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Pharm Hesi Practice Q&A
pharmacology (Fortis College)
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Pharm Hesi Practice Quizzes w/ Answers
1.
A client is taking hydromorphone (Dilaudid) PO every 4 hours at home. Following
surgery, Dilaudid IV every 4 hours PRN and butorphanol tartrate (Stadol) IV every 4
hours PRN are prescribed for pain. The client received a dose of the Dilaudid IV four
hours ago, and is again requesting pain medication. Which intervention should the
nurse implement?
A. Alternate the two medications every 4 hours PRN for pain.
B. Alternate the two medications every 2 hours PRN for pain.
C. Administer only the Dilaudid every 4 hours PRN for pain.
D. Administer only the Stadol every 4 hours PRN for pain.
2.
A peak and trough level is prescribed for a client receiving antibiotic therapy. When
should the nurse should obtain the trough level?
A.
Sixty minutes after the antibiotic dose is administered.
B.
Immediately before the next antibiotic dose is given.
C. Upon completion of the prescribed antibiotic regime.
D. An hour before the next antibiotic dose is given.
3.
The nurse is caring for a client who has taken atenolol for 2 years. The healthcare
provider recently changed the medication to enalapril to manage the client's blood
pressure. Which instruction should the nurse provide the client regarding the new
medication?
A.
Take the medication at bedtime.
B.
Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair.
4.
The nurse is reviewing admission prescriptions for a client with myxedema. The nurse
should clarify with the healthcare provider which prescription for the client?
A.
Liothyronine to replace iodine.
B.
Furosemide for relief of fluid retention.
C. Pentobarbital sodium for sleep.
D. Nitroglycerin for angina pain.
5.
A client is prescribed controlled-release oxycodone. Which dosing schedule is best for
the nurse to teach the client?
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A. As needed.
B.
Every 12 hours.
C. Every 24 hours.
D. Every 4 to 6 hours.
6.
When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it
is most important for the nurse to assess for pain in which area of the body?
A.
Flank.
B.
Abdomen.
C. Chest.
D. Head.
7.
A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which
assessment finding indicates that the desired effect of the medication has been
achieved?
A.
Client denies recent episodes of angina.
B.
Change in peripheral edema from +3 to +1.
C. Client denies recent nausea or vomiting.
D. Blood pressure has changed from 180/120 to 140/70.
8.
A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new
prescription for atorvastatin (Lipitor). Two weeks after initiation of the Lipitor
prescription, the nurse assesses the client. Which finding requires the most immediate
intervention?
A.
Heartburn.
B.
Headache.
C. Constipation.
D. Vomiting.
9.
A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m.
dose. Which action should the nurse perform to alleviate this side effect?
A.
Change the time of the dose.
B.
Hold the 9 p.m. dose.
C. Administer the dose with a snack.
D. Offer an antiemetic with the dose.
10.
The nurse admits a client with tumor-induced spinal cord compression. Which
medication should the nurse anticipate to be prescribed to offer the best palliative
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treatment for this client?
A.
Morphine sulfate.
B.
Ibuprofen.
C. Amitriptyline.
D. Dexamethasone.
11.
A client with acute myocardial infarction is admitted to the coronary care unit. Which
medication should the nurse administer to lessen the workload of the heart by
decreasing the cardiac preload and afterload?
A.
Nitroglycerin.
B.
Propranolol (Inderal).
C. Morphine.
D. Captopril (Capoten).
12.
A 43-year-old female client is prescribed thyroid replacement hormone following a
thyroidectomy. Which adverse effects should the nurse instruct the client to report
immediately to the healthcare provider?
A.
Tinnitus and dizziness.
B.
Tachycardia and chest pain.
C. Dry skin and intolerance to cold.
D. Weight gain and increased appetite.
13.
An older client with a decreased percentage of lean body mass is admitted to the
hospital. Which pharmacokinetic process is affected and should be considered in the
client's dosing of medication?
A. Absorption.
B.
Metabolism.
C. Elimination.
D. Distribution.
14.
A client is prescribed ampicillin sodium (Omnipen) for a sinus infection. The nurse
should instruct the client to notify the healthcare provider immediately if which symptom
occurs?
A.
Rash.
B.
Nausea.
C. Headache.
D. Dizziness.
15.
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The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction
should the nurse include in this client's discharge teaching plan?
A.
Quit taking the medication if dizziness occurs.
B.
Do not get up quickly. Always rise slowly.
C. Take the medication with food only.
D. Increase your intake of potassium-rich foods.
16.
A client with heart failure is prescribed spironolactone (Aldactone). Which information is
most important for the nurse to provide to the client about diet modifications?
A.
Do not add salt to foods during preparation.
B.
Refrain for eating foods high in potassium.
C. Restrict fluid intake to 1000 ml per day.
D. Increase intake of milk and milk products.
17.
Which client should the nurse identify as being at highest risk for complications during
the use of an opioid analgesic?
A. An older client with Type 2 diabetes mellitus.
B. A client with chronic rheumatoid arthritis.
C. A client with a open compound fracture.
D. A young adult with inflammatory bowel disease.
18.
The nurse is preparing an education session for a client prescribed opioids for
intractable cancer pain. The nurse should include strategies to help prevent which
common side effect associated with long-term use of opioids?
A.
Sedation.
B.
Constipation.
C. Urinary retention.
D. Respiratory depression.
19.
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information
should the nurse include in the client's instruction?
A.
Notify the clinic of any changes in the color of urine.
B. Avoid overexposure to the sun.
C. Stop the medication after the diarrhea resolves.
D. Take the medication with food.
20.
The nurse administers a dose of metoprolol for a client. Which assessment is most
important for the nurse to obtain?
A.
Temperature.
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B.
Lung sounds.
C. Blood pressure.
D. Urinary output.
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