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2024 PHARM HESI PRACTICE EXAM WITH CORRECT ANSWERS
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2024 PHARM HESI PRACTICE EXAM WITH CORRECT ANSWERS
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2024 PHARM HESI PRACTICEEXAM WITH CORRECT ANSWERS
A postoperative client receiving a continuous IV infusion of meperidine 35
mg/hr for the past four days has become increasingly restless and irritable,
and begins to hallucinate. Which action should the nurse take first?
A. Administer a PRN dose of the PO lithium.
B. Administer naloxone IV push.
C. Decrease the IV infusion rate of the meperidine.
D. Increase the IV infusion rate of the meperidine. - CORRECT-ANSWERSC.
Decrease the IV infusion rate of the meperidine.
A client being discharged is prescribed warfarin for the treatment following a
pulmonary embolism. Which diagnostic test should the nurse instruct the
client to receive once a month?
A. Perfusion scan.
B. Prothrombin Time (PT).
C. Activated partial thromboplastin (aPTT).
D. Serum Coumadin level (SCL). - CORRECT-ANSWERSB. Prothrombin Time
(PT).
A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet).
Which observation by the nurse would indicate that the desired outcome of
the medication is being achieved?
A. Decreased blood pressure.
B. Lessening of tremors.
C. Increased salivation.
D. Increased attention span. - CORRECT-ANSWERSB. Lessening of tremors.
A client being treated for hyperthyroidism with propylthiouracil (PTU) asks
the nurse how the medication works. Which is the best response to give the
client?
A. It decreases the amount of thyroid-stimulating hormone circulating in the
blood.
B. It increases the amount of thyroid-stimulating hormone circulating in the
blood.
,C. It enhances the amount of T4 and diminishes the amount of T3 produced
by the thyroid.
D. It inhibits the synthesis of T3 and T4 by the thyroid gland. - CORRECT-
ANSWERSD. It inhibits the synthesis of T3 and T4 by the thyroid gland.
A client with heart failure is being discharged with a new prescription for the
angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The
nurse's discharge instructions should include reporting which problem to the
healthcare provider?
A. Weight loss.
B. Dizziness.
C. Muscle cramps.
D. Dry mucous membranes. - CORRECT-ANSWERSB. Dizziness.
Following the administration of sublingual nitroglycerin to a client
experiencing an acute anginal attack, which assessment finding indicates to
the nurse that the desired effect has been achieved?
A. Client states chest pain is relieved.
B. Client's pulse decreases from 120 to 90.
C. Client's systolic blood pressure decreases from 180 to 90.
D. Client's SaO2 level increases from 92% to 96%. - CORRECT-ANSWERSA.
Client states chest pain is relieved.
The healthcare provider prescribes digitalis (Digoxin) for a client diagnosed
with heart failure. Which intervention should the nurse implement prior to
administering the digoxin?
A. Observe respiratory rate and depth.
B. Assess the serum potassium level.
C. Obtain the client's blood pressure.
D. Monitor the serum glucose level. - CORRECT-ANSWERSB. Assess the
serum potassium level.
In evaluating the effects of lactulose (Cephulac), which outcome would
indicate that the drug is performing as intended?
A. An increase in urine output.
B. Two or three soft stools per day.
C. Watery, diarrhea stools.
D. Increased serum bilirubin. - CORRECT-ANSWERSB. Two or three soft stools
per day.
, A client is prescribed aluminum hydroxide for peptic ulcer disease. Which
statement by the client demonstrates an understanding of the action of the
medication?
A. It decreases the production of gastric secretions.
B. It produces an adherent barrier over the ulcer.
C. It helps maintain a gastric pH of 3.5 or above.
D. It slows down the gastric motor activity. - CORRECT-ANSWERSC. It helps
maintain a gastric pH of 3.5 or above.
The nurse is caring for a client who has taken atenolol for 2 years. The
healthcare provider recently changed the medication to enalapril to manage
the client's blood pressure. Which instruction should the nurse provide the
client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair. - CORRECT-ANSWERSD. Rise
slowly when getting out of bed or chair.
A female client calls the clinic and talks with the nurse to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having
vaginal discomfort, itching, and a white discharge. The nurse should discuss
which action with the client?
A. Discontinue the antibiotic because original symptoms have subsided.
B. Continue taking medication until finished until the symptoms subside.
C. Consult with healthcare provider about another treatment for this effect.
D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions. -
CORRECT-ANSWERSC. Consult with healthcare provider about another
treatment for this effect.
The nurse is making early morning rounds on a group of clients when a client
begins exhibiting symptoms of an acute asthma attack. The nurse
administers a PRN prescription for a Beta 2 receptor agonist agent. Which
client response should the nurse expect?
A. Tachycardia.
B. Increased blood pressure.
C. Rapid resolution of wheezing.
D. Improved pulse oximetry values.
E. Reduce fever airway inflammation. - CORRECT-ANSWERSC, D
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