NUR0242 HESI PHARMACOLOGY EXIT
HESI Q& A 100% CORRECT | VERIFIED AND
RATED 100% LATEST UPDATE 2024/2025 GRADED
A+
• . A healthcare provider prescribes cephalexin monohydrate (Keflex) for a
client with a postoperative infection. It is most important for the nurse to
assess for what additional drug allergy before administering this
prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides.
A) Penicillins.
Cross-allergies exist between penicillins (A) and cephalosporins, such as
cephalexin monohydrate (Keflex), so checking for penicillin allergy is a wise
precaution before administering this drug.
,
• Which nursing intervention is most important when caring for a client
receiving the antimetabolite cytosine arabinoside (Arc-C) for chemotherapy?
A) Hydrate the client with IV fluids before and after infusion.
B) Assess the client for numbness and tingling of extremities.
C) Inspect the client's oral mucosa for ulcerations.
D) Monitor the client's urine pH for increased acidity.
C) Inspect the client's oral mucosa for ulcerations.
Cytosine arabinoside (Arc-C) affects the rapidly growing cells of the body,
therefore stomatitis and mucosal ulcerations are key signs of antimetabolite
toxicity (C). (A, B, and D) are not typical interventions associated with the
administration of antimetabolites.
• When assessing an adolescent who recently overdosed on
acetaminophen (Tylenol), it is most important for the nurse to assess for
pain in which area of the body?
A) Flank.
B) Abdomen.
C) Chest.
,D) Head.
B) Abdomen.
Acetaminophen toxicity can result in liver damage; therefore, it is especially
important for the nurse to assess for pain in the right upper quadrant of the
abdomen (B), which might indicate liver damage. (A, C, and D) are not areas
where pain would be anticipated.
, • The healthcare provider prescribes naproxen (Naproxen) twice daily for a
client with osteoarthritis of the hands. The client tells the nurse that the drug
does not seem to be effective after three weeks. Which is the best response for
the nurse to provide?
A) The frequency of the dosing is necessary to increase the effectiveness.
B) Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
D) Systemic corticosteroids are the next drugs of choice for pain relief.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
Individual responses to nonsteroidal antiinflammatory drugs are variable, so (C)
is the best response. Naproxen is usually prescribed every 8 hours, so (A) is not
indicated. The peak for naproxen is one to two hours, not (B). Corticosteroids are
not indicated for osteoarthritis (D).
• Which instruction(s) should the nurse give to a female client who just
received a prescription for oral metronidazole (Flagyl) for treatment of
trichomonas vaginalis? (Select all that apply.)
A) Increase fluid intake, especially cranberry juice.
B) Do not abruptly discontinue the medication; taper use.
HESI Q& A 100% CORRECT | VERIFIED AND
RATED 100% LATEST UPDATE 2024/2025 GRADED
A+
• . A healthcare provider prescribes cephalexin monohydrate (Keflex) for a
client with a postoperative infection. It is most important for the nurse to
assess for what additional drug allergy before administering this
prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides.
A) Penicillins.
Cross-allergies exist between penicillins (A) and cephalosporins, such as
cephalexin monohydrate (Keflex), so checking for penicillin allergy is a wise
precaution before administering this drug.
,
• Which nursing intervention is most important when caring for a client
receiving the antimetabolite cytosine arabinoside (Arc-C) for chemotherapy?
A) Hydrate the client with IV fluids before and after infusion.
B) Assess the client for numbness and tingling of extremities.
C) Inspect the client's oral mucosa for ulcerations.
D) Monitor the client's urine pH for increased acidity.
C) Inspect the client's oral mucosa for ulcerations.
Cytosine arabinoside (Arc-C) affects the rapidly growing cells of the body,
therefore stomatitis and mucosal ulcerations are key signs of antimetabolite
toxicity (C). (A, B, and D) are not typical interventions associated with the
administration of antimetabolites.
• When assessing an adolescent who recently overdosed on
acetaminophen (Tylenol), it is most important for the nurse to assess for
pain in which area of the body?
A) Flank.
B) Abdomen.
C) Chest.
,D) Head.
B) Abdomen.
Acetaminophen toxicity can result in liver damage; therefore, it is especially
important for the nurse to assess for pain in the right upper quadrant of the
abdomen (B), which might indicate liver damage. (A, C, and D) are not areas
where pain would be anticipated.
, • The healthcare provider prescribes naproxen (Naproxen) twice daily for a
client with osteoarthritis of the hands. The client tells the nurse that the drug
does not seem to be effective after three weeks. Which is the best response for
the nurse to provide?
A) The frequency of the dosing is necessary to increase the effectiveness.
B) Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
D) Systemic corticosteroids are the next drugs of choice for pain relief.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
Individual responses to nonsteroidal antiinflammatory drugs are variable, so (C)
is the best response. Naproxen is usually prescribed every 8 hours, so (A) is not
indicated. The peak for naproxen is one to two hours, not (B). Corticosteroids are
not indicated for osteoarthritis (D).
• Which instruction(s) should the nurse give to a female client who just
received a prescription for oral metronidazole (Flagyl) for treatment of
trichomonas vaginalis? (Select all that apply.)
A) Increase fluid intake, especially cranberry juice.
B) Do not abruptly discontinue the medication; taper use.
