HESI PHARMACOLOGY ACTUAL
EXAM 55 QUESTIONS AND
CORRECT ANSWERS (VERIFIED)
SERIES 2024/2025
Before administering a laxative to a bedfast client, it is most important for the
nurse to perform what assessment?
a-Observe the skin integrity of the client's rectal and sacral areas
b-assess the client strength in moving and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements -
rationale
the nurse should ensure that the client is not experiencing diarrhea (answer
choice D) before administering a laxative, which will increase the frequency of
bowel movements. answer choices A, B, C R4 and assessments for the
provision of care when the client experience is a valve, but are of less priority
then answer choice D which provides data about the possible need to hold
medication
A female client with multiple sclerosis reports having less fatigue and improved
memory since she began using the herbal supplement, ginkgo biloba. Which
information is most important for the nurse to include in the teaching plans for
this client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
b-nausea and diarrhea can occur when using this supplement
c-anxiety and headaches increased with use of ginkgo
,d-ginkgo biloba use should be limited and not taken during pregnancy - ----------
-CORRECT ANSWERS--------Rationale
ginkgo biloba has blood thinning properties and should not be used in taking
aspirin or unsafe which increased the risk for bleeding. nausea diarrhea anxiety
and headaches are also side effects of supplements but they do not pose the
same risk as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-
moxazole/TMP-SMZ (bactrium) to a client receiving the medication for a
urinary tract infection, more rationale to the nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of
symptoms - -----------CORRECT ANSWERS--------D
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial
resistance enterprise D, thereby increasing the drug therapeutic benefits answer
choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw
tightness & a stiff neck. Which interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
-obtain a 12 lead EKG - -----------CORRECT ANSWERS--------Rationale
jaw tightness and a stiff neck are signs of tardive dyskinesia, a serious side
effect of health all that can be reversed with Benadryl answer choice A. the
client complaints are not considered hallucinations b. Massaging the neck does
not eliminate the symptoms. A 12 lead EKG is not indicated because the pain is
not cardiac in origin.
, Which intervention is most important for the nurse implement for a client is
receiving lispro Humalog insulin?
-Check blood glucose levels every six hours
-provide meals at the same time that insulin is given
-assess for hypoglycemia between meals
-keeping oral liquid or glucose source available - -----------CORRECT
ANSWERS--------B
Rationale
Humalog is a rapid acting insulin 15 minutes, so meals should be readily
available time administration of lispro (B). Although glucose blood levels a,
monitoring for hypoglycemia see, and keeping emergency source of glucose
available B should be implemented for client receiving any form of insulin
those who take these are at greatest risk for rapid hypoglycemia shortly after it
is administered
Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid
arthritis is being treated for anemia which intervention is most important for the
nurse to include any plan of care
observe for gastrointestinal bleeding
monitor liver function test results
protect skin from bruising
offered dietary selections rich in iron
rationale - -----------CORRECT ANSWERS--------rationale
the client is at risk for gastrointestinal bleeding duty history of NSAID a .new
onset anemia indicates bleeding may be present. NSAIDS May impact liver
function b, but this is of less immediacy than a. C is a basic core measure but
not one of high priority for this client. D often useful for persons with anemia
but is of less priority than a
When treating a patient with a hospital acquired infection with Vancomycin,
what would you do?
EXAM 55 QUESTIONS AND
CORRECT ANSWERS (VERIFIED)
SERIES 2024/2025
Before administering a laxative to a bedfast client, it is most important for the
nurse to perform what assessment?
a-Observe the skin integrity of the client's rectal and sacral areas
b-assess the client strength in moving and turning in the bed
c-evaluate the client's ability to recognize the urge to defecate
d-determine the frequency and consistency of bowel movements -
rationale
the nurse should ensure that the client is not experiencing diarrhea (answer
choice D) before administering a laxative, which will increase the frequency of
bowel movements. answer choices A, B, C R4 and assessments for the
provision of care when the client experience is a valve, but are of less priority
then answer choice D which provides data about the possible need to hold
medication
A female client with multiple sclerosis reports having less fatigue and improved
memory since she began using the herbal supplement, ginkgo biloba. Which
information is most important for the nurse to include in the teaching plans for
this client?
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo
b-nausea and diarrhea can occur when using this supplement
c-anxiety and headaches increased with use of ginkgo
,d-ginkgo biloba use should be limited and not taken during pregnancy - ----------
-CORRECT ANSWERS--------Rationale
ginkgo biloba has blood thinning properties and should not be used in taking
aspirin or unsafe which increased the risk for bleeding. nausea diarrhea anxiety
and headaches are also side effects of supplements but they do not pose the
same risk as a. Although D is accurate A has a higher priority
In explaining the benefits of the combination anti-infective drug code tri-
moxazole/TMP-SMZ (bactrium) to a client receiving the medication for a
urinary tract infection, more rationale to the nurse provide?
-Each drug could cause damage to the kidneys if taken separately
-one drug reduces the risk of side effects caused by the drug
-while one drug provide releif, the other fights the infection
-the two drugs work together to reduce resistance of the bacterial infection of
symptoms - -----------CORRECT ANSWERS--------D
rationale
the combination of drugs and bacteria work synergistically to reduce bacterial
resistance enterprise D, thereby increasing the drug therapeutic benefits answer
choices a B &C are incorrect rationales
Client being treated with Haldol for schizophrenia is complaining of jaw
tightness & a stiff neck. Which interventions should the nurse impliment?
-give PRN those of diphenhydramine Benadryl
-assess client other sensory hallucinations
-massage neck until muscles begin to relax
-obtain a 12 lead EKG - -----------CORRECT ANSWERS--------Rationale
jaw tightness and a stiff neck are signs of tardive dyskinesia, a serious side
effect of health all that can be reversed with Benadryl answer choice A. the
client complaints are not considered hallucinations b. Massaging the neck does
not eliminate the symptoms. A 12 lead EKG is not indicated because the pain is
not cardiac in origin.
, Which intervention is most important for the nurse implement for a client is
receiving lispro Humalog insulin?
-Check blood glucose levels every six hours
-provide meals at the same time that insulin is given
-assess for hypoglycemia between meals
-keeping oral liquid or glucose source available - -----------CORRECT
ANSWERS--------B
Rationale
Humalog is a rapid acting insulin 15 minutes, so meals should be readily
available time administration of lispro (B). Although glucose blood levels a,
monitoring for hypoglycemia see, and keeping emergency source of glucose
available B should be implemented for client receiving any form of insulin
those who take these are at greatest risk for rapid hypoglycemia shortly after it
is administered
Client takes nonsteroidal anti-inflammatory drugs every day for rheumatoid
arthritis is being treated for anemia which intervention is most important for the
nurse to include any plan of care
observe for gastrointestinal bleeding
monitor liver function test results
protect skin from bruising
offered dietary selections rich in iron
rationale - -----------CORRECT ANSWERS--------rationale
the client is at risk for gastrointestinal bleeding duty history of NSAID a .new
onset anemia indicates bleeding may be present. NSAIDS May impact liver
function b, but this is of less immediacy than a. C is a basic core measure but
not one of high priority for this client. D often useful for persons with anemia
but is of less priority than a
When treating a patient with a hospital acquired infection with Vancomycin,
what would you do?
