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Pharm 250 practice hesi exam Questions and Correct Answers.
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Pharm 250 practice hesi exam Questionsand Correct Answers
1) An emergency department triage nurse is interviewing a female client who has a history of epilepsy
with tonic-clonic seizures controlled by phenytoin (Dilantin). Which information is most significant in
planning this client's care? - correct answers:She ran out of her medication 4 days ago
2) The nurse should instruct the client to avoid which product while taking carisoprodol (Soma) for
muscle spasms? - correct answers:Alcoholic beverages
3) A client calls the clinic and states that she forgot to take her oral contraceptives for the past two days.
Which instruction is best for the nurse to provide to this client? - correct answers:Take 2 pills a day for 2
days and use an alternate method of contraception for 7 days
4) A 48-year old client is experiencing a severe anaphylactic reaction to an injection of contrast media.
What pharmacological agent is of greatest use in this situation? - correct answers:Epinephrine
(Adrenaline)
5) A resident of a long-term care facility is taking lithium carbonate (Eskalith) to treat bipolar disorder.
Which instruction should the nurse provide to this client's caregivers? - correct answers:Report
symptoms of hypothyroidism such as fatigue and constipation
6) A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months postpartum. The
prescription is written for metronidazole (Flagyl). Which information is most important for the nurse to
obtain from the client before initiating treatment? - correct answers:Method of infant feeding
7) The client with Paget's disease is started on calcitonin (Calcimar) 500 mcg subcutaneously daily.
During the initial treatment, what is the priority nursing action? - correct answers:Observed the client for
signs of hypersensitivity
8) when assessing a client prior to the administration of digoxin (Lanoxin), which data is most important
for the nurse to consider? - correct answers:Irregular apical pulse with a rate of 87
, 9) A healthcare provider prescribes pyridostigmine bromide (Mestinon) tablets for a client with
myasthenia gravis (MD). What instruction should the nurse provide this client? - correct answers:Take
the medication 30 to 45 minutes before eating
10) A client is admitted for atrial fibrillation, and the healthcare provider prescribes disopyramide
(Norpace). After explaining the action of this antidysrhythmic agent, which complaint should the nurse
instruct the client to report? - correct answers:Dailey weight gain of 2 pounds
11) The nurse received a unit of blood from the blood bank for a postoperative client who is currently in
the x-ray department. What action should the nurse implement? - correct answers:Return the blood the
blood bank for refrigeration within 30 minutes
12) What action should the nurse implement to provide analgesic titration for a patient in pain? - correct
answers:Determine the optimal analgesic dosage required that causes the least side effects.
13) What pathophysiological action supports the expected outcome for a client with chronic cancer pain
who is treated with imipramine (Tofranil) a tricyclic antidepressant? - correct answers:Decreases
transmission of pain impulses by altering serotonin and norepinephrine activity at
nerve synapses.
Rationale: Tricyclic antidepressants reduce neuropathic pain due to cancer invasion by blocking the
reuptake of serotonin and norepinephrine in the CNS, and thereby inhibit pain transmission in the spinal
cord dorsal horn, which are part of the deciding pain-modulating system.
14) A client receives a new prescription for pentazocine (Talwin), a mixed opioid agonist-antagonist, after
an opioid agonist is discontinued. What is the advantage for the client when the new prescription is
implemented? - correct answers:Respiratory depression is less
15) A client is receiving fentanyl via an epidural infusion. Which side effect should the nurse anticipate in
the first 24 hours of epidural analgesia? - correct answers:Urinary retention
16) A male client who is in the terminal stage of cancer is cared for at home by his family and receives a
prescription for morphine at a rate to control intractable pain. When the hospice nurse visit, the client
awakens, moans in severe pain, and ask for an increase in the morphine dosage. After determining the
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