2021 HESI Pharmacology Review Exam With Answers (49 Solved Questions)

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Pharmacology HESI (2021) Review
Questions & Answers Best Graded A+
A client who is taking an oral dose of tetracycline reports
gastrointestinal upset. Which snack should the nurse instruct the client
to take with the tetracycline?
a. Fruit-flavored yogurt
b. Toasted wheat bread and jelly
c. Cold cereal with skim milk
d. Cheese and crackers - Exact Answer: B.
The nurse is assessing the eyes of a client who just received mydriatic
eye drops. Which physiological function of the eye will not respond
during the therapeutic period after administration of eye drops?
a. Refraction
b. Eye convergence
c. Pupillary constriction
d. Accommodation - Exact Answer: C.
A older male client is being discharged after a myocardial infacrtion (MI)
and receives a new prescription for atenolol. Which instruction is most
important for the nurse to include in her clients teaching plan?

a. Avoid intake of alcoholic beverages.
b. Avoid driving or operating machinery.
c. Take a missed dose as soon as possible.
d. Standing slowly when getting up from bed - Exact Answer: D.
The healthcare provider prescribes vancomycin 500 mg IV every 12
hours for a client with methicillin-resistant staphylococcus aureus
(MRSA). Review of the client's laboratory values shows that serum peak
and trough levels are within the desired therapeutic range and the
serum creatinine level is 4.5 mg/dL. Which action should the nurse
implement?
a. Withhold the next scheduled dose and contact the healthcare
provider. b. Monitor the laboratory values until all prescribed doses
have been given. c. Administer the next dose and flag the results for the
healthcare provider. d. Insert a second IV catheter for the
administration of emergency IV fluids. - Exact Answer: A.
After taking orlistat for one week, a female client tells the home health
nurse that she is experiencing increasingly frequent oily stools and
flatus. Which action should the nurse take? a. Instruct the client to
increase her intake of saturated fats over the next week. b. Obtain a
stool specimen to evaluate for occult blood and fat content.

c. Ask the client to describe her dietary intake history for the last several
days. d. Advise the client to stop taking the drug and contact her
healthcare provider. - Exact Answer: C.
6. A client receiving a heparin sodium infusion develops hemoptysis.
The nurse reviews the client's
laboratory values to include hemoglobin 8 g/dL and platelet count of
50,000/mm3. Vital signs are: oxygen saturation 92% on 50% venturi
mask, heart rate 130 beats/minute, respiration 32 breaths/minute, and
blood pressure 76/50mmHg. Which intervention should the nurse
implement first?
a. Obtain consent for a blood transfusion.
b. Stop the heparin sodium infusion.
c. Titrate Venturi mask oxygen to 60%.
d. Administer protamine sulfate. - Exact Answer: B.
The nurse is teaching a client with coronary artery disease about a
newly prescribed medication, atorvastatin. The client plans to take the
medication in the morning with breakfast. Which food choices are best
for the nurse to recommend that the client should include with the
meal? (select all that apply)
a. Whole milk.

b. Low fat yogurt.
c. Oatmeal.
d. Sliced grapefruit.
e. Whole banana. - Exact Answer: C, E
A client received succinylcholine, a depolarizing neuromuscular blocking
agent during surgery. Which assessment finding is most important for
the nurse to report to the surgeon? a. Observable skin flushing.
b. Ventricular tachycardia
c. Neck and shoulder pain
d. Blood pressure 114/72 mm/Hg - Exact Answer: B.
A client, who has a myocardial infarction last year, has a daily
prescription for aspirin 325 mg by mouth. Which assessment finding
should alert the nurse to withhold the medication?
a. Low prothrombin time.
b. High white blood cell count.
c. Oral temperature of 97.9 F.
d. Low platelet count. - Exact Answer: D.
A nurse administered a second dose of an opioid containing codeine
and acetaminophen to a client fifteen minutes after a first dose was

administered by another nurse, because the first dose was not
documented in the medication record. Which intervention is most
important for the nurse to implement?
a. Assess the client's pain on a 10 point scale.
b. Obtain a serum liver enzyme panel.
c. Complete a medication error form.
d. Evaluate the client's vital signs. - Exact Answer: D.
Azithromycin is prescribed to a client with Chlamydia trachomatis. In
providing client teaching about the medication, the nurse should
emphasize the importance of reporting the onset of which symptom to
the healthcare provider?
a. Yellow sclera.
b. Headache.
c. Urinary frequency.
d. Flatulence and nausea. - Exact Answer: D.
Before administering a newly prescribed dose of terbinafine HCL to a
client with a fungal toenail infection, which assessment finding is most
important for the nurse to address? a. White blood cell count of
8,500/mm3
b. Employed as a construction worker.

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c. Toenails appear thick and yellow.
d. Reported history of alcoholism. - Exact Answer: D.
The nurse administers naloxone to a client with opioid-induced
respiratory depression. One hour later, nursing assessment reveals that
the client has a respiratory rate of 4 breaths/minute, oxygen saturation
of 75%, and is unable to be aroused. Which action should the nurse
implement?
a. Initiate cardiopulmonary resuscitation (CPR).
b. Prepare to assist with chest tube insertion.
c. Administer a second dose of naloxone.
d. Determine Glasgow coma scale. - Exact Answer: A.
An older adult client with restless legs syndrome begins taking
melatonin at bedtime. When evaluating the effectiveness of the herb,
which client assessment should the nurse complete?
a. Determine sleep patterns.
b. Palpate pedal pulse volume.
c. Observe for peripheral edema.
d. Assess anxiety level. - Exact Answer: A.

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A client who is newly diagnosed with erosive esophagitis secondary to
GERD reports to the home health nurse that there has been only a
minimal reduction in symptoms after taking lansoprazole PO for one full
week. Which action should the nurse take?
a. Auscultate the client's bowel sounds and measure abdominal girth.
b. Notify the healthcare provider that the client may need a change in
dosage. c. Advise the client that healing typically takes several weeks to
occur.
d. Confirm that the client is taking the medication one hour after meals.
- Exact Answer: C.
A client recently diagnosed with Parkinson's Disease receives a new
prescription for carbidopa levodopa, a dopaminergic drug. To reduce
the client's risk for injury, which instruction should the nurse provide?
a. Use caution when changing from sitting to standing position.
b. Place small rugs on smooth surfaces such as tile or wood floors.
c. Ambulate using a four-point cane or a walker with wheels.
d. Obtain a hospital bed with side rails and an over-bed trapeze. - Exact
Answer: C.
A client diagnosed with myasthenia gravis receives a prescription for the
anticholinesterase medication, pyridostigmine. Which intervention

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2021 HESI Pharmacology Review Exam With Answers (49 Solved Questions)

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