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PHARMACOLOGY HESI PRACTICE TEST QUESTIONS WITH 100% ACCURATE ANSWERS
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A client who is comatose is admitted after an overdose of baclofen (Lioresal). What nursing action should the practical nurse (PN) implement? - Accurate answers Monitor for signs of respiratory arrest. Which prescription should the practical nurse administer for a client who is experiencing an acute episode of bronchial asthma? - Accurate answers Albuterol (Proventil) A male client who is hypertensive is starting a new prescription for clonidine (Catapress) 0.4 mg PO daily. In reviewing common side effects, what information should the practical nurse (PN) provide the client? - Accurate answers Report problems with sexual function A client with tuberculosis (TB) asks the practical nurse (PN) the value of prescribed multidrug therapy is prescribed. What explanation should the PN provide? - Accurate answers Reduces development of TB resistant drugs 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? - Accurate answers 6:30 and 7:00 AM An older adult client receives a prescription for hydrochlorothiazide (HydroDIURIL), a thiazide diuretic for the treatment of heart failure. Which side effect(s) should the practical nurse reinforce with the client? (Select all that apply.) - Accurate answers Fatigue, Dehydration The practical nurse (PN) should recommend that oral contraceptives be avoided in which group of women? - Accurate answers Women who smoke Which action should the practical nurse implement when administering a buccal medication? - Accurate answers Place the medication between the upper molar teeth and check. A client with Attention Deficit Disorder (ADD) is prescribed amphetamine (Adderall). Which side effect should the practical nurse (PN) explain is commonly experienced? - Accurate answers Difficulty sleeping A male client who has been receiving an antineoplastic drug has developed thrombocytopenia. What instructions should the practical nurse (PN) reinforce? - Accurate answers Shave with an electric razor A client receives a prescription for nystatin (Mycostatin) oral suspension for the treatment of oral thrush. Which information should the practical nurse (PN) provide? - Accurate answers Swish then swallow the medication
What side effect should the practical nurse (PN) report to the healthcare provider for a client who is taking prednisone (Deltasone)? - Accurate answers Gastric bleeding Which adverse effect should the practical nurse monitor for in a client who is taking amikacin (Amikin)? - Accurate answers Hearing loss The 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? - Accurate answers Dilates the pupil Which therapeutic action should the practical nurse (PN) base an explanation to a client who is receiving a cardiac glycoside? - Accurate answers Decreased rate of contraction 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? - Accurate answers Understanding of diet modification The practical nurse (PN) is caring for a client who has been taking prednisone (Deltasone) daily for a year. Which adverse effect should the PN document in the client's record? - Accurate answers Weight gain 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? - Accurate answers Decreased rate of contraction A male client diagnosed with tuberculosis asks the practical nurse (PN) about his course of drug therapy. Which information should the PN provide? - Accurate answers Drug therapy requires compliance for 6-12 months A client receives a prescription for c lotrimazole 1% (Gyne-Lotrimin ) vaginal cream for Candidiasis. Which information should the practical nurse provide the client? - Accurate answers Instill cream using the intravaginal applicator each night for 7 days 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? - Accurate answers Impaired healing A client who is transferred to the cardiac rehabilitation unit after a myocardial infarction is ready for discharge with a new prescription for metoprolol (Lopressor). The client asks, "I don't have high blood pressure, so why did my healthcare provider give me this medicine?" What information should the practical nurse (PN) provide? - Accurate answers A slower heart rate reduces the heart's oxygen demand. 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? - Accurate answers Brush your teeth and tongue, floss, gargle, and notify the healthcare provider.
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 (PN) to obtain prior to the administration of morphine sulfate? - Accurate answers Rate of respirations An adult male arrives in the clinic requesting a prescription for sildenafil (Viagra). Which client history should the practical nurse (PN) report to the healthcare provider? - Accurate answers The use of nitrates A client who is receiving an antibiotic suddenly develops hives. The practical nurse should report that the client is most likely experiencing which type of drug response? - Accurate answers Hypersensitivity The practical nurse (PN) administers isoproterenol (Isuprel) to a client with heart block. The PN should evaluate the client for which physiological response? - Accurate answers Increased heart rate 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? - Accurate answers Have you had any relief from urinary pain, burning, or urgency? The healthcare provider prescribes celecoxib (Celebrex), a nonsteroidal antiinflammatory drug (NSAID), for a client with osteoarthritis. Which finding in the client's history should the practical nurse (PN) report? - Accurate answers Peptic-ulcer disease Which prescription should the practical nurse (PN) administer for a client who is experiencing an anaphylactic reaction to an antibiotic? - Accurate answers Epinephrine (Adrenalin) 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 of 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? - Accurate answers Rash, itching, and hives An older client who takes risperidone (Risperdal), an antipsychotic, is complaining of constipation. Which dietary changes should the practical nurse (PN) recommend? - Accurate answers Increase daily green vegetables and bran Which information should the practical nurse (PN) provide a client who receives a new prescription for a benzodiazepine medication? - Accurate answers The interactions of alcohol consumption and CNS depressant drugs 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? - Accurate answers Naloxone (Narcan) Which International Normalized Ratio (INR) value indicates that warfarin (Coumadin) therapy is at a therapeutic range? - Accurate answers 2.1 to 3.
The practical nurse (PN) is reinforcing information to a client about the use of an antiemetic to help manage nausea and vomiting during a course of chemotherapy. Which information is most important for the PN to provide? - Accurate answers Take at least 30 minutes before a chemotherapeutic agent is received. 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? - Accurate answers The drug is excreted in breast milk so use formula to feed the infant Which client statement indicates to the practical nurse (PN) that a client understands discharge instructions about a new prescription for digoxin (Lanoxin)? - Accurate answers "I will take my pulse for one-minute every day."