Pharmacology HESI Practice 1 Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

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Pharmacology HESI Practice 1 Questions And Correct Detailed Answers (Verified Answers) Already Graded A+

• The nurse is teaching a client with cancer about opioid management for intractable

pain and tolerance related side effects. The nurse should prepare the client for which side effect that is most likely to persist during long-term use of opioids?

• Sedation.
• Constipation.
• Urinary retention.
• Respiratory depression.

Correct Answer: Constipation.

• A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The nurse

should instruct the client to notify the healthcare provider immediately if which symptom occurs?

• Rash.
• Nausea.
• Headache.
• Dizziness.

Correct Answer: Rash.

• In evaluating the effects of lactulose (Cephulac), which outcome would indicate

that the drug is performing as intended?

• An increase in urine output.
• Two or three soft stools per day.
• Watery, diarrhea stools.

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• Increased serum bilirubin.

Correct Answer: Two or three soft stools per day.

• A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse

anticipates an increase in which laboratory value as the result of this medication?

• Serum glucose.
• Serum calcium.
• Red blood cells.
• Serum potassium.

Correct Answer: Serum glucose.

• The nurse is reviewing the use of the patient-controlled analgesia (PCA) pump with a

client in the immediate postoperative period. The client will receive morphine 1 mg IV per hour basal rate with 1 mg IV every 15 minutes per PCA to total 5 mg IV maximally per hour. What assessment has the highest priority before initiating the PCA pump?

• The expiration date on the morphine syringe in the pump.
• The rate and depth of the client's respirations.
• The type of anesthesia used during the surgical procedure.
• The client's subjective and objective signs of pain.

Correct Answer: The rate and depth of the client's respirations.

• A client with osteoarthritis receives a new prescription for celecoxib (Celebrex)

orally for symptom management. The nurse notes the client is allergic to sulfa. Which action is most important for the nurse to implement prior to administering the first dose?

• Review the client's hemoglobin results.
• Notify the healthcare provider.
• Inquire about the reaction to sulfa.
• Record the client's vital signs.

Correct Answer: Notify the healthcare provider.

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• A 43-year-old female client is receiving thyroid replacement hormone following a

thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider?

• Tinnitus and dizziness.
• Tachycardia and chest pain.
• Dry skin and intolerance to cold.
• Weight gain and increased appetite.

Correct Answer: Tachycardia and chest pain.

• A client is admitted to the hospital for diagnostic testing for possible myasthenia

gravis. The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is the expected outcome for this client following administration of this pharmacologic agent?

• Progressive difficulty with swallowing.
• Decreased respiratory effort.
• Improvement in generalized fatigue.
• Decreased muscle weakness.

Correct Answer: Decreased muscle weakness.

• The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-

old client with arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing. What action should the nurse implement?

• Refer the client to an audiologist for evaluation of her hearing.
• Advise the client that this is a common side effect of aspirin therapy.
• Notify the healthcare provider of this finding immediately.
• Ask the client to turn off her hearing aid during the exam.

Correct Answer: Notify the healthcare provider of this finding immediately.

• Which medications should the nurse caution the client about taking while

receiving an opioid analgesic?

• Antacids.

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• Benzodiazepines.
• Antihypertensives.
• Oral antidiabetics.

Correct Answer: Benzodiazepines.

• Following heparin treatment for a pulmonary embolism, a client is being

discharged with a prescription for warfarin (Coumadin). In conducting discharge teaching, the nurse advises the client to have which diagnostic test monitored regularly after discharge?

• Perfusion scan.
• Prothrombin Time (PT/INR).
• Activated partial thromboplastin (APTT).
• Serum Coumadin level (SCL).

Correct Answer: Prothrombin Time (PT/INR).

• A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which

observation by the nurse would indicate that the desired outcome of the medication is being achieved?

• Decreased blood pressure.
• Lessening of tremors.
• Increased salivation.
• Increased attention span.

Correct Answer: Lessening of tremors.

• Following the administration of sublingual nitroglycerin to a client experiencing an

acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved?

• Client states chest pain is relieved.
• Client's pulse decreases from 120 to 90.
• Client's systolic blood pressure decreases from 180 to 90.
• Client's SaO2 level increases from 92% to 96%.