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2025 HESI RN PHARMACOLOGY EXAM TEST BANK EXAM
QUESTIONS WITH COMPLETE SOLUTION) (MULTIPLE
CHOICES) (A+ GRADED 100% VERIFIED) LATEST VERSION
2025 Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -68 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: An older client with a decreased percentage of lean body mass is likely to receive a prescription that is adjusted based on which pharmacokinetic process?
Answer:
Distribution Question 2: A category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to teach this client?
Answer:
Use a reliable form of birth control Question 3: . A healthcare provider prescribes cephalexin monohydrate Keflex for a client with a postoperative infection. It is most important for the nurse to assess for what additional drug allergy before administering this prescription?
Answer:
Penicillin
Question 4: Dobutamine, Dobutrex is an emergency drug most commonly prescribed for a client with which condition?
Answer:
Heart failure Question 5: A client is being treated for hyperthyroidism with propylthiouracil PTU. The nurse knows that the action of this drug is to
Answer:
inhibit synthesis of T3 and T4 by the thyroid gland Question 6: The healthcare provider prescribes naproxen Naproxen twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide?
Answer:
Another type of nonsteroidal antiinflammatory drug may be indicated Question 7: In evaluating the effects of lactulose Cephulac, which outcome should indicate that the drug is performing as intended?
Answer:
Two or three soft stools per day Question 8: 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?
Answer:
Immediately before the next antibiotic dose is given Question 9: A client who has been taking levodopa PO TID to control the symptoms of Parkinson's disease has a new prescription for sustained release levodopa/carbidopa Sinemet 25/100 PO BID. The client took his levodopa at 0800. Which instruction should the nurse include in the teaching plan for this client?
Answer:
You can begin taking the Sinemet this evening, but do not take any more levodopa Question 10: A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to report promptly to the healthcare provider?
Answer:
Tachycardia and chest pain
Question 11: A medication that is classified as a beta-1 agonist is most commonly prescribed for a client with which condition?
Answer:
Heart failure Question 12: Which action is most important for the nurse to implement prior to the administration of the antiarrhythmic drug adenosine Adenocard?
Answer:
Apply continuous cardiac monitoring Question 13: When assessing an adolescent who recently overdosed on acetaminophen Tylenol, it is most important for the nurse to assess for pain in which area of the body?
Answer:
Abdomen Question 14: A client receiving albuterol Proventil tablets complains of nausea every evening with her 9 p.m. dose. What action should the nurse take to alleviate this side effect?
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Administer the dose with a snack Question 15: Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan Diovan has been achieved?
Answer:
Blood pressure reduced from 160/90 to 130/80 Question 16: The nurse is preparing the 0900 dose of losartan Cozaar, an angiotensin II receptor blocker ARB, for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. What action should the nurse take first?
Answer:
Withhold the scheduled dose Question 17: Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin-2 receptor antagonist irbesartan Avapro?
Answer:
Risk for injury
Question 18: . A postoperative client has been receiving a continuous IV infusion of meperidine Demerol 35 mg/hr for four days. The client has a PRN prescription for Demerol 100 mg PO q3h.The nurse notes that the client has become increasingly restless, irritable and confused, stating that there are bugs all over the walls. What action should the nurse take first?
Answer:
Decrease the IV infusion rate of the meperidine, Demerol per protocol Question 19: A client is receiving clonidine Catapres 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved?
Answer:
Blood pressure has changed from 180/120 to 140/70 Question 20: An adult client is given a prescription for a scopolamine patch Transderm Scop to prevent motion sickness while on a cruise. Which information should the nurse provide to the client?
Answer:
Apply the patch at least 4 hours prior to departure Question 21: 33. In teaching a client who had a liver transplant about cyclosporine Sandimmune, the nurse should encourage the client to report which adverse response to the healthcare provider?
Answer:
Presence of hand tremors Question 22: Which symptoms are serious adverse effects of beta-adrenergic blockers such as propranolol Inderal?
Answer:
Wheezing, hypotension, and AV block Question 23: . A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. The nurse knows that which medication should be contraindicated for this client?
Answer:
Pentobarbital sodium, Nembutal Sodium for sleep
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