PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 3
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 3
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A peak and trough level must be drawn for a client receiving antibiotic
therapy. What is the optimum time for the nurse to obtain the trough
level?
A) Sixty minutes after the antibiotic dose is administered.
B) Immediately before the next antibiotic dose is given.
C) When the next blood glucose level is to be checked.
D) Thirty minutes before the next antibiotic dose is given. - ANSWER--
Trough levels are drawn when the blood level is at its lowest, which is
typically just before the next dose is given (B). (A, C, and D) do not
describe the optimum time for obtaining a trough level of an antibiotic.
Correct Answer(s): B
A client with Parkinson's disease is taking carbidopa-levodopa
(Sinemet). Which observation by the nurse should indicate that the
desired outcome of the medication is being achieved?
A) Decreased blood pressure.
B) Lessening of tremors.
C) Increased salivation.
D) Increased attention span. - ANSWER--Correct Answer(s): B
, PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 3
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 3
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
Sinemet increases the amount of levodopa to the CNS (dopamine to the
brain). Increased amounts of dopamine improve the symptoms of
Parkinson's, such as involuntary movements, resting tremors (B),
shuffling gait, etc. (A) is a side effect of Sinemet. Decreased drooling
would be a desired effect, not (C). Sinemet does not affect (D).
A client with congestive heart failure (CHF) is being discharged with a
new prescription for the angiotensin-converting enzyme (ACE) inhibitor
captopril (Capoten). The nurse's discharge instruction should include
reporting which problem to the healthcare provider?
A) Weight loss.
B) Dizziness.
C) Muscle cramps.
D) Dry mucous membranes. - ANSWER--Correct Answer(s): B
Angiotensin-converting enzyme (ACE) inhibitors are used in CHF to
reduce afterload by reversing vasoconstriction common in heart failure.
This vasodilation can cause hypotension and resultant dizziness (B). (A)
is desired if fluid overload is present, and may occur as the result of
effective combination drug therapy such as diuretics with ACE
inhibitors. (C) often indicates hypokalemia in the client receiving
diuretics. Excessive diuretic administration may result in fluid volume
deficit, manifested by symptoms such as (D).
, PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 3
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 3
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
The healthcare provider prescribes digitalis (Digoxin) for a client
diagnosed with congestive heart failure. Which intervention should the
nurse implement prior to administering the digoxin?
A) Observe respiratory rate and depth.
B) Assess the serum potassium level.
C) Obtain the client's blood pressure.
D) Monitor the serum glucose level - ANSWER--Hypokalemia
(decreased serum potassium) will precipitate digitalis toxicity in persons
receiving digoxin (B). (A and C) will not affect the administration of
digoxin. (D) should be monitored if he/she is a diabetic and is perhaps
receiving insulin.
Correct Answer(s): B
A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which
response should the nurse provide?
A) "Yes, it is an oral insulin and has the same actions and properties as
intermediate insulin."
B) "Yes, it is an oral insulin and is distributed, metabolized, and
excreted in the same manner as insulin."
, PHARMACOLOGY RN HESI EXIT EXAM 2024VERSION 3
/HESI RN PHARMACOLOGY EXIT EXAM VERSION 3
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
C) "No, it is not an oral insulin and can be used only when some beta
cell function is present."
D) "No, it is not an oral insulin, but it is effective for those who are
resistant to injectable insulins." - ANSWER--An effective oral form of
insulin has not yet been developed (C) because when insulin is taken
orally, it is destroyed by digestive enzymes. Glipizide (Glucotrol) is an
oral hypoglycemic agent that enhances pancreatic production of insulin.
(A, B, and D) do not provide accurate information.
Correct Answer(s): C
The nurse is teaching a client with cancer about opioid management for
intractable pain and tolerance related side effects. The nurse should
prepare the client for which side effect that is most likely to persist
during long-term use of opioids?
A) Sedation.
B) Constipation.
C) Urinary retention.
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