Hesi Pharmacology (ACTUAL) Questions, Pharm Hesi Correct and Verified Answers Graded A

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Hesi Pharmacology (ACTUAL) Questions, Pharm Hesi Correct and Verified Answers Graded A

• Patient with ED reports congestion, dizziness, and nausea. Which nursing

assessment takes priority?

• muscle and back pain
• breath sounds
• palpate for distention
• measure BP standing and lying down

Correct Answer: D (measure BP standing and lying down to test for orthostatic

hypotension)

• What further teaching is needed when rifampin (rifordin) is given for TB?

Correct Answer: Reduces effectiveness of oral contraceptives; turns skin, sweat, tears, urine, feces, sputum, saliva, & tongue red/orange/brown; stains contacts.

• MD ordered 1000ml D5w to infuse over 12 hours? How many ml/hr?

Correct Answer: 83 mL/hr

• When treating a patient with a hospital acquired infection with Vancomycin, what

would you do?

• report the HAI to Medicare
• assess patient's response
• obtain WBC count
• ensure to obtain a peak and trough

Correct Answer: d (ensure to obtain a peak and trough)

• Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid arthritis

is being treated for anemia which intervention is most important for the nurse to include any plan of care?• Observe for gastrointestinal bleeding

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• Monitor liver function test results • Protect skin from bruising • Offer dietary selections rich in iron

Correct Answer: Observe for gastrointestinal bleeding

• Which intervention is most important for the nurse implement for a client is

receiving lispro Humalog insulin?• Check blood glucose levels every six hours • Provide meals at the same time that insulin is given • Assess for hypoglycemia between meals • Keeping oral liquid or glucose source available

Correct Answer: Provide meals at the same time that insulin is given

• Client being treated with Haldol for schizophrenia is complaining of jaw tightness &

a stiff neck. Which interventions should the nurse implement?• Give PRN those of diphenhydramine Benadryl • Assess client other sensory hallucinations • Massage neck until muscles begin to relax • Obtain a 12 lead EKG

Correct Answer: Give PRN dose of diphenhydramine (Benadryl)

• In explaining the benefits of the combination anti-infective drug code tri-

moxazole/TMP-SMZ (bactrium) to a client receiving the medication for a urinary tract infection, what rationale does the nurse provide?• Each drug could cause damage to the kidneys if taken separately • One drug reduces the risk of side effects caused by the drug • While one drug provide relief, the other fights the infection • The two drugs work together to reduce resistance of the bacterial infection of symptoms Correct Answer: The two drugs work together to reduce resistance of the bacterial infection (Synergistic effect)

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• A female client with multiple sclerosis reports having less fatigue and improved

memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plans for this client?

a) Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo

b) Nausea and diarrhea can occur when using this supplement

c) Anxiety and headaches increased with use of ginkgo

d) Ginkgo biloba use should be limited and not taken during pregnancy

Correct Answer: a (Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo)

• Before administering a laxative to a bedfast client, it is most important for the

nurse to perform what assessment?

a) Observe the skin integrity of the client's rectal and sacral areas

b) Assess the client strength in moving and turning in the bed

c) Evaluate the client's ability to recognize the urge to defecate

d) Determine the frequency and consistency of bowel movements

Correct Answer: d (determine the frequency and consistency of bowel movements)

• A patient on mechanical ventilation is getting Zantac; what is the purpose of this

treatment?

Correct Answer: Prevents irritation to abdomen due to decreased stomach acid

(decreases abdominal secretions).

• MD prescribes PTU (propylthiouracil) & Lugol's (Iodine) for hyperthyroidism- how is

it administered?

Correct Answer: Administer Lugol's (Iodine) 1 hour before PTU.

• A patient with cancer metastasis and renal insufficiency is breathing shallow with

respiration rate of 8 breaths/min is getting Fentanyl- what should the nurse do first?

Correct Answer: Notify the Doctor.

• Patient is taking verapamil (calan) what should the nurse assess?

Correct Answer: Assess BP.

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• Pt is very anxious and suicidal; Lithium level is 15 mEq; Which action should the

nurse implement?

Correct Answer: Instruct pt to drink 3 liters in 24 hours.

• A patient is taking Ginko Bilboa to help with fatigue and improve memory. What is

the main teaching point?

Correct Answer: Do not take with Aspirin or NSAIDs.

• A patient is taking cimetidine for duodenal ulcer, would should you monitor for?

Correct Answer: Watch for toxicity (It can cause blood concentration of certain drugs).

• A type 2 diabetic taking Amaryl PO reports nausea, vomiting and diarrhea. What

response should the nurse provide?

Correct Answer: Tell the patient to schedule a visit with their doctor.

• Multiple sclerosis is treated with Baclofen to control what?

Correct Answer: Muscle spasms (treats spasms by relaxing muscles).

• Patient is taking tamiflu for an infection. What is the response by the nurse?

Correct Answer: Come to the clinic for prescription medications; don't self treat.

• Kidney transplant patient is taking sanimmune complains of headache and blurred

vision. What should the nurse do?

Correct Answer: Hold medication and notify doctor.

• Bethanechol is effective with what condition?

Correct Answer: Urinary retention.

• Patient was given scopolamine 2 hours prior to surgery. Four hours after SX the pt

wants to know why this patch is not working?

Correct Answer: Scopolamine dries secretions it is not for pain.

• After administering laxative to a bed fast patient (bedrest). What assessment

should the nurse perform?

Correct Answer: Determine frequency and consistency of BM.

• Educate patient and family of a heavy smoker taking phenytoin for seizures which

intervention is most important to implement?