HESI RN PHARMACOLOGY VERSION 5 LATEST EXAM ACTUAL EXAM COMPLETE 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

HESI RN PHARMACOLOGY VERSION 5 LATEST

EXAM 2023-2024 ACTUAL EXAM COMPLETE 55

QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A+

A client is diagnosed with peptic ulcer disease and receives a

prescription for esomeprazole (Nexium) 20 mg capsule daily. When

providing this client with discharge teaching, the nurse should include

which instruction?

-Dissolve capsule contents in fruit juice for easier ingestion.

-Drink fluids between meals to relieve gastric distress.

-Take at same time each day one hour before eating a meal.

-Monitor for an increase in blood pressure during therapy. - ANSWERTake at same time each day one hour before eating a meal.

A client receives a new prescription for ciprofloxacin (Cipro), a

synthetic quinolone. When teaching about this drug, which information

in the client's history requires special emphasis by the nurse?

-Previously had a mild allergic reaction to a cephalosporin.

-Works twenty hours a week as a lifeguard at the local pool.

-Snacks on dairy products such as yogurt or ice cream.

-Consumes alcoholic drinks occasionally on the weekends. - ANSWERWorks twenty hours a week as a lifeguard at the local pool.

The nurse administers the initial dose of a fentanyl (Duragesic)

transdermal patch to a client. Which assessment finding should the nurse

use to evaluate the effectiveness of the medication?

-The number on the numeric pain scale.

-The increase in lactation.

-The absence of seizures.

-The presence of bowel sounds. - ANSWER- The number on the

numeric pain scale.

Based on the blood culture and sensitivity results, the healthcare

provider prescribes an IV aminoglycoside antibiotic and discontinues the

current prescription for another broad spectrum antibiotic. The

medication administration record indicates that the client received the

broad spectrum antibiotic two hours ago. Which action should the nurse

implement?

-Schedule the initial dose of the aminoglycoside antibiotic for the

following day.

-Administer the initial dose of the aminoglycoside antibiotic as soon as

possible.

-Withhold antibiotic administration until the healthcare provider clarifies

the prescriptions.

-Obtain peak and trough serum levels so the aminoglycoside antibiotic

can be initiated. - ANSWER- Administer the initial dose of the

aminoglycoside antibiotic as soon as possible.

The nurse is providing medication teaching for a client who recently

received a prescription for clozapine (Clozaril). Which instruction

should be included in this client's teaching plan?

-Rise slowly from a lying position.

-Take as needed for anxiety.

-Do not eat any aged cheese.

-Avoid prolonged sun exposure. - ANSWER- Rise slowly from a lying

position.

A client receives a new prescription for nitroglycerin (Nitrostat) tablets.

Which instruction should the nurse include in this client's teaching?

-Place under the tongue as needed every 5 minutes up to 3 times.

-Resume normal activities after chest pain relief is obtained.

-Monitor your pulse for 60 seconds before administration.

-Take the medication at least an hour before every meal. - ANSWERPlace under the tongue as needed every 5 minutes up to 3 times.

Which side effects should the nurse monitor for a client who is receiving

dexamethasone (Decadron) following neurosurgery? (Select all that

apply.)

-Delayed incisional wound healing.

-Mood swings.

-Decreased appetite.

-Serum glucose level of 65 mg/dl.

-Increased weight gain.

-Serum hemoglobin level of 9 mg/dl. - ANSWER- Mood swings.

Increased weight gain.

Delayed incisional wound healing.

Serum hemoglobin level of 9 mg/dl.

A client prescribed sulfisoxazole for a urinary tract infection (UTI)

reports nausea and gastric upset since starting the medication. Which

additional assessment finding should the nurse report to the healthcare

provider immediately?

-Muscle cramping.

-Diarrhea.

-Rash.

-Hematuria. - ANSWER- Rash.

What teaching should the nurse provide a client who has received a new

prescription for sildenafil (Viagra)? (Select all that apply.)