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

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

• A client who has trouble swallowing pills intermittently has been prescribed

venlafaxine (XR) for depression. The medication comes in capsule form. What should the nurse include in the discharge teaching plan for this client?

• Capsule contents can be sprinkled on pudding or applesauce.
• Chew the medication thoroughly to enhance absorption.
• Take the medication with a large glass of water or juice.
• Contact the health care provider for another form of medication.

Correct Answer: D. Contact the health care provider for another form of medication.

• A 6-year-old child is admitted to the emergency department with status epilepticus.

His parents report that his seizure disorder has been managed with phenytoin, 50 mg PO bid, for the past year. Which drug should the nurse plan to administer in the emergency department?

• Phenytoin
• Diazepam
• Phenobarbital
• Carbamazepine

Correct Answer: B. Diazepam

• A client is receiving oral griseofulvin for a persistent tinea corporis infection. Which

response by the client indicates an accurate understanding of the drug teaching conducted by the nurse?

• "I'll wear sunscreen whenever I mow the lawn."

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• "This is the worse bacterial infection I've ever had."
• "I will need to take the medication for 7 days."
• "My urine will probably turn brown due to this drug."

Correct Answer: A. "I'll wear sunscreen whenever I mow the lawn."

• When developing a written nursing care plan for a client receiving chemotherapy for

treatment of cancer, the nurse writes, "Assess each voiding for hematuria." The administration of which type of chemotherapeutic agent would prompt the nurse to add this intervention?

• Vincristine
• Bleomycin sulfate
• Chlorambucil
• Cyclophosphamide

Correct Answer: D. Cyclophosphamide

• The health care provider prescribes carbamazepine for a child whose tonic-clonic

seizures have been poorly controlled. The nurse informs the mother that the child must have blood tests every week. The mother asks why so many blood tests are necessary. Which complication is assessed through frequent laboratory testing that the nurse should explain to this mother?

• Nephrotoxicity
• Ototoxicity
• Myelosuppression
• Hepatotoxicity

Correct Answer: C. Myelosuppression

• A client is being discharged with a prescription for sulfasalazine to treat ulcerative

colitis. Which instruction should the nurse provide to this client prior to discharge?

• Maintain good oral hygiene.
• Take the medication 30 minutes before a meal.
• Discontinue use of the drug gradually.

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• Drink at least eight glasses of fluid a day.

Correct Answer: D. Drink at least eight glasses of fluid a day.

• A client with a dislocated shoulder is being prepared for a closed manual reduction

using conscious sedation. Which medication should the nurse explain as a sedative used during the procedure?

• Inhaled nitrous oxide
• Midazolam IV
• Ketamine IM
• Fentanyl and droperidol IM

Correct Answer: B. Midazolam IV

• When providing nursing care for a client receiving pyridostigmine bromide for

myasthenia gravis, which nursing intervention has the highest priority?

• Monitor the client frequently for urinary retention.
• Assess respiratory status and breath sounds often.
• Monitor blood pressure each shift to screen for hypertension.
• Administer most medications after meals to decrease gastrointestinal irritation.

Correct Answer: B. Assess respiratory status and breath sounds often.

• A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and

acetaminophen elixir, 650 mg PO every 4 hours PRN. The nurse calls the health care provider to report that the client has developed diarrhea. Which change in prescriptions should the nurse anticipate?

• Change the acetaminophen to ibuprofen.
• Change the elixir to an injectable route.
• Decrease the dose of vitamin C.
• Begin treatment with an antibiotic.

Correct Answer: C. Decrease the dose of vitamin C.

• A 19-year-old male client who has sustained a severe head injury is intubated and

placed on assisted mechanical ventilation. To facilitate optimal ventilation and

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prevent the client from "fighting" the ventilator, the health care provider administers pancuronium bromide IV, with adjunctive opioid analgesia. What medication should be immediately accessible for a potential complication with this drug?

• Dantrolene sodium
• Neostigmine bromide
• Succinylcholine bromide
• Epinephrine

Correct Answer: B. Neostigmine bromide

• The nurse is preparing to apply a surface anesthetic agent for a client. Which

action should the nurse implement to reduce the risk of systemic absorption?

• Apply the anesthetic to mucous membranes.
• Limit the area of application to inflamed areas.
• Avoid abraded skin areas when applying the anesthetic.
• Spread the topical agent over a large surface area.

Correct Answer: C. Avoid abraded skin areas when applying the anesthetic.

• A client experiencing dysrhythmias is given quinidine, 300 mg PO every 6 hours.

The nurse plans to observe this client for which common side effect associated with the use of this medication?

• Diarrhea
• Hypothermia
• Seizures
• Dysphagia

Correct Answer: A. Diarrhea

• The health care provider prescribes the H2 antagonist famotidine, 20 mg PO in the

morning and at bedtime. Which statement regarding the action of H2 antagonists offers the correct rationale for administering the medication at bedtime?

• Gastric acid secreted at night is buffered, preventing pepsin formation.
• Hydrochloric acid secreted during the night is blocked.