39 exam sets pn pharmacology hesi proctored exam new 2023
39 exam sets pn hesi pharmacology proctored exam new 2023
39 exam sets100 correc
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HESI PN Pharmacology Proctored Exam
2023-2024
39 Latest Versions
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HESI PN Pharmacology Proctored Exam
2023
, HESI PN PHARMACOLOGY PROCTORED EXAM
VERSION 1
A nurse is providing teaching to a newly licensed nurse about metoclopramide.
The nurse should include in the teaching that which of the following conditions is
a contraindication to this medication?
1. Hyperthyroidism
2. Intestinal obstruction
3. Glaucoma
4. Low blood pressure
A nurse is teaching a newly licensed nurse about contraindications to ceftriaxone.
The nurse should include a severe allergy to which of the following medications is
a contraindication to ceftriaxone?
1. Gentamicin
2. Clindamycin
3. Piperacillin
4. Sulfamethoxazole-trimethoprim
A nurse is caring for a client who has a new diagnosis of oral candidiasis after
taking tetracycline for 7 days. The nurse should recognize that candidiasis is a
Manifestation of which of the following adverse effects?
1. Allergic response
2. Superinfection
3. Renal toxicity
4. Hepatotoxicity
A nurse is reviewing the laboratory values for a client who is receiving a
continuous IV heparin infusion and has an a PTT of 90 seconds. Which of the
following actions should the nurse prepare to take?
1. Administer vitamin K
2. Reduce the infusion rate
3. Give the client a low-dose aspirin
4. Request an INR
Final practice a nurse is planning to administer diltiazem via IV bolus to a client
who has atrial fibrillation. When assessing the client, the nurse should
recognize that which of the following findings is a contraindication to
administration of diltiazem?
hypotension tachycardia
decreased level of consciousness
history of diuretic use
,A nurse is administering subcutaneous heparin to a client who is at risk for deep
vein thrombosis. Which of the following actions should the nurse take?
1. Administer the medication into the client's abdomen.
2. Inject the medication into a muscle.
3. Massage the site after administering the medication.
4. Use a 22-gauge needle to administer the medication.
A nurse is providing teaching to a client who has a urinary tract infection and
new prescriptions for phenazopyridine and ciprofloxacin. Which of the following
statements by the client indicates the need for further teaching? 1. "If the
phenazopyridine upsets my stomach, I can take it with meals."
2. "The phenazopyridine will relieve my discomfort, but the ciprofloxacin will get rid of
the infection."
3. "I need to drink 2 liters of fluid per day while I am taking the ciprofloxacin."
4. "I should notify my provider immediately if my urine turns an orange color."
A nurse is providing teaching to a group of new parents about medications. The
nurse should include that aspirin is contraindicated for children who have a viral
infection due to the risk of developing which of the following adverse effects?
1. Reye's syndrome
2. Visual disturbances
3. Diabetes mellitus
4. Wilms' tumor
A nurse is preparing to administer lactated Ringer's (LR) 1,000 mL IV to infuse
over 8 hr. The drop factor or the manual IV tubing is 10 gtt/mL. The nurse should
set the manual IV infusion to deliver how may gtt/min? (Round the answer to the
nearest whole number).
1 hr/60 min = 8 hr/X min
X = 480 min
1,000 mL/480 min x 10 gtt/mL = X gtt/min
X = 20.833 21 gtt/ min
A nurse is caring for a client who has a new prescription for tamoxifen. The nurse
should recognize that tamoxifen has which of the following therapeutic effects? ?
1. Antiestrogenic
2. Antimicrobial
3. Androgenic
4. Anti-inflammatory
A nurse is preparing to administer furosemide 4 mg/kg/day PO divided into 2
equal doses daily to a toddler who weighs 22 lb. How many mg should the nurse
administer per dose? (Round the answer to the nearest whole number)
2.2 lb/1 kg = 22 lb/X kg
X = 10 kg
4 mg x 10 kg = 40 mg/day
20mg
, A nurse is assessing a client who is receiving IV gentamicin three times daily.
Which of the following findings indicates that the client is experiencing an
adverse effect of this medication?
1. Hypoglycemia
2. Proteinuria
3. Nasal congestion
4. Visual disturbances
A nurse is providing teaching to a client who has cirrhosis and a new prescription
for lactulose. The nurse should instruct the client that lactulose has which of the
following therapeutic effects?
1. Increases blood pressure
2. Prevents esophageal bleeding
3. Decreases heart rate
4. Reduces ammonia levels
A nurse is providing teaching to a newly licensed nurse about metoclopramide.
The nurse should include in the teaching that which of the following conditions is
a contraindication to this medication?
1. Hyperthyroidism
2. Intestinal obstruction
3. Glaucoma
4. Low blood pressure
A nurse is teaching a newly licensed nurse about contraindications to
ceftriaxone. The nurse should include a severe allergy to which of the following
medications is a contraindication to ceftriaxone?
1. Gentamicin
2. Clindamycin
3. Piperacillin
4. Sulfamethoxazole-trimethoprim
A nurse is caring for a client who has a new diagnosis of oral candidiasis after
taking tetracycline for 7 days. The nurse should recognize that candidiasis is a
manifestation of which of the following adverse effects?
1. Allergic response
2. Superinfection
3. Renal toxicity
4. Hepatotoxicity
A nurse is reviewing the laboratory values for a client who is receiving a
continuous IV heparin infusion and has an aPTT of 90 seconds. Which of the
following actions should the nurse prepare to take?
1. Administer vitamin K
2. Reduce the infusion rate
3. Give the client a low-dose aspirin
4. Request an INR
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