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HESI: NUR 100/ NUR100 (Latest 2025/ 2026 Update) Pharmacology Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Fortis

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HESI: NUR 100/ NUR100 (Latest 2025/ 2026 Update) Pharmacology Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Fortis QUESTION A client with metastatic cancer who has been receiving fentanyl for several weeks reports to the nurse that the medication is not effectively controlling the pain. Which action should the nurse initiate? Answer: Clients can develop a tolerance to the analgesic effect of opioids and may require an increased dose for effective long-term pain relief. QUESTION Methylphenidate (Ritalin) Answer: treats ADHD important teaching: Administer before meals breakfast and lunch 6 hour intravals QUESTION lovastatin / Antilipemic Answer: metabolizes cholesterol important teaching: take at night when cholesterol metabolizes in the body QUESTION hydromorphone (agonist) via a patient-controlled analgesia (PCA) pump. Which finding requires immediate nursing action? Answer: Hydromorphone is an opioid agonist-analgesic of opiate receptors that inhibits ascending pathways and can cause respiratory depression. Older adults are more sensitive to opioids so the "start low and go slow" approach should be taken. QUESTION Haloperidol antipsychotic Answer: Tourette syndrome report dizziness when changing positions which is a sign of dehydrations so nurse should assess skin and urine wear sunblock and sunglasses QUESTION Atropine Sulfate anticholinergic Answer: Anticholinergic drugs, such as atropine, have antispasmodic and antisecretory properties, which relax the gastrointestinal tract, and are therefore contraindicated in a client with intestinal atony. Determine the presence of 5-35 bowel sounds/min. QUESTION Atropine Sulfate Answer: drys up oral secretions during surgical procedures use as first line defense in sinus bradycardia 0.5mg every 3-5 minutes as needed MAX is 3mg ( think alive gets 0.5) do not use if hypothermia QUESTION Tertracyclines Answer: dont use with Sucralfate oral contraceptives may not be effective QUESTION Venafaxine (Effexor) Answer: can not crush pill antidepressant, antianxiety QUESTION Loperamide (Imodium) antidiarrheal Answer: can cause dehydration ask PT when they last voided QUESTION Antidote for benzodiazepines Answer: Flumazenil QUESTION postoperative infection. Which complaint should alert the nurse to the possibility that the client has contracted a superinfection? Answer: Stomatitis caused by a thrush infection, which can cause mouth pain, is a sign of superinfection. "My mouth is sore" QUESTION During therapy with isoniazid, it is most important for the nurse to monitor which laboratory value closely? Answer: liver enzymes QUESTION glucocorticoid methylprednisolone. Which assessment finding reflects a problem related to this medication that should be included in the care plan? Answer: Corticosteroids depress the immune system, so high temperature needs to be monitored QUESTION The nurse has completed diabetic teaching for a client who was newly diagnosed with diabetes mellitus. Which statement by this client would indicate to the nurse that further teaching is needed? Answer: Exercise helps facilitate the entry of glucose into the cell, so increasing insulin doses with exercise would place the client at high risk for a hypoglycemic reaction QUESTION A client has started long-term corticosteroid therapy tells the nurse that the daily dose will be taken at bedtime with a snack of crackers and milk. Which is the best response by the nurse? Answer: Daily doses of long-term corticosteroid therapy should be administered in the morning to coincide with the body's normal secretion of cortisol. QUESTION The nurse is preparing a teaching plan for a client who has received a new prescription for levothyroxine sodium. Which instruction should be included? Answer: Levothyroxine sodium should be withheld if the pulse is over 100 beats/min. To prevent insomnia, the daily dose should be taken early in the morning before breakfast, not at bedtime. QUESTION

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HESI:l NURl 100/l NUR100l (Latestl 2025/l
2026l Update)l Pharmacologyl Review|l
Questionsl &l Answers|l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Fortis

Q:l Al clientl withl metastaticl cancerl whol hasl beenl receivingl fentanyll forl severall weeksl
reportsl tol thel nursel thatl thel medicationl isl notl effectivelyl controllingl thel pain.l Whichl
actionl shouldl thel nursel initiate?

Answer:
Clientsl canl developl al tolerancel tol thel analgesicl effectl ofl opioidsl andl mayl requirel anl
increasedl dosel forl effectivel long-terml painl relief.



Q:l Methylphenidatel (Ritalin)
Answer:
treatsl ADHDl
importantl teaching:l Administerl beforel mealsl breakfastl andl lunchl 6l hourl intravals



Q:l lovastatinl /l Antilipemic
Answer:
metabolizesl cholesteroll
importantl teaching:l takel atl nightl whenl cholesteroll metabolizesl inl thel body



Q:l hydromorphonel (agonist)l vial al patient-controlledl analgesial (PCA)l pump.l Whichl
findingl requiresl immediatel nursingl action?

Answer:
Hydromorphonel isl anl opioidl agonist-analgesicl ofl opiatel receptorsl thatl inhibitsl ascendingl
pathwaysl andl canl causel respiratoryl depression.l Olderl adultsl arel morel sensitivel tol
opioidsl sol thel "startl lowl andl gol slow"l approachl shouldl bel taken.

,Q:l Haloperidoll antipsychotic
Answer:
Tourettel syndromel
reportl dizzinessl whenl changingl positionsl whichl isl al signl ofl dehydrationsl sol nursel
shouldl assessl skinl andl urine
wearl sunblockl andl sunglasses



Q:l Atropinel Sulfatel anticholinergic
Answer:
Anticholinergicl drugs,l suchl asl atropine,l havel antispasmodicl andl antisecretoryl properties,l
whichl relaxl thel gastrointestinall tract,l andl arel thereforel contraindicatedl inl al clientl withl
intestinall atony.
Determinel thel presencel ofl 5-35l bowell sounds/min.



Q:l Atropinel Sulfate
Answer:
drysl upl orall secretionsl duringl surgicall procedures

usel asl firstl linel defensel inl sinusl bradycardia

0.5mgl everyl 3-5l minutesl asl neededl MAXl isl 3mgl (l thinkl alivel getsl 0.5)

dol notl usel ifl hypothermia



Q:l Tertracyclines
Answer:
dontl usel withl Sucralfate

orall contraceptivesl mayl notl bel effective



Q:l Venafaxinel (Effexor)

,Answer:
canl notl crushl pilll
antidepressant,l antianxiety



Q:l Loperamidel (Imodium)l antidiarrheal
Answer:
canl causel dehydrationl askl PTl whenl theyl lastl voided



Q:l Antidotel forl benzodiazepines
Answer:
Flumazenil



Q:l postoperativel infection.l Whichl complaintl shouldl alertl thel nursel tol thel possibilityl
thatl thel clientl hasl contractedl al superinfection?

Answer:
Stomatitisl causedl byl al thrushl infection,l whichl canl causel mouthl pain,l isl al signl ofl
superinfection.l "Myl mouthl isl sore"



Q:l Duringl therapyl withl isoniazid,l itl isl mostl importantl forl thel nursel tol monitorl whichl
laboratoryl valuel closely?

Answer:
liverl enzymes



Q:l glucocorticoidl methylprednisolone.l Whichl assessmentl findingl reflectsl al probleml
relatedl tol thisl medicationl thatl shouldl bel includedl inl thel carel plan?

Answer:
Corticosteroidsl depressl thel immunel system,l sol highl temperaturel needsl tol bel monitored

, Q:l Thel nursel hasl completedl diabeticl teachingl forl al clientl whol wasl newlyl diagnosedl
withl diabetesl mellitus.l Whichl statementl byl thisl clientl wouldl indicatel tol thel nursel thatl
furtherl teachingl isl needed?

Answer:
Exercisel helpsl facilitatel thel entryl ofl glucosel intol thel cell,l sol increasingl insulinl dosesl
withl exercisel wouldl placel thel clientl atl highl riskl forl al hypoglycemicl reaction



Q:l Al clientl hasl startedl long-terml corticosteroidl therapyl tellsl thel nursel thatl thel dailyl
dosel willl bel takenl atl bedtimel withl al snackl ofl crackersl andl milk.l Whichl isl thel bestl
responsel byl thel nurse?

Answer:
Dailyl dosesl ofl long-terml corticosteroidl therapyl shouldl bel administeredl inl thel morningl
tol coincidel withl thel body'sl normall secretionl ofl cortisol.



Q:l Thel nursel isl preparingl al teachingl planl forl al clientl whol hasl receivedl al newl
prescriptionl forl levothyroxinel sodium.l Whichl instructionl shouldl bel included?

Answer:
Levothyroxinel sodiuml shouldl bel withheldl ifl thel pulsel isl overl 100l beats/min.l Tol
preventl insomnia,l thel dailyl dosel shouldl bel takenl earlyl inl thel morningl beforel breakfast,l
notl atl bedtime.



Q:l Whichl classl ofl antineoplasticl chemotherapyl agentsl resemblesl thel essentiall elementsl
requiredl forl DNAl andl RNAl synthesisl andl inhibitsl enzymesl necessaryl forl cellularl
functionl andl replication?

Answer:
Antimetabolitesl exertl theirl actionl byl inhibitingl thel enzymesl necessaryl forl cellularl
functionl andl replication.



Q:l Al 4-year-oldl childl isl receivingl chemotherapyl forl acutel lymphocyticl leukemia.l
Whichl laboratoryl resultl shouldl thel nursel examinel tol assessl thel child'sl riskl forl infection?

Answer:
Neutrophill count

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