FREE AND STUDY GAMES ABOUT PHARM HESI EXAM

PDF Download

FREE AND STUDY GAMES ABOUT PHARM HESI EXAM

QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -111 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: ? IV potassium (KCl) considerations when administering

Answer:

Don't give IV push; infuse at a rate no greater than 20 mEq/hr; concentration no greater than 40 mEq/L.Always use infusion pump. Assess IV site every hour.Question 2: what should a pt do if he is having chest pain, but is already wearing a nitroglycerin patch?

Answer:

may use SL nitro when wearing patch if patient having chest pain Question 3: Do dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban (Xarelto) require monitoring of labs

Answer:

do not require monitoring of labs; But ? risk of bleeding so teach pt S/S Question 4: ? Iron (Fe) [ferrous sulfate] . IM given via Z-track method, what helps absorption?

Answer:

Vitamin C

Question 5: Heparin is high-alert medication, which means the nurse must do what action before administering the drug?

Answer:

requires another nurse to check dosage Question 6: increases RBC production; treats anemia in patients with ESRD (CKD - chronic kidney disease) or from HIV or chemotherapy. Need normal iron levels. Monitor H&H. Monitor for signs of bleeding and/or clotting, such as DVT. Teach diet high in iron.

Answer:

? Epoetin alfa (Epogen, Procrit) Question 7: What are the nursing considerations for a pt taking atorvastatin (Lipitor)

Answer:

check LFTs routinely and CK for any c/o of muscle pain.Question 8: Name the 3 short acting bronchodilators, and when should they be uses

Answer:

• Albuterol (Proventil, Ventolin)
• levalbuterol (Xopenex)
• pirbuterol (Maxair)

? should be used during acute asthmatic episodes, not long term use

Question 9: ? MOA for Furosemide (Lasix)

Answer:

loop diuretic; rapid acting; used for rapid diuresis in emergencies (pulmonary edema)

Question 10: Filgrastim (Neupogen) SE

Answer:

include fever, muscle aches, bone pain, and flushing. Give nonopioid or opioid analgesic; stops when med D/C'd.

Question 11: meds ordered after a meal -should be taken within what time frame?

Answer:

30-60 minutes after eating

Question 12: serum potassium (K+) level

Answer:

3.5 to 5.0 mEq/L

Question 13: ? Tamsulosin (Flomax) - alpha1 adrenergic blocker; MOA

Answer:

? smooth muscle contraction of prostate capsule and bladder neck. Used for treating sx of BPH.Question 14: Adrenergics/SNS Drugs & Adrenergic Blockers : alpha 1 stimulation IS

Answer:

• vasoconstriction; beta 1 (one heart), beta 2 (two lungs)

Question 15: dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban (Xarelto) are what type of drugs?

Answer:

New potent, oral anticoagulants

Question 16: ? Iron (Fe) [ferrous sulfate] administration

Answer:

dilute PO liqu. dosage and sip through a straw to avoid discoloration of teeth; take PO iron w/ food to ?GI upset. Take antacids or milk products 1-2 hours before or after dosage. Instruct pt to sit upright for 30 min. to minimize esophageal irritation Question 17: Nursing considertions for potassium-sparing diuretic (Spironolactone (Aldactone), amiloride (Midamor); triamterene (Dyrenium)

Answer:

avoid salt substitutes, ACE inhibitors, ARBs. Often taken with other (thiazide) diuretics to treat edema, hypertension, heart failure. Can be taken with other meds that lower K+.Question 18: Which Catecholamine drugs must be watched carefully for extravasation!

Answer:

epinephrine, norepinephrine, dopamine, dobutamine, etc

Question 19: NSAID therapeutic contraindicated

Answer:

in renal impairment.

Question 20: When should you remove the nitroglycerin patch?

Answer:

remove at night to allow 8 hours without patch (can produce tolerance in 24 hours) Question 21: ? Spironolactone (Aldactone), amiloride (Midamor); triamterene (Dyrenium) have what MOA

Answer:

potassium-sparing diuretic (can cause ?K+). Blocks receptors for aldosterone. Inhibits sodium and water reabsorption.Question 22: Patient discharged on warfarin (Coumadin) discharge teaching are:

Answer:

avoid bleeding: soft toothbrush, electric razor, don't go without shoes, avoid activities that may cause bleeding.maintain vitamin K foods in diet (don't increase or decrease) Question 23: ? Remember that many decongestants and bronchodilators have what type of effects?

Answer:

sympathomimetic effects (adrenergic effects)

Question 24: Heparin for injection is what 3 units of measurement?

Answer:

10,000 units/mL or 20,000 units/mL or even 50,000 units/mL.Question 25: ? Epi-Pen (Epinephrine Auto Injector) SE:

Answer:

increase in heart rate, stronger or irregular heartbeat, sweating, nausea or vomiting, difficulty breathing, paleness, dizziness, weakness, shakiness, headache, apprehension, nervousness or anxiety. These side effects may go away if patient rests.