10/22/24, 11:57 AM 2024 HESI PHARMACOLOGY VERSION A LATEST VERSION 2024 QUESTIONS AND CORRECT ANSWERS(DETAILED ANS…
2024 HESI PHARMACOLOGY VERSION A LATEST
VERSION 2024 QUESTIONS AND CORRECT
ANSWERS(DETAILED ANSWERS)|AGRADE
Terms in this set (100)
A 2-month-old infant is Vastus lateralis
scheduled to receive the Rationale: The preferred intramuscular site for children
first DPT immunization. younger than 2 years is the vastus lateralis.
What is the preferred
injection site to administer
this immunization?
A 3-year-old boy is Take the child's vital signs.
admitted to the
emergency department Rationale: Phenobarbital causes respiratory
after ingesting an depression, so the priority intervention is assessment
unknown amount of of vital signs. Administering syrup of ipecac, drawing a
phenobarbital elixir blood specimen for a phenobarbital level and
prescribed for his teaching the mother safe medication storage
brother's seizure disorder. practices are actions that may all be used in the
Which nursing intervention treatment of this child, but they do not have the
should the nurse priority over taking the vital signs.
implement first?
A 4-year-old child is Neutrophil count
receiving chemotherapy
for acute lymphocytic Rationale: During chemotherapy, granulocytes are
leukemia. Which significantly suppressed. Because neutrophils
laboratory result should comprise 60% to 70% of the granulocyte count, these
the nurse examine to levels are the most useful laboratory results of the
assess the child's risk for options presented to determine the child's risk for
infection? infection.
,10/22/24, 11:57 AM 2024 HESI PHARMACOLOGY VERSION A LATEST VERSION 2024 QUESTIONS AND CORRECT ANSWERS(DETAILED ANS…
A 6-year-old child is Diazepam
admitted to the
emergency department Rationale: Diazepam is the drug of choice for
with status epilepticus. His treatment of status epilepticus. Phenytoin,
parents report that his Phenobarbital and Carbamazepine are used for the
seizure disorder has been long-term management of seizure disorders but are
managed with phenytoin, not as useful in the emergency management of status
50 mg PO bid, for the past epilepticus.
year. Which drug should
the nurse plan to
administer in the
emergency department?
A 42-year-old client is Sodium bicarbonate
admitted to the Rationale: Sodium bicarbonate is an effective
emergency department treatment for an overdose of tricyclic
after taking an overdose antidepressantssuch as amitriptyline to reverse QRS
of amitriptyline in a suicide prolongation.
attempt. Which drug
should the nurse plan to
administer to reverse the
cardiac and central
nervous system effects of
amitriptyline?
A 45-year-old female The staff observes the client sitting in the day room
client isreceiving reading a book.
alprazolam for anxiety.
Which client behavior Rationale: The ability to sit and concentrate on
would indicate that the reading indicates decreased anxiety.
drug is effective?
,10/22/24, 11:57 AM 2024 HESI PHARMACOLOGY VERSION A LATEST VERSION 2024 QUESTIONS AND CORRECT ANSWERS(DETAILED ANS…
Fluphenazine decanoate
A 55-year-old client was
Rationale: Fluphenazine, an antipsychotic drug that
diagnosed with
can be given IM, has a rapid onset (1 to 2 hours) and a
schizophrenia 5 years
long duration of action (up to 3 or 4 weeks), so it
earlier. Numerous
would be the drug of choice for a noncompliant
hospitalizations have
psychotic client. Chlorpromazine HCl is an
occurred since the
antipsychotic drug used to treat schizophrenia and is
diagnosis because of
usually administered PO (IM doses are short-acting).
noncompliance with the
The client must be compliant in taking this drug for it
prescribed medication
to be effective. Lithium carbonate is most effective
regimen. Which drug
with manic and depressive bipolar affective disorders.
might work best for this
Diazepam is an anti-anxiety drug and would not be
particular client?
effective for a psychotic disorder.
A 67-year-old client is Take and record radial pulse rate daily.
discharged from the
hospital with a Rationale: Monitoring pulse rate is very important
prescription for digoxin, when taking digoxin. The client should be further
0.25 mg daily. Which instructed to report pulse rates <60 or >110 beats/min
instruction should the and to withhold the dosage until consulting with the
nurse include in this health care provider in such a case. Vision change is
client's discharge teaching an indication of drug toxicity, and the client should be
plan? instructed to report this immediately.
Alteration of which Partial thromboplastin time (PTT)
laboratory finding
represents the Rationale: Heparin therapy is guided by changes in
achievement of a the partial thromboplastin time (PTT).
therapeutic goal for
heparin administration?
, 10/22/24, 11:57 AM 2024 HESI PHARMACOLOGY VERSION A LATEST VERSION 2024 QUESTIONS AND CORRECT ANSWERS(DETAILED ANS…
Amoxicillin, 500 mg PO 20 mL
every 8 hours, is Rationale: 500 mg/x mL = 125 mg/5 mL 125x = 2500 x =
prescribed for a client 20 mL
with an infection. The drug
is available in a suspension
of 125 mg/5 mL. How
many milliliters should the
nurse administer with each
dose?
Obtain a serum digoxin level.
The apical heart rate of an
infant receiving digoxin
Rationale: Sinus bradycardia (rate <90 to 110 beats/min
for congestive heart
in an infant) is an indication of digoxin toxicity, so
failure is 80 beats/min.
assessment of the client's digoxin level is the highest
Which intervention should
priority. Further doses of digoxin should be withheld
the nurse implement first?
until the serum level is obtained.
The charge nurse 75-year-old woman with liver disease
isreviewing the admission
history and physical data Rationale: Impaired hepatic metabolic pathways for
for four clients newly drug and chemical degradation place option an
admitted to the unit. elderly pt at greatest risk for adverse reactions to
Which client is at greatest medications based on advancing age and liver
risk for adverse reactions disease.
to medications?
A chemotherapeutic Electrocardiogram (ECG)
regimen with doxorubicin
HCl is being planned for a Rationale: Baseline cardiac function studies are
client recently diagnosed required to monitor the irreversible cardiotoxic
with cancer. What effects of doxorubicin HCl.
diagnostic test results
should the nurse review
prior to initiating this
treatment?
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