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Pharmacology Evolve HESI EXAM NEWEST, 2024/ 2025, ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A

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Pharmacology Evolve HESI EXAM NEWEST, 2024/ 2025, ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A

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  • November 21, 2024
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  • 2024/2025
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Pharmacology Evolve HESI EXAM NEWEST, 2024/ 2025,
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A


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.



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?



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

, 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.

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