HESI PHARM 315 -
2024
1. A client taking atorvastatin develops an The client states
that she has had
in- creased serum creatine more severe
phosphokinase (CK) level. The nurse
should assess the client for the onset of
which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
2. An increase in which serum laboratory
value indicates to the nurse that a
prescription for atorvastatin is having
the desired effect for a client at risk
for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
3. NGN - Patient Data
History and
Physical:
The client is a 36-year-old female with
mod- erate persistent asthma. She
takes fluticas- one/salmeterol 250
mcg/50 mcg 1 inhalation twice daily and
albuterol 90 mcg/inhalation 2
inhalations every 4-6 hours as needed.
Nurses notes:
, HESI PHARM 315 -
2024
A. Muscle tenderness.
Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a
C. HDL (High-density lipoprotein) complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
asthma symptoms than usual in the past week. 2. Heart rate and rhythm
Her forced expiratory volume has been 60-65%
, HESI PHARM 315 -
2024
even with multiple doses of albuterol for
sever- al days in a row. She came to the
hospital feeling dizzy, lightheaded, and
complaining of "heart palpitations". Upon
assessment, no wheezes were found. Her
oxygen saturation is 99%.
Review H and P, and nurse's note.
Identify from the choices below which
condition the client is most likely
experiencing, two actions the nurse
should take to address that condition,
and two parameters the nurse should
monitor to assess the client's progress. B. Gastric irritation
4. The nurse provide discharge
instructions to a client who has been
prescribed gabapentin 300 mg by mouth
three times a day for post her- petic
neuralgia. Which symptoms should the
nurse tell the client to report to the
healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain C. Determine presence of
D. Photosensitivity abdomi-
5. A client with chronic lower back pain has
been
taking non steroidal anti-inflammatory (NSAID) nal
pain drug ibuprofen by mouth twice a day for
several months. Which assessment is most
, HESI PHARM 315 -
2024
important
for the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
2024
1. A client taking atorvastatin develops an The client states
that she has had
in- creased serum creatine more severe
phosphokinase (CK) level. The nurse
should assess the client for the onset of
which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
2. An increase in which serum laboratory
value indicates to the nurse that a
prescription for atorvastatin is having
the desired effect for a client at risk
for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
3. NGN - Patient Data
History and
Physical:
The client is a 36-year-old female with
mod- erate persistent asthma. She
takes fluticas- one/salmeterol 250
mcg/50 mcg 1 inhalation twice daily and
albuterol 90 mcg/inhalation 2
inhalations every 4-6 hours as needed.
Nurses notes:
, HESI PHARM 315 -
2024
A. Muscle tenderness.
Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a
C. HDL (High-density lipoprotein) complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
asthma symptoms than usual in the past week. 2. Heart rate and rhythm
Her forced expiratory volume has been 60-65%
, HESI PHARM 315 -
2024
even with multiple doses of albuterol for
sever- al days in a row. She came to the
hospital feeling dizzy, lightheaded, and
complaining of "heart palpitations". Upon
assessment, no wheezes were found. Her
oxygen saturation is 99%.
Review H and P, and nurse's note.
Identify from the choices below which
condition the client is most likely
experiencing, two actions the nurse
should take to address that condition,
and two parameters the nurse should
monitor to assess the client's progress. B. Gastric irritation
4. The nurse provide discharge
instructions to a client who has been
prescribed gabapentin 300 mg by mouth
three times a day for post her- petic
neuralgia. Which symptoms should the
nurse tell the client to report to the
healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain C. Determine presence of
D. Photosensitivity abdomi-
5. A client with chronic lower back pain has
been
taking non steroidal anti-inflammatory (NSAID) nal
pain drug ibuprofen by mouth twice a day for
several months. Which assessment is most
, HESI PHARM 315 -
2024
important
for the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
