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Pharmacology HESI V2 Preparation Exam Questions And Answers
A client is prescribed phenobarbital sodium (Luminal) for a seizure disorder. The medication has a long half-life of 4 days. Based on this half-life, the medication will most likely be prescribed 
A. once a day. 
B. twice a day. 
C. three times a day. 
D. four times a day. - ANS ANS: A 
Medication with long half-lives remain at their therapeutic levels between doses for long periods of time. Therefore, this medication can be administered once a day. 
 
A nurse educator is reviewing medic...
- Exam (elaborations)
- • 41 pages •
A client is prescribed phenobarbital sodium (Luminal) for a seizure disorder. The medication has a long half-life of 4 days. Based on this half-life, the medication will most likely be prescribed 
A. once a day. 
B. twice a day. 
C. three times a day. 
D. four times a day. - ANS ANS: A 
Medication with long half-lives remain at their therapeutic levels between doses for long periods of time. Therefore, this medication can be administered once a day. 
 
A nurse educator is reviewing medic...
HESI-Pharmacology Remediation Exam Questions And Answers
in the morning before the child goes to school - ANS Methylphenidate: 
A CNS stimulant for (ADHD) in children, dose should be administered 
 
GI complaints, such as diarrhea - ANS Quinidine: 
given for dysrhythmias, has the most common side effect of 
 
Have another nurse check the prescription. 
An important intervention because death can occur from overdose. - ANS Methotrexate: 
A disease-modifying antirheumatic drug (DMARD) for rheumatoid arthritis 
What is the most ...
- Exam (elaborations)
- • 7 pages •
in the morning before the child goes to school - ANS Methylphenidate: 
A CNS stimulant for (ADHD) in children, dose should be administered 
 
GI complaints, such as diarrhea - ANS Quinidine: 
given for dysrhythmias, has the most common side effect of 
 
Have another nurse check the prescription. 
An important intervention because death can occur from overdose. - ANS Methotrexate: 
A disease-modifying antirheumatic drug (DMARD) for rheumatoid arthritis 
What is the most ...
HESI Pharmacology Practice Exam Questions And Answers
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry vision, and shooting pains in both legs. Which medication is considered the best course of treatment for the nurse to administer? - ANS a. High dose methylprednisolone intravenously. 
b. Baclofen three times a day. 
c. Broad spectrum antibiotic coverage orally. 
d. Immunomodulatory drug therapy periodically. 
 
a 
Rationale 
Multiple sclerosis (MS) relapses are caused by inflammation in the central nervo...
- Exam (elaborations)
- • 7 pages •
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry vision, and shooting pains in both legs. Which medication is considered the best course of treatment for the nurse to administer? - ANS a. High dose methylprednisolone intravenously. 
b. Baclofen three times a day. 
c. Broad spectrum antibiotic coverage orally. 
d. Immunomodulatory drug therapy periodically. 
 
a 
Rationale 
Multiple sclerosis (MS) relapses are caused by inflammation in the central nervo...
Pharmacology Hesi 2024 Exam Questions And Answers
Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - ANS Always take apical pulse for one full minute 
 
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity because - ANS Lasix can cause hypokalemia, which can lead to dig toxicity 
 
What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhythmic drug...
- Exam (elaborations)
- • 5 pages •
Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - ANS Always take apical pulse for one full minute 
 
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity because - ANS Lasix can cause hypokalemia, which can lead to dig toxicity 
 
What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhythmic drug...
HESI Pharmacology Exit Exam Questions And Answers
What is the indication for metoclopramide/reglan? -ANS Prevention of chemotherapy-induced emesis and diabetic gastroparesis 
 
Side effects of metoclopramide/reglan -ANS Drowsiness, EPS such as tremors 
 
Notify MD if what occurs when using metoclopramide/reglan -ANS Tremors 
 
What is the indication xenical (orlistat, Alli) -ANS For PTs with BMI of 30+; LT weight control 
 
SE of xenical (orlistat or alli) -ANS Oily stool and flatulence 
 
Nursi...
- Exam (elaborations)
- • 15 pages •
What is the indication for metoclopramide/reglan? -ANS Prevention of chemotherapy-induced emesis and diabetic gastroparesis 
 
Side effects of metoclopramide/reglan -ANS Drowsiness, EPS such as tremors 
 
Notify MD if what occurs when using metoclopramide/reglan -ANS Tremors 
 
What is the indication xenical (orlistat, Alli) -ANS For PTs with BMI of 30+; LT weight control 
 
SE of xenical (orlistat or alli) -ANS Oily stool and flatulence 
 
Nursi...
Pharmacology Hesi Exam Questions And Answers
Which nursing action is the priority when administering chelation therapy for a toddler-age client? 
1 Assessing vital signs 
2 Monitoring urine output 
3 Conducting a behavioral assessment 
4 Providing education to reduce lead exposure - ANS 2 
 
A 67-year-old client has tested positive for influenza A. The client also has asthma. Which drug would the nurse recommend be avoided in this client? 
1 Ribavirin 
2 Zanamivir 
3 Oseltamivir 
4 Amantadine - ANS 2 
 
Which first line me...
- Exam (elaborations)
- • 16 pages •
Which nursing action is the priority when administering chelation therapy for a toddler-age client? 
1 Assessing vital signs 
2 Monitoring urine output 
3 Conducting a behavioral assessment 
4 Providing education to reduce lead exposure - ANS 2 
 
A 67-year-old client has tested positive for influenza A. The client also has asthma. Which drug would the nurse recommend be avoided in this client? 
1 Ribavirin 
2 Zanamivir 
3 Oseltamivir 
4 Amantadine - ANS 2 
 
Which first line me...
Pharmacology HESI (FALL 2024) Exam Questions And Answers
The nurse cares for a client receiving vancomycin for methicillin-resistant Staphylococcus aureus. After reviewing the list of medications that the client is taking concurrently, which drug interactions concern the nurse? Select all that apply. 
 
1. Polyethylene glycol 
2. NSAIDs 
3. Aminoglycosides 
4. Cyclosporine 
5. Acetaminophen - ANS 2, 3, 4 
 
The nurse cares for a client who has a history of congestive heart failure. The client has prescriptions of furosemide and gentamicin for ...
- Exam (elaborations)
- • 22 pages •
The nurse cares for a client receiving vancomycin for methicillin-resistant Staphylococcus aureus. After reviewing the list of medications that the client is taking concurrently, which drug interactions concern the nurse? Select all that apply. 
 
1. Polyethylene glycol 
2. NSAIDs 
3. Aminoglycosides 
4. Cyclosporine 
5. Acetaminophen - ANS 2, 3, 4 
 
The nurse cares for a client who has a history of congestive heart failure. The client has prescriptions of furosemide and gentamicin for ...
HESI Pharmacology Practice Test Exam Questions And Answers
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is most important for the nurse to assess? 
 
A. Consumption of any alcohol or tyramine rich foods 
B. Reports of nausea or vomiting 
C. Therapeutic serum drug levels 
D. Blood pressure and pulse prior to taking each dose - ANS A 
 
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. Wha...
- Exam (elaborations)
- • 15 pages •
The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is most important for the nurse to assess? 
 
A. Consumption of any alcohol or tyramine rich foods 
B. Reports of nausea or vomiting 
C. Therapeutic serum drug levels 
D. Blood pressure and pulse prior to taking each dose - ANS A 
 
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. Wha...
Hesi Pharmacology Exam Study Exam Questions And Answers
Which clinical finding would the nurse anticipate if a client who sustained severe burns over 40% of the surface area of the body develops water intoxication? - ANS Disorientation with twitching 
Rationale: Excess extracellular fluid moves into cells (water intoxication). Intracellular fluid excess in sensitive brain cells causes altered mental status; other signs include twitching, anorexia, nausea, vomiting, sleepiness, and convulsions. 
Test-taking tip: the present of absolute words ...
- Exam (elaborations)
- • 3 pages •
Which clinical finding would the nurse anticipate if a client who sustained severe burns over 40% of the surface area of the body develops water intoxication? - ANS Disorientation with twitching 
Rationale: Excess extracellular fluid moves into cells (water intoxication). Intracellular fluid excess in sensitive brain cells causes altered mental status; other signs include twitching, anorexia, nausea, vomiting, sleepiness, and convulsions. 
Test-taking tip: the present of absolute words ...
Hesi Pharmacology (ACTUAL) Questions, Pharm Hesi Questions And Answers
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 - ANS D 
rationale 
the nurse should ensure that the client is not experiencing diarrhea (answer choice D)...
- Exam (elaborations)
- • 10 pages •
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 - ANS D 
rationale 
the nurse should ensure that the client is not experiencing diarrhea (answer choice D)...
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