Evolve Pharmacology HESI Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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Evolve Pharmacology HESI Practice Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• Question: A client with type 1 diabetes mellitus received an early AM dose of regular

insulin per sliding scale. At 10:00 AM, the practical nurse (PN) should report which signs indicative of hypoglycemia? A) Urticaria and rash. B) Nausea and diarrhea. C) Irritability and confusion. D) Fruity, acetone odor to the breath.Correct Answer: C) Irritability and confusion.

• Question: On which therapeutic action should the practical nurse (PN) base an

explanation to a client who is receiving a cardiac glycoside? A) Decreased cardiac output.

• Increased renal perfusion. C) Decreased rate of contraction. D) Increased blood

volume.Correct Answer: C) Decreased rate of contraction.

• Question: The practical nurse (PN) is unable to arouse a client who is receiving

meperidine (Demerol) for postoperative pain. The client is stuporous, has constricted pupils, and a respiratory rate of 8 breaths/minute. Which PRN prescription should the PN give the client? A) Naloxone (Narcan). B) Promethazine (Phenergan). C) Metoclopramide

(Reglan). D) Bethanechol (Urecholine).Correct Answer: A) Naloxone (Narcan).

• Question: What assessment is most important for the practical nurse (PN) to obtain

prior to initiating medication therapy with phenelzine (Nardil) for a client with depression?

• Activity level. B) Mood and affect. C) Understanding of diet modification. D) The client's

support system.Correct Answer: C) Understanding of diet modification.

• Question: Which action should the practical nurse implement when administering a

buccal medication? A) Encourage the client to swallow. B) Administer water with medication. C) Ensure the medication is positioned under the tongue. D) Place the

medication between the upper molar teeth and cheek.Correct Answer: D) Place the

medication between the upper molar teeth and cheek.

• Question: A client receives a prescription for an oral opioid analgesic for post-operative

pain. Which adverse effect should the practical nurse (PN) monitor for with the client? A)

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Constipation. B) Photosensitivity. C) Decreased heart rate. D) Frequent urination.Correct

Answer: A) Constipation.

• Question: A female client with recurring headaches tells the practical nurse (PN) that

she has been taking at least 4 grams of acetaminophen a day. Which laboratory studies should the PN review for this client? A) Creatinine clearance. B) Hepatic enzymes. C)

Coagulation values. D) Arterial blood gases.Correct Answer: B) Hepatic enzymes.

• Question: The practical nurse (PN) is caring for a client who has been taking prednisone

(Deltasone) daily for a year. Which adverse effect should the PN document in the client's record? A) Photosensitvity. B) Weight gain. C) Loss of hair. D) Pale skin color.Correct

Answer: B) Weight gain.

• Question: A male client who has been receiving an antineoplastic drug has developed

thrombocytopenia. What instructions should the practical nurse (PN) reinforce? A) Use suppository form of drugs. B) Avoid large public gatherings. C) Rise slowly when standing up. D) Shave with an electric razor.Correct Answer: D) Shave with an electric razor.

• Question: A client who has been taking phenazopyridine (Pyridium) for symptoms of

urethritis and cystitis comes to the clinic because her urine is reddish-orange. Which question should the practical nurse ask to determine if the medication has been effective?

• How much water have you been drinking each day? B) Does the urine color stain your

toilet bowl or undergarments? C) Have you had any relief from urinary pain, burning, or urgency? D) Did your urine appear cloudy or have a foul odor on voiding?Correct Answer:

• Have you had any relief from urinary pain, burning, or urgency?
• Question: Which prescription should the practical nurse (PN) administer for a client

who is experiencing an anaphylactic reaction to an antibiotic? A) Ephedra (ma-huang). B) Epinephrine (Adrenalin). C) Phenylephrin (Neo-Synephrine). D) Fexofenadine with

pseudoephedrine (Allegra D).Correct Answer: B) Epinephrine (Adrenalin).

• Question: An older adult client receives a prescription for hydrochlorothiazide

(HydroDIURIL), a thiazide diuretic for the treatment of heart failure. Which side effect(s) should the practical nurse reinforce with the client? (Select all that apply.) A) Constipation.

• Fatigue. C) Edema. D) Nausea. E) Dehydration. F) Blurred vision.Correct Answer: B)

Fatigue and E) Dehydration.

• Question: A client who returns from surgery for bowel resection complains of severe

pain around the incision. Which assessment is most important for the practical nurse (PN) to obtain prior to the administration of morphine sulfate? A) Rate of respirations. B) Core temperature. C) Appearance of the incision. D) Presence of bowel sounds.Correct

Answer: A) Rate of respirations.

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• Question: A client is receiving the third course of 5-fluorouracil (5FU) therapy for a

tumor of the liver. Which action should the practical nurse implement to reduce the client's risk for stomatitis? A) Use commercial oral products to reduce the risk of oral infections. B) Observe for black, tarry stools or bleeding ulcerations. C) Increase intake of foods containing fiber and citric acid. D) Examine mouth daily for bleeding, white spots, and ulcerations.Correct Answer: D) Examine mouth daily for bleeding, white spots, and ulcerations.

• Question: Which instruction should the practical nurse (PN) reinforce with a client who

is taking disulfiram (Antabuse)? A) Cigarette smoking cessation program should be started.

• Avoid using any over-the-counter substances containing alcohol. C) This drug is similar

to alcohol but without euphoric effects. D) Small amounts of mouthwash or cough medicine can be used.Correct Answer: B) Avoid using any over-the-counter substances containing alcohol.

• Question: Which prescription should the practical nurse administer for a client who is

experiencing an acute episode of bronchial asthma? A) Nedocromil (Tilade). B) Albuterol (Proventil). C) Zafirlukast (Accolate). D) Triamcinolone (Azmacort).Correct Answer: B) Albuterol (Proventil).

• Question: The practical nurse (PN) should recommend that oral contraceptives be

avoided in which group of women? A) Women who smoke. B) Multigravidous women. C)

Monogamous women. D) Women with an intrauterine device.Correct Answer: A) Women

who smoke.

• Question: A client with gastroesophageal reflux disease (GERD) is having symptoms of

reflux despite taking omeprazole (Prilosec) 20 mg daily. What action should the practical nurse (PN) implement? A) Notify the healthcare provider about the symptoms. B) Obtain vital signs every 30 minutes until symptoms are alleviated. C) Instruct the client to stop taking the medication. D) Tell the client to take an antacid in addition to the omeprazole.Correct Answer: A) Notify the healthcare provider about the symptoms.

• Question: The practical nurse (PN) administers isoproterenol (Isuprel) to a client with

heart block. The PN should evaluate the client for which physiological response? A) Thirst and dry mucous membranes. B) Decrease in gastric motility. C) Increased heart rate. D)

Bronchoconstriction.Correct Answer: C) Increased heart rate.

• Question: The practical nurse (PN) should emphasize the importance of monitoring for

which side effect(s) in a client who takes a daily antilipemic agent? A) Photosensitivity. B) Liver dysfunction. C) Upper respiratory infections (URI). D) Water soluble vitamin

deficiencies.Correct Answer: B) Liver dysfunction.

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• Question: A client with Attention Deficit Disorder (ADD) is prescribed amphetamine

(Adderall). Which side effect should the practical nurse (PN) explain is commonly experienced? A) Difficulty sleeping. B) Increased fatigue. C) Improved appetite. D)

Decreased heart rate.Correct Answer: A) Difficulty sleeping.

• Question: An older client who takes risperidone (Risperdal), an antipsychotic, is

complaining of constipation. Which dietary changes should the practical nurse (PN) recommend? A) Increase daily green vegetables and bran. B) Take a laxative and stool softener daily. C) Eat liver and turnips once a week. D) Use a retention enema every four

days.Correct Answer: A) Increase daily green vegetables and bran.

• Question: A client's tissue culture results indicate the wound is infected with

methicillin-resistant Staphylococcus aureus (MRSA). What action should the practical nurse (PN) implement first? A) Provide sterile wound care as prescribed. B) Give the first dose of Vancomycin (Vancocin). C) Implement contact isolation precautions. D) Document wound site appearance and drainage.Correct Answer: C) Implement contact isolation precautions.

• Question: The practical nurse asks a male client who came to the clinic with an upper

respiratory infection if he has any drug allergies. The client cannot remember if he does or if he ever received penicillin. After administering the injection of penicillin, the PN tells the client to stay for 30 minutes of observation. Which finding should the PN identify that is indicative of a reaction to the medication? A) Rash, itching, and hives. B) Fever and abdominal pain. C) Drop in temperature and blood pressure. D) A vasovagal response with

bradycardia.Correct Answer: A) Rash, itching, and hives.

• Question: A client receives a prescription for clotrimazole 1% (Gyne-Lotrimin) vaginal

cream for Candidiasis. Which information should the practical nurse provide the client? A) Discontinue medication if menstruation begins. B) Instill cream using the intravaginal applicator each night for 7 days. C) Use daily douching as part of the treatment for vaginal yeast infections. D) Abstain from sexual intercourse until treatment is completed.Correct Answer: B) Instill cream using the intravaginal applicator each night for 7 days.

• Question: A client receives a new prescription for beclomethasone (Beclovent Oral

Inhaler). What information should the practical nurse (PN) reinforce with the client about the use of this medication? A) Use for rapid results in acute asthmatic attacks. B) Most effective in preventing upper respiratory infections. C) Daily use provides prophylaxis in asthma management. D) Inhale when exposed to allergens in the environment.Correct

Answer: C) Daily use provides prophylaxis in asthma management.