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

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

• A 35-week gestation primigravida who takes lithium (Eskalith) tells the practical

nurse (PN) that she would like to breastfeed her infant. What information should the PN provide to the client?• Correct Answer: The drug is excreted in breast milk so use formula to feed the infant.

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

block. The PN should evaluate the client for which physiological response?

• Correct Answer: Increased heart rate

• A client who is comatose is admitted after an overdose of baclofen (Lioresal). What

nursing action should the practical nurse (PN) implement?

• Correct Answer: Monitor for signs of respiratory arrest.

• A client with Attention-Deficit Hyperactivity Disorder (ADHD) is prescribed

amphetamine (Adderall). Which side effect should the practical nurse (PN) explain is commonly experienced?

• Correct Answer: Difficulty sleeping

• The practical nurse (PN) discusses antihypertensive drug therapy with several

clients diagnosed with high blood pressure. To improve client understanding the PN should emphasize that which medication preserves renal function in a client with diabetes?

• Correct Answer: Captopril (Capoten).

• The practical nurse (PN) should recommend that oral contraceptives be avoided in

which group of women?

• Correct Answer: Women who smoke.

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• 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?

• Correct Answer: Hepatic enzymes

• A healthcare provider prescribes cycloplegic and mydriatic ophthalmic drops for a

client who is having a cataract removal. What explanation about the drug actions should the practical nurse (PN) provide the client?

• Correct Answer: Dilates the pupil.

• The practical nurse (PN) observes a thick white coating on the tongue of a client who

takes fluphenazine (Prolixin). What instructions should the PN reinforce with the client about this medication?

• Correct Answer: Brush your teeth and tongue, floss, gargle, and notify the

healthcare provider

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

of constipation. Which dietary changes should the practical nurse (PN) recommend?

• Correct Answer: Increase daily green vegetables and bran

• 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?

• Correct Answer: Naloxone (Narcan)

• 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 to obtain prior to the administration of morphine sulfate?

• Correct Answer: Rate of respirations

• A client receives a prescription for an oral opioid analgesic for post-operative pain.

Which adverse effect should the practical nurse (PN) monitor for in the client?

• Correct Answer: Constipation

• The healthcare provider prescribes celecoxib (Celebrex), a nonsteroidal anti-

inflammatory drug (NSAID), for a client with osteoarthritis. Which finding in the client's history should the practical nurse (PN) report?

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• Correct Answer: Peptic ulcer disease

• The healthcare provider prescribes an antibiotic for a male adolescent with an

upper respiratory tract infection, who asks the practical nurse (PN) how long the prescribed antibiotics should be taken. What information should the PN provide?• Correct Answer: Continue the medication until all of the prescription is taken

• 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 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?

• Correct Answer: Rash, itching, and hives

• 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?

• Correct Answer: Implement contact isolation precautions

• 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?• Correct Answer: Have you had any relief from urinary pain, burning, or urgency?

• A client receives a prescription for nystatin (Mycostatin) oral suspension for the

treatment of oral thrush. Which information should the practical nurse (PN) provide?

• Correct Answer: Swish then swallow the medication

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

thrombocytopenia. What instructions should the practical nurse (PN) reinforce?

• Correct Answer: Shave with an electric razor.

• Which therapeutic action should the practical nurse (PN) base an explanation to a

client who is receiving a cardiac glycoside?

• Correct Answer: Decreased rate of contraction

• Which client statement indicates to the practical nurse (PN) that a client

understands discharge instructions about a new prescription for digoxin (Lanoxin)?

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• Correct Answer: "I will take my pulse for one-minute every day"

• The practical nurse (PN) is reinforcing teaching for a client who is receiving

diltiazem (Cardizem), a calcium channel blocker. Which drug action should the practical nurse explain?

• Correct Answer: Decreased rate of contraction

• Which International Normalized Ratio (INR) value indicates that warfarin

(Coumadin) therapy is at a therapeutic range?

• Correct Answer: 2.1 to 3.0

• What side effect should the practical nurse (PN) report to the healthcare provider

for a client who is taking prednisone (Deltasone)?

• Correct Answer: Gastric bleeding

• The practical nurse (PN) is caring for a client who is receiving dexamethasone

(Decadron) after abdominal surgery. Which finding should the PN report to the charge nurse?

• Correct Answer: Impaired healing.

• Dietary trays usually arrive on the hospital unit at 7:30 AM. When should the

practical nurse (PN) plan to administer NPH insulin 40 units subcutaneously to a client with diabetes mellitus?• Correct Answer: 6:30 and 7:00 AM

• Which adverse effect should the practical nurse monitor for in a client who is

taking amikacin (Amikin)?

• Correct Answer: Hearing loss

• The practical nurse (PN) is reviewing the discharge plan for a client with mania who

is receiving lithium carbonate (Eskalith). To achieve a stable serum level, which information should the PN reinforce with the client?

• Correct Answer: How to recognize symptoms of toxicity.

• 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?

• Correct Answer: Understanding of diet modification