HESI PHARMACOLOGY (QUESTIONS AND ANSWERS) (2022-2023)
HESI PHARMACOLOGY (QUESTIONS AND ANSWERS) (2022-2023)
• A client who is receiving chemotherapy is prescribed ondansetron (Zofran). What side effect should the nurse include in
the teaching plan?
o Headache
• A young adult female is brought to the emergency room by family members who report that she ingested a large quantity
of acetaminophen (Tylenol). The nurse should prepare for which treatment to be implemented?
o Acetylcysteine (Mucomyst) 140 mg/kg
• A client receives a new prescription for pentazocine (talwin), a mixed opioid angonist-antagonist, after an opiod agonist is
discontinued. What is the advantage for the client when the new prescription is implemented?
o Respiratory depression is less
• What is the effect of beta-blocking agents when used for treament of glaucoma?
o Inhibiting aqueous humor production
• A client asks the nurse to explain the meaning of a narrow therapeutic index of a medication. What information should the
nurse use to answer the question?
o A small margin exists between safe and toxic plasma levels.
• The healthcare provider prescribes pyridostigmine bromide (Mestinon) tablets for a client with myasthenia gravis (MG).
What instruction should the nurse provide the client?
o Take the medication 30-45 minutes before eating
• Which drug of choice is indicated for acute ventricular dysrhythmias associated with myocardial infarction?
o Amiodarone
• A client calls the clinic and states that she forgot to take her oral contraceptives for the past two days. Which instruction is
best for the nurse to provide to this client?
o Take 2 pills a day for 2 days and use an alternate method of contraception for 7 days
• The healthcare provider discontinues prednisone, a glucocorticoid, for a client with chronic obstructive pulmonary disease.
What instruction should the nurse give the client about the regimen to follow?
o The does must be tapered over the course of 7-10 days
• 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?
o INR of 2 to 3
• A client receives a new prescription for an angiotensin-converting enzyme (ACE) inhibitor. What client history
contraindicates its use?
o Renal artery stenosis
• A female client receives a prescription for cefadroxil (duricef) for a urinary tract infection. The client informs the nurse that
she is currently taking oral contraceptives (OCP). What information is important for the nurse to share with the client?
o Use additional form of contraception until your menstrual cycle.
• Which findings should the nurse identify in an adult client with possible chronic salicylate intoxicaiton?
o Tinnitus and hearing loss
• To treat cystitis, a 14-day course treatment with cephalexin (Ceclor) is prescried for a client residing in a long-term care
facility. Which action is most important for the nurse to take prior to administering the first dose of this medication?
o Determine if the client has every had hypersensitivity reaction to penicillins
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HESI PHARMACOLOGY (QUESTIONS AND ANSWERS) (2022-2023)
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