A Trial Of Pharmacology HESI Test

50 Questions | Total Attempts: 5542

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A Trial Of Pharmacology HESI Test

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Questions and Answers
  • 1. 
    • A. 

      Notify the health-care provider of dyspnea, fatigue, and cough.

    • B. 

      Instruct the client to take the medication prior to going to bed.

    • C. 

      Tell the client not to take the medication if the apical pulse is less than 60.

    • D. 

      Explain that this medication may cause the stool to turn black.

  • 2. 
    • A. 

      The client receiving a calcium channel blocker who drank a full glass of water.

    • B. 

      The client receiving a beta blocker who has a blood pressure of 96/70.

    • C. 

      The client receiving a nitro glycerin patch who is complaining of a headache.

    • D. 

      The client receiving an antiplatelet medication who has a platelet count of 33,000.

  • 3. 
    • A. 

      Instruct the client to not take any of the routine medications.

    • B. 

      Inform the client an intravenous line will be started prior to the procedure.

    • C. 

      Ask about any allergies to nonsteroidal anti-inflammatory medication.

    • D. 

      Explain that the client will be given sedatives prior to the procedure.

  • 4. 
    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. 

      Do not use any laxatives containing mineral oil when taking folic acid.

    • B. 

      The client should drink one glass of red wine daily to potentiate the medication.

    • C. 

      This medication will help prevent spina bifida in the unborn child.

    • D. 

      Notify the health-care provider if the client’s vision becomes blurry.

  • 5. 
    1. Which statement best describes the scientific rationale for prescribing the thiazolidinedione pioglitazone (Actos)?
    • A. 

      This medication increases glucose uptake in the skeletal muscles and adipose tissue.

    • B. 

      This medication allows the carbohydrates to pass slowly through the large intestine.

    • C. 

      This medication will decrease the hepatic production of glucose from stored glycogen.

    • D. 

      This medication stimulates the beta cells to release more insulin into the bloodstream

  • 6. 
    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. 

      Epinephrine, an adrenergic agonist, intravenous push.

    • B. 

      Lidocaine, an antidysrhythmic, intravenous push.

    • C. 

      Atropine, an antdysrhythmic, intravenous push.

    • D. 

      Digoxin, a cardiac glycoside, intravenous push.

  • 7. 
    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. 

      Instruct the client not to eat any type of tyramine-containing foods such as wines or cheeses.

    • B. 

      Notify the health-care provider if the client becomes anxious or has an elevated temperature.

    • C. 

      Encourage the client to take the medication with grapefruit juice.

    • D. 

      Explain that tremors and sweating are initial expected side effects.

  • 8. 
    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. 

      100 ML

    • B. 

      10ML

    • C. 

      1000ML

    • D. 

      101ML

  • 9. 
    • A. 

      Continue to monitor the aminophylline drip.

    • B. 

      Assess the client for nausea and restlessness.

    • C. 

      Discontinue the aminophylline drip.

    • D. 

      Notify the health-care provider immediately.

  • 10. 
    1. The nurse is administering 0800 medications. Which medication would the nurse question?
    • A. 

      Misoprostol (Cytotec), a prostaglandin analog, to a 29-year-old male with an NSAID-produced ulcer.

    • B. 

      Omeprazole (Prilosec), a proton-pump inhibitor, to a 68-year-old male with a duodenal ulcer.

    • C. 

      Furosemide (Lasix), a loop diuretic, to a 56-year-old male with a potassium level of 3.0mEq/L.

    • D. 

      Acetaminophen (Tylenol), a nonnarcotic analgesic to an 84 year old with a frontal headache.

  • 11. 
    1. The nurse is administering morning medication on a medical floor. Which medication should the nurse administer first?
    • A. 

      Regular insulin sliding scale to an elderly client diagnosed with Type 1 diabetes mellitus.

    • B. 

      Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus erythematous.

    • C. 

      Morphine, a narcotic analgesic, to a client diagnosed with Guillain-Barré syndrome.

    • D. 

      Etanercept, a biologic response modifier, to a client diagnosed with rheumatoid arthritis.

  • 12. 
    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. 

      The UAP uses nonsterile gloves to empty a client’s urinal.

    • B. 

      The UAP is helping a client take OTC herbs brought from home.

    • C. 

      The UAP provides a tube of moisture barrier cream to a client.

    • D. 

      The UAP fills a client’s water pitcher with ice and water.

  • 13. 
    1. Which intervention should the nurse implement when administering the biologic response modifier filgrastim (Neupogen) subcutaneously?
    • A. 

      Shake the vial well prior to preparing the injection.

    • B. 

      Apply a warm washcloth after administering the medication.

    • C. 

      Discard any unused portion of the vial after withdrawing the correct dose.

    • D. 

      Keep the medication vials in the freezer until preparing to administer.

  • 14. 
    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. 

      The client has lost 5 pounds in the last month.

    • B. 

      The client has trouble hearing low tones.

    • C. 

      The client reports having a funny taste in the mouth.

    • D. 

      The client is complaining about bleeding gums.

  • 15. 
    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. 

      The client’s urine output is less than 30mL/hour.

    • B. 

      The client’s has productive cough and clear lungs.

    • C. 

      The client’s blood pressure is 110/70.

    • D. 

      The client’s urine contains sediment.

  • 16. 
    1. Which statement best describes the scientific rational for administrating a miotic ephthalmic medication to a client diagnosed with glaucoma?
    • A. 

      It constricts the pupil, which causes the pupil to dilate in low light.

    • B. 

      It dilates the pupil to reduce the production of aqueous humor.

    • C. 

      It decreases production of aqueous humor but does not affect the eye.

    • D. 

      It is used as adjunctive therapy primarily to reduce intraocular pressure.

  • 17. 
    • A. 

      Morphine sulfate, a narcotic analgesic, Q 4 hours ATC.

    • B. 

      CBC and CMP (complete metabolic panel).

    • C. 

      Hydrocodone (Vicodin), an opioid analgesic, Q 4 hours PRN.

    • D. 

      Carisoprodol (Soma), a muscle relaxant, po, B.I.D.

  • 18. 
    1. The nurse is administering medications to clients on an orthopedic unit. Which medication should the nurse question?
    • A. 

      Ibuprofen (Motrin), an NSAID, to a client diagnosed with back pain.

    • B. 

      Morphine, an opioid analgesic, to a client with a “2” back pain on the pain scale.

    • C. 

      Methocarbamo (Robaxin), a muscle relaxant, to a client with chronic back pain.

    • D. 

      Propoxyphene (Darvon N), a narcotic, to a client with mild back pain.

  • 19. 
    • A. 

      Decongestants vasoconstrict the blood vessels, reducing nasal inflammation.

    • B. 

      Decongestants decrease the immune system’s response to a virus.

    • C. 

      Decongestants activate viral receptors in the body’s immune system.

    • D. 

      Decongestants block the virus from binding to the epithelial cells of the nose.

  • 20. 
    1. Then nurse is caring for clients on the telemetry unit. Which medication should the nurse administer first?
    • A. 

      The cardiotonic digoxin to the client diagnosed with CHF whose digoxin level is 1.9 mg/dL

    • B. 

      The marcotice morphine IVP to the client who has pleurtice chest pain that is a “7” on a 1-10 pain scale.

    • C. 

      The sodium channel blocker lidocaine to the client exhibiting two unifocal PVCs per minute.

    • D. 

      The ACE inhibitor lisinopril (Vasotec) to the client diagnosed with HTN who has a B/P of 130/68.

  • 21. 
    1. The nurse is preparing to administer medications to the following clients. Which medication would the nurse question administering?
    • A. 

      The loop diuretic furosemide (Lasix) to the client with a serum potassium level of 4.2 mEq/L.

    • B. 

      The osmotic dinretic mannitol (Osmitrol) to the client with a serum osmolality of 280 mOsm/kg.

    • C. 

      The cardiac glycoside digoxin (Lanoxin) to the client with a digoxin level of 1.2 mg/dL.

    • D. 

      The anticonvulsant phenytoin (Dilantin) to the client with a Dilantin level of 24 ug/mL.

  • 22. 
    • A. 

      Administer the medication undiluted in a 1-mL syringe.

    • B. 

      Check the client’s potassium level.

    • C. 

      Pinch off the intravenous tubing below the port

    • D. 

      Inject the medication quickly and at a steady rate.

  • 23. 
    1. To which client would the nurse expect the health-care provider to prescribe chlordiazepoxide (Librium), a benzodiazepine?
    • A. 

      A client addicted to cocaine.

    • B. 

      A client addicted heroin.

    • C. 

      A client addicted to amphetamines.

    • D. 

      A client addicted to alcohol.

  • 24. 
    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. 

      Encourage the client to attend a smoking cessation support group.

    • B. 

      Discuss tapering the number of cigarettes smoked daily.

    • C. 

      Instruct the client to use varenicline (Chantix), a smoking cessation medication.

    • D. 

      Explain that clonidine can be taken daily to help decrease withdrawal symptoms.

  • 25. 
    1. Each of the following clients has ahead injury. To which client would the nurse question administering the osmotic diuretic mannitol (Osmitrol)?
    • A. 

      The 34-year-old client who is HIV positive.

    • B. 

      The 84 year old client who has glaucoma

    • C. 

      The 68-year-old client who has congestive heart failure.

    • D. 

      The 16-year-old client who has cystic fibrosis.