HESI PN PHARMACOLOGY EXAM NEWEST 2024 WITH
COMPLETE QUESTIONS AND CORRECT VERIFIED ANSWERS
(DETAILED ANSWERS) ALREADY GRADED A+ 100%
GUARANTEED TO PASS CONCEPTS!!!
While taking a client's history, the practical nurse (PN) discovers that the client,
who takes Coumadin daily, has added a ginger supplement on the advice of a
friend. What comment is critical for the PN to provide to this client? - ANSWER-
"Your health care provider is interested in all medications and herbs you take."
A client with diabetes mellitus takes insulin daily and is prescribed propranolol
(Inderal). Which information should the nurse provide to this client? -
ANSWER-A sign of hypoglycemia is that propranolol slows a rapid heart rate.
A client has a positive skin test for tuberculosis. What prophylactic drug should
the practical nurse (PN) expect to be prescribed for this client? - ANSWER-
Isoniazid (INH)
Amitriptyline hydrochloride (Elavil) is prescribed for an adult female client who
is clinically depressed. Five days after beginning the drug, the client is admitted
to the hospital because of suicide ideation. She tells the practical nurse (PN)
that the drug is not working because she is not feeling any better. Which
explanation should the PN provide? - ANSWER-"It takes 2 to 4 weeks for
antidepressant medications to become effective."
,In planning care for a client diagnosed with bacterial pneumonia, which
intervention should the practical nurse implement? - ANSWER-Obtain the
sputum specimen before administering prescribed antibiotics.
Phenytoin (Dilantin) is prescribed for a client who has a seizure disorder. Which
statement by the client indicates to the practical nurse that the instruction
about this drug has been effective? - ANSWER-"I know that I should never stop
taking this medication abruptly."
The practical nurse (PN) is obtaining the medical history of a female client
starting a new prescription for conjugated estrogens (Premarin) 0.625 mg PO
daily. Before taking the first dose of the medication, which information is most
important for the PN to obtain from the client? - ANSWER-Cigarette smoking
history
A mother brings her 3-month-old infant to the well-baby clinic because the
baby has developed oral thrush. Which pharmacological agent should the
practical nurse (PN) expect to be prescribed for the thrush? - ANSWER-Nystatin
(Mycostatin)
The H2 receptor blocker famotidine (Pepcid) is prescribed for a client who has
been taking antacids for chronic gastritis. Which client statement indicates to
the practical nurse (PN) that teaching was effective regarding concurrent use of
these medications? - ANSWER-"I will take the antacid after meals and the
Pepcid at bedtime."
A mother brings her 18-month-old child to the clinic because the child has had
"bad diarrhea" for the last 3 days. She states, "I bought some of this liquid at
the pharmacy and gave my daughter a half-ounce." The practical nurse (PN)
sees that the bottle contains loperamide (Imodium AD). What intervention is
most important for the PN to implement initially? - ANSWER-Ask the mother
when the child last voided.
,A client who received a prescription for cyclosporine ophthalmic emulsion
(Restasis) for dry eyes asks the practical nurse (PN) if it is safe to continue using
artificial tears. What information should the PN provide? - ANSWER-Allow a 15-
minute interval between the administration of Restasis and artificial tears.
The health care provider prescribes morphine sulfate grain 1/8 IM stat.
Morphine is available in 8 mg/mL. How many milliliters should the practical
nurse (PN) administer? - ANSWER-1 mL
A 74-year-old female client asks the practical nurse (PN) if she should get a flu
shot. Which response should the PN provide? - ANSWER-"Yes. Normal aging
decreases your immunity, making you more susceptible to contagious diseases
such as the flu."
A 78-year-old client with congestive heart failure (CHF) receives the cardiac
glycoside digoxin (Lanoxin) 0.25 mg PO daily. Which observation by the nurse
indicates that the medication has been effective? - ANSWER-Clear breath
sounds bilaterally.
The healthcare provider orders 1000 mL of 0.5% normal saline to run over 8
hours. The drop factor is 15 gtt/mL. The nurse plans to adjust the flow rate to
how many gtt/min? (Round to the nearest whole number.) - ANSWER-31
A client asks the practical nurse (PN) if glipizide (Glucotrol) is an oral insulin.
What answer should the PN provide? - ANSWER-"No, it is not an oral insulin
and can be used only when some beta cell function is present."
A female client who started taking an oral sulfonamide for a urinary tract
infection the previous day reports to the nurse that the medication is causing
slight anorexia. She also states that she continues to experience urinary
frequency, so she takes the medication with a small sip of cranberry juice and
limits her fluid intake. What information should the practical nurse provide -
, ANSWER-Drink a full glass of water with the medication and drink additional
fluids throughout the day
A health care provider prescribes cefadroxil (Duricef) for a client with a
postoperative infection. It is most important for the practical nurse (PN) to
consider that a cross allergy is possible with what drug allergy? - ANSWER-
Penicillins
A client is receiving the antipsychotic medication haloperidol (Haldol). In
evaluating the effectiveness of this medication, which action provides the
practical nurse with the most reliable information? - ANSWER-Observe the
client for changes in behavior weekly.
A client is receiving benztropine (Cogentin) and olanzapine (Seroquel) to
control psychotic behavior. When reinforcing teaching to the client and/or
significant others about these medications, what should the practical nurse
(PN) explain about the use of benztropine (Cogentin)? - ANSWER-The
benztropine (Cogentin) is used to control extrapyramidal symptoms.
Which question should the practical nurse (PN) ask an older client before
beginning treatment with gentamicin sulfate (Garamycin)? - ANSWER-Are you
hard of hearing?"
Oral metronidazole (Flagyl) is prescribed for a client diagnosed with vaginal
trichomoniasis, a protozoan infection. What precautions should the practical
nurse (PN) instruct the client to follow while taking this medication? - ANSWER-
Avoid ingesting any alcoholic (ethanol) beverage.
Which finding indicates that the desired effect of phenazopyridine (Pyridium),
used in the management of urinary tract infections (UTIs), has been achieved? -
ANSWER-Client denies pain when voiding.
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