PHARMACOLOGY (Hesi) PRACTICE EXAM
QUESTIONS AND ANSWERS COMPLETE
RATED A.
An older client is taking warfarin sodium (Coumadin) PO 2.5 mg twice a day.
Which laboratory value should the nurse identify as a therapeutic response
of the medication?
A. INR of 2 to 3
B. PT of 4 seconds
C. PTT of 20 seconds
D. aPTT of 3 times normal
Verified Answer -A
A client prescribed a statin and gemfibrozil (Lopid) for hyperlipidemia
reports an onset of muscle pain and weakness. Which assessment is most
important for the nurse to evaluate?
A. Serum liver enzymes
B. T3 and T4 blood levels
C. Bowel function
D. Peripheral sensation
Verified Answer -A
,A client receives a new prescription for and ACE inhibitor. Which client
history contraindicates its use?
A. ASthma
B. Heart failure
D. Renal artery stenosis
D. Coronary artery disease
Verified Answer -C
A client prescribed furosemide for the past six months is scheduled to
receive digoxin for heart failure. Which laboratory serum levels should the
nurse review before administering the digoxin?
A. Calcium
B. Magnesium
C. Potassium
D. Furosemide
Verified Answer -C
The nurse is planning discharge instructions for a client newly prescribed
amitriptyline for depression. Which instruction is important for the nurse to
include in the client's teaching?
A. Do not ingest foods with tyramine
B. Avoid the consumption of alcohol
,C. Obtain daily blood pressure readings
D. Take with a glass of orange juice
Verified Answer -B
A client at 30 weeks gestation in labor receives two 12 mg doses of
betamethasone intramuscularly 12 hours apart. The clients asks the nurse
why she is receiving the betamethasone. Which explanation should the
nurse give the client?
A. The medication suppresses uterine contractions
B. the medication stimulates fetal surfactant production
C. The medication reduces maternal and fetal tachycardia
D. The medication maintains adequate maternal respiratory effort
Verified Answer -B
The mother of a newborn refuses to have her newborn administer the
vitamin K injection. Which information should the nurse provide the
mother?
A. Bacteria that synthesize vitamin K are not present in the newborn's
intestinal tract
B. Oral vitamin K impedes the synthesis of clotting factors in the liver
C. The maternal diet is often deficient in vitamin K, so the newborn is
deficient in the vitamin K
D. The synthesis of vitamin K is inadequate for 3 to 4 months in the newborn
Verified Answer -A
, An end-stage terminally ill client being cared for at home is receiving
morphine via a patient-controlled pump for intractable cancer pain. When
the hospice nurse visits, the client awakens, moans in severe pain, and asks
for an increase in the morphine dosage. The client's heart rate is 80
beats/minute, respirations are 10 breaths/minute, and the blood pressure is
102/68 mHg. Which is he best action for the nurse to implement?
A. Titrate the morphine dose upward until the client has adequate pain relief
B. Suggest to the family that they can also give the client ibuprofen, a non-
narcotic analgesic
C. Hold additional morphine until the client's respirations are at least 16 per
minute
D. Inform the client that an increased dose of morphine increases side
effects without additional pain control
Verified Answer -A
The nurse is performing a physical assessment for a client who received
fentanyl via an epidural infusion eight hours ago. Which finding should the
nurse anticipate?
A. headache
B. Agitation
C. Urinary retention
D. Abdominal cramping and diarrhea
Verified Answer -C
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