, HESI PN PHARMACOLOGY PROCTORED EXAM
VERSION 1
A nurse is administering subcutaneous heparin to a client who is at risk for
deep vein thrombosis. Which of the following actions should the nurse take?
1. Administer the medication into the client's abdomen.
2. Inject the medication into a muscle.
3. Massage the site after administering the medication.
4. Use a 22-gauge needle to administer the medication.
A nurse is providing teaching to a client who has a urinary tract infection and
new prescriptions for phenazopyridine and ciprofloxacin. Which of the
following statements by the client indicates the need for further teaching?
1. "If the phenazopyridine upsets my stomach, I can take it with meals."
2. "The phenazopyridine will relieve my discomfort, but the ciprofloxacin will
get rid of the infection."
3. "I need to drink 2 liters of fluid per day while I am taking the
ciprofloxacin."
4. "I should notify my provider immediately if my urine turns an
orange color."
A nurse is providing teaching to a group of new parents about medications.
The nurse should include that aspirin is contraindicated for children who
have a viral infection due to the risk of developing which of the following
adverse effects?
1. Reye's syndrome
2. Visual disturbances
3. Diabetes mellitus
4. Wilms' tumor
A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to
infuse over 8 hr. The drop factor or the manual IV tubing is 10 gtt/mL. The
nurse should set the manual IV infusion to deliver how may gtt/min? (Round
the answer to the nearest whole number).
1 hr/60 min = 8 hr/X min
X = 480 min
1,000 mL/480 min x 10 gtt/mL = X gtt/min
X = 20.833 21 gtt/ min
A nurse is caring for a client who has a new prescription for tamoxifen. The
nurse should recognize that tamoxifen has which of the following therapeutic
effects? ?
1. Antiestrogenic
2. Antimicrobial
3. Androgenic
4. Anti-inflammatory
A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2
equal doses daily to a toddler who weighs 22 lb. How many mg should the
nurse administer per dose? (Round the answer to the nearest whole number)
,2.2 lb/1 kg = 22 lb/X kg
X = 10 kg
4 mg x 10 kg = 40 mg/day
20mg
A nurse is assessing a client who is receiving IV gentamicin three times daily.
Which of the following findings indicates that the client is experiencing an
adverse effect of this medication?
1. Hypoglycemia
2. Proteinuria
3. Nasal congestion
4. Visual disturbances
A nurse is providing teaching to a client who has cirrhosis and a new
prescription for lactulose. The nurse should instruct the client that lactulose
has which of the following therapeutic effects?
1. Increases blood pressure
2. Prevents esophageal bleeding
3. Decreases heart rate
4. Reduces ammonia levels
A nurse is providing teaching to a newly licensed nurse about
metoclopramide. The nurse should include in the teaching that which of the
following conditions is a contraindication to this medication?
1. Hyperthyroidism
2. Intestinal obstruction
3. Glaucoma
4. Low blood pressure
A nurse is teaching a newly licensed nurse about contraindications to
ceftriaxone. The nurse should include a severe allergy to which of the
following medications is a contraindication to ceftriaxone?
1. Gentamicin
2. Clindamycin
3. Piperacillin
4. Sulfamethoxazole-trimethoprim
A nurse is caring for a client who has a new diagnosis of oral candidiasis
after taking tetracycline for 7 days. The nurse should recognize that
candidiasis is a manifestation of which of the following adverse effects?
1. Allergic response
2. Superinfection
3. Renal toxicity
4. Hepatotoxicity
A nurse is reviewing the laboratory values for a client who is receiving a
continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the
following actions should the nurse prepare to take?
1. Administer vitamin K
, 2. Reduce the infusion rate
3. Give the client a low-dose aspirin
4. Request an INR
Final practice
a nurse is planning to administer diltiazem via IV bolus to a client who has
atrial fibrillation. When assessing the client, the nurse should recognize that
which of the following findings is a contraindication to administration of
diltiazem?
hypotension
tachycardia
decreased level of consciousness
history of diuretic use
a nurse is planning to administer epoetin alfa to a client who has chronic
kidney failure. Which of the following data should the nurse plan to review
prior to administration of this medication ?
blood pressure
temperature
blood glucose levels
total protein levels
a nurse is providing discharge teaching to a client who has heart failure and
a new prescription for digoxin 0.215 mg PO daily and furosemide 20 mg PO
daily. Which of the following statements by the client indicates an
understanding of the teaching ?
"I know that blurred vision is something I will expect to happen while taking
digoxin."
"I will measure my urine output each day and document it in my diary."
"I will skip a dose of my digoxin if my resting heart rate is below 72 beats per
minute."
"I will eat fruits and vegetables that have high potassium content
every day."
a nurse is preparing to administer iron dextran IV to a client. Which of the
following actions should the nurse plan to take?
administer a small test dose before giving the full dose
infuse the medication over 30 seconds
monitor client closely for hypertension
administer cyanocobalamin as an antidote if toxicity occurs
A nurse is administering insulin glulisine 10 units subcutaneously at 0730 to
an adolescent client who has type 1 diabetes mellitus. The nurse should
anticipate onset of action of the insulin at which of the following times?
Insulin glulisine has a very short onset of action of 15 min. The nurse should
expect the onset of action around 0745 and ensure the client eats breakfast
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