HESI PHARMACOLOGY EVOLVE EXAM LATEST EXAM 2025 | QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | ALREADY GRADED A+

HESI PHARMACOLOGY EVOLVE EXAM
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LATEST EXAM 2025 |
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zm QUESTIONS AND CORRECT ANSWERS
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| VERIFIED ANSWERS
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| ALREADY GRADED A+.
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CONTAINS:
➢ Multiple Choice
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➢ Questions And Answers
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➢ Verified Solutions
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➢ Rationale Explanation
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, 1. A 19-year-old male client who has sustained a severe head injury is in- tubated
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and placed on assisted mechanical ventilation.To facilitate optimal ventilation
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and prevent the client from "fighting" the ventilator, the health care provider
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administers pancuronium bromide IV, with adjunctive opioid analgesia.What
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medicationshould be immediately accessible for a potential complication with
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this drug?
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A. Dantrolene sodium zm




B. Neostigmine bromide zm




C. Succinylcholinebromide zm




D. Epinephrine

Ans:B.Neostigmine bromide
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RATIONALE Neostigmine bromide and atropine sulfate, both anticholinergic drugs, zm zm zm zm zm zm zm zm




reverse the respiratorymuscle paralysis caused by pancuronium bromide.OptionsA,
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C, and D are not antagonists to pancuronium bromide and would not be helpful in
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reversing the effects of the drug compared with the use of anticholinergics.
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2. A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and
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acetaminophenelixir,650mgPOevery4hoursPRN.Thenursecallsthehealth care
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provider to report that the client has developed diarrhea.Which change in
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prescriptions should the nurse anticipate?
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A. Change the acetaminophen to ibuprofen. zm zm zm zm




B. Change the elixir to an injectable route. zm zm zm zm zm zm




C. Decrease the dose of vitamin C. zm zm zm zm zm




D. Begin treatment with an antibiotic. zm zm zm zm




Ans:C.Decrease the dose of vitamin C.
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3. When providing nursingcare for aclient receivingpyridostigmine bromide for
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myasthenia gravis, which nursing intervention has the highest priority?
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A. Monitor the client frequently for urinary retention. zm zm zm zm zm zm




B. Assess respiratory status and breath sounds often. zm zm zm zm zm zm




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, C. Monitor blood pressure each shift to screen for hypertension.
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D. Administermost medications after mealsto decrease gastrointestinal irri-
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tation.
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Ans: B. Assess respiratory status and breath sounds often.
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4. A client with a dislocated shoulder is being prepared for a closed manual
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reductionusing conscious sedation.Which medicationshouldthe nurse ex-
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plain as a sedative used during the procedure?
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A. Inhalednitrousoxide zm zm




B.Midazolam IV
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, C. Ketamine IM zm




D. Fentanyland droperidol IM zm zm zm




Ans:B.Midazolam IV zm zm zm




5. A client is being discharged with a prescription for sulfasalazine to treat
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ulcerative colitis. Which instruction should the nurse provide to this client
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prior to discharge?
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A. Maintain good oral hygiene. zm zm zm




B. Take the medication 30 minutes before a meal.zm zm zm zm zm zm zm




C. Discontinue use of the drug gradually. zm zm zm zm zm




D. Drink atleast eight glasses of fluid a day. zm zm zm zm zm zm zm zm




Ans:D.Drinkat leasteight glassesof fluid a day.
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6. The health care provider prescribes carbamazepine for a child whose ton- ic-
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clonicseizures have beenpoorly controlled.The nurse informs the mother thatthe
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childmusthavebloodtestseveryweek.Themotheraskswhysomany blood tests
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are necessary.Which complication is assessed through frequent laboratory
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testing that the nurse should explain to this mother?
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A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity
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Ans:C.Myelosuppressionzm zm




RATIONALE Myelosuppression is the highest priority complication that can zm zm zm zm zm zm zm zm




potentially affect clientsmanaged with carbamazepine therapy.The client requires
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close monitoring forthis condition by weeklylaboratory testing.Hepatic function may be
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altered, but this complication does not have as great a potential for occurrence as
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option C. Options A and B are not typical complications of carbamazepine therapy.
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7. When developing a written nursing care plan for a client receiving
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