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Pharmacology HESI EXAM 2 Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
Question 1 A nurse is providing medication education for a client prescribed a beta-blocking agent for the treatment of glaucoma. Which statement by the client demonstrates an understanding of the mechanism of the medication?
Correct Answer: It inhibits the aqueous humor production.
Question 2 A client newly prescribed esomeprazole for gastroesophageal reflux disease (GERD) asks the nurse how the medication will help. Which is the best explanation to provide the client?
Correct Answer: It will promote rapid tissue healing.
Question 3 The nurse should withhold which medication if a client reports nausea, vomiting, and diarrhea?
Correct Answer: Colchicine (Mitigare, Colcrys).
Question 4 The nurse is teaching a client who is newly diagnosed with Type 1 diabetes about neutral protamine Hagedorn (NPH) insulin. Which statement by the client indicates an understanding of how the medication works?
Correct Answer: It facilitates the transport of glucose into the cells.
Question 5 The nurse administers 30 mL of lactulose for a client with stage 2 hepatic encephalopathy.Which assessment finding would indicate the medication is being therapeutic?
Correct Answer: A decrease in blood ammonia levels.
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Question 6 A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry vision, and shooting pains in both legs. Which medication is considered the best course of treatment for the nurse to administer?
Correct Answer: High dose methylprednisolone intravenously.
Question 7 A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia after using the inhaler. Which action should the nurse implement first?Correct Answer: Withhold medication and report symptoms and vital signs to healthcare provider.Question 8 While reviewing the client's electronic medical record (EMR), the nurse assesses a client who is at risk for a possible interaction with an over-the-counter (OTC) decongestant.Which client health history should the nurse report to the healthcare provider concerning the OTC medication? (Select all that apply.)
Correct Answer: Closed angle glaucoma; Chronic hypertension.
Question 9 The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side effects should the nurse assess the client for during the initial dose?
Correct Answer: Dystonia.
Question 10 The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is most important for the nurse to assess?
Correct Answer: Consumption of any alcohol or tyramine-rich foods.
Question 11 A nurse is planning a teaching session for a client newly prescribed a miotic drug for the treatment of glaucoma. Which information should the nurse include in the teaching session?
Correct Answer: The medication enhances the aqueous humor outflow.
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Question 12 The healthcare provider (HCP) prescribes a medication for an older adult client who is reporting insomnia, and the HCP instructs the client to return in two weeks. The nurse should question which prescription?
Correct Answer: Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
Question 13 A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction?
Correct Answer: Take at same time each day one hour before eating a meal.
Question 14 A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone. When teaching about this drug, which information in the client's history requires special emphasis by the nurse?
Correct Answer: Works twenty hours a week as a lifeguard at the local pool.
Question 15 The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a client. Which assessment finding should the nurse use to evaluate the effectiveness of the medication?
Correct Answer: The number on the numeric pain scale.
Question 16 Based on the blood culture and sensitivity results, the healthcare provider prescribes an IV aminoglycoside antibiotic and discontinues the current prescription for another broad spectrum antibiotic. The medication administration record indicates that the client received the broad spectrum antibiotic two hours ago. Which action should the nurse implement?Correct Answer: Administer the initial dose of the aminoglycoside antibiotic as soon as possible.Question 17
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The nurse is providing medication teaching for a client who recently received a prescription for clozapine (Clozaril). Which instruction should be included in this client's teaching plan?
Correct Answer: Rise slowly from a lying position.
Question 18 A client receives a new prescription for nitroglycerin (Nitrostat) tablets. Which instruction should the nurse include in this client's teaching?
Correct Answer: Place under the tongue as needed every 5 minutes up to 3 times.
Question 19 Which side effects should the nurse monitor for a client who is receiving dexamethasone (Decadron) following neurosurgery? (Select all that apply.) Correct Answer: Mood swings; Increased weight gain; Delayed incisional wound healing; Serum hemoglobin level of 9 mg/dl.Question 20 A client prescribed sulfisoxazole for a urinary tract infection (UTI) reports nausea and gastric upset since starting the medication. Which additional assessment finding should the nurse report to the healthcare provider immediately?
Correct Answer: Rash.
Question 21 What teaching should the nurse provide a client who has received a new prescription for sildenafil (Viagra)? (Select all that apply.) Correct Answer: Take within 30 to 60 minutes of sexual stimulation; Report rebound priapism that occurs for 4 hours or more; Can cause facial flushing and headache.Question 22 A client is administered an injection of medroxyprogesterone acetate (Depo-Provera).Which physical finding should the nurse instruct the client is an expected side effect of the medication?
Correct Answer: Vaginal bleeding or spotting.
Question 23
