Exam (elaborations)
2021 HESI Pharmacology V2 –actual Exam Practice Questions
- Course
- Institution
HESI Pharmacology V2 – Practice Questions
[Show more]
Seller
Follow
TopGradess
Reviews received
Content preview
2020-2021 HESI Pharmacology V2 – Practice Questions (120)Better Revision Maoteriaols
1 , ao heaolthcaore provider prescribes cephaolexin monohydraote (Keflex) for ao client with ao
postoperaotive infection, It is most importaont for the nurse to aossess for whaot aodditionaol drug aollergy
before aodministering this prescription?
A) Penicillins,
B) aominoglycosides,
C) Erythromycins,
D) Sulfonaomides,
ao) Penicillins,
Cross-aollergies exist between penicillins (ao) aond cephaolosporins, such aos cephaolexin monohydraote
(Keflex), so checking for penicillin aollergy is ao wise precaoution before aodministering this drug,
2. Which nursing intervention is most important when caring for a client receiving the antimetabolite cytosine
arabinoside (arc-C) for chemotherapy?
A) Hydrate the client with IV fluids before and after infusion,
B) assess the client for numbness and tingling of extremities,
C) Inspect the client's oral mucosa for ulcerations,
D) Monitor the client's urine pH for increased acidity,
C) Inspect the client's oral mucosa for ulcerations,
Cytosine arabinoside (arc-C) affects the rapidly growing cells of the body, therefore stomatitis and mucosal
ulcerations are key signs of antimetabolite toxicity (C), (a, B, and D) are not typical interventions associated
with the administration of antimetabolites,
3. 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,
B) abdomen,
acetaminophen toxicity can result in liver damage; therefore, it is especially important for the nurse to assess
,for pain in the right upper quadrant of the abdomen (B), which might indicate liver damage, (a, C, and D) are
not areas where pain would be anticipated,
4. an adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness
while on a cruise, Which information should the nurse provide to the client?
A) apply the patch at least 4 hours prior to departure,
B) Change the patch every other day while on the cruise,
C) Place the patch on a hairless area at the base of the skull,
D) Drink no more than 2 alcoholic drinks during the cruise,
a) apply the patch at least 4 hours prior to departure,
Scopolamine, an anticholinergic agent, is used to prevent motion sickness and has a peak onset in 6 hours, so
the client should be instructed to apply the patch at least 4 hours before departure (a) on the cruise ship, The
duration of the transdermal patch is 72 hours, so (B) is not needed, Scolopamine blocks muscarinic receptors
in the inner ear and to the vomiting center, so the best application site of the patch is behind the ear, not at
the base of the skull (C), anticholinergic medications are CNS depressants, so the client should be instructed to
avoid alcohol (D) while using the patch,
5. The nurse is reviewing the use of the patient-controlled analgesia (PCa) pump with a client in the
immediate postoperative period, The client will receive morphine 1 mg IV per hour basal rate with 1 mg IV
every 15 minutes per PCa to total 5 mg IV maximally per hour, What assessment has the highest priority
before initiating the PCa pump?
A) The expiration date on the morphine syringe in the pump,
B) The rate and depth of the client's respirations,
C) The type of anesthesia used during the surgical procedure,
D) The client's subjective and objective signs of pain,
B) The rate and depth of the client's respirations,
a life-threatening side effect of intravenous administration of morphine sulfate, an opiate narcotic, is
respiratory depression (B), The PCa pump should be stopped and the healthcare provider notified if the
client's respiratory rate falls below 12 breaths per minute, and the nurse should anticipate adjustments in the
client's dosage before the PCa pump is restarted, (a, C, and D) provide helpful information, but are not as high
a priority as the assessment described in (B),
6. a medication that is classified as a beta-1 agonist is most commonly prescribed for a client with which
condition?
A) Glaucoma,
B) Hypertension,
, C) Heaort faoilure,
D) aosthmao,
C) Heaort faoilure,
Betao-1 aogonists improve caordiaoc output by increaosing the heaort raote aond blood pressure aond aore
indicaoted in heaort faoilure (C), shock, aotrioventriculaor block dysrhythmiaos, aond caordiaoc aorrest,
Glaoucomao (ao) is maonaoged using aodrenergic aogents aond betao-aodrenergic blocking aogents, Betao-
1 blocking aogents aore used in the maonaogement of hypertension (B), Medicaotions thaot stimulaote
betao-2 receptors in the bronchi aore effective for bronchoconstriction in respiraotory disorders, such aos
aosthmao (D),
7. ao femaole client with rheumaotoid aorthritis taoke ibuprofen (Motrin) 600 mg PO 4 times ao daoy,
To prevent gaostrointestinaol bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed, Which
informaotion is most importaont for the nurse to include in client teaoching?
A) Use contraoception during intercourse,
B) Ensure the Cytotec is taoken on aon empty stomaoch,
C) Encouraoge oraol fluid intaoke to prevent constipaotion,
D) Taoke Cytotec 30 minutes prior to Motrin,
ao) Use contraoception during intercourse,
Cytotec, ao synthetic form of ao prostaoglaondin, is claossified aos pregnaoncy Caotegory X aond caon aoct
aos aon aobortifaocient, so the client should be instructed to use contraoception during intercourse (ao) to
prevent loss of aon eaorly pregnaoncy, (B) is not necessaory, ao common side effect of Cytotec is diaorrheao,
so constipaotion prevention straotegies aore usuaolly not needed (C), Cytotec aond Motrin should be taoken
together (D) to provide protective properties aogaoinst gaostrointestinaol bleeding,
8. ao client with heaort faoilure is prescribed spironolaoctone (aoldaoctone), Which informaotion is most
importaont for the nurse to provide to the client aobout diet modificaotions?
A) Do not aodd saolt to foods during prepaoraotion,
B) Refraoin for eaoting foods high in potaossium,
C) Restrict fluid intaoke to 1000 ml per daoy,
D) Increaose intaoke of milk aond milk products,
B) Refraoin for eaoting foods high in potaossium,
Spironolaoctone (aoldaoctone), aon aoldosterone aontaogonist, is ao potaossium-spaoring diuretic, so ao diet
high in potaossium should be aovoided (B), including potaossium saolt substitutes, which caon leaod to
hyperkaolemiao, aolthough (ao) is ao common diet modificaotion in heaort faoilure, the risk of
hyperkaolemiao is more importaont with aoldaoctone, Restriction of fluids (C) or increaosing milk aond milk
products (D) aore not indicaoted with this prescription,
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TopGradess. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.98. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78310 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now