(Test Bank) Hesi Pharmacology Exit Exam- Brand New| Actual (V1, V2,-Final) 2022/2023 With Complete Solutions

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TEST BANK; HESI PHARMACOLOGY EXIT EXAM - BRAND NEW| ACTUAL (V1, V2, -FINAL) 2022/2023 WITH COMPLETE SOLUTIONS Table of Contents 2022 - 2023 HESI PHARMACOLOGY EXIT EXAM V1- BRAND NEW |Actual ................................ ................... 2 2022 - 2023 HESI PHARMACOLOGY EXIT EXAM V2 - BRAND NEW ................................ ............................. 14 HESI PHARM 2022 -23 CUMULATIVE Brand new 120Questions and Answers |All Answers Verified ........ 30 FINAL PHARM HESI 2022 -2023 (+1200 Questions and Answers) ................................ ............................... 56 HESI Pharmacology Exam Practice with complete solutions + Rationale 2022 -23 ................................ .. 264 HESI 2022 -23 - Pharmacy & Pharmacology Questions and Answers ................................ ....................... 380 Do not a llow your self to fail Hesi Pharm Retake (V1, V2 - Final ) when this document has covered the whole pharmac ology from V1,V2 -Final 2022 -2023 2022 - 2023 HESI PHARMACOLOGY EXIT EXAM V1- BRAND NEW |Actual A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for pulmonary embolism. Which information in the client’s history requires follow up by the nurse? A.) metal hip prosthesis was placed twenty years ago B.) Takes metformin hydrochloride for type 2 diabetes mellitus C.) CT scan that was performed six months earlier D.) report of client’s sobriety for the last five years {{Correct Ans - B.) tales metfor min hydrochloride for type 2 diabetes mellitus A client recently diagnosed with multiple sclerosis, who self -administers beta -1a interferon, reports feeling increasingly depressed. Which action should the nurse implement? A.) assess the client for feelin gs of increasing fearfulness B.) teach the client strategies for coping with chronic illness C.) notify the healthcare provider for the findings immediately D.) encourage the client to seek counseling for depression {{Correct Ans - C.) notify the healthca re provider for the findings immediately Before administering the initial dose of sumatriptan succinctness to a client with a migraine headache, it is most important to determine if the client’s history includes which problem? A.) type 2 diabetes mellitu s B.) seasonal allergic rhinitis C.) irritable bowel syndrome D.) coronary artery disease {{Correct Ans - D.) coronary artery disease A client receives a prescription for ciprofloxacin 400mg IV every 12 hours, which is to be infused over an hour. The IV bag contains ciprofloxacin 400mg in dextrose 5% in water (D5W) 200 mL. How many mL/hr should the nurse program the infusion pump to deliver? {{Correct Ans - 200mL/hr Before administering a laxative to a bed fast client, it is most important for the nurse to perform which assessment? A.) determine the frequency and consistency of bowel movements B.) observe the skin integrity of the client’s rectal and sacral areas C.) assess the client’s strength in moving and turning the bed D.) evaluate the clients ab ility to recognize the urge to defecate {{Correct Ans - A.) determine the frequency and consistency of bowel movements Hormone replacement therapy with levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the clie nt to report which symptom because it indicates that the client is taking too much of the hormonal agent, levothyroxine? A.) Intolerance to cold B.) Constipation C.) restlessness D.) decreased appetite {{Correct Ans - C.) restlessness A male client repo rts to the nurse that he is experiencing gastrointestinal distress from a high dose of corticosteroid and is planning to stop taking the medication. In response to the client’s statement, which nursing action is most important for the nurse to implement? A.) Advise the client that the medication should be stopped gradually rather than abruptly B.) encourage the client to take the medication with food to decrease GI distress C.) Assess the client for other indications of adverse effects of corticosteroid us e D.) review the clients dosing schedule to ensure he is taking the prescribed amount {{Correct Ans - A.) Advise the client that the medication should be stopped gradually rather than abruptly A client is receiving pilocarpine hydrochloride ophthalmic drop s for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide? A.) the drug can cause the lens to become more opaque B.) The drops increase the fluid in the eyes and cloud the visual field C.) The eye drops slow pupil response to accommodate for darkness D.) the medication causes pupils to dilate, which reduces night vision {{Correct Ans - C.) The eye drops slow pupil response to accommodate for darkness A client is receiving rifampin , an ant tubercular medication. Which statement by this client should prompt the nurse to notify the healthcare provider of a potential problem? A.) Reports that the sclera are yellow B.) Voids urine that is orange colored C.) uses condoms for contracepti on D.) complains of persistent tinnitus {{Correct Ans - A.) Reports that the sclera are yellow Which action should the nurse implement to assess the effectiveness of the calcium channel blocker amlodipine? A.)Note the clients’ serum calcium levels B.) M onitor the clients’ serum electrolytes C.)Review the clients’ intake and output D.)Measure the clients’ blood pressure {{Correct Ans - D.)Measure the clients blood pressure A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? A.) Decreased blood urea nitrogen B.) Reports of photophobia C.) Hearing has decreased D.) White blood cell c ount of 6,000/mm3 {{Correct Ans - C.) Hearing has decreased An older adult client with restlessness syndrome begins taking melatonin at bedtime. When evaluating the effectiveness of the herb, which client assessment should the nurse complete? A.) determi ne sleep patterns B.) palpate pedal pulse volume C.) assess anxiety level D.) observe for peripheral edema {{Correct Ans - A.) determine sleep patterns The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with hypertension. The clients vital signs are temperature 99 (37.2c), heart rate 48bpm, respirations 16 bpm, and blood pressure of 150/90 mmHg. Which actions should the nurse take? A.)Administer the dose and monitor the clients BP regularly B.) withhold the scheduled dos e and notify healthcare provider C.) assess for orthostatic hypotension before administering the dose D.) apply a telemetry monitor before administering the dose {{Correct Ans - B.) withholds the scheduled dose and notify healthcare provider To evaluate the effectiveness of a client’s prescription for rosuvastatin, which action should the nurse implement? A.) evaluate the clients’ serum cholesterol level results B.) measure skin folds for body mass index calculations C.) obtain the clients heart rate and blood pressure D.) review the clients’ daily food and weight log {{Correct Ans - A.) evaluate the clients serum cholesterol level results The nurse is planning discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine. What action should the nurse plan to include in the discharge teaching? A.) Teach the client self-injection skills for daily subcutaneous administration B.) provide information on increasing medication dosage if ketoacidosis occurs C.) demonstr ate how to select dose based on before meal blood sugar readings D.) explain to the family how to inject this medication for severe hypoglycemia {{Correct Ans - A.) Teach the client self-injection skills for daily subcutaneous administration The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and is now prescribed adalimumab. Which instructions should the nurse provide the client? A.) have a chest x -ray prior to your first dose B.) avoid crowds and people who are sick C.) obtain routine vaccinations as scheduled D.) undergo annual eye examinations {{Correct Ans - A.) have a chest x -ray prior to your first dose The nurse if providing discharge instructions to a client who has been prescribed gabapentin 300mg by mouth three times a day for post -herpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider? A.) sexual dysfunction B.) gastric irritation C.) rapid weight gain D.) photosensitivity {{Correct Ans - B.) gastric irritation A client receives a prescription to Iitraconazole . Which information provided by the client requires additional instruction by the nurse? A.) monitor for changes in stool color B.) report any difficulty with breathing C.) take the medication with antaci ds D.) avoid the consumption of grapefruit juice {{Correct Ans - C.) take the medication with antacids The nurse is preparing a client with chronic obstructive pulmonary disease (COPD) and a chronic productive cough for discharged home. Which prescribed m edication should the nurse review with the client to manage this symptoms? A.) prednisone B.) tiotropium C.) guaifenesin D.) salmeterol {{Correct Ans - C.) guaifenesin When caring for a client with diabetes insipidus who is receiving an antidiuretic hormone intranasal , which serum lab test is most important for the nurse to monitor? A.) calcium B.) osmolality C.) glucose D.) platelets {{Correct Ans - B.) osmolality A client is receiving tamsulosin, an alpha adrenergic blocking agent, for the managem ent of urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most important for the nurse to provide? A.) use a twice a week dosing schedule B.) stand and sit up slowly C.) take the medication early in the day D.) reduce dail y fluid intake {{Correct Ans - B.) stand and sit up slowly A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report? A.) nausea B.) involuntary movements C.) dia rrhea D.) unusual irritability {{Correct Ans - B.) involuntary movements A client is receiving orlistat as a part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medica tion? A.) body mass index B.) depression screening C.) daily calorie count D.) serum protein levels {{Correct Ans - A.) body mass index A client who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. While taking the clients history, the nurse determines that the client has been self -administering St. John’s Wort, an herbal preparation, on the advice of a friend.What information is most significant about this finding? A.) the client probab ly used this herb to treat depression B.) wort can decrease plasma concentrations of cyclosporine C.) adding the herb can decrease the need for corticosteroids D.) ingestion of wort can reduce the clients intake of sodium {{Correct Ans - B.) wort can dec rease plasma concentrations of cyclosporine When preparing to apply a scheduled fentanyl transdermal patch, the nurse notes that the previously applied patch is intact on the clients’ upper back and the client denies pain. Which action should the nurse ta ke? A.) remove the patch and consult with the healthcare provider about the clients’ pain resolution B.) administer an oral analgesic and evaluate its effectiveness before applying the new patch C.) apply the new patch in a different location after rem oving the original patch D.) place the patch on the clients shoulder and leave both patches in place for 12 hrs {{Correct Ans - C.) apply the new patch in a different location after removing the original patch During a home visit, the nurse assesses a client with Alzheimer’s disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take? A.) instruct the caregiv er to withhold the medication until the dosage can be decreased to ensure the clients safety B.) advise the caregiver that the purpose of the medication is to promote sleep, so change in medication may be needed C.) explain to the caregiver that insomnia is a common and temporary side effect when the medication is first started D.) notify the healthcare provider that the dosage of the medication may need to be increased to manage the clients insomnia {{Correct Ans - C.) explain to the caregiver that inso mnia is a common and temporary side effect when the medication is first started Based on a clients serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement? A.) give digoxin B.) check acid base and electrolyte values C.) administer potassium to stabilize the heart rate D.) begin cardioversion to stabilize heart rhythm {{Correct Ans - D.) begin cardioversion to stabilize heart rhythm The nurse is administering IV fluconazole to a client who ha s a systemic candidiasis. After reviewing the clients’ diagnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST, also called SGOT). Which action should the nurse implement? A.) hold the dose an d notify the pharmacy to stop dispensing the next premixed dose B.) begin the infusion and submit a drug reaction report to the nursing supervisor C.) Hold the dose and notify the healthcare provider of the changes in the laboratory findings D.) Begin the infusion and monitor the clients BUN, serum creatinine and liver function test {{Correct Ans - C.) Hold the dose and notify the healthcare provider of the changes in the laboratory findings A client with muscle spasticity receives a prescription for bacl ofen. Which information provided by the client requires additional instruction by the nurse? A.) Use a stool softener as needed B.) take medication with meals C.) discontinue when spasms cease D.) avoid the ingestion of alcohol {{Correct Ans - C.) disco ntinue when spasms cease A postoperative has a prescription for ketorolac 30 mg IV every 6 hours. Which intervention should the nurse implement to determine if the expected outcome of the medication has been achieved? A.) observe wound drainage for chan ge in appearance B.) Measure the clients’ intake & output C.) Preform a pain assessment using numeric scale D.) assess the clients’ calves for inflammation {{Correct Ans - C.) Preform a pain assessment using numeric scale A client, who uses transdermal contraceptive, calls the clinic because she forgot to apply a new patch 3 days ago. Which instruction should the nurse provide to the client? A.) wait until the last day of your menstrual period to apply the patch B.) if a pregnancy test is negative. app ly the next patch immediately C.) wait until Saturday to apply the new patch and use the same site D.) apply the new patch today and use back up method for 7 days {{Correct Ans - D.) apply the new patch today and use back up method for 7 days A female cl ient with a history of peptic ulcer disease receives a prescription for misoprostol. Which information provided by the client indicates to the nurse a need for further teaching? A.) ensure a negative pregnancy test result 2 weeks before therapy B.) begin therapy 1 week before the next normal menstrual cycle C.) use condoms and a backup method of birth control to prevent pregnancy D.) call the healthcare provider immediately if there is a chance of conception {{Correct Ans - A.) ensure a negative pregnanc y test result 2 weeks before therapy The nurse is caring for an older client with multiple comorbidities. Which medication should the nurse recognize as increasing the clients risk for fractures? A.) metformin B.) Lansoprazole C.) amlodipine D.) simvast atin {{Correct Ans - B. Lansoprazole During a home visit, the nurse assesses a client with Alzheimer’s disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sle eping well at night. What action should the nurse take? A.) instruct the caregiver to withhold the medication until the dosage can be decreased to ensure the client's safety B.) advise the caregiver that the purpose of the medication is to promote sleep, so a change in medication may be needed C.) explain to the caregiver that insomnia is a common and temporary side effect when the medication is first started D.) notify the healthcare provider that the dosage of the medication may need to be increased to manage the clients insomnia {{Correct Ans - C.) explain to the caregiver that insomnia is a common and temporary side effect when the medication is first started The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hy drochloride tablets, which were prescribed because of a suspected anthrax exposure. Which instructions should be included in the teaching plan? ( select all that apply.) A.) use NSAIDs to relieve mild joint aches and pains caused by the medication B.) crus h and mix the tablets with pudding if you have trouble swallowing the tablets C.) increase fluid intake while taking this medication D.) limit exposure to sunlight and avoid tanning beds E.) report any tendon pain or swelling to the healthcare provider imm ediately {{Correct Ans - C.) increase fluid intake while taking this medication D.) limit exposure to sunlight and avoid tanning beds E.) report any tendon pain or swelling to the healthcare provider immediately A client with emphysema is complaining of d ifficulty breathing and is exhibiting audile wheezing. The nurse administers albuterol as prescribed for the third time within the last 12 hours. Which assessment finding warrants immediate intervention by the nurse? A.) throat irritation B.) uncontrolla ble shaking C.) increased anxiety D.) irregular rapid heartbeat {{Correct Ans - D.) irregular rapid heart beat The healthcare provider prescribes Ceftazidime 1,500 mg IV every 12 hours. The available vial is labeled, “Ceftazidime 1 gram", and the instru ction for reconstitution state, "For IV use add 10mL sterile water for injection. Concentration after reconstitution = 100mg/mL. How many mL should the nurse administer? {{Correct Ans- 15 The nurse observes that a client has become lethargic 30 minutes af ter receiving an opioid injection for pain. Which vital sign should the nurse obtain first? A.) respiratory rate B.) blood pressure C.) pulse rate D.) temperature {{Correct Ans - A.) respiratory rate The home health nurse observes a client self -administ ering an epinephrine injection using an auto -injector pen. Which client requires intervention by the nurse? A.) administer into the fleshy outer thigh B.) inserts the injection pen though clothing C.) holds the one in place after the injection D.) clean ses the injection pen for reuse {{Correct Ans - D.) cleanses the injection pen for reuse A client has a prescription for clopidogrel bisulfate 75mg by mouth daily at 0900. In which situation should the nurse hold this medication? A.) the clients’ platele t level is high B.) breakfast has not been eaten C.) elective surgery is scheduled in two hours D.) an abdominal sonogram is scheduled {{Correct Ans - C.) elective surgery is scheduled in two hours An adolescent with major depressive disorder has been t aking duloxetine for the past 12 days. Which assessment finding requires immediate follow -up? A.) describes life without purpose B.) states is often fatigued and drowsy C.) complaint of nausea and loss of appetite D.) exhibits an increase in sweating {{Correct Ans - A.) describes life without purpose A male client with a new diagnosed seizure disorder starts a prescription of clonazepam. One week later, the nurse observes that his speech is slurred and has a ataxic gait. Which action should the nurse implement? A.) advise the client to discontinue the medication immediately B.) report these side effects to the healthcare provider C.) explain the need to refrain from alcohol use while taking the drug D.) document the clients continued seizure activity {{Correct Ans - C.) explain the need to refrain from alcohol use while taking the drug Which assessment data indicates to the nurse that a client is having an anaphylactic reaction to a medication? A.) insomnia and irritability B.) wheezing and dyspnea C.) tinnitus and diplopia D.) urticaria and pruritis {{Correct Ans - B.) wheezing and dyspnea A client with schizophrenia receives a prescription for fluphenazine. Which instruction is most important for the nurse to include when teaching the client about this drug ? A.) notify your healthcare provider immediately if involuntary movements develop B.) check blood pressure daily and notify the healthcare provider if it increases C.) wear sunscreen when going outside to prevent effects of sun sensitivity D.) drink water frequently throughout the day as the medication increases thirst {{Correct Ans - A.) notify your healthcare provider immediately if involuntary movements develop Two months after taking nitrofurantoin for a bacterial infection, a client repor ts the onset of severe, watery di arrhea to the home health nurse . How should the nurse respond? A.) determine if the full course of the initial prescription of medication was taken B.) advise that the infection has additional medications will be needed C.) explain that the diarrhea may be an adverse effect that requires further evaluation D.) offer instructions about the use of an over -the-counter antidiarrheal medication {{Correct Ans - A.) determine if the full course of the initial prescription of med ication was taken The nurse assesses a client with intermittent claudication who is receiving pentoxifyline. Which assessment should the nurse perform to determine the effectiveness of the medication? A.) monitor numeric pain scale B.) auscultate bowel sounds C.) measure hourly urinary output D.) evaluate level of consciousness {{Correct Ans - A.) monitor numeric pain scale A client is taking clozepam, benztpropine, haloperidol, and divalproex. The nurse suspects that the client is experiencing akath isia because the client is rocking back and forth in the chair and having difficulty still. Which medication is most likely to be the cause of this condition? A.) benzotropine B.) haloperidol C.) clonazepam D.) divalproex {{Correct Ans - B.) haloperidol 2022 - 2023 HESI PHARMACOLOGY EXIT EXAM V2 - BRAND NEW The nurse is caring for a patient taking cimetidine (Tagamet) orally. Which should the nurse consider about administering this drug? A) Administer the drug with the first bit of food B) Administer t he drug immediately after meals C) Administer the drug 30 minutes after meals D) Administer the drug 30 minutes before meals {{Correct Ans - D) Administer the drug 30 minutes before meals The nurse is discharging a patient with a new patient for ranitidin e (Zantac). Which information would be important to include in the discharge teaching? A) Thrombolytic thrombocytopenic purpura (TTP) may occur B) Aspirin may be taken with this medication C) The patient may experience iron deficiency anema D) The patient may experience restlessness {{Correct Ans - A) Thrombolytic thrombocytopenic purpura (TTP) may occur A patient is prescribed sucralfate (Carafate) and asks the nurse what the purpose of taking this medication is. Which is the nurse's best response? A) The medication helps reduce bacteria levels in the stomach B) The medication helps neutralize gastric acid in the stomach C) The medication is used to protect the gastrointestinal mucosa D) The medication can reduce the patient's constipation {{Correct Ans - C) The medication is used to protect the gastrointestinal mucosa The nurse is creating a class for older adults in the community. Which information about laxative use in older adults would be important to include? A) Laxative are not effective in older ad ults B) All laxative are exactly the same C) Over -the-counter laxatives are misused D) Laxatives can cause potassium retention {{Correct Ans - D) Laxatives can cause potassjum retention The nurse is caring for a patient with a new order for an oral laxati ve. Which is a contraindication in administering an oral laxative? A) Cardiac problems B) Abdominal pain of unknown origin C) Several hemorrhoids D) Chronic constipation {{Correct Ans - B) Abdominal pain of unknown origin The nurse is studying antacids th at contain magnesium and calcium for the pharmacology exam. The student nurse remembers that these antacids should be used with caution in patients with which condition? A) Hypertension B) Renal failure C) Heart failure D) Peptic ulcer disease {{Correct An s- D) Peptic ulcer disease A patient asks the nurse how to best prevent constipation. Which class of laxative would the nurse recommend to this patient? A) Stimulant laxatives B) Bulk -forming laxatives C) Amollient laxatives D) Hyperosmotic laxatives {{Correct Ans - A) Stimulant laxatives