{"id":116482,"date":"2023-08-25T11:00:05","date_gmt":"2023-08-25T11:00:05","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116482"},"modified":"2023-08-25T11:00:06","modified_gmt":"2023-08-25T11:00:06","slug":"hesi-pn-pharmacology-exam-test-bank-questions-nclex-pn-latest-updated-guaranteed-a-guide-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/25\/hesi-pn-pharmacology-exam-test-bank-questions-nclex-pn-latest-updated-guaranteed-a-guide-2\/","title":{"rendered":"HESI PN Pharmacology Exam: Test Bank: Questions &#038; Answers;(NCLEX-PN) Latest Updated\/ Guaranteed A+ Guide"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p>HESI PN Pharmacology Exam Test Bank Questions &amp;<br>Answers<br>1) A nurse is caring for a client with hyperparathyroidism and notes that the client&#8217;s<br>serum calcium level is 13 mg\/dL. Which medication should the nurse prepare to<br>administer as prescribed to the client?<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Calcium chloride<\/li>\n\n\n\n<li>Calcium gluconate<\/li>\n\n\n\n<li>Calcitonin (Miacalcin)<\/li>\n\n\n\n<li>Large doses of vitamin D<br>(Ans- 3. Calcitonin (Miacalcin)<br>Rationale:<br>The normal serum calcium level is 8.6 to 10.0 mg\/dL. This client is experiencing<br>hypercalcemia. Calcium gluconate and calcium chloride are medications used for<br>the treatment of tetany, which occurs as a result of acute hypocalcemia. In<br>hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a thyroid<br>hormone, decreases the plasma calcium level by inhibiting bone resorption and<br>lowering the serum calcium concentration.<br>2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency<br>anemia. The nurse instructs the mother to administer the iron with which best food<br>item?<\/li>\n\n\n\n<li>Milk<\/li>\n\n\n\n<li>Water<\/li>\n\n\n\n<li>Apple juice<\/li>\n\n\n\n<li>Orange juice<br>(Ans- 4. Orange juice<\/li>\n<\/ol>\n\n\n\n<p>Rationale:<br>Vitamin C increases the absorption of iron by the body. The mother should be<br>instructed to administer the medication with a citrus fruit or a juice that is high in<br>vitamin C. Milk may affect absorption of the iron. Water will not assist in<br>absorption. Orange juice contains a greater amount of vitamin C than apple juice.<br>3.) Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse<br>monitors the client, knowing that which of the following would indicate the<br>presence of systemic toxicity from this medication?<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Tinnitus<\/li>\n\n\n\n<li>Diarrhea<\/li>\n\n\n\n<li>Constipation<\/li>\n\n\n\n<li>Decreased respirations<br>(Ans- 1. Tinnitus<br>Rationale:<br>Salicylic acid is absorbed readily through the skin, and systemic toxicity<br>(salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea, and<br>psychological disturbances. Constipation and diarrhea are not associated with<br>salicylism.<br>4.) The camp nurse asks the children preparing to swim in the lake if they have<br>applied sunscreen. The nurse reminds the children that chemical sunscreens are<br>most effective when applied:<\/li>\n\n\n\n<li>Immediately before swimming<\/li>\n\n\n\n<li>15 minutes before exposure to the sun<\/li>\n\n\n\n<li>Immediately before exposure to the sun<\/li>\n\n\n\n<li>At least 30 minutes before exposure to the sun<\/li>\n<\/ol>\n\n\n\n<p>(Ans- 4. At least 30 minutes before exposure to the sun<br>Rationale:<br>Sunscreens are most effective when applied at least 30 minutes before exposure to<br>the sun so that they can penetrate the skin. All sunscreens should be reapplied after<br>swimming or sweating.<br>5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury.<br>When applying the medication, the client complains of local discomfort and<br>burning. Which of the following is the most appropriate nursing action?<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Notifying the registered nurse<\/li>\n\n\n\n<li>Discontinuing the medication<\/li>\n\n\n\n<li>Informing the client that this is normal<\/li>\n\n\n\n<li>Applying a thinner film than prescribed to the burn site<br>(Ans- 3. Informing the client that this is normal<br>Rationale:<br>Mafenide acetate is bacteriostatic for gram-negative and gram-positive organisms<br>and is used to treat burns to reduce bacteria present in avascular tissues. The client<br>should be informed that the medication will cause local discomfort and burning<br>and that this is a normal reaction; therefore options 1, 2, and 4 are incorrect<br>6.) The burn client is receiving treatments of topical mafenide acetate (Sulfamylon)<br>to the site of injury. The nurse monitors the client, knowing that which of the<br>following indicates that a systemic effect has occurred?<br>1.Hyperventilation<br>2.Elevated blood pressure<br>3.Local pain at the burn site<br>4.Local rash at the burn site<\/li>\n<\/ol>\n\n\n\n<p>(Ans- 1.Hyperventilation<br>Rationale:<br>Mafenide acetate is a carbonic anhydrase inhibitor and can suppress renal excretion<br>of acid, thereby causing acidosis. Clients receiving this treatment should be<br>monitored for signs of an acid-base imbalance (hyperventilation). If this occurs, the<br>medication should be discontinued for 1 to 2 days. Options 3 and 4 describe local<br>rather than systemic effects. An elevated blood pressure may be expected from the<br>pain that occurs with a burn injury.<br>7.) Isotretinoin is prescribed for a client with severe acne. Before the<br>administration of this medication, the nurse anticipates that which laboratory test<br>will be prescribed?<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Platelet count<\/li>\n\n\n\n<li>Triglyceride level<\/li>\n\n\n\n<li>Complete blood count<\/li>\n\n\n\n<li>White blood cell count<br>(Ans- 2. Triglyceride level<br>Rationale:<br>Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be<br>measured before treatment and periodically thereafter until the effect on the<br>triglycerides has been evaluated. Options 1, 3, and 4 do not need to be monitored<br>specifically during this treatment.<br>8.) A client with severe acne is seen in the clinic and the health care provider<br>(HCP) prescribes isotretinoin. The nurse reviews the client&#8217;s medication record and<br>would contact the (HCP) if the client is taking which medication?<\/li>\n\n\n\n<li>Vitamin A<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>HESI PN Pharmacology Exam Test Bank Questions &amp;Answers1) A nurse is caring for a client with hyperparathyroidism and notes that the client&#8217;sserum calcium level is 13 mg\/dL. Which medication should the nurse prepare toadminister as prescribed to the client? Rationale:Vitamin C increases the absorption of iron by the body. The mother should beinstructed to administer [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116482","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116482","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116482"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116482\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116482"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116482"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116482"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}