Exam (elaborations)
HESI Milestone #3 (Pharmacology) with 100% answers
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HESI Milestone #3 (Pharmacology) with 100% answers
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Name: Score:77 Multiple choice questions
Term
Atenolol (Tenormin) is prescribed for a pt. The RN realizes that this drug is a beta-adrenergic
blocker and that this drug class is contraindicated for pt's with which of the following conditions?
Hypothyroidism
Angina pectoris
Cardiogenic shock
Liver dysfunction1 of 77
Term
The RN suspects that a pt has had an adverse rxn to a prescribed med. Which action should the
RN take first?
Determine how long the pt has been taking the med
Notify the HCP who prescribed the med
Complete a focused ROS for the pt
Review the half-life of the med in a drug guide2 of 77
Term
A burn pt is receiving topical mafenide acetate (Sulfamylon) to the site of injury. The RN monitors
the pt for which of the following that indicates systemic effect has occurred?
Hyperventilation
HTN
Local pain at burn site
Local rash at burn site3 of 77 Term
A pt was given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic). The RN should
monitor for which condition?
Decreased pulse
Pupil constriction
Bronchial constriction
Increased BP4 of 77
Term
The RN realizes that beta-1 receptor stimulation is differentiated from beta-2 stimulation in that
stimulation of beta-1 receptors leads to which of the following?
Increased bronchodilation
Decreased uterine contractility
Increased myocardial contractility
Decreased blood flow to skeletal muscles5 of 77
Term
The RN gives the initial dose of cefoxitin to a pt whose EMR indicates PCN allergy. Which finding
is most important for the RN to report to the HCP?
Vaginal d/c
Vomiting & diarrhea
Diminished renal output
Itching & macular rash6 of 77 Term
The pt with AML leukemia is being tx'd with busulfan (Myleran). Which labs would the RN
specifically monitor during tx with this med?
Clotting time
Uric acid levels
K+ levels
Blood glucose7 of 77
Term
A pt with newly dx'd DI is receiving IV synthetic vasopressin. Which SE of vasopressin reported by
the pt should the RN notify the HCP about?
Low urine specific gravity
Polydipsia
Worsening HA
Polyuria8 of 77
Term
When preparing to apply a scheduled fentanyl TD patch, teh RN notes that the previously applied
patch is intact on the pt's upper back & pt denies pain. Which action should the RN take?
Give PO analgesic & evaluate effectiveness before applying the new patch
Place patch on pt's shoulder & leave both patches in place for 12 hrs
Remove the patch & consult with HCP about pt's pain resolution
Apply the new patch in a different location after removing the original patch9 of 77 Term
When the pt has a cholinergic OD, the RN should anticipate giving which of the following as an
antidote?
Atropine
Bethanechol
Ambenonium
Metoclopramide10 of 77
Term
Which assessment finding indicates to the RN that the muscarinic agent bethanechol is effective
for urinary retention?
No terminal urinary dribbling
Urinary output equals intake
Denies SUI
No xerostomia11 of 77
Term
A pt is taking epinephrine. The RN understands there's a possible drug interaction with which of
the following?
albuterol (Proventil)
metoprolol (Lopressor)
bethanechol (Urecholine)
tolterodine tartrate (Detrol)12 of 77
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