2024 Pharmacology HESI Exam Test Bank NCLEX-PN

2024 Pharmacology HESI Exam Test Bank NCLEX-PN Guaranteed A+ Actual Questions and Answers, Complete 100%

• Albuterol (Proventil HFA) two puffs and fluticasone propionate (Flovent

Diskus) two puffs by metered-dose inhaler have been prescribed for a client with chronic obstructive pulmonary disease. The nurse caring for the client provides instructions regarding administration of the medication. Which statement by the client indicates an understanding of how to take these medications?

• "I will take the two puffs of the fluticasone propionate first and then the

two puffs of the albuterol."

• "I will take the two puffs of the albuterol first and then the two puffs of the

fluticasone propionate."

• "I will alternate a single puff of each, beginning with the fluticasone propionate."
• "I will alternate a single puff of each, beginning with the albuterol.":

Answer:

• "I will take the two puffs of the albuterol first and then the two puffs of the

fluticasone propionate."

• Disulfiram (Antabuse) is prescribed for a client who is seen in the psychiatric

health care clinic. The nurse is collecting data on the client and is providing instructions regarding the use of this medication. Which is most important for the nurse to determine before administration of this

medication?:

Answer:

• When the last alcoholic drink was consumed

• A nurse is caring for a client with liver disease. Laboratory studies are

performed, and the client's serum calcium level is 13 mg/dL. The nurse checks to see that which medication is available in the stock medication supply area on the clinical nursing unit that may be needed to treat this

calcium imbalance?:

Answer:

• Calcitonin (Cibacalcin)

• A client with carcinoma is admitted to the hospital for a chemotherapy

treatment with intravenous bleomycin sulfate. The plan of care mentions observing for interstitial pneumonitis as the priority of care. Which assessment finding most closely correlates to symptoms of interstitial pneumonitis, 1 / 4

requiring reporting?:

Answer:

• Lung wheezing and shortness of breath

• Tacrolimus (Prograf) is prescribed for a client. Which of the following

disorders, if noted on the client's record, indicates that the medication needs

to be administered with caution?:

Answer:

• Renal insufficiency

• A nurse employed in the emergency department is preparing to administer

syrup of ipecac to a 7-month-old child. The nurse prepares 5 mL of the syrup and administers one half glass of water following administration of

the ipecac syrup. Which response would the nurse expect?:

Answer:

• Vomiting

• A nurse is reinforcing dietary instructions to a client who has been

prescribed cyclosporine (Sandimmune). Which food item would the nurse

instruct the client to avoid?:

Answer:

• Grapefruit juice

• A client is being treated for acute congestive heart failure with intravenously

administered bumetanide. The vital signs are as follows:

blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After the initial dose, which of the following is the priority

assessment?:

Answer:

• Monitoring blood pressure

• A nurse is reinforcing discharge instructions to a client receiving sulfisoxazole.

Which of the following should be included in the list of instructions?:

Answer: 2 / 4

• Maintain a high fluid intake.

• Docetaxel (Taxotere) is prescribed for a client with metastatic breast

cancer. In addition, dexamethasone (Decadron) is prescribed to be administered before initiation of the docetaxel. The nurse tells the client that the dexamethasone is prescribed to::

Answer:

• Reduce the severity of fluid retention.

• Streptokinase (Streptase) is being administered to a client following an

acute inferior myocardial infarction. The nurse plans care, knowing that the primary purpose of streptokinase is to::

Answer:

• Dissolve the thrombus.

• A client is seen in the clinic for complaints of skin itchiness that has

been persistent over the past several weeks. Following data collection, it has been determined that the client has scabies. Lindane is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the medication. The nurse tells the client to::

Answer:

• Leave the cream on for 8 to 12 hours and then remove by washing.

• A nurse is assisting in caring for a pregnant client who is receiving

intravenous magnesium sulfate for the management of preeclampsia and notes that the client's deep tendon reflexes are absent. On the basis of this

data, the nurse reports the finding and makes which determination?:

Answer:

• The client is experiencing magnesium toxicity.

• A client who is human immunodeficiency virus (HIV) seropositive has

been taking zalcitabine (ddC) as a component of treatment. The nurse tells the client that which laboratory test will need to be monitored while taking

this medication?:

Answer: 3 / 4

• Liver function studies

• The nurse administering medications to a group of clients notes a prescription

to give a subcutaneous dose of heparin sodium. The nurse should

do which of the following to give this medication safely?:

Answer:

• Give the injection using a 25- to 27-gauge, ]-inch needle.

• The nurse is analyzing the laboratory results of a client with leukemia

who has received a regimen of chemotherapy. Which laboratory value would the nurse specifically note as a result of the massive cell destruction that

occurred from the chemotherapy?:

Answer:

• Increased uric acid level

• The client has begun medication therapy with pancrelipase (Pancrease

MT). The nurse evaluates that the medication is having the optimal intended

benefit if which effect is observed?:

Answer:

• Reduction of steatorrhea

• Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg

wound containing purulent drainage. The nurse is assisting in developing a

plan of care for the client and includes which of the following in the plan?:

Answer:

• Ensure that the solution is freshly prepared before use.

• A client with multiple sclerosis is receiving baclofen (Lioresal). The nurse

monitoring this client should look for which of the following to indicate

a primary therapeutic response from the medication?:

Answer:

• Decreased muscle spasms

• A client with cancer is receiving cisplatin. Which finding indicates that

the client is experiencing an adverse effect of the medication?:

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