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Pharmacology

50 Questions  I  By Iothman
Pharmacology
A trial of pharmacology HESI test

  
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1.  A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered?
A.
B.
C.
D.
2.  A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?
A.
B.
C.
D.
3.  A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?
A.
B.
C.
D.
4. 
  1. The nurse is preparing to administer medications on a pulmonary unit. Which medication should the nurse administer first?
A.
B.
C.
D.
5.  Mandy, a patient calls the clinic today because he is taking atrovastatin Lipitor to treat his high cholesterol and is having pain in both of his legs. You instruct him to:  
A.
B.
C.
D.
6. 
  1. The nurse is administering morning medication on a medical floor. Which medication should the nurse administer first?
A.
B.
C.
D.
7.  A nurse is preparing the client’s morning NPH insulin dose and notices a clumpy precipitate inside the insulin vial. The nurse should:
A.
B.
C.
D.
8.  You are responsible for reviewing the nursing unit’s refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator’s contents?
A.
B.
C.
D.
9. 
  1. The obstetric clinic nurse is discussing folic acid, a vitamin, with a client who is trying to conceive. Which information should the nurse discuss with the client when taking this medication?
A.
B.
C.
D.
10. 
  1. Which statement best describes the scientific rationale for prescribing the thiazolidinedione pioglitazone (Actos)?
A.
B.
C.
D.
11.  A client is taking famotidine (Pepcid) asks the home care nurse what would be the best medication to take for a headache. The nurse tells the client that it would be best to take:
A.
B.
C.
D.
12.  The nurse is administering Augmentin to her patient with a sinus infection. Which is the best way for her to insure that she is giving it to the right patient?
A.
B.
C.
D.
13. 
  1. Which is the scientific rationale for prescribing decongestants for a client with a cold?
A.
B.
C.
D.
14. 
  1. To which client would the nurse expect the health-care provider to prescribe chlordiazepoxide (Librium), a benzodiazepine?
A.
B.
C.
D.
15.  When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?
A.
B.
C.
D.
16.   A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient’s medication does not cause urine discoloration?
A.
B.
C.
D.
17.  A contraindication for topical corticosteroid usage in a male patient with atopic dermatitis (eczema) is:  
A.
B.
C.
D.
18.  You are caring for a patient that dislikes swallowing whole pills. You agree to crush as many of his medications as possible but inform him that some should not be crushed. Which of the following pills must the patient swallow whole?
A.
B.
C.
D.
19. 
  1. The client with cardiac disease is prescribed amiodarone (Cordarnoe), an antidysrhythmic, orally. Which teaching intervention should the nurse implement?   
A.
B.
C.
D.
20.  The most important instructions a nurse can give a patient regarding the use of the antibiotic Ampicillin prescribed for her are to:
A.
B.
C.
D.
21.  Mr. Jessie Ray, a newly admitted patient, has a seizure disorder which is being treated with medication. Which of the following drugs would the nurse question if ordered for him?
A.
B.
C.
D.
22.  Which of the following adverse effects is associated with levothyroxine (Synthroid) therapy?  
A.
B.
C.
D.
23. 
  1. The client is experiencing yentricular tachycardia and has a weak, thread apical pulse. Which medication should the nurse prepare to administer to the client?
A.
B.
C.
D.
24. 
  1. Then nurse is caring for clients on the telemetry unit. Which medication should the nurse administer first?
A.
B.
C.
D.
25. 
  1. Each of the following clients has ahead injury. To which client would the nurse question administering the osmotic diuretic mannitol (Osmitrol)?
A.
B.
C.
D.
26. 
  1. The charge nurse on an orthopedic unit is transcribing orders for a client diagnosed with back pain. Which HCP order should the charge nurse question?
A.
B.
C.
D.
27. 
  1. The nurse is administering medications to clients on an orthopedic unit. Which medication should the nurse question?
A.
B.
C.
D.
28. 
  1. The client with major depressive disorder is prescribed the selective serotonin reuptake inhibitor (SSRI) fluoxetine (Prozac). Which intervention should the nurse teach the client concerning this medication? 
A.
B.
C.
D.
29. 
  1. The client diagnosed with chronic obstructive pulmonary disease is prescribed methylprednisolone (Solu-Medrol), a glucocorticoid, IVP. Which laboratory data would warrant immediate intervention by the nurse?
A.
B.
C.
D.
30.  A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient?
A.
B.
C.
D.
31. 
  1. The nurse is preparing to administer medications to the following clients. Which medication would the nurse question administering?
A.
B.
C.
D.
32. 
  1. Which intervention should the nurse implement when administering the biologic response modifier filgrastim (Neupogen) subcutaneously?
A.
B.
C.
D.
33. 
  1. The client experienced a full-thickness burn to 45% of the body including the chest area. The HCP ordered fluid resuscitation. Which data indicates the fluid resuscitation has been effective?
A.
B.
C.
D.
34. 
  1. The client who has had abdominal surgery has an IV of Ringer lactate infusing at a100 mL/hour. The nurse is hanging a new bag of fluid at which rate should the nurse set the pump to infuse the Ringer’s lactate?
 
A.
B.
C.
D.
35. 
  1. Which statement best describes the scientific rational for administrating a miotic ephthalmic medication to a client diagnosed with glaucoma?
A.
B.
C.
D.
36. 
  1. The nurse is caring for clients diagnosed with acquired immunodeficiency syndrome (AIDS). Which action by the unlicensed assistive personal (UAP) warrants immediate action by the nurse?
A.
B.
C.
D.
37. 
  1. The nurse is administering 0900 medications to the following clients. To which clients would the nurse question administering the medication?
A.
B.
C.
D.
38. 
  1. The client admitted for an acute exacerbation of reactive airway disease is receiving intravenous aminophylline. The client’s serum theophylline level is 18 ug/mL.  Which action should the nurse implement first?
A.
B.
C.
D.
39. 
  1. The client’s arterial blood gas results are pH 7.35, PaO2 75, PCO2 35, and HCO3 24. Which action would be most appropriate for this client?
A.
B.
C.
D.
40. 
  1. The nurse is administering digoxin (Lanoxin) 0.25 mg intravenous push medication to the client. Which intervention should the nurse implement?
A.
B.
C.
D.
41. 
  1. The client is discussing wanting to quit smoking cigarettes with the clinic nurse. Which intervention is most successful in helping the client to quit smoking cigarettes?
A.
B.
C.
D.
42.  Walter, teenage patient is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?  
A.
B.
C.
D.
43. 
  1. The client receiving telemetry is exhibiting supraventricular tachycardia. Which antidysrhythmic medication should the nurse administer?
A.
B.
C.
D.
44.  The physician orders an intramuscular injection of Demerol for the postoperativepatient’s pain. When preparing to draw up the medication, the nurse is careful to remove the correct vial from the narcotics cabinet. It is labeled:
A.
B.
C.
D.
45.  Which of the following adverse effects is specific to the biguanide diabetic drug metformin (Glucophage) therapy?  
A.
B.
C.
D.
46. 
  1. The nurse is administering 0800 medications. Which medication would the nurse question?
A.
B.
C.
D.
47. 
  1. The client with a head injury is ordered a CT scan of the head with contrast dye. Which invention should the nurse include when discussing procedure?
A.
B.
C.
D.
48.  A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take?
A.
B.
C.
D.
49. 
  1. The elderly client diagnosed with coronary artery disease has been taking aspirin daily for more than a year. Which data would warrant notifying the health-care provider? 
A.
B.
C.
D.
50. 
  1. The client diagnosed with coronary artery disease is prescribed atorvastatin (Lipitor), an HMG-CoA reductase inhibitor. Which statement by the client indicates the medication is effective?
A.
B.
C.
D.
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