Pharmacology HESI
Study online at https://quizlet.com/_9ynaz4
1. A client who is taking an oral dose of tetracycline re- B.
ports gastrointestinal upset. Which snack should the
nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt
b. Toasted wheat bread and jelly
c. Cold cereal with skim milk
d. Cheese and crackers
2. The nurse is assessing the eyes of a client who just re- C.
ceived mydriatic eye drops. Which physiological func-
tion of the eye will not respond during the therapeutic
period after administration of eye drops?
a. Refraction
b. Eye convergence
c. Pupillary constriction
d. Accommodation
3. A older male client is being discharged after a myocar- D.
dial infacrtion (MI) and receives a new prescription for
atenolol. Which instruction is most important for the
nurse to include in her clients teaching plan?
a. Avoid intake of alcoholic beverages.
b. Avoid driving or operating machinery.
c. Take a missed dose as soon as possible.
d. Standing slowly when getting up from bed
4. The healthcare provider prescribes vancomycin 500 A.
mg IV every 12 hours for a client with methicillin-re-
sistant staphylococcus aureus (MRSA). Review of the
client's laboratory values shows that serum peak and
trough levels are within the desired therapeutic range
and the serum creatinine level is 4.5 mg/dL. Which
, Pharmacology HESI
Study online at https://quizlet.com/_9ynaz4
action should the nurse implement?
a. Withhold the next scheduled dose and contact the
healthcare provider. b. Monitor the laboratory values
until all prescribed doses have been given. c. Adminis-
ter the next dose and flag the results for the healthcare
provider. d. Insert a second IV catheter for the admin-
istration of emergency IV fluids.
5. After taking orlistat for one week, a female client tells C.
the home health nurse that she is experiencing in-
creasingly frequent oily stools and flatus. Which action
should the nurse take? a. Instruct the client to increase
her intake of saturated fats over the next week. b.
Obtain a stool specimen to evaluate for occult blood
and fat content.
c. Ask the client to describe her dietary intake history
for the last several days. d. Advise the client to stop
taking the drug and contact her healthcare provider.
6. 6. A client receiving a heparin sodium infusion devel- B.
ops hemoptysis. The nurse reviews the client's
laboratory values to include hemoglobin 8 g/dL and
platelet count of 50,000/mm3. Vital signs are: oxy-
gen saturation 92% on 50% venturi mask, heart
rate 130 beats/minute, respiration 32 breaths/minute,
and blood pressure 76/50mmHg. Which intervention
should the nurse implement first?
a. Obtain consent for a blood transfusion.
b. Stop the heparin sodium infusion.
c. Titrate Venturi mask oxygen to 60%.
d. Administer protamine sulfate.
, Pharmacology HESI
Study online at https://quizlet.com/_9ynaz4
7. The nurse is teaching a client with coronary artery C, E
disease about a newly prescribed medication, atorvas-
tatin. The client plans to take the medication in the
morning with breakfast. Which food choices are best
for the nurse to recommend that the client should
include with the meal? (select all that apply)
a. Whole milk.
b. Low fat yogurt.
c. Oatmeal.
d. Sliced grapefruit.
e. Whole banana.
8. A client received succinylcholine, a depolarizing neu- B.
romuscular blocking agent during surgery. Which as-
sessment finding is most important for the nurse to
report to the surgeon? a. Observable skin flushing.
b. Ventricular tachycardia
c. Neck and shoulder pain
d. Blood pressure 114/72 mm/Hg
9. A client, who has a myocardial infarction last year, has a D.
daily prescription for aspirin 325 mg by mouth. Which
assessment finding should alert the nurse to withhold
the medication?
a. Low prothrombin time.
b. High white blood cell count.
c. Oral temperature of 97.9 F.
d. Low platelet count.
10. A nurse administered a second dose of an opioid con- D.
taining codeine and acetaminophen to a client fifteen
minutes after a first dose was administered by another
Study online at https://quizlet.com/_9ynaz4
1. A client who is taking an oral dose of tetracycline re- B.
ports gastrointestinal upset. Which snack should the
nurse instruct the client to take with the tetracycline?
a. Fruit-flavored yogurt
b. Toasted wheat bread and jelly
c. Cold cereal with skim milk
d. Cheese and crackers
2. The nurse is assessing the eyes of a client who just re- C.
ceived mydriatic eye drops. Which physiological func-
tion of the eye will not respond during the therapeutic
period after administration of eye drops?
a. Refraction
b. Eye convergence
c. Pupillary constriction
d. Accommodation
3. A older male client is being discharged after a myocar- D.
dial infacrtion (MI) and receives a new prescription for
atenolol. Which instruction is most important for the
nurse to include in her clients teaching plan?
a. Avoid intake of alcoholic beverages.
b. Avoid driving or operating machinery.
c. Take a missed dose as soon as possible.
d. Standing slowly when getting up from bed
4. The healthcare provider prescribes vancomycin 500 A.
mg IV every 12 hours for a client with methicillin-re-
sistant staphylococcus aureus (MRSA). Review of the
client's laboratory values shows that serum peak and
trough levels are within the desired therapeutic range
and the serum creatinine level is 4.5 mg/dL. Which
, Pharmacology HESI
Study online at https://quizlet.com/_9ynaz4
action should the nurse implement?
a. Withhold the next scheduled dose and contact the
healthcare provider. b. Monitor the laboratory values
until all prescribed doses have been given. c. Adminis-
ter the next dose and flag the results for the healthcare
provider. d. Insert a second IV catheter for the admin-
istration of emergency IV fluids.
5. After taking orlistat for one week, a female client tells C.
the home health nurse that she is experiencing in-
creasingly frequent oily stools and flatus. Which action
should the nurse take? a. Instruct the client to increase
her intake of saturated fats over the next week. b.
Obtain a stool specimen to evaluate for occult blood
and fat content.
c. Ask the client to describe her dietary intake history
for the last several days. d. Advise the client to stop
taking the drug and contact her healthcare provider.
6. 6. A client receiving a heparin sodium infusion devel- B.
ops hemoptysis. The nurse reviews the client's
laboratory values to include hemoglobin 8 g/dL and
platelet count of 50,000/mm3. Vital signs are: oxy-
gen saturation 92% on 50% venturi mask, heart
rate 130 beats/minute, respiration 32 breaths/minute,
and blood pressure 76/50mmHg. Which intervention
should the nurse implement first?
a. Obtain consent for a blood transfusion.
b. Stop the heparin sodium infusion.
c. Titrate Venturi mask oxygen to 60%.
d. Administer protamine sulfate.
, Pharmacology HESI
Study online at https://quizlet.com/_9ynaz4
7. The nurse is teaching a client with coronary artery C, E
disease about a newly prescribed medication, atorvas-
tatin. The client plans to take the medication in the
morning with breakfast. Which food choices are best
for the nurse to recommend that the client should
include with the meal? (select all that apply)
a. Whole milk.
b. Low fat yogurt.
c. Oatmeal.
d. Sliced grapefruit.
e. Whole banana.
8. A client received succinylcholine, a depolarizing neu- B.
romuscular blocking agent during surgery. Which as-
sessment finding is most important for the nurse to
report to the surgeon? a. Observable skin flushing.
b. Ventricular tachycardia
c. Neck and shoulder pain
d. Blood pressure 114/72 mm/Hg
9. A client, who has a myocardial infarction last year, has a D.
daily prescription for aspirin 325 mg by mouth. Which
assessment finding should alert the nurse to withhold
the medication?
a. Low prothrombin time.
b. High white blood cell count.
c. Oral temperature of 97.9 F.
d. Low platelet count.
10. A nurse administered a second dose of an opioid con- D.
taining codeine and acetaminophen to a client fifteen
minutes after a first dose was administered by another
