HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS GUARANTEED PASS WITH RATIONALE

HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS GUARANTEED PASS WITH RATIONALE

A female client is receiving tamoxifen following surgery for breast cancer. She reports the onset of hot
flashes to the nurse. Which intervention should the nurse implement?
A. Instruct the client that hot flashes are a side effect that often occurs with the use of this medication
B. Encourage the client to verbalize her feelings and fears about the recurrence of her breast cancer
C. Help the client schedule an appointment for evaluation of the need to increase the dose of medication
D. Notify the HCP that the client needs immediate evaluation for medication toxicity - -------- CORRECT
ANSWERS----------Correct Answer: A
Rationale: Tamoxifen is an estrogen receptor blocker used to treat breast carcinoma. Hot flashes are a
common side effect. If the hot flashes become bothersome, the client can be instructed in measures to
reduce the discomfort. Hot flashes are not an indication of option B, C, or D.
The charge nurse is reviewing the admission history and physical data for four clients newly admitted to
the unit. Which client is at greater risk for adverse reactions to medications?
A. 30-year-old man with a fracture
B. 7-year-old child with an ear infection
C. 75-year-old woman with liver disease
D. 50-year-old man with an URI - -------- CORRECT ANSWERS----------Correct Answer: C
Rationale: Impaired hepatic metabolic pathways for drug and chemical degradation place option C at
greatest risk for adverse reactions to medications based on advancing age and liver disease. Options A
and D have no predisposing factors, such as genetics, pathophysiologic dysfunction, or drug allergies,
that would increase the risk for cumulative toxicity or ADRs. Option B is at risk for dose-related adverse
reactions but is at less risk than option C.
A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2 mL. How many
milliliters should be administered?
A. 1.8
B. 2.0
C. 2.4
D. 2.2 - -------- CORRECT ANSWERS----------Correct Answer: D
Rationale:
(22 mg/20 mg) × (x mL/2 mL) = 22x = 40x = 2.2 mL
A client with metastatic cancer reports severe continuous pain. Which route of administration should the
nurse use to provide the most effective continuous analgesia?
A. Oral
B. Intravenous (IV)
D. Transdermal
D. Intramuscular (IM) - -------- CORRECT ANSWERS----------Correct Answer: C
Rationale: Continuous pain is best managed by maintaining a constant serum drug level. Transdermal
drug administration of an analgesic provides around-the-clock, controlled release of the medication that
is absorbed through intact skin into the bloodstream to provide continuous pain relief. Option A is
convenient, but gastrointestinal variables affect the absorption rate of the drug, its onset and intensity,
and duration of response and requires repeated doses around the clock. Option B provides immediate
action because the drug is infused directly into the bloodstream and is quickly metabolized, and
repeated IV doses are required to maintain a continuous blood level. Option D requires repeated
injections at regular intervals, which are uncomfortable, and absorption rates vary between muscle sites.
Minocycline, 50 mg PO every 8 hours, is prescribed for an adolescent girl diagnosed with acne. The nurse
discusses self-care with the client while she is taking the medication. Which teaching points should be
included in the discussion? (Select all that apply.)
A. Report vaginal itching or discharge
B. Take the medication at 0800, 1500, and 2200 hours
C. Protect skin from natural and artificial UV light
D. Avoid drinking until response to medication is known
E. Take with an antacid tablet to prevent nausea
F. use a non-hormonal method of contraception if sexually active - -------- CORRECT ANSWERS----------
Correct Answer: A, C, D, F
Rationale: Adverse effects of tetracyclines include superinfections, photosensivity, and decreased
efficacy of oral contraceptives. Therefore, the client should report vaginal itching or discharge (A),
protect the skin from UV light (C), and use a non-hormonal method of contraception (F) while on teh
medication. Minocycline is known to cause dizziness and ataxia, so until the client's response to the
medication is known, driving (D) should be avoided. Tetracyclines should be taken around the clock (B)
but exhibit decreased absorption when taken with antacids, so (E) is contraindicated.
A 3-year-old boy is admitted to the ED after ingesting an unknown amount of phenobarbital elixir
prescribed for his brother's seizure disorder. Which nursing intervention should the nurse implement
first?
A. Administer syrup of ipecac
B. Take the child's vital signs
C. Draw a blood specimen for a phenobarbital level
D. Teach the mother safe medication storage practices - -------- CORRECT ANSWERS----------Correct
Answer: B
Rationale: Phenobarbital causes respiratory depression, so the priority intervention is assessment of vital
signs. Options A, C, and D are actions that may be used in the treatment of this child, but they do not
have the priority of option B
Following the administration of sublingual nitroglycerin, which assessment finding indicates that the
medication was effective?
A. Decrease in level of chest pain
B. Clear bilateral breath sounds
C. Increase in blood pressure
D. Increase in urinary output - -------- CORRECT ANSWERS----------Correct Answer: A
Rationale: Nitroglycerin reduces myocardial oxygen consumption, which decreases ischemia and reduces
chest pain. Options B, D, and D are not expected outcomes of sublingual nitroglycerin.

HESI PHARMACOLOGY ACTUAL Exam,HESI PHARMACOLOGY ACTUAL Test,HESI PHARMACOLOGY ACTUAL Flashcard,HESI PHARMACOLOGY ACTUAL quiz,HESI PHARMACOLOGY ACTUAL Practice,HESI PHARMACOLOGY ACTUAL Practice test,HESI PHARMACOLOGY ACTUAL Practice flashcard,HESI PHARMACOLOGY ACTUAL Practice exam,HESI PHARMACOLOGY ACTUAL Study guide,HESI PHARMACOLOGY ACTUAL Practice questions,HESI PHARMACOLOGY ACTUAL Questions,HESI PHARMACOLOGY ACTUAL Practice questions and answers,HESI PHARMACOLOGY ACTUAL Questions and answers,HESI PHARMACOLOGY ACTUAL pdf,HESI PHARMACOLOGY ACTUAL quizlet,HESI PHARMACOLOGY ACTUAL reddit,HESI PHARMACOLOGY ACTUAL Answer sheet,HESI PHARMACOLOGY ACTUAL Answer key,HESI PHARMACOLOGY ACTUAL Pdf free,HESI PHARMACOLOGY ACTUAL Exam help,HESI PHARMACOLOGY ACTUAL Cheat sheet,HESI PHARMACOLOGY ACTUAL quiz bank,HESI PHARMACOLOGY ACTUAL Questions bank,HESI PHARMACOLOGY ACTUAL Practice Guide,HESI PHARMACOLOGY ACTUAL Guide,HESI PHARMACOLOGY ACTUAL Testbank,HESI PHARMACOLOGY ACTUAL Practice Answers,HESI PHARMACOLOGY ACTUAL Answers,HESI PHARMACOLOGY ACTUAL Exam prep,HESI PHARMACOLOGY ACTUAL Prep,HESI PHARMACOLOGY ACTUAL Pdf download,HESI PHARMACOLOGY ACTUAL Flashcards,HESI PHARMACOLOGY ACTUAL Real questions,HESI PHARMACOLOGY ACTUAL Actual questions,HESI PHARMACOLOGY ACTUAL Real Questions and answers,HESI PHARMACOLOGY ACTUAL Actual Questions and answers,HESI PHARMACOLOGY ACTUAL Exam review,HESI PHARMACOLOGY ACTUAL Review,HESI PHARMACOLOGY ACTUAL Exam questions,HESI PHARMACOLOGY ACTUAL Exam questions and answers,HESI PHARMACOLOGY ACTUAL Practice test pdf,HESI PHARMACOLOGY ACTUAL Practice test quizlet,HESI PHARMACOLOGY ACTUAL Practice test Reddit,HESI PHARMACOLOGY ACTUAL Practice test quizlet multiple choice,HESI PHARMACOLOGY ACTUAL Exam study guide,HESI PHARMACOLOGY ACTUAL Practice test free,HESI PHARMACOLOGY ACTUAL Test questions,HESI PHARMACOLOGY ACTUAL Exam study guide,HESI PHARMACOLOGY ACTUAL Practice exam free,HESI PHARMACOLOGY ACTUAL Practice tests free,HESI PHARMACOLOGY ACTUAL Exam practice test,HESI PHARMACOLOGY ACTUAL Exam test questions,HESI PHARMACOLOGY ACTUAL Exam questions and answers,HESI PHARMACOLOGY ACTUAL Exam practice test