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Pharmacology Evolve HESI Exam Practice Questions and Answers |100% Pass A 19-year-old male client who has sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client from "fighting" the ventilator, the heal...

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




Pharmacology Evolve HESI Exam
Practice Questions and Answers |100%
Pass

A 19-year-old male client who has sustained a severe head injury is intubated and placed on assisted

mechanical ventilation. To facilitate optimal ventilation and prevent the client from "fighting" the

ventilator, the health care provider administers pancuronium bromide IV, with adjunctive opioid

analgesia. What medication should be immediately accessible for a potential complication with this

drug?




A. Dantrolene sodium


B. Neostigmine bromide


C. Succinylcholine bromide


D. Epinephrine - Answer✔✔-B. Neostigmine bromide




Neostigmine bromide and atropine sulfate, both anticholinergic drugs, reverse the respiratory muscle

paralysis caused by pancuronium bromide. Options A, C, and D are not antagonists to pancuronium

bromide and would not be helpful in reversing the effects of the drug compared with the use of

anticholinergics.



Page 1/84

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and acetaminophen elixir, 650 mg

PO every 4 hours PRN. The nurse calls the health care provider to report that the client has developed

diarrhea. Which change in prescriptions should the nurse anticipate?




A. Change the acetaminophen to ibuprofen.


B. Change the elixir to an injectable route.


C. Decrease the dose of vitamin C.


D. Begin treatment with an antibiotic. - Answer✔✔-C. Decrease the dose of vitamin C.


When providing nursing care for a client receiving pyridostigmine bromide for myasthenia gravis, which

nursing intervention has the highest priority?




A. Monitor the client frequently for urinary retention.


B. Assess respiratory status and breath sounds often.


C. Monitor blood pressure each shift to screen for hypertension.


D. Administer most medications after meals to decrease gastrointestinal irritation. - Answer✔✔-B. Assess

respiratory status and breath sounds often.


A client with a dislocated shoulder is being prepared for a closed manual reduction using conscious

sedation. Which medication should the nurse explain as a sedative used during the procedure?




Page 2/84

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


A.Inhaled nitrous oxide


B.Midazolam IV


C.Ketamine IM


D.Fentanyl and droperidol IM - Answer✔✔-B. Midazolam IV


A client is being discharged with a prescription for sulfasalazine to treat ulcerative colitis. Which

instruction should the nurse provide to this client prior to discharge?




A. Maintain good oral hygiene.


B. Take the medication 30 minutes before a meal.


C. Discontinue use of the drug gradually.


D. Drink at least eight glasses of fluid a day. - Answer✔✔-D. Drink at least eight glasses of fluid a day.


The health care provider prescribes carbamazepine for a child whose tonic-clonic seizures have been

poorly controlled. The nurse informs the mother that the child must have blood tests every week. The

mother asks why so many blood tests are necessary. Which complication is assessed through frequent

laboratory testing that the nurse should explain to this mother?




A. Nephrotoxicity


B. Ototoxicity


C. Myelosuppression

Page 3/84

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


D.Hepatotoxicity - Answer✔✔-C. Myelosuppression




Myelosuppression is the highest priority complication that can potentially affect clients managed with

carbamazepine therapy. The client requires close monitoring for this condition by weekly laboratory

testing. Hepatic function may be altered, but this complication does not have as great a potential for

occurrence as option C. Options A and B are not typical complications of carbamazepine therapy.


When developing a written nursing care plan for a client receiving chemotherapy for treatment of

cancer, the nurse writes, "Assess each voiding for hematuria." The administration of which type of

chemotherapeutic agent would prompt the nurse to add this intervention?




A. Vincristine


B. Bleomycin sulfate


C. Chlorambucil


D. Cyclophosphamide - Answer✔✔-D. Cyclophosphamide




Hemorrhagic cystitis is the characteristic adverse reaction of cyclophosphamide. Administration of

options A, B, and C does not typically cause hemorrhagic cystitis.


A client is receiving oral griseofulvin for a persistent tinea corporis infection. Which response by the

client indicates an accurate understanding of the drug teaching conducted by the nurse?




Page 4/84

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