HESI LPN PHARMACOLOG Y EXIT

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HESI LPN PHARMACOLOG Y EXIT

EXAM QUESTIONS AND A NSWERS

REAL EXAM

Question : The nurse is caring for a client who has taken

atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication?

• Take the medication at bedtime.
• Report presence of increased bruising.
• Check pulse before taking medication.
• Rise slowly when getting out of bed or chair.

CORRECT ANSWER : D. Rise slowly when getting out

of bed or chair.

Question : A female client calls the clinic and talks with

the nurse to inquire about a possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white discharge. The nurse should discuss which action with the client?

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• Discontinue the antibiotic because original symptoms

have subsided.

• Continue taking medication until finished until the

symptoms subside.

• Consult with healthcare provider about another

treatment for this effect.

• Use an over-the-counter (OTC) vaginal wash to flush

out the secretions.

CORRECT ANSWER : C. Consult with healthcare

provider about another treatment for this effect.

Question : The nurse is making early morning rounds on a

group of clients when a client begins exhibiting symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2 receptor agonist agent. Which client response should the nurse expect?

• Tachycardia.
• Increased blood pressure.
• Rapid resolution of wheezing.
• Improved pulse oximetry values.

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• Reduce fever airway inflammation.

CORRECT ANSWER : C, D

Question : A client prescribed atenolol has a blood

pressure of 120/68 mmHg, displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24.Which action should the nurse take?

• Lower the head of the bed and assess the client for

orthostatic vital sign changes.

• Give the medication as prescribed and continue to

monitor the client.

• Prepare to administer atropine sulfate IV push.
• Hold the prescribed dose and contact the healthcare

provider.

CORRECT ANSWER : B. Give the medication as

prescribed and continue to monitor the client.

Question : The nurse is preparing the 0900 dose of

losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a client with hypertension and heart failure.The nurse reviews the client's laboratory results and notes

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that the client's serum potassium level is 5.9 mEq/L.Which action should the nurse take first?

• Withhold the scheduled dose.
• Check the client's apical pulse.
• Notify the healthcare provider.
• Repeat the serum potassium level.

CORRECT ANSWER : A. Withhold the scheduled dose.

Question : Upon admission to the emergency center, an

adult client with acute status asthmaticus is prescribed this series of medications. In which order should the nurse administer the prescribed medications? (Arrange from first to last.)

Albuterol (Proventil) puffs.

Salmeterol (Serevent Diskus).

Prednisone (Deltasone) orally.