse effects of this drug therapy? - ANSWER-Monitor the
IV site for redness, swelling, or pain.
A patient is in the clinic after 6 weeks of taking riluzole (Rilutek)
for a recent diagnosis of amyotropic lateral sclerosis. The nurse
will prioritize assessment for which of the following? - ANSWER-
Dizziness
Which of the following patients demonstrates the clearest
indication for treatment with prednisone? - ANSWER-A 70-year-
old man whose rheumatoid arthritis has not responded to OTC
pain relievers.
A nurse has been administering a drug to a patient
intramuscularly (IM). The physician discontinued the IM dose and
wrote an order for the drug to be given orally. The nurse notices
that the oral dosage is considerably higher than the parenteral
dose and understands that this is due to - ANSWER-first-pass
effect.
A cardiac care nurse is monitoring a patient who is receiving
lidocaine (Xylocaine) per IV infusion pump for an acute ventricular
arrhythmia associated with an acute MI. Which of the following
,2|Page
patient manifestations would cause the nurse to notify the
physician immediately? - ANSWER-Confusion
A nurse is caring for a patient who is admitted into the cardiac
care unit with acute, decompensated heart failure. Nesiritide,
(Natrecor), has been ordered. When preparing for administration
of the drug, the nurse will - ANSWER-administer the initial IV
bolus over approximately 60 seconds.
A patient has been prescribed lithium therapy. Which of the
following signs and symptoms will the nurse tell the patient to
report immediately? - ANSWER-muscle twitching
A nurse is caring for a patient who has just been diagnosed with
Parkinson Disease. The patient does not understand how the
mediation ordered, carbidopa-levodopa, is going to help her
condition. Which of the following is the correct response by the
nurse? - ANSWER-"Carbidopa-levodopa increases the activity of
dopamine in your body, which will decrease your symptoms."
A patient is taking flavoxate hydrochloride (Urispas) to help
control an overactive bladder. On a follow up visit to the clinic the
nurse will question the patient about which of the following? -
ANSWER-Dental hygiene practices
A nurse notes new drug orders for a patient who is already getting
several medications Which of the following is the most important
consideration when preparing to administer the new drugs? -
ANSWER-Possible drug-drug interactions that might occur.
A nurse is discussing with a patient the efficacy of a drug that his
physician has suggested, and he began taking. Efficacy of a drug
means which of the following? - ANSWER-How well a drug
produces its desired effect.
,3|Page
A nurse is conducting a medication resolution of a new resident of
a care facility and notes that the woman has been taking
neostigmine. The nurse should recognize that the woman may
have a history of what health problem? - ANSWER-Myasthenia
gravis
A 77-year old man's chronic heart failure is being treated with a
regimen of quinapril (Accurpil) and furosemide (Lasix). Which of
the following assessment findings would suggest that the loop
diuretic is contributing to a therapeutic effect? - ANSWER-The
man's chest sounds are clear and his ankle edema is lessened.
A nurse explains to a patient that nitroglycerin patches should be
applied in the morning and removed in the evening. This
medication schedule reduces the potential for - ANSWER-nitrate
tolerance
A nurse who provides care on a busy medical unit of a large
hospital is constantly faced with new drugs on patients'
medication administration records. What strategy should the
nurse employ to foster up-to-date information about the nursing
management of new or uncommon drugs? - ANSWER-Focus on
learning about a prototype drug that is characteristic of a larger
drug class.
A 58-year-old man is admitted to the emergency department. A
diagnosis of severe digoxin toxicity is made. Bradycardia is
present, and an electrocardiogram (EKG) confirms toxicity. The
nurse will administer which of the following drugs? - ANSWER-
Digoxin immune fab
A hospital patient's physician has prescribed quetipine (Seroquel)
to be administered at bedtime. Being unfamiliar with the
mediation, the nurse has looked it up in a nursing drug manual
and noted that the drug is an antipsychotic that is indicated for the
, 4|Page
treatment of schizophrenia and bipolar disorder. The patient has
no psychiatric history, and upon questioning, the physician states
that it is being prescribed to help the patient fall asleep at night.
How should the nurse understand this practice? - ANSWER-This
is an appropriate use of the drug, provided it is supported in the
literature.
A 4-year-old child is brought to the ER by her mother. The mother
reports that the child has been vomiting, and the nurse notes that
the child's face is flushed and she is diaphoretic. The mother
thinks the child may have swallowed carbachol drops. A diagnosis
of cholinergic poisoning is made. Which of the following drugs
would be administered? - ANSWER-Atropine
A nurse is providing discharge instructions to a patient who will be
taking fludrocortisone at home. The nurse will encourage the
patient to eat a diet that is - ANSWER-low in sodium, high in
potassium.
A nurse is developing a care plan for a patient who has multiple
sclerosis. An expected outcome for the patient who is receiving
glatiramer would be a decrease in - ANSWER-fatigue
An elderly postsurgical patient has developed postoperative
pneumonia in the days following abdominal surgery and is treated
with a number of medications. Which of the following mediations
that the nurse will administer has the slowest absorption? -
ANSWER-An oral antidepressant that the patient has been taking
for several years.
A female patient diagnosed with chronic atrial flutter has been
prescribed verapamil in conjunction with digoxin to control
ventricular rate. To enhance the therapeutic effect of the drug, the
nurse will instruct the patient to - ANSWER-avoid grapefruits and
grapefruit juice.
HESI RN ADVANCED PHARMACOLOGY EXAM LATEST 2024 EXACT
EXAM WITH COMPLETE, CORRECT, WELL DETAILED AND VERFIED
ANSWERS ||GRADED A+||
A nurse is caring for a postsurgical patient who has small tortuous
veins and had a difficult IV insertion. The patient is now receiving
IV medications on a
regular basis. What is the best nursing intervention to minimize
the adverse effects of this drug therapy? - ANSWER-Monitor the
IV site for redness, swelling, or pain.
A patient is in the clinic after 6 weeks of taking riluzole (Rilutek)
for a recent diagnosis of amyotropic lateral sclerosis. The nurse
will prioritize assessment for which of the following? - ANSWER-
Dizziness
Which of the following patients demonstrates the clearest
indication for treatment with prednisone? - ANSWER-A 70-year-
old man whose rheumatoid arthritis has not responded to OTC
pain relievers.
A nurse has been administering a drug to a patient
intramuscularly (IM). The physician discontinued the IM dose and
wrote an order for the drug to be given orally. The nurse notices
that the oral dosage is considerably higher than the parenteral
dose and understands that this is due to - ANSWER-first-pass
effect.
A cardiac care nurse is monitoring a patient who is receiving
lidocaine (Xylocaine) per IV infusion pump for an acute ventricular
arrhythmia associated with an acute MI. Which of the following
,2|Page
patient manifestations would cause the nurse to notify the
physician immediately? - ANSWER-Confusion
A nurse is caring for a patient who is admitted into the cardiac
care unit with acute, decompensated heart failure. Nesiritide,
(Natrecor), has been ordered. When preparing for administration
of the drug, the nurse will - ANSWER-administer the initial IV
bolus over approximately 60 seconds.
A patient has been prescribed lithium therapy. Which of the
following signs and symptoms will the nurse tell the patient to
report immediately? - ANSWER-muscle twitching
A nurse is caring for a patient who has just been diagnosed with
Parkinson Disease. The patient does not understand how the
mediation ordered, carbidopa-levodopa, is going to help her
condition. Which of the following is the correct response by the
nurse? - ANSWER-"Carbidopa-levodopa increases the activity of
dopamine in your body, which will decrease your symptoms."
A patient is taking flavoxate hydrochloride (Urispas) to help
control an overactive bladder. On a follow up visit to the clinic the
nurse will question the patient about which of the following? -
ANSWER-Dental hygiene practices
A nurse notes new drug orders for a patient who is already getting
several medications Which of the following is the most important
consideration when preparing to administer the new drugs? -
ANSWER-Possible drug-drug interactions that might occur.
A nurse is discussing with a patient the efficacy of a drug that his
physician has suggested, and he began taking. Efficacy of a drug
means which of the following? - ANSWER-How well a drug
produces its desired effect.
,3|Page
A nurse is conducting a medication resolution of a new resident of
a care facility and notes that the woman has been taking
neostigmine. The nurse should recognize that the woman may
have a history of what health problem? - ANSWER-Myasthenia
gravis
A 77-year old man's chronic heart failure is being treated with a
regimen of quinapril (Accurpil) and furosemide (Lasix). Which of
the following assessment findings would suggest that the loop
diuretic is contributing to a therapeutic effect? - ANSWER-The
man's chest sounds are clear and his ankle edema is lessened.
A nurse explains to a patient that nitroglycerin patches should be
applied in the morning and removed in the evening. This
medication schedule reduces the potential for - ANSWER-nitrate
tolerance
A nurse who provides care on a busy medical unit of a large
hospital is constantly faced with new drugs on patients'
medication administration records. What strategy should the
nurse employ to foster up-to-date information about the nursing
management of new or uncommon drugs? - ANSWER-Focus on
learning about a prototype drug that is characteristic of a larger
drug class.
A 58-year-old man is admitted to the emergency department. A
diagnosis of severe digoxin toxicity is made. Bradycardia is
present, and an electrocardiogram (EKG) confirms toxicity. The
nurse will administer which of the following drugs? - ANSWER-
Digoxin immune fab
A hospital patient's physician has prescribed quetipine (Seroquel)
to be administered at bedtime. Being unfamiliar with the
mediation, the nurse has looked it up in a nursing drug manual
and noted that the drug is an antipsychotic that is indicated for the
, 4|Page
treatment of schizophrenia and bipolar disorder. The patient has
no psychiatric history, and upon questioning, the physician states
that it is being prescribed to help the patient fall asleep at night.
How should the nurse understand this practice? - ANSWER-This
is an appropriate use of the drug, provided it is supported in the
literature.
A 4-year-old child is brought to the ER by her mother. The mother
reports that the child has been vomiting, and the nurse notes that
the child's face is flushed and she is diaphoretic. The mother
thinks the child may have swallowed carbachol drops. A diagnosis
of cholinergic poisoning is made. Which of the following drugs
would be administered? - ANSWER-Atropine
A nurse is providing discharge instructions to a patient who will be
taking fludrocortisone at home. The nurse will encourage the
patient to eat a diet that is - ANSWER-low in sodium, high in
potassium.
A nurse is developing a care plan for a patient who has multiple
sclerosis. An expected outcome for the patient who is receiving
glatiramer would be a decrease in - ANSWER-fatigue
An elderly postsurgical patient has developed postoperative
pneumonia in the days following abdominal surgery and is treated
with a number of medications. Which of the following mediations
that the nurse will administer has the slowest absorption? -
ANSWER-An oral antidepressant that the patient has been taking
for several years.
A female patient diagnosed with chronic atrial flutter has been
prescribed verapamil in conjunction with digoxin to control
ventricular rate. To enhance the therapeutic effect of the drug, the
nurse will instruct the patient to - ANSWER-avoid grapefruits and
grapefruit juice.
