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HESI PHARMACOLOGY EXAM 2023 QUESTIONS AND ANSWERS

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HESI PHARMACOLOGY EXAM 2023 QUESTIONS AND ANSWERS HESI PHARMACOLOGY EXAM 2023 QUESTIONS AND ANSWERS HESI PHARMACOLOGY EXAM 2023 QUESTIONS AND ANSWERS

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  • August 3, 2023
  • 185
  • 2023/2024
  • Exam (elaborations)
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HESI Pharmacology 2023 Test Bank



1. A nurse is caring for a client with hyperparathyroidism and

notes that the client's serum calcium level is 13 mg/dL. Which

medication should the nurse prepare to administer as prescribed

to the client?



1. Calcium chloride



2. Calcium gluconate



3. Calcitonin (Miacalcin)



4. Large doses of vitamin D 3. Calcitonin (Miacalcin)

Rationale:

The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is

experiencing hypercalcemia. Calcium gluconate and calcium chloride

are medications used for the treatment of tetany, which occurs as a

result of acute hypocalcemia. In hypercalcemia, large doses of

vitamin D need to be avoided. Calcitonin, a thyroid hormone,

decreases the plasma calcium level by inhibiting bone resorption and

lowering the serum calcium concentration.

, 2. The clinic nurse is performing an admission assessment on a client.

The nurse notes that the client is taking azelaic acid (Azelex). Because

of the medication prescription, the nurse would suspect that the client

is being treated for:



1. Acne



2. Eczema



3. Hair loss



4. Herpes simplex 1. Acne

Rationale:

Azelaic acid is a topical medication used to treat mild to moderate

acne. The acid appears to work by suppressing the growth of

Propionibacterium acnes and decreasing the proliferation of

keratinocytes. Options 2, 3, and 4 are incorrect.



3. Saquinavir (Invirase) is prescribed for the client who is human

immunodeficiency virus seropositive. The nurse reinforces medication

instructions and tells the client to:



1. Avoid sun exposure.



2. Eat low-calorie foods.

,3. Eat foods that are low in fat.



4. Take the medication on an empty stomach. 1. Avoid sun

exposure.

Rationale:



Saquinavir (Invirase) is an antiretroviral (protease inhibitor) used

with other antiretroviral medications to manage human

immunodeficiency virus infection. Saquinavir is administered with

meals and is best absorbed if the client consumes high-calorie, high-

fat meals. Saquinavir can cause photosensitivity, and the nurse

should instruct the client to avoid sun exposure.



4. Ketoconazole is prescribed for a client with a diagnosis of

candidiasis. Select the interventions that the nurse includes when

administering this medication. Select all that apply.



1. Restrict fluid intake.



2. Instruct the client to avoid alcohol.



3. Monitor hepatic and liver function studies.



4. Administer the medication with an antacid.

, 5. Instruct the client to avoid exposure to the sun.



6. Administer the medication on an empty stomach. 2. Instruct

the client to avoid alcohol.



3. Monitor hepatic and liver function studies.



5. Instruct the client to avoid exposure to the sun.

Rationale:

Ketoconazole is an antifungal medication. It is administered with food

(not on an empty stomach) and antacids are avoided for 2 hours after

taking the medication to ensure absorption. The medication is

hepatotoxic and the nurse monitors liver function studies. The client is

instructed to avoid exposure to the sun because the medication

increases photosensitivity. The client is also instructed to avoid alcohol.

There is no reason for the client to restrict fluid intake. In fact, this

could be harmful to the client.



6. A client with human immunodeficiency virus is taking nevirapine

(Viramune). The nurse should monitor for which adverse effects of the

medication? Select all that apply.



1. Rash

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