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HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS 2023 (55 Q&A) latest Graded A+
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HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS 2023 (55 Q&A) latest Graded A+
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HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS2023 (55 Q&A) latest Graded A+
1. A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug (NSAID) comes
to the clinic complaining of gastric pain and blood in his stool. The healthcare provider discontinues the
NSAIDs and prescribes esomeprazole. Which information should the client include in the nurse’s teaching
plan?
A. Once pain subsides, NSAID therapy can be continued
B. Resume a diet that consists of milk, cream, and bland foods
C. Notify the healthcare provider of the passage of black stool
D. Call the clinic if diarrhea or headache occur when taking esomeprazole
Answer: C. Notify the healthcare provider of the passage of black stool
2. When administering zolpidem to an older client, which computer documentation indicates that the desired
outcome has been achieved?
A. Sleeps soundly through the night
B. Decreased episodes of incontinence
C. Exhibits fewer emotional outburst
D. Improved ability to concentrate
Answer: A. Sleeps soundly through the night
3. A male client with a fungal infection of the toenail reports to the nurse that he has been applying an over-
the-counter triple antibiotic ointment to the infection daily for two weeks without any improvement. Which
action should the nurse take?
A. Instruct the client to obtain a prescription for oral terbinafine
B. Suggest that the client use the ointment twice a day to be more effective
C. Reassure that the treatment of fungus-infected toenails often takes several months
D. Advise the client to obtain a prescription-strength formulation of the ointment
Answer: A. Instruct the client to obtain a prescription for oral terbinafine
4. A client with a nasogastric tube (NGT) has a prescription for sucralfate. The liquid form of the medication
is not currently available in the pharmacy and tablets have been delivered to the medication dispensing
system. Which action should the nurse include when administering the medication?
A. Crush the tablet and mix it with water separately from other medications
B. Crush the tablet and mix it with other crushed tablets diluted in water
C. Withhold the medication until a liquid form is available on the nursing unit
D. Crush the tablet and mix it with other liquid medications for administration
Answer: A. Crush the tablet and mix it with water separately from other medications
5. A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which
statement by the client indicates to the nurse that medication teaching was effective?
A. I should take this medication only when I am having an asthma attack
B. I will take the tablet every evening to control my asthma
C. This medication will stop an asthma attack immediately
D. I will not need to use my inhalers twice a day when I start this medication
Answer: B. I will take the tablet every evening to control my asthma
6. The nurse is planning to administer the antiulcer GI agent sucralfate to a client with peptic ulcer disease.
Which action should the nurse include in this client’s plan of care?
A. Assess for secondary Candida infection
B. Administer sucralfate once a day, preferably at bedtime
C. Give sucralfate on an empty stomach
D. Monitor for electrolyte imbalance
Answer: C. Give sucralfate once a day, preferably at bedtime
,HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS
2023 (55 Q&A) latest Graded A+
7. A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two
months ago. Which client finding best indicates that the medication is effective?
A. Reports of increased energy levels and decreased fatigue
, HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS
2023 (55 Q&A) latest Graded A+
B. Takes concurrent iron therapy without adverse effects
C. Food diary shows increased consumption of iron-rich foods
D. Hemoglobin level increased to 12 grams/dL (120 mmol/L)
Answer: D. Hemoglobin level increased to 12 grams/dL (120 mmol/L)
8. The healthcare provider prescribes propylthiouracil (PTU) and Lugol’s solution, a strong idoine solution,
for a client with hyperthyroidism. How should the nurse schedule the administration of these medications?
A. Administer iodine one hour before PTU
B. Offer both drugs together with a meal
C. Schedule both medications at bedtime
D. Give parental dose once every 24 hours
Answer: B. Offer both drugs together with a meal
9. Twenty minutes after the nurse starts a secondary IV infusion of cefepime 2 grams using an infusion pump
to deliver the dose in one hour, the client reports feeling nauseated. Which action should the nurse
implement?
A. Continue the infusion and administer a PRN antiemetic prescription
B. Stop the medication infusion and notify the healthcare provider of the adverse effect
C. Reassure the client that the nausea is not related to the IV infusion
D. Increase the rate of the infusion to complete the dose of the medication more rapidly
Answer: A. Continue the infusion and administer a PRN antiemetic prescription
10. A client with diabetic peripheral neuropathy, who has been taking pregabalin for 2 weeks reports
diminished foot pain. The nurse notes that there is no improvement in the healing of several toe ulcerations.
Which action should the nurse take?
A. Review the plan of care for strategies used to manage the foot ulcerations
B. Reassure the client that diabetic foot ulcers take several months to heal
C. Explain that the medication dosage will probably need to be increased
D. Withhold the next dose of the drug until the healthcare provider is notified
Answer: A. Review the plan of care for strategies used to manage the foot ulcerations
11. A client with type 2 diabetes mellitus who takes glimepiride by mouth daily calls the nurse to report a
recent onset of nausea, vomiting and diarrhea. Which response should the nurse provide?
A. Increases oral fluid intake until these symptoms subside.
B. Use insulin sliding scale until symptoms are resolved
C. Schedule a visit for evaluation by the healthcare provider
D. Return to the clinic for laboratory test for an infection
Answer: A. Increases oral fluid intake until these symptoms subside.
12. The healthcare provider increases a client’s prescription for glipizide 5mg to glipizide 7.5 mg by mouth
every 12 hours. The medication is available in 5 mg scored tablets. How many tablets should the nurse
administer with each dose?
Answer: 1.5
13. The nurse is administering the muscle relaxant baclofen PO to a client diagnosed with multiple sclerosis.
Which interventions should the nurse implement?
A. Advise the client to move slowly and cautiously when rising and walking
B. Ensure the client knows to stop baclofen before using other antispasmodics
C. Monitor intake and output every 8 hours
D. Evaluate muscle strength every 4 hours
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