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PN HESI PHARM Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- A mother brings her 18-month-old child to the clinic because the child has had "bad
diarrhea" for the last 3 days. She states, "I bought some of this liquid at the pharmacy and gave my daughter a half-ounce." The practical nurse (PN) sees that the bottle contains loperamide (Imodium AD). What intervention is most important for the PN to implement initially?
Correct Answer: Ask the mother when the child last voided.
- In planning care for a client diagnosed with bacterial pneumonia, which intervention
should the practical nurse implement?
Correct Answer: Obtain the sputum specimen before administering prescribed
antibiotics.
- A client with diabetes mellitus takes insulin daily and is prescribed propranolol
- A mother brings her 3-month-old infant to the well-baby clinic because the baby has
(Inderal). Which information should the nurse provide to this client?Correct Answer: A sign of hypoglycemia is that propranolol slows a rapid heart rate.
developed oral thrush. Which pharmacological agent should the practical nurse (PN) expect to be prescribed for the thrush?
Correct Answer: Nystatin (Mycostatin)
- While taking a client's history, the practical nurse (PN) discovers that the client, who
takes Coumadin daily, has added a ginger supplement on the advice of a friend. What comment is critical for the PN to provide to this client?Correct Answer: "Your health care provider is interested in all medications and herbs you take."
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- The H2 receptor blocker famotidine (Pepcid) is prescribed for a client who has been
- A client has a positive skin test for tuberculosis. What prophylactic drug should the
taking antacids for chronic gastritis. Which client statement indicates to the practical nurse (PN) that teaching was effective regarding concurrent use of these medications?Correct Answer: "I will take the antacid after meals and the Pepcid at bedtime."
practical nurse (PN) expect to be prescribed for this client?
Correct Answer: Isoniazid (INH)
- The practical nurse (PN) is obtaining the medical history of a female client starting a
new prescription for conjugated estrogens (Premarin) 0.625 mg PO daily. Before taking the first dose of the medication, which information is most important for the PN to obtain from the client?
Correct Answer: Cigarette smoking history
- Amitriptyline hydrochloride (Elavil) is prescribed for an adult female client who is
- Phenytoin (Dilantin) is prescribed for a client who has a seizure disorder. Which
- A client who received a prescription for cyclosporine ophthalmic emulsion
- The health care provider prescribes morphine sulfate grain 1/8 IM stat. Morphine is
clinically depressed. Five days after beginning the drug, the client is admitted to the hospital because of suicide ideation. She tells the practical nurse (PN) that the drug is not working because she is not feeling any better. Which explanation should the PN provide?Correct Answer: "It takes 2 to 4 weeks for antidepressant medications to become effective."
statement by the client indicates to the practical nurse that the instruction about this drug has been effective?Correct Answer: "I know that I should never stop taking this medication abruptly."
(Restasis) for dry eyes asks the practical nurse (PN) if it is safe to continue using artificial tears. What information should the PN provide?Correct Answer: Allow a 15-minute interval between the administration of Restasis and artificial tears.
available in 8 mg/mL. How many milliliters should the practical nurse (PN) administer?
Correct Answer: 1 mL
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- A 74-year-old female client asks the practical nurse (PN) if she should get a flu
- A 78-year-old client with congestive heart failure (CHF) receives the cardiac
shot. Which response should the PN provide?Correct Answer: "Yes. Normal aging decreases your immunity, making you more susceptible to contagious diseases such as the flu."
glycoside digoxin (Lanoxin) 0.25 mg PO daily. Which observation by the nurse indicates that the medication has been effective?
Correct Answer: Clear breath sounds bilaterally.
- The healthcare provider orders 1000 mL of 0.5% normal saline to run over 8 hours.
The drop factor is 15 gtt/mL. The nurse plans to adjust the flow rate to how many gtt/min? (Round to the nearest whole number.)
Correct Answer: 31
- A client asks the practical nurse (PN) if glipizide (Glucotrol) is an oral insulin. What
- A female client who started taking an oral sulfonamide for a urinary tract infection
- A health care provider prescribes cefadroxil (Duricef) for a client with a
answer should the PN provide?Correct Answer: "No, it is not an oral insulin and can be used only when some beta cell function is present."
the previous day reports to the nurse that the medication is causing slight anorexia.She also states that she continues to experience urinary frequency, so she takes the medication with a small sip of cranberry juice and limits her fluid intake. What information should the practical nurse provide?Correct Answer: Drink a full glass of water with the medication and drink additional fluids throughout the day.
postoperative infection. It is most important for the practical nurse (PN) to consider that a cross allergy is possible with what drug allergy?
Correct Answer: Penicillins
- A client is receiving the antipsychotic medication haloperidol (Haldol). In
evaluating the effectiveness of this medication, which action provides the practical nurse with the most reliable information?
Correct Answer: Observe the client for changes in behavior weekly.
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- A client is receiving benztropine (Cogentin) and olanzapine (Seroquel) to control
- Which question should the practical nurse (PN) ask an older client before
psychotic behavior. When reinforcing teaching to the client and/or significant others about these medications, what should the practical nurse (PN) explain about the use of benztropine (Cogentin)?Correct Answer: The benztropine (Cogentin) is used to control extrapyramidal symptoms.
beginning treatment with gentamicin sulfate (Garamycin)?
Correct Answer: "Are you hard of hearing?"
- Oral metronidazole (Flagyl) is prescribed for a client diagnosed with vaginal
trichomoniasis, a protozoan infection. What precautions should the practical nurse (PN) instruct the client to follow while taking this medication?
Correct Answer: Avoid ingesting any alcoholic (ethanol) beverage.
- Which finding indicates that the desired effect of phenazopyridine (Pyridium), used
in the management of urinary tract infections (UTIs), has been achieved?
Correct Answer: Client denies pain when voiding.
- The practical nurse (PN) is evaluating a client in the immediate postoperative
period who is receiving morphine via a patient-controlled analgesia (PCA) pump. What finding should the PN consider the highest priority in this client?
Correct Answer: The rate and depth of the client's respirations.
- The nurse prepares to administer ophthalmic drops to a client before cataract
surgery. List the steps in the order they should be implemented from first step to final step.
Correct Answer:
- Wash hands and apply clean gloves.
- Place the dominant hand on the client's forehead.
- Ask the client to close the eye gently.
- Drop prescribed number of drops into the conjunctival sac.
- Which change in data indicates to the practical nurse (PN) that the desired effect
of the angiotensin II receptor antagonist losartan (Cozaar) is achieved?
