HESI RN Pharmacology Final Exam
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A28nurse28is28caring28for28a28client28who28is28taking28atenolol.
28Which28of28the28following28findings28should28indicate28to28th The28client28has28a28decrease28in28blood28pressure.
e28nurse28that28the28medication28is28effective?
A. The28client28has28an28increase28in28urinary28output. Atenolol,28a28beta-
B. The28client28reports28an28improvement28in28memory. adrenergic28blocking28agent,28has28no28direct28effect28on28kidne
C. The28client28has28a28decrease28in28blood28pressure. y28function.
D. The28client28reports28having28an28increase28in28libido.
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A28nurse28is28caring28for28a28client28who28has28pneumonia.28T
he28client28tells28the28nurse28she28is28pregnant28and28that28she28 Doxycycline
has28not28told28her28provider28yet.28The28nurse28should28identif Doxycycline28is28a28tetracycline28antibiotic28and28is28contraindic
y28that28pregnancy28is28a28contraindication28to28receiving28whi ated28for28a28client28who28is28pregnant28because28the28medicati
ch28of28the28following28medications? on28is28a28category28D28medication28of28the28FDA28pregnancy2
A. Acetaminophen 8risk28categories,28which28indicates28the28medication28has28fetal
B. Ipratropium 28risks28that28can28cause28fetal28damage.28The28client28should28
C. Benzonatate only28take28doxycycline28for28a28life-threatening28condition.
D. Doxycycline
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A28nurse28is28preparing28to28administer28amoxicillin2825028
mg28PO28to28a28school-
age28child.28The28amount28available28is28amoxicillin28oral2 6.3 mL 28
8suspension2820028mg/528mL.28How28many28mL28should28t
he28nurse28administer28per28dose?28(Round28the28answer28t
o28the28nearest28tenth.)
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A28nurse28is28providing28teaching28to28a28client28who28is28to28s
tart28taking28lisinopril.28Which28of28the28following28findings28is
28an28adverse28effect28that28the28nurse28should28instruct28the28cl
Dry28cough
ient28to28monitor28and28report28to28the28provider? A28buildup28of28bradykinin28from28taking28lisinopril28can28cause
A. Hair28loss 28a28client28to28have28a28dry28cough28and28lead28to28life-
B. Ringing28in28the28ears threatening28consequences.28The28client28should28report28the28fi
C. Facial28flushing nding28to28the28provider.
D. Dry28cough
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A28nurse28is28providing28teaching28for28a28client28who28has28a2
8new28prescription28for28ferrous28sulfate.28The28nurse28should28i Orange28juice
nstruct28the28client28to28take28the28medication28with28which28of
28the28following28to28promote28absorption? The28absorption28of28ferrous28sulfate28is28enhanced28by28a28vit
A. Vitamin28E amin28C28source,28such28as28orange28juice.28However,28increas
B. Orange28juice ing28the28dosage28of28ferrous28sulfate28can28provide28the28same2
C. Milk 8benefit28to28increase28the28amount28of28iron28uptake.
D. Antacids
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The28nurse28is28caring28for28a28client28who28is28taking28acetaz
olamide28for28chronic28open- Tingling28of28fingers.
angle28glaucoma.28For28which28of28the28following28adverse28eff
ects28should28the28nurse28instruct28the28client28to28monitor28an The28nurse28should28instruct28the28client28to28report28the28advers
d28report? e28effect28of28paresthesia,28a28tingling28sensation28in28the28extre
A. Tingling28of28fingers. mities,28when28taking28acetazolamide.
B. Constipation.
C. Weight28gain.
D. Oliguria.
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A28circulating28nurse28is28planning28care28for28a28client28who2
8is28scheduled28for28surgery28and28has28a28latex28allergy.28Whic Place28monitoring28cords28and28tubes28in28a28stockinet.
h28of28the28following28actions28should28the28nurse28include28in2
8the28plan28of28care? The28circulating28nurse28should28ensure28that28latex-
A. Schedule28the28client28for28the28last28surgery28of28the28d free28products28are28used28in28the28care28of28this28client.28Rubb
ay. er28injection28ports28contain28latex,28which28would28place28the2
B. Place28monitoring28cords28and28tubes28in28a28stockinet. 8client28at28risk28for28a28severe28allergic28reaction.
C. Choose28rubber28injection28ports28for28fluid28administratio
n.
D. Ensure28phenytoin28IV28is28readily28available.
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A28nurse28is28providing28teaching28about28adverse28effects28of28c
lindamycin28to28a28client.28Which28of28the28following28findings Watery28diarrhea
28should28the28nurse28instruct28the28client28to28report28to28the28
The28client28who28takes28clindamycin28can28have28an28advers
provider? e28effect28of28watery28diarrhea28that28can28lead28to28Clostridi
A. Orange28urine um28difficile-
B. Watery28diarrhea associated28diarrhea28or28pseudomembranous28colitis.28The28
C. Weight28gain client28should28report28these28findings28immediately28to28the2
D. Headache 8provider.
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A28nurse28is28caring28for28a28client28who28is28taking28atenolol.
28Which28of28the28following28findings28should28indicate28to28th The28client28has28a28decrease28in28blood28pressure.
e28nurse28that28the28medication28is28effective?
A. The28client28has28an28increase28in28urinary28output. Atenolol,28a28beta-
B. The28client28reports28an28improvement28in28memory. adrenergic28blocking28agent,28has28no28direct28effect28on28kidne
C. The28client28has28a28decrease28in28blood28pressure. y28function.
D. The28client28reports28having28an28increase28in28libido.
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A28nurse28is28caring28for28a28client28who28has28pneumonia.28T
he28client28tells28the28nurse28she28is28pregnant28and28that28she28 Doxycycline
has28not28told28her28provider28yet.28The28nurse28should28identif Doxycycline28is28a28tetracycline28antibiotic28and28is28contraindic
y28that28pregnancy28is28a28contraindication28to28receiving28whi ated28for28a28client28who28is28pregnant28because28the28medicati
ch28of28the28following28medications? on28is28a28category28D28medication28of28the28FDA28pregnancy2
A. Acetaminophen 8risk28categories,28which28indicates28the28medication28has28fetal
B. Ipratropium 28risks28that28can28cause28fetal28damage.28The28client28should28
C. Benzonatate only28take28doxycycline28for28a28life-threatening28condition.
D. Doxycycline
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A28nurse28is28preparing28to28administer28amoxicillin2825028
mg28PO28to28a28school-
age28child.28The28amount28available28is28amoxicillin28oral2 6.3 mL 28
8suspension2820028mg/528mL.28How28many28mL28should28t
he28nurse28administer28per28dose?28(Round28the28answer28t
o28the28nearest28tenth.)
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A28nurse28is28providing28teaching28to28a28client28who28is28to28s
tart28taking28lisinopril.28Which28of28the28following28findings28is
28an28adverse28effect28that28the28nurse28should28instruct28the28cl
Dry28cough
ient28to28monitor28and28report28to28the28provider? A28buildup28of28bradykinin28from28taking28lisinopril28can28cause
A. Hair28loss 28a28client28to28have28a28dry28cough28and28lead28to28life-
B. Ringing28in28the28ears threatening28consequences.28The28client28should28report28the28fi
C. Facial28flushing nding28to28the28provider.
D. Dry28cough
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A28nurse28is28providing28teaching28for28a28client28who28has28a2
8new28prescription28for28ferrous28sulfate.28The28nurse28should28i Orange28juice
nstruct28the28client28to28take28the28medication28with28which28of
28the28following28to28promote28absorption? The28absorption28of28ferrous28sulfate28is28enhanced28by28a28vit
A. Vitamin28E amin28C28source,28such28as28orange28juice.28However,28increas
B. Orange28juice ing28the28dosage28of28ferrous28sulfate28can28provide28the28same2
C. Milk 8benefit28to28increase28the28amount28of28iron28uptake.
D. Antacids
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The28nurse28is28caring28for28a28client28who28is28taking28acetaz
olamide28for28chronic28open- Tingling28of28fingers.
angle28glaucoma.28For28which28of28the28following28adverse28eff
ects28should28the28nurse28instruct28the28client28to28monitor28an The28nurse28should28instruct28the28client28to28report28the28advers
d28report? e28effect28of28paresthesia,28a28tingling28sensation28in28the28extre
A. Tingling28of28fingers. mities,28when28taking28acetazolamide.
B. Constipation.
C. Weight28gain.
D. Oliguria.
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A28circulating28nurse28is28planning28care28for28a28client28who2
8is28scheduled28for28surgery28and28has28a28latex28allergy.28Whic Place28monitoring28cords28and28tubes28in28a28stockinet.
h28of28the28following28actions28should28the28nurse28include28in2
8the28plan28of28care? The28circulating28nurse28should28ensure28that28latex-
A. Schedule28the28client28for28the28last28surgery28of28the28d free28products28are28used28in28the28care28of28this28client.28Rubb
ay. er28injection28ports28contain28latex,28which28would28place28the2
B. Place28monitoring28cords28and28tubes28in28a28stockinet. 8client28at28risk28for28a28severe28allergic28reaction.
C. Choose28rubber28injection28ports28for28fluid28administratio
n.
D. Ensure28phenytoin28IV28is28readily28available.
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A28nurse28is28providing28teaching28about28adverse28effects28of28c
lindamycin28to28a28client.28Which28of28the28following28findings Watery28diarrhea
28should28the28nurse28instruct28the28client28to28report28to28the28
The28client28who28takes28clindamycin28can28have28an28advers
provider? e28effect28of28watery28diarrhea28that28can28lead28to28Clostridi
A. Orange28urine um28difficile-
B. Watery28diarrhea associated28diarrhea28or28pseudomembranous28colitis.28The28
C. Weight28gain client28should28report28these28findings28immediately28to28the2
D. Headache 8provider.
