HESI PN PHARMACOLOGY VERSION 5 LATEST EXAM 2024 WITH UPDATED 55 QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

HESI PN PHARMACOLOGY VERSION 5 LATEST
EXAM 2024 WITH UPDATED 55 QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES (ALREADY GRADED A+)
After reviewing the medication administration record (MAR) prescriptions
above, the PN retrieves ondansetron injection, usp 4mg/2ml from the units
pyxsis medstation, an automated
medication dispensing system, for a client who is vomiting. When preparing
to administer the medication, the PN scans the vials bar code at the bedside
and a dosage popup appears on the computer screen. What action should
be taken?
enter 3mg/1.5ml as the prepared dosage for administration
prepare another dosage that matches the vial label 4mg/2ml
call the. pharmacy to report a dose discrepancy in the popup
rescan the vial label until the system accepts the bar
code - ANSWER-enter 3mg/1.5ml as the prepared dosage for administration
Prior to administering a schedule dose of verapamin hcl (calan) to a client
with a history of angina, which assessment should the PN make?
2 | P a g e
respiratory rate serum potassium blood pressure
oxygen saturation - ANSWER-blood pressure
The bulk forming laxative psyllium hydrophilic mucoid (Metamucil) is
prescribed for a client with a hx of diverticulosis. When administering this
drug, the PN should consider which fact?
this medication should be taken with a full glass of water
psyllium takes approx. 8hrs. to be effective Metamucil should be
administered on an empty stomach every morning
the clients urine will turn brownish-pink while taking
psyllium. - ANSWER-this medication should be taken with a full glass of
water
The charge nurse asks the PN to administer diphenhydramine (Benadryl) 25
mg IM to a client prior to infusing a blood transfusion. What explanation
should the PN offer the pt about the purpose of the drug?
minimize symptoms related to any allergic reaction inhibit the antigenantibody reaction
promote relaxation of the client during the blood transfusion
3 | P a g e
facilitate rapid infusion of the transfusion - ANSWER-minimize symptoms
related to any allergic reaction
The HC prescribes erythromycin (erythrocin) for a client with pneumonia.
Before administering the medication, which intervention should the PN
implement?
collect a catheterized urine specimen
review the results of the serum electrolyte levels auscultate the clients apical
heart rate
obtain a sputum culture before first dose - ANSWER-obtain a sputum culture
before first dose
The HCP prescribes naloxone 1.2 mg IM for a client who is hypoventilating.
The medication is available in 400 mcg/ml ampules. How many ml should the
PN administer. Round to the nearest whole number. - ANSWER-3
The home health PN is visiting an older client who is using an OTC bottle of
hydrogen peroxide (H2O2) 3% (hydrogen peroxide topical solution u.s.p.) to
remove cerumen buildup in both ears.
Which suggestion should the PN provide?
recommend using acetic acid (vinegar) dilution dilute one part 3% H2O2
4 | P a g e
solution to one part water use 1 ml of castille soap with a cup of warm water
mix a warm hypertonic sodium chloride solution - ANSWER-dilute one part
3% H2O2 solution to one part water
A client is receiving an anticonvulsant, diazepam (valium), intravenously for
status epileptics, which intervention is most important for the PN to
implement?
monitor the clients respiratory rate and effort observe the clients eyes foe
deviation to the side record hourly blood pressure for the next 4 hours
measure hourly urinary output for the next 8 hours - ANSWER- monitor the
clients respiratory rate and effort
A client reports that the pollen in the air is causing nasal congestion and
FRQ sneezing. Which of the clients prescribed PRN meds should the PN
administer?
nebulized bronchodilator oral antitussive lozenges intranasal glucocorticoid
liquid oral expectorant - ANSWER-intranasal glucocorticoid