BSN 315 HESI, RN PHARMACOLOGY

BSN 315 HESI, RN PHARMACOLOGY

EXAM, HESI SPECIALTY

PHARMACOLOGY, NURSIN G

PHARMACOLOGY QUESTIO NS, VERIFIED

HESI ANSWERS, HESI RN EXAM PREP,

NURSING TEST

Question : Which antidiarrheal agent should be used with

caution in clients taking high dosages of aspirin for arthritis?

• Loperamide (Imodium).
• Probanthine (Propantheline).
• Bismuth subsalicylate (Pepto Bismol).
• Diphenoxylate hydrochloride with atropine (Lomotil).

Correct Answer: c. Bismuth subsalicyclate (Pepto Bismol)

Pepto Bismol contains a subsalicylate that increases the potential for salicylate toxicity when used concurrently with aspirin.

Question : A client with coronary artery disease who is

taking digoxin (Lanoxin) receives a new prescription for atorvastatin (Lipitor). Two weeks after initation of the Lipitor prescription, the nurse assesses the client. Which finding requires the most immediate intervention?

• Heartburn

• Headache
• Constipation
• Vomiting

Correct Answer: d. Vomiting

Vomiting, anorexia, and abdominal pain are early indications of digitalis toxicity. Since Lipitor increases the risk for digitalis toxicity, this finding requires the most immediate intervention by the nurse.

Question : When assessing an adolescent who recently

overdosed on acetaminophen (Tylenol), it is most important for the nurse to assess for pain in which area of the body?

• Flank
• Abdomen
• Chest
• Head

Correct Answer: b. Abdomen

Acetaminophen toxicity can result in liver damage; therefore, it is especially important for the nurse to assess for pain in the RUQ which might indicate liver damage.

Question : An antacid (Maalox) is prescribed for a client with

peptic ulcer disease. The nurse knows that the purpose of the

medication is to:

• decrease production of gastric secretions
• produce an adherent barrier over the ulcer
• maintain a gastric pH of 3.5 or above
• decrease gastric motor activity

Correct Answer: c. maintain a gastric pH of 3.5 or above

The objective of antacids is to neutralize gastric acids and keep pH of 3.5 or above which is necessary of pepsinogen inactivity.

• is the purpose of H2 receptor antagonists (cimetidine,

ranitidine)

• is the purpose of sucralfate (Carafate)
• is the purpose of anticholinergic drugs which are often

used in conjunction with antacids to allow the antacid to remain in the stomach longer

Question : In evaluating the effects of lactulose (Cephulac),

which outcome would indicate that the drug is performing as intended?

• An increase in urine output
• Two or three soft stools per day
• Watery, diarrhea stools
• Increased serum bilirubin

Correct Answer: b. Two or three soft stools per day

Lactulose is administered to reduce blood ammonia by excretion of ammonia through the stool. Two to three stools a day indicate that lactulose is performing as intended.

• would be expected if the patient received a diuretic
• would indicate an overdose of lactulose and is not expected

Lactulose does not affect d.

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Question : A client is being treated for osteoporosis with

alendronate (Fosamax), and the nurse has completed discharge teaching regarding medication administration.Which morning schedule would indicate to the nurse that the client teaching has been effective?

• Take medication, go for a 30 minute morning walk, then

eat breakfast.

• Take medication, rest in bed for 30 minutes, eat breakfast,

go for morning walk.

• Take medication with breakfast, then take a 30 minute

morning walk.

• Go for a 30 minute morning walk, eat breakfast, then take

medication.

Correct Answer: a. Take medication, go for a 30 minute

morning walk, then eat breakfast.

Alendonate (Fosamax) is best absorbed when taken 30 minutes before eating in the morning. The client should also