HESI Pharmacology Exam Practice
Questions with Correct Solutions
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?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D - correct answers:3. Calcitonin (Miacalcin)
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?
1. Milk
2. Water
3. Apple juice
4. Orange juice - correct answers:4.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?
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:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
,4. At least 30 minutes before exposure to the sun - correct answers:4. 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?
1. Notifying the registered nurse
2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site - correct answers:3. Informing the client that
this is normal
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?
1.Hyperventilation
2.Elevated blood pressure
3.Local pain at the burn site
4.Local rash at the burn site - correct answers:1.hyperventiation
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?
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count - correct answers:2. Triglyceride level
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. Vitamin A
2. Digoxin (Lanoxin)
,3. Furosemide (Lasix)
4. Phenytoin (Dilantin) - correct answers:1. Vitamin A
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?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands - correct answers:2. Axilla
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:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex - correct answers:1. Acne
11.) The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial-
thickness 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?
1. "The medication is an antibacterial."
2. "The medication will help heal the burn."
3. "The medication will permanently stain my skin."
4. "The medication should be applied directly to the wound." - correct answers:3. "The medication will
permanently stain my skin
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?
, 1. Notify the registered nurse.
2. Administer pain medication to reduce the discomfort.
3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion. - correct answers:1. Notify the registered
nurse.
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?
1. Echocardiography
2. Electrocardiography
3. Cervical radiography
4. Pulmonary function studies - correct answers:4. 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?
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?
16.) The clinic nurse is reviewing a teaching plan for the client receiving an antineoplastic medication.
When implementing the plan, the nurse tells the client:
1. To take aspirin (acetylsalicylic acid) as needed for headache
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