2022 HESI Texas Southern University RN Pharmacology Review Exam Version 2 With Answers (65 Solved Questions)

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2022 HESI Texas Southern University RN Pharmacology Review Exam Version 2 With Answers (65 Solved Questions) - Page 1 preview image

HESI RN Pharmacology Exam 2022 V2 ihwm6iPharmacy Practice Management (Texas Southern University)HESI RN Pharmacology Exam 2022 V2 ihwm6iPharmacy Practice Management (Texas Southern University)lOMoARcPSD|13445102

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NurseHero2022HESI RN Pharmacology REVIEW 2022 V2 –65 Questions + Review of important pointsPLEASENOTE:Healthcaresystemiscontinuouslychanging,guidelinesandrecommendation could differ from time to time, the answers of below questions weremade up to our best knowledge and elimination of wrong answers – and remember thatmost of the time there are more than a correct answer but you have to choose theMOST important or priority or what’s within nursing scope of practice. We tried our bestto have all answers correct but we do not guarantee that 100%. You must study andreview them as well. Good luck!1. Before administering a laxative to a bedfast client, it is most important forthe nurse to perform what assessment?A. Observe the skin integrity of the client's rectal and sacral areasB. assess the client strength in moving and turning in the bedC. evaluate the client's ability to recognize the urge to defecateD. determine the frequency and consistency of bowel movements2. A female client with multiple sclerosis reports having less fatigue andimproved memory since she began using the herbal supplement, ginkgobiloba. Which information is most important for the nurse to include in theteaching plans for this client?A. Aspirin and nonsteroidal anti-inflammatory drugs interact withginkgoB. nausea and diarrhea can occur when using this supplementC. anxiety and headaches increased with use of ginkgoD. ginkgo biloba use should be limited and not taken during pregnancylOMoARcPSD|13445102

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NurseHero20223. In explaining the benefits of the combination anti-infective drug code TMP-SMZ (Bactrim) to a client receiving the medication for a urinary tractinfection, more rationale to the nurse provide?A. Each drug could cause damage to the kidneys if taken separatelyB. One drug reduces the risk of side effects caused by the drugC. while one drug provide relief, the other fights the infectionD. the two drugs work together to reduce resistance of the bacterialinfection of symptoms4. Client being treated with Haldol for schizophrenia is complaining of jawtightness and a stiff neck. Which interventions should the nurse implement?A. give PRN dose of diphenhydramine BenadrylB. assess client other sensory hallucinationsC. massage neck until muscles begin to relaxD. obtain a 12 lead EKG5. Which intervention is most important for the nurse implement for a clientis receiving Lispro Humalog insulin?A. Check blood glucose levels every six hoursB. Provide meals at the same time that insulin is givenC. Assess for hypoglycemia between mealsD. Keeping oral liquid or glucose source available6. Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoidarthritis is being treated for anemia which intervention is most importantfor the nurse to include any plan of careA. Observe for gastrointestinal bleedingB. Monitor liver function test resultsC. Protect skin from bruisingD. Offered dietary selections rich in ironlOMoARcPSD|13445102

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NurseHero20227. A client receives a prescription for theophylline (Theo-Dur) PO to beinitiated in the morning after the dose of theophylline IV is complete. Thenurse determines that a theophylline level drawn yesterday was 22 mcg/mL.Based on this information, which action should the nurse implement?A. Hold the theophylline dose and notify the health care provider.B. Start the client on a half-dose of theophylline PO.C. The theophylline dose can be initiated as planned.D. The client is not ready to be weaned from the IV to the PO route8. The nurse is reviewing a client's laboratory results before a procedure inwhich a neuromuscular blocking agent is a standing order. Which findingshould the nurse report to the health care provider?A. HypokalemiaB. HyponatremiaC. HypercalcemiaD. Hypomagnesemia9. The nurse is preparing a child for transport to the operating room for anemergency appendectomy. The anesthesiologist prescribes atropine sulfate(Atropine), IM STAT. What is the primary purpose for administering thisdrug to the child at this time?A. Decrease the oral secretionsB. Reduce the child's anxietyC. Potentiate the opioid effectsD. Prevent possible peritonitis10.When caring for a client on digoxin (Lanoxin) therapy, the nurse knows tobe alert for digoxin (Lanoxin) toxicity. Which finding would predispose thisclient to developing digoxin toxicity?A. Low serum sodium levelB. High serum sodium levelC. Low serum potassium levelD. High serum potassium levellOMoARcPSD|13445102

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NurseHero202211.A client is receiving anti-infective drug therapy for a postoperative infection.Which complaint should alert the nurse to the possibility that the client hascontracted a superinfection?A. "My mouth feels sore"B. "I have a headache."C. "My ears feel plugged up."D. "I feel constipated"12.During the initial nursing assessment history, a client tells the nurse that heis taking tetracycline hydrochloride (Sumycin) for urethritis. Whichmedication taken concurrently with Sumycin could interfere with itsabsorption?A. Sucralfate (Carafate)B. Hydrochlorothiazide (Diuril)C. Acetaminophen (Tylenol)D. Phenytoin (Dilantin)13.Following the administration of sublingual nitroglycerin, which assessmentfinding indicates that the medication was effective?A. Decrease in level of chest painB. Clear bilateral breath soundsC. Increase in blood pressureD. Increase in urinary output14.Alteration of which laboratory finding represents the achievement of atherapeutic goal for heparin administration?A. Prothrombin time (PT)B. Fibrin split productsC. Platelet countD. Partial thromboplastin time (PTT)lOMoARcPSD|13445102

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NurseHero202215.The nurse is assessing a stuporous client in the emergency department whois suspected of overdosing with opioids. Which agent should the nurseprepare to administer if the client becomes comatose?A. Naloxone hydrochloride (Narcan)B. Atropine SulfateC. Vitamin KD. Romazicon16.A client with HIV who was recently diagnosed with tuberculosis (TB) asksthe nurse, "Why do I need to take all of these medications for TB?" Whatinformation should the nurse provide?A. Antiretroviral medications decrease the efficacy of the TB drugs.B. Multiple drugs prevent the development of resistant organisms.C. Duration of the medication regimen is shortened.D. Potential adverse drug reactions are minimized.17.Two hours after taking the first dose of penicillin, a client arrives at theemergency department complaining of feeling ill, exhibiting hives, havingdifficulty breathing, and experiencing hypotension. These findings areconsistent with which client response that requires immediate action?A. Severe acute anaphylactic responseB. Side reaction that should resolveC. Idiosyncratic reactionD. Cumulative drug response18.Which question should the nurse ask a client prior to the initiation oftreatment with IV infusions of gentamicin sulfate (Garamycin)?A. "Are you having difficulty hearing?"B. "Have you ever been diagnosed with cancer?"C. "Do you have any type of diabetes mellitus?"D. "Have you ever had anemia?"lOMoARcPSD|13445102

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NurseHero202219.A male client who has chronic back pain is on long-term pain medicationmanagement and asks the nurse why his pain relief therapy is not aseffective as it was 2 months ago. How should the nurse respond?A. The phenomenon occurs when opiates are used for more than 6months to relieve pain.B. Withdrawal occurs if the drug is not tapered slowly while beingdiscontinued.C. Pharmacodynamics tolerance requires increased drug levels toachieve the same effect.D. A consistent dosage with around-the-clock administration is the mosteffective.20.The nurse is providing discharge instructions to a client who has received aprescription for an antibiotic that is hepatotoxic. Which information shouldthe nurse include in the instructions?A. Avoid ingesting any alcohol or acetaminophen (Tylenol).B. Schedule a follow-up visit for a liver biopsy in 1 month.C. Activities that are strenuous should be avoided.D. Notify the health care provider of any increase in appetite.21.A client with mild Parkinsonism is started on oral amantadine (Symmetrel).Which statement accurately describes the action of this medication?A. Viral organisms that cause Parkinsonism are eliminated.B. Acetylcholine in the myoneural junction is enhanced.C. Dopamine in the central nervous system is increased.D. Norepinephrine release is reduced within the periphery.lOMoARcPSD|13445102

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NurseHero202222.A female client who has started long-term corticosteroid therapy tells thenurse that she is careful to take her daily dose at bedtime with a snack ofcrackers and milk. Which is the best response by the nurse?A. Advise the client to take the medication in the morning, rather thanat bedtime.B. Teach the client that dairy products should not be taken with hermedication.C. Tell the client that absorption is improved when taken on an emptystomach.D. Affirm that the client has a safe and effective routine for taking themedication.23.A female client with myasthenia gravis is taking a cholinesterase inhibitorand asks the nurse what can be done to remedy her fatigue and difficultyswallowing. What action should the nurse implement?A. Explore a plan for development of coping strategies for thesymptoms with the client.B. Explain to the client that the dosage is too high, so she should skipevery other dose of medication.C. Advise the client to contact her health care provider because of thedevelopment of tolerance to the medication.D. Develop a teaching plan for the client to self-adjust the dose ofmedication in response to symptoms24.A female client is receiving tetracycline (Vibramycin) for acne. Which clientteaching should the nurse include?A. Oral contraceptives may not be effective.B. Drinking cranberry juice will promote healing.C. Breast tenderness may occur as a side effect.D. The urine will turn a red-orange color.lOMoARcPSD|13445102

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NurseHero202225.A female client with trichomoniasis (Trichomonas vaginalis) receives aprescription for metronidazole (Flagyl). Which instruction is most importantfor the nurse to include this client's teaching plan?A. Avoid alcohol consumption.B. Complete the medication regimen.C. Use a barrier contraceptive method.D. Treat partner(s) concurrently.26.A 2-month-old infant is scheduled to receive the first DPT immunization.What is the preferred injection site to administer this immunization?A. Dorsal glutealB. Vastus lateralisC. Ventral glutealD. Deltoid27.The nurse is evaluating a client's understanding of the prescribedantilipemic drug lovastatin (Mevacor). Which client statement indicatesthat further teaching is needed?A. "My bowel habits should not be affected by this drug."B. "This medication should be taken once a day only."C. "I will still need to follow a low-cholesterol diet."D. "I will take the medication every day before breakfast."28.An older client who had a colon resection yesterday is receiving a constantdose of hydromorphone (Dilaudid) via a patient-controlled analgesia (PCA)pump. Which assessment finding is most significant and requires that thenurse intervene?A. The client is drowsy and complains of pruritus.B. Pupils are 3 mm; PERRLA.C. The area around the sutures is reddened and swollen.D. Respirations decrease to 14 breaths/min.lOMoARcPSD|13445102

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NurseHero202229.A client receives an antihypertensive agent daily. Which action is mostimportant for the nurse to implement prior to administering the medication?A. Verify the expiration date.B. Obtain the client's blood pressure.C. Determine the client's history of adverse reactions.D. Review the client's medical record for a change in drug route.30.The charge nurse is reviewing the admission history and physical data forfour clients newly admitted to the unit. Which client is at greatest risk foradverse reactions to medications?A. 30-year-old man with a fractureB. 7-year-old child with an ear infectionC. 75-year-old woman with liver diseaseD. 50-year-old man with an upper respiratory tract infection31.The health care provider has prescribed a low-molecular-weight heparin,enoxaparin (Lovenox) prefilled syringe, 30 mg/0.3 mL IV every 12 hours, fora client following hip replacement. Prior to administering the first dose,which intervention is most important for the nurse to implement?A. Assess the client's IV site for signs of inflammation.B. Evaluate the client's degree of mobility.C. Instruct the client regarding medication side effects.D. Contact the health care provider to clarify the prescription.32.The nurse is preparing a plan of care for a client receiving the glucocorticoidmethylprednisolone (Solu-Medrol). Which nursing diagnosis reflects aproblem related to this medication that should be included in the care plan?A. Ineffective airway clearanceB. Risk for infectionC. Deficient fluid volumeD. Impaired gas exchangelOMoARcPSD|13445102

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NurseHero202233.The nurse is reviewing prescribed medications with a female client who ispreparing for discharge. The client asks the nurse why the oral dose of anopioid analgesic is higher than the IV dose that she received duringhospitalization. Which response is best for the nurse to provide?A. A higher dose of analgesic medication may be needed after discharge.B. An error in the dose calculation may have occurred when theprescribed dose was converted.C. The doses should be the same unless the pain is not well controlled.D. Oral taken drugs dissolves in the gut its not %100 absorbed unlikewhen it is administered as an IV. (that is the concept of the answerbut it is not exactly the same choice).34.Amoxicillin, 500 mg PO every 8 hours, is prescribed for a client with aninfection. The drug is available in a suspension of 125 mg/5 mL. How manymilliliters should the nurse administer with each dose?Answer: 20 mL= 500 x 5 / 125 = 2035.Minocycline (Minocin), 50 mg PO every 8 hours, is prescribed for anadolescent girl diagnosed with acne. The nurse discusses self-care with theclient while she is taking the medication. Which teaching points should beincluded in the discussion?(Select all that apply.)A. Report vaginal itching or discharge.B. Take the medication at 0800, 1500, and 2200 hours.C. Protect skin from natural and artificial ultraviolet light.D. Avoid driving until response to medication is known.E. Take with an antacid tablet to prevent nausea.F. Use a nonhormonal method of contraception if sexually active.lOMoARcPSD|13445102

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NurseHero202236.The health care provider prescribes carbamazepine (Tegretol) for a childwhose tonic-clonic seizures have been poorly controlled. The nurse informsthe mother that the child must have blood tests every week. The motherasks why so many blood tests are necessary. Which complication isassessed through frequent laboratory testing that the nurse should explainto this mother?A. NephrotoxicityB. OtotoxicityC. MyelosuppressionD. Hepatotoxicity37.A 67-year-old client is discharged from the hospital with a prescription fordigoxin (Lanoxin), 0.25 mg daily. Which instruction should the nurse includein this client's discharge teaching plan?A. Take the medication in the morning before rising.B. Take and record radial pulse rate daily.C. Expect some vision changes caused by the medication.D. Increase intake of foods rich in vitamin K.38.A pediatric client is discharged home with multiple prescriptions formedications. Which information should the nurse provide that is mosthelpful to the parents when managing the medication regimens?A. Maintain a drug administration record.B. Fill all prescriptions at one pharmacy.C. Allow one person to give the medications.D. Give all medications in small volumes.39.A 6-year-old child is admitted to the emergency department with statusepilepticus. His parents report that his seizure disorder has been managedwith phenytoin (Dilantin), 50 mg PO bid, for the past year. Which drugshould the nurse plan to administer in the emergency department?A. Phenytoin (Dilantin)B. Diazepam (Valium)C. Phenobarbital (Luminal)D. Carbamazepine (Tegretol)lOMoARcPSD|13445102

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