In NP1, Please FOCUS on the following:
1. Types of leadership: Autocratic, Laissez faire, Democratic, transformational, transactional etc. etc.
2. Pattern of Nursing care: Primary nursing, case nursing, functional, team etc.
3. Expanded Nursing role: Nurse anesthetist, Nurse practitioner, Nurse ...
HESI Pharmacology Exam Practice
1) A nurse is caring for a client with hyperparathyroidism and notes that the client's serum
calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as
prescribed to the client?
A. Calcium chloride C. Calcitonin (Miacalcin)
B. Calcium gluconate D. Large doses of vitamin D
2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The
nurse instructs the mother to administer the iron with which best food item?
A. Milk B. Water C. Apple juice D. Orange juice
3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the
client, knowing that which of the following would indicate the presence of systemic toxicity from
this medication?
A. Tinnitus B. Diarrhea C. Constipation D. Decreased
respirations
4.) The camp nurse asks the children preparing to swim in the lake if they have applied
sunscreen. The nurse reminds the children that chemical sunscreens are most effective when
applied:
A. Immediately before swimming C. Immediately before exposure to the sun
B. 15 minutes before exposure to the sun D. At least 30 minutes before exposure to
the sun
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying
the medication, the client complains of local discomfort and burning. Which of the following is
the most
appropriate nursing action?
A. Notifying the registered nurse
B. Discontinuing the medication
C. Informing the client that this is normal
D. Applying a thinner film than prescribed to the burn site
6.) The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of
injury. The nurse monitors the client, knowing that which of the following indicates that a
systemic effect has occurred?
A.Hyperventilation C.Local pain at the burn site
B.Elevated blood pressure D.Local rash at the burn site
7.) Isotretinoin is prescribed for a client with severe acne. Before the administration of this
medication, the nurse anticipates that which laboratory test will be prescribed?
A. Platelet count C. Complete blood count
B. Triglyceride level D. White blood cell count
8.) A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes
isotretinoin. The nurse reviews the client's medication record and would contact the (HCP) if the
client is taking which medication?
1
, FOR REVIEW PURPOSE
A. Vitamin A B. Digoxin (Lanoxin) C. Furosemide (Lasix) D. Phenytoin
(Dilantin)
9.) The nurse is applying a topical corticosteroid to a client with eczema. The nurse would
monitor for the potential for increased systemic absorption of the medication if the medication
were being applied to which of the following body areas?
A. Back B. Axilla C. Soles of the feet D.
Palms of the hands
10.) The clinic nurse is performing an admission assessment on a client. The nurse notes that
the client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse
would suspect that
the client is being treated for:
A. Acne B. Eczema C. Hair loss D. Herpes
simplex
11.) The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a
partialthickness burn, which has cultured positive for gram-negative bacteria. The nurse is
reinforcing
information to the client about the medication. Which statement made by the client indicates a
lack
of understanding about the treatments?
A. "The medication is an antibacterial."
B. "The medication will help heal the burn."
C. "The medication will permanently stain my skin."
D. "The medication should be applied directly to the wound."
12.) A nurse is caring for a client who is receiving an intravenous (IV) infusion of an
antineoplastic medication. During the infusion, the client complains of pain at the insertion site.
During an inspection of the site, the nurse notes redness and swelling and that the rate of
infusion of the medication has slowed. The nurse should take which appropriate action?
A. Notify the registered nurse.
B. Administer pain medication to reduce the discomfort.
C. Apply ice and maintain the infusion rate, as prescribed.
D. Elevate the extremity of the IV site, and slow the infusion.
13.) The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously.
The
nurse caring for the client anticipates that which diagnostic study will be prescribed?
A. Echocardiography C. Cervical radiography
B. Electrocardiography D. Pulmonary function studies
14.) The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which
laboratory value would the nurse specifically monitor during treatment with this medication?
A. Clotting time C. Potassium level
B. Uric acid level D. Blood glucose level
15.) The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse
who is assisting in caring for the client during its administration understands that which side
effect is specifically associated with this medication?
A. Alopecia C. Pulmonary fibrosis
2
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