Pharmacology HESI Test Exam Questions with 100% Verified Correct Answers
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Course
Pharmacology HESI
Institution
Pharmacology HESI
Pharmacology HESI Test Exam
Questions with 100% Verified Correct
Answers
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and
ketorolac (Toradol) 30 mg IV q6h. Which action should the nurse
implement?
a) Administer both medications according to the prescription.
b) Hold t...
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and
ketorolac (Toradol) 30 mg IV q6h. Which action should the nurse
implement?
a) Administer both medications according to the prescription.
b) Hold the ketorolac to prevent an antagonistic effect.
c) Hold the morphine to prevent an additive drug interaction.
d) Contact the healthcare provider to clarify the prescription. -
✔✔Rationale: A
Morphine and ketorolac (Toradol) can be administered concurrently, and
may produce an additive analgesic effect, resulting in the ability to reduce
the dose of morphine, as seen in this prescription. Toradol is an anti
inflammatory analgesic, and does not have an antagonistic effect with
morphine.
,The nurse is assessing a client who is experiencing anaphylaxis from an
insect sting. Which prescription should the nurse prepare to administer this
client?
a) Dopamine.
b) Ephedrine.
c) Epinephrine.
d) Diphenhydramine. - ✔✔Rationale: C
Epinephrine is an adrenergic agent that stimulates beta receptors to
increase cardiac automaticity in cardiac arrest and relax bronchospasms in
anaphylaxis. On the ither hand, dopamine is a vasopressor used to treat
clients with shock. Ephedrine causes peripheral vasoconstriction and is
used in the treatment of nasal congestion. Diphenhydramine is an
antihistamine decongestant used in the treatment of mild allergic reactions
and motion sickness. Epinephrine is the medication of choice in treating
anaphylaxis.
Which instruction(s) should the nurse give to a female client who just
received a prescription for oral metronidazole (Flagyl) for treatment of
trichomonas vaginalis? (Select all that apply.)
, o Increase fluid intake, especially cranberry juice.
o Do not abruptly discontinue the medication, taper use.
o Check blood pressure daily to detect hypertension.
o Avoid drinking alcohol while taking this medication.
o Use condoms until treatment is completed.
o Ensure that all sexual partners are treated at the same time. -
✔✔Rationale: 1,4,6
Increased fluid intake and cranberry juice are recommended for prevention
and treatment of urinary tract infections, which frequently accompany
vaginal infections. It is not necessary to taper use of this drug or to check
the blood pressure daily, as this condition is not related to hypertension.
Flagyl can cause a disulfiram-like reaction if taken in conjunction with
ingestion of alcohol, so the client should be instructed to avoid alcohol. All
sexual partners should be treated at the same time and condoms should be
used until after treatment is completed to avoid reinfection.
A client with coronary artery disease who is taking digoxin (Lanoxin)
receives a new prescription for atorvastatin (Lipitor). Two weeks after
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