Ngn RN Pharm hesi exit 2024 version 1 (100 questions)
A client with chronic lower back pain has been taking non steroidal anti-
inflammatory (NSAID) drug ibuprofen by mouth twice a day for several months.
Which assessment is most important for the nurse to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
C. Determine presence of abdominal pain
The nurse administers risedrineate to a client with osteoporosis at 0700. The
client asks for a glass of milk to drink with the medication. Which action should
the nurse take?
A. Instruct the client that it is necessary to take nothing but water with the
medication.
pg. 1
,B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of
low fat milk.
C. Withhold the medication until the client's breakfast tray is available on the unit.
D. Consult with a pharmacist about scheduling the dose one hour after the client
eats.
A. Instruct the client that it is necessary to take nothing but water with the
medication.
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90
mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in the
past week. Her forced expiratory volume has been 60-65% even with multiple
doses of albuterol for several 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.
Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
pg. 2
,2. Heart rate and rhythm
Before administering the initial dose of sumatriptan succinate to a client with
a migraine headache, it is most important to determine if the client's history
includes which problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
C. Irritable bowel syndrome
D. Coronary artery disease
D. Coronary artery disease
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every
12 hours which is to be infused over an hour. The IV bag contains ciprofloxacin
400 mg in dextrose 5%in water (D5W) 200 mL. How many mL/hr should the
nurse program the infusion pump to deliver?
200 mL/hr
Rationale:
xmL/hr =
200 mL x 400 mg = 80,000 = 200 mL/hr
400 mg 1 hr 400
A client taking atorvastatin develops an increased serum creatine 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.
A. Muscle tenderness.
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?
pg. 3
, A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
The nurse provide discharge instructions to a client who has been
prescribed gabapentin 300 mg by mouth three times a day for post herpetic
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
D. Photosensitivity
B. Gastric irritation
Which action should the nurse implement to assess the effectiveness of calcium
channel blocker amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure
D. Measure the clients blood pressure
A client is receiving tamsulosin an alpha adrenergic - blocking agent for the
management of urinary retention due to benign prostatic hyperplasia (BPH).
Which instruction is most important for the nurse to provide?
A. Use a twice a week dosing schedule
B. Stand and sit up slowly
C. Take the medication early in the day
pg. 4
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