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HESI RN PHARMACOLOGY VERSION 5 LATEST EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS || ALREADY GRADED A+ < LATEST VERSION >

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HESI RN PHARMACOLOGY VERSION 5 LATEST EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS || ALREADY GRADED A+ &lt; LATEST VERSION &gt; 1. Before administering a laxative to a bedfast client, it is most important for a nurse to preform what assessment? - ANSWER determine the frequency and consistency of bowl movements. 2. A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plans for this client - ANSWER ginkgo biloba use should be limited and not taken during pregnancy 3. In explaining the benefits of the combination anti-infective drug code TMP SMZ (Bactrim) to a client receiving the medication for a urinary tract infection, more rationale to the nurse provides? - ANSWER the two drugs work together to reduce resistance of the bacterial infection of symptoms 4. A client with HIV who was recently diagnosed with tuberculosis (TB) asks the nurse, "Why do I need to take all of these medications for TB?" What information should the nurse provide? - ANSWER Multiple drugs prevent the development of resistant organisms. 5. Two hours after taking the first dose of penicillin, a client arrives at the emergency department complaining of feeling ill, exhibiting hives, having difficulty breathing, and experiencing hypotension. These findings are consistent with which client response that requires immediate action? - ANSWER Severe acute anaphylactic response 6. Which question should the nurse ask a client prior to the initiation of treatment with IV infusions of gentamicin sulfate (Garamycin)? - ANSWER � � "Are you having difficulty hearing?" 7. A male client who has chronic back pain is on long-term pain medication management and asks the nurse why his pain relief therapy is not as effective as it was 2 months ago. How should the nurse respond? - ANSWER Pharmacodynamics tolerance requires increased drug levels to achieve the same effect 8. The nurse is providing discharge instructions to a client who has received a prescription for an antibiotic that is hepatotoxic. Which information should the nurse include in the instructions? - ANSWER Avoid ingesting any alcohol or acetaminophen (Tylenol). 9. A client with mild Parkinsonism is started on oral amantadine (Symmetrel). Which statement accurately describes the action of this medication? - ANSWER Dopamine in the central nervous system is increased 10. A female client who has started long-term corticosteroid therapy tells the nurse that she is careful to take her daily dose at bedtime with a snack of crackers and milk. Which is the best response by the nurse? - ANSWER Advise the client to take the medication in the morning, rather than at bedtime 11. A female client with myasthenia gravis is taking a cholinesterase inhibitor and asks the nurse what can be done to remedy her fatigue and difficulty swallowing. What action should the nurse implement? - ANSWER Develop a teaching plan for the client to self-adjust the dose of medication in response to symptoms 12. A female client is receiving tetracycline (Vibramycin) for acne. Which client teaching should the nurse include? - ANSWER Oral contraceptives may not be effective. 13. A female client with trichomoniasis (Trichomonas vaginalis) receives a prescription for metronidazole (Flagyl). Which instruction is most important for the nurse to include this client's teaching plan? - ANSWER Avoid alcohol consumption. 14. A 2-month-old infant is scheduled to receive the first DPT immunization. What is the preferred injection site to administer this immunization? - ANSWER Vastus lateralis 15. Client being treated with Haldol for schizophrenia is complaining of jaw tightness and a stiff neck. Which interventions should the nurse implement? - ANSWER give PRN dose of diphenhydramine Benadry 16. Which intervention is most important for the nurse implement for a client is receiving Lispro Humalog insulin? - ANSWER Provide meals at the same time that insulin is given 17. Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid arthritis is being treated for anemia which intervention is most important for the nurse to include any plan of care - ANSWER Observe for gastrointestinal bleeding 18. A client receives a prescription for theophylline (Theo-Dur) PO to be initiated in the morning after the dose of theophylline IV is complete. The nurse determines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this information, which action should the nurse implement? - ANSWER Hold the theophylline dose and notify the health care provider 19. The nurse is reviewing a client's laboratory results before a procedure in which a neuromuscular blocking agent is a standing order. Which finding should the nurse report to the health care provider - ANSWER Hypokalemia 20. The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The anesthesiologist prescribes atropine sulfate (Atropine), IM STAT. What is the primary purpose for administering this drug to the child at this time? - ANSWER Decrease the oral secretions 21. When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this client to developing digoxin toxicity - ANSWER Low serum potassium level 22. A client is receiving anti-infective drug therapy for a postoperative infection. Which complaint should alert the nurse to the possibility that the client has contracted a superinfection - ANSWER "My mouth feels sore" 23. During the initial nursing assessment history, a client tells the nurse that he is taking tetracycline hydrochloride (Sumycin) for urethritis. Which medication taken concurrently with Sumycin could interfere with its absorption? - ANSWER Sucralfate (Carafate) 24. Following the administration of sublingual nitroglycerin, which assessment finding indicates that the medication was effective? - ANSWER Decrease in level of chest pain 25. Alteration of which laboratory finding represents the achievement of a therapeutic goal for heparin administration? - ANSWER Partial thromboplastin time (PTT) 26. The nurse is assessing a stuporous client in the emergency department who is suspected of overdosing with opioids. Which agent should the nurse prepare to administer if the client becomes comatose? - ANSWER Naloxone hydrochloride (Narcan)

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HESI RN PHARMACOLOGY
VERSION 5 LATEST EXAM
QUESTIONS WITH CORRECT
DETAILED ANSWERS || ALREADY
GRADED A+ < LATEST VERSION >




1. Before administering a laxative to a bedfast client, it is most important for a
nurse to preform what assessment? - ANSWER 🗸 determine the frequency
and consistency of bowl movements.


2. A female client with multiple sclerosis reports having less fatigue and
improved memory since she began using the herbal supplement, ginkgo
biloba. Which information is most important for the nurse to include in the
teaching plans for this client - ANSWER 🗸 ginkgo biloba use should be
limited and not taken during pregnancy


3. In explaining the benefits of the combination anti-infective drug code TMP-
SMZ (Bactrim) to a client receiving the medication for a urinary tract
infection, more rationale to the nurse provides? - ANSWER 🗸 the two drugs
work together to reduce resistance of the bacterial infection of symptoms

,4. A client with HIV who was recently diagnosed with tuberculosis (TB) asks
the nurse, "Why do I need to take all of these medications for TB?" What
information should the nurse provide? - ANSWER 🗸 Multiple drugs prevent
the development of resistant organisms.


5. Two hours after taking the first dose of penicillin, a client arrives at the
emergency department complaining of feeling ill, exhibiting hives, having
difficulty breathing, and experiencing hypotension. These findings are
consistent with which client response that requires immediate action? -
ANSWER 🗸 Severe acute anaphylactic response


6. Which question should the nurse ask a client prior to the initiation of
treatment with IV infusions of gentamicin sulfate (Garamycin)? - ANSWER
🗸 "Are you having difficulty hearing?"


7. A male client who has chronic back pain is on long-term pain medication
management and asks the nurse why his pain relief therapy is not as
effective as it was 2 months ago. How should the nurse respond? -
ANSWER 🗸 Pharmacodynamics tolerance requires increased drug levels to
achieve the same effect


8. The nurse is providing discharge instructions to a client who has received a
prescription for an antibiotic that is hepatotoxic. Which information should
the nurse include in the instructions? - ANSWER 🗸 Avoid ingesting any
alcohol or acetaminophen (Tylenol).


9. A client with mild Parkinsonism is started on oral amantadine (Symmetrel).
Which statement accurately describes the action of this medication? -
ANSWER 🗸 Dopamine in the central nervous system is increased

,10.A female client who has started long-term corticosteroid therapy tells the
nurse that she is careful to take her daily dose at bedtime with a snack of
crackers and milk. Which is the best response by the nurse? - ANSWER 🗸
Advise the client to take the medication in the morning, rather than at
bedtime


11.A female client with myasthenia gravis is taking a cholinesterase inhibitor
and asks the nurse what can be done to remedy her fatigue and difficulty
swallowing. What action should the nurse implement? - ANSWER 🗸
Develop a teaching plan for the client to self-adjust the dose of medication in
response to symptoms


12.A female client is receiving tetracycline (Vibramycin) for acne. Which client
teaching should the nurse include? - ANSWER 🗸 Oral contraceptives may
not be effective.


13.A female client with trichomoniasis (Trichomonas vaginalis) receives a
prescription for metronidazole (Flagyl). Which instruction is most important
for the nurse to include this client's teaching plan? - ANSWER 🗸 Avoid
alcohol consumption.


14.A 2-month-old infant is scheduled to receive the first DPT immunization.
What is the preferred injection site to administer this immunization? -
ANSWER 🗸 Vastus lateralis


15.Client being treated with Haldol for schizophrenia is complaining of jaw
tightness and a stiff neck. Which interventions should the nurse implement?
- ANSWER 🗸 give PRN dose of diphenhydramine Benadry

, 16.Which intervention is most important for the nurse implement for a client is
receiving Lispro Humalog insulin? - ANSWER 🗸 Provide meals at the same
time that insulin is given


17.Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid
arthritis is being treated for anemia which intervention is most important for
the nurse to include any plan of care - ANSWER 🗸 Observe for
gastrointestinal bleeding


18.A client receives a prescription for theophylline (Theo-Dur) PO to be
initiated in the morning after the dose of theophylline IV is complete. The
nurse determines that a theophylline level drawn yesterday was 22 mcg/mL.
Based on this information, which action should the nurse implement? -
ANSWER 🗸 Hold the theophylline dose and notify the health care provider


19.The nurse is reviewing a client's laboratory results before a procedure in
which a neuromuscular blocking agent is a standing order. Which finding
should the nurse report to the health care provider - ANSWER 🗸
Hypokalemia


20.The nurse is preparing a child for transport to the operating room for an
emergency appendectomy. The anesthesiologist prescribes atropine sulfate
(Atropine), IM STAT. What is the primary purpose for administering this
drug to the child at this time? - ANSWER 🗸 Decrease the oral secretions


21.When caring for a client on digoxin (Lanoxin) therapy, the nurse knows to
be alert for digoxin (Lanoxin) toxicity. Which finding would predispose this
client to developing digoxin toxicity - ANSWER 🗸 Low serum potassium
level
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