HESI PHARMACOLOGY NCLEX PN EXAM NEWEST

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HESI PHARMACOLOGY (NCLEX PN) EXAM NEWEST

2025 ACTUAL EXAM TEST BANK| COMPLE TE 350

REAL EXAM QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) ALREADY GRADED

A+|| BRAND NEW!!

The nurse is applying a topical corticosteroid to a client with eczema.The nurse would monitor for the potential for increased systemic absorption of the medication if the medication were being applied to which of the following body areas?

• Back
• Axilla
• Soles of the feet
• Palms of the hands - Correct Answer - 2. Axilla

Rationale:

Topical corticosteroids can be absorbed into the systemic circulation.Absorption is higher from regions where the skin is especially permeable (scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions in which permeability is poor (back, palms, soles).

The clinic nurse is performing an admission assessment on a client. The nurse notes that the client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect that the client is being

treated for:

• Acne
• Eczema 1 / 4

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• Hair loss
• Herpes simplex - Correct Answer - 1. Acne

Rationale:

Azelaic acid is a topical medication used to treat mild to moderate acne.The acid appears to work by suppressing the growth of Propionibacterium acnes and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are incorrect.

The client with squamous cell carcinoma of the larynx is receiving bleomycin intravenously. The nurse caring for the client anticipates that which diagnostic study will be prescribed?

• Echocardiography
• Electrocardiography
• Cervical radiography
• Pulmonary function studies - Correct Answer - 4. Pulmonary function

studies

Rationale:

Bleomycin is an antineoplastic medication (Chemotheraputic Agents) that can cause interstitial pneumonitis, which can progress to pulmonary fibrosis. Pulmonary function studies along with hematological, hepatic, and renal function tests need to be monitored. The nurse needs to monitor lung sounds for dyspnea and crackles, which indicate pulmonary toxicity. The medication needs to be discontinued immediately if pulmonary toxicity occurs. Options 1, 2, and 3 are unrelated to the specific use of this medication.

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pg. 3 The client with acute myelocytic leukemia is being treated with busulfan (Myleran). Which laboratory value would the nurse specifically monitor during treatment with this medication?

• Clotting time
• Uric acid level
• Potassium level
• Blood glucose level - Correct Answer - 2. Uric acid level

Rationale:

Busulfan (Myleran) can cause an increase in the uric acid level.Hyperuricemia can produce uric acid nephropathy, renal stones, and acute renal failure. Options 1, 3, and 4 are not specifically related to this medication.

The client with small cell lung cancer is being treated with etoposide (VePesid). The nurse who is assisting in caring for the client during its administration understands that which side effect is specifically associated with this medication?

• Alopecia
• Chest pain
• Pulmonary fibrosis
• Orthostatic hypotension - Correct Answer - 4. Orthostatic

hypotension

Rationale:

A side effect specific to etoposide is orthostatic hypotension. The client's blood pressure is monitored during the infusion. Hair loss occurs with nearly all the antineoplastic medications. Chest pain and pulmonary fibrosis are unrelated to this medication. 3 / 4

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pg. 4 The client with ovarian cancer is being treated with vincristine (Oncovin). The nurse monitors the client, knowing that which of the following indicates a side effect specific to this medication?

• Diarrhea
• Hair loss
• Chest pain
• Numbness and tingling in the fingers and toes - Correct Answer - 4.

Numbness and tingling in the fingers and toes

Rationale:

A side effect specific to vincristine is peripheral neuropathy, which occurs in almost every client. Peripheral neuropathy can be manifested as numbness and tingling in the fingers and toes. Depression of the Achilles tendon reflex may be the first clinical sign indicating peripheral neuropathy. Constipation rather than diarrhea is most likely to occur with this medication, although diarrhea may occur occasionally. Hair loss occurs with nearly all the antineoplastic medications. Chest pain is unrelated to this medication.

The nurse is reviewing the history and physical examination of a client who will be receiving asparaginase (Elspar), an antineoplastic agent. The nurse consults with the registered nurse regarding the administration of the medication if which of the following is documented in the client's history?

• Pancreatitis
• Diabetes mellitus
• Myocardial infarction
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