HESI Pharmacology Nightingale College Fall 2024/25 practise questions
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Course
BSN 315
Institution
BSN 315
HESI Pharmacology is a key part of the training at Nightingale College, providing students with a comprehensive understanding of pharmaceutical fundamentals.
HESI Pharmacology Nightingale College Fall 2024/25 practise questions
1. A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for
PE. Which information in the client's history requiresfollow up by the nurse?: Takes metformin
hydrochloride for type 2 DM.
2. A client diagnosed with MS who self-administers beta 1 a interferon, reports feeling increasingly
depressed. Which action should the nurse implement?: - Notify the healthcare provider of the findings
immediately.
3. Before administering the initial dose of sumatriptan succinate to a clientwith a migraine
headache. It is most important to determine if the client's history includes which problem?: CAD
4. A client receives a prescription for ciprofloxacin 400 mg intravenously (IV)every 12 hours which is
to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5%in water (D5W)
200mL. How many mL/hrshould the nurse program the infusion pump to deliver?: 200
5. Before administering a laxative to a bedfast client it is most important for the nurse to perform which
assessment?: Determine the frequency and consistencyof bowel movements.
6. Hormone replacement therapy with levothyroxine sodium is prescribed fora client with
hypothyroidism. The nurse should instruct the client to report which symptom because it indicates
that the client is taking too much of thehormonal agent levothyroxine sodium?: Restlessness
7. A male client reports to the nurse that he is experiencing gastrointestinal distress from a high
dose of a corticosteroid and is planning to stop taking the medication. In response to the client's
statement which nursing action ismost important for the nurse to implement?: Advise the client
that medication should be gradually stopped rather than abruptly.
8. A client is receiving pilocarpine hydrochloride ophthalmic drops for glau-coma. The client calls
the clinic nurse and reports difficulty seeing at night.Which explanation should the nurse
provide?: The eye drops slow pupil re- sponse to accommodate for darkness
9. A client is receiving rifampin an antitubercular medication.Which statementby this client should
prompt the nurse to notify the healthcare provider of a potential problem?: Reports that the sclera
are yellow.
10. Which action should the nurse implement to assess the effectiveness ofthe Calcium channel
blocker amlodipine?: Measure the client's BP.
11. A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours
for several days. Which observation by the nurseindicates that the client may be experiencing an
adverse effect of gentam- icin?: Hearing has decreased.
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, HESI Pharmacology Nightingale College Fall 2024/25 practise questions
12. An older adult client with restless legs syndrome begins taking melatonin at bedtime. When
evaluating the effectiveness of the herb which assessment should the nurse complete?: Determine
sleep patterns.
13. The nurse prepares to administer a scheduled dose of labetalol by mouthto a client with HTN.
The client's V/Signs are temp 99% (37.2*C) heart rate 48beats/ minute RR 16 breaths/min and BP
150/90 mm/Hg. Which action shouldthe nurse take?: Withhold the scheduled dose and notify the
healthcare provider.
14. The nurse is planning discharge teaching for a client with DM who has a new prescription for
insulin glargine. Which action should the nurse plan to include in the discharge teaching?: Teach the
client self-injection skills for dailysubcutaneous administration.
15. The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and is now
prescribed adalimumab. Which instructions should thenurse provide the client?: Have a chest x
ray prior to your first dose.
16. The nurse provide discharge instructions to a client who has been pre-scribed gabapentin
300 mg by mouth three times a day for post herpetic neuralgia. Which symptoms should the
nurse tell the client to report to thehealthcare provider?: Gastric irritation
17. To evaluate the effectiveness of a client's prescription for rosuvastatinwhich action should
the nurse implement?: Obtain the client's HR, and BP.
18. A client receives a prescription for itraconazole. Which information pro-vided by the client
requires additional instruction by the nurse?: Take the medication with antacids.
19. The nurse is preparing a client with COPD and chronic productive cough for discharged home.
Which prescribed medication should the nurse review with the client to manage this symptom?:
Guaifenesin
20. When caring for a client with diabetes insipidus who is receiving an antidiuretic hormone
intranasally which serum lab test is most important forthe nurse to monitor?: Osmolality
21. A client is receiving tamsulosin an alpha adrenergic - blocking agent for themanagement of urinary
retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the
nurse to provide?: Stand and sit upslowly.
22. A client with chemotherapy induced nausea receives a prescription formetoclopramide.
Which adverse effect is most important for the nurse to report?: Involuntary movements
23. A client is receiving orlistat as part of a weight management program. Which ongoing
assessment should be included in the plan of care to deter-mine the effectiveness of the
medication?: Body mass index
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