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NR 293 HESI EVOLVE QUESTIONS.
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NR 293 EVOLVE QUESTIONSHESI
1. Which response best supports the observations that the nurse identifies in a client
who is experiencing a placebo effect?
Psychological response to inert medication
2. Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-
old child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching
plan for the parents of this child newly diagnosed with ADHD, which instruction is
most important for the nurse to provide to the parents?
Administer the medication in the morning before the child goes to school.
3. Which physiologic mechanism explains a drug's increased metabolism that is
triggered by a disease process?
Pharmacokinetics
4. The health care provider prescribes ipratropium (Atrovent) for a client. An allergic
reaction to which other medication would cause the nurse to question the
prescription for Atrovent?
Atropine sulfate (Atropine)
5. A 42-year-old client is admitted to the emergency department after taking an
overdose of amitriptyline (Elavil) in a suicide attempt. Which drug should the nurse
, plan to administer to reverse the cardiac & central nervous system effects of
amitriptyline (Elavil)?
Sodium bicarbonate
6. A client who is hypertensive receives a prescription for hydrochlorothiazide (HCTZ) –
thiazide diuretic cause potassium wasting in the urine. When teaching about
the side effects of this drug, which symptoms are most important for the nurse to
instruct the client to report?
Fatigue & muscle weakness
7. The nurse is preparing to apply a surface anesthetic agent for a client. Which action
should the nurse implement to reduce the risk of systemic absorption?
Avoid abraded skin areas when applying the anesthetic. – apply to the smallest
surface of intact skin
8. The health care provider prescribes cisplatin (Platinol) to be administered in 5%
dextrose & 0.45% normal saline with mannitol (Osmitrol) added. Which assessment
parameters would be most helpful to the nurse in evaluating the effectiveness of the
Osmitrol therapy?
Urine output
9. A 19-year-old male client who has sustained a severe head injury is intubated &
placed on assisted mechanical ventilation. To facilitate optimal ventilation & prevent
the client from "fighting" the ventilator, the health care provider administers
pancuronium bromide (Pavulon) IV, with adjunctive opioid analgesia. What
medication should the nurse maintain at the client's bedside?
Neostigmine bromide (Prostigmin)
10. The nurse is reviewing a client's laboratory results before a procedure in which a
neuromuscular blocking agent is a st&ing order. Which finding should the nurse
report to the health care provider?
Hypokalemia - Low potassium levels enhance the effects of neuromuscular
blocking agents
11. A female client with myasthenia gravis is taking a cholinesterase inhibitor & asks the
nurse what can be done to remedy her fatigue & difficulty swallowing. What action
should the nurse implement?
Develop a teaching plan for the client to self-adjust the dose of medication in
response to symptoms. - Clients should be taught to recognize signs of
overmedication & undermedication so that they can modify the dosage
themselves based on a prescribed sliding scale.
12. A client receives pancuronium (Pavulon), a long-acting, nondepolarizing
neuromuscular blocker, during surgical anesthesia. Which client situation should alert
the nurse to evaluate the client for a prolonged muscle relaxation response to this
medication?
Renal insufficiency
13. A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20
mg/2 mL. How many mL should be administered?
2.2 mL - (22 mg/20 mg) × 2 mL = 2.2 mL
14. A client is receiving oral griseofulvin (Grisactin) for a persistent tinea corporis
infection. Which response by the client indicates an accurate underst&ing of the drug
teaching conducted by the nurse?
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