HESI PHARMACOLOGY TEST BANK 2023 /PHARMACOLOGY RN HESI EXIT 2023-2024 ACTUAL EXAM TEST BANK LATEST 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

HESI PHARMACOLOGY TEST BANK 2023

/PHARMACOLOGY RN HESI EXIT 2023-2024 ACTUAL EXAM

TEST BANK LATEST 400 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A+

. A postoperative male client asks the nurse to bring the largest possible

dose of a prescribed narcotic. Which action should the nurse implement

first?

a. Review the history for past use of recreational drugs.

b. Ask the client to describe his current pain using a pain scale.

c. Encourage the client to use diversional thoughts to manage pain.

d. Determine when the last dose was administered. - ANSWER- B.

Prior to administering a scheduled dose of verapamil HCl to a client

with a history of angina, which finding should the nurse review?

a. Respiratory rate.

b. Oxygen saturation.

c. Serum potassium.

d. Blood pressure. - ANSWER- D.

The nurse is administering the sixth intravenous dose of gentamycin to a

client with extensive full thickness burns. Which assessment finding

warrants further investigation?

a. Complaints of a sore mouth and three episodes of diarrhea that began

this morning.

b. Urinary output of 400 ml of clear, amber colored urine in the past

eight hours.

c. Serum creatinine level of 1.6 mg/L, a blood urea nitrogen (BUN) of

20 mg/dL.

d. White blood count of 9,000/mm3 and an oral temperature of 98.2 f

two hours ago. - ANSWER- C.

A client with pneumonia who has an emergent episode of respiratory

distress is intubated and transferred to the intensive care unit. The

client's chest x-ray shows consolidation in the left lobe, and physical

assessment reveals diminished lung sounds. The nurse administers

acetylcysteine as prescribed per nebulization via endotracheal tube.

Which therapeutic response of this medication should the nurse expect?

a. Unpleasant smell when using this medication.

b. Hypotension.

c. Increased sputum, requiring suctioning.

d. Bronchodilation and wheezing. - ANSWER- C.

A client who has a kidney transplant last week is receiving cyclosporine,

an immunosuppressant. This morning the client is complaining of a

headache and blured vision. Based on which assessment finding should

the nurse withhold the medication until the healthcare provider is

notified?

a. Temperature of 100.8 F.

b. Blood pressure 180/98 mm HG

c. Elevated blood urea nitrogen (BUN)

d. Renal output of 120ml/hr. - ANSWER- B.

During a home visit, the nurse assesses a client with Alzheimer's disease

who recently started a new prescription for rivastigmine. The caregiver

reports that the client seems to be thinking more clearly but is not

sleeping at night. Which action should the nurse take?

a. Advise the caregiver that the purpose of the medication is to promote

sleep, so a change in medication may be needed.

b. Instruct the caregiver to withhold the medication until dosage can be

decreased to ensure client's safety.

c. Notify the healthcare provider that the dosage of the medication may

need to be increased to manage the client's insomnia.

d. Explain to the caregiver that insomnia is a common and temporary

side effect when the medication is first started. - ANSWER- D.

Prior to administration of the initial dose of the GI agent misoprostol,

which information should the nurse obtain from the client?

a. History of glaucoma.

b. Taking an anti-emetic medication.

c. Allergy to aspirin.

d. Currently pregnant. - ANSWER- D.

A client receives a prescription for haloperidol 2 mg intramuscular

STAT. The medication is available in 5 mg/ml vial. How many mL

should the nurse administer? (Enter numerical value ONLY, round to

nearest tenth). - ANSWER- 0.4

A client who is scheduled for surgery has a heparin solution infusing at

500 units/hour. When monitoring the client, the nurse observes the onset

of hematuria. Which client data is most important for the nurse to review

before contacting the healthcare provider?

a. Intake and output.

b. Urine culture.

c. Serum creatinine.

d. Coagulation tests. - ANSWER- D.

The nurse initiates an infusion of piperacillin-tazobactam for a client

with a urinary tract infection. Five minutes into the infusion, the client

reports not feeling well. Which client manifestation should the nurse

identify as a reason to stop the infusion?

a. Pupillary constriction.

b. Hypertension.

c. Scratchy throat.

d. Bradycardia - ANSWER- C.

A client with a history of asthma is experiencing an acute episode of

wheezing and shortness of breath four hours after returning from

surgery. Which prescription should the nurse administer at this time?

a. Pirbuterol

b. Montelukast

c. Cromolyn

d. Theophylline - ANSWER- A.

A client with dehydration is prescribed potassium chloride infusion at 10

mEq/hr. Potassium chloride 80 mEq is mixed with 1 liter of normal

saline. The nurse should regulate the infusion pump to deliver how many

mL/hour? (Enter numeric value only. Round to nearest whole number). -

ANSWER- 125ml/hr

A client is scheduled for a spiral computed tomography (CT) scan with

contrast to evaluate for a pulmonary embolism. Which information in

the client's history requires follow-up by the nurse?

a. Report of client's sobriety for the last five years.

b. Takes metformin hydrochloride for type 2 diabetes mellitus.

c. Metal hip prothesis was placed twenty years ago.

d. CT scan that was performed six months earlier. - ANSWER- B.

A male client with Laennec's cirrhosis refuses to take the daily dose of

lactulose because he had three soft stools yesterday. Which action

should the nurse implement?

a. Explain that this effect reduces serum ammonia levels.

b. Assess the client for signs of dehydration.

c. Measure the client's abdominal firth for a reduction.

d. Encourage the client to drink oral liquids. - ANSWER- A.

The nurse is caring for a client who takes methotrexate for rheumatoid

arthritis and is now prescribed adalimumab. Which instruction should

the nurse provide to the client? a. Have a chest x-ray prior to your first

dose.

b. Obtain routine vaccinations as scheduled.