HESI PN PHARMACOLOGY PROCTORED EXAM

HESI PN PHARMACOLOGY PROCTORED EXAM

VERSION 2

• A nurse is assessing a client who is receiving chloramphenicol

(Chloromycetin). Which of the following findings is an adverse effect of this medication? (adverse affect is thrombocytopenia)

• Ecchymos

o Ototoxicity

• Hypertensi

on o Anxiety

• A nurse is caring for a client who is to receive 1,500 mL of 0.9%

sodium chloride IV over 8 hours. The nurse plans to use IV tubing with a drop factor of 10 gtt/mL.How many gtt/min of IV fluid should the client receive? (Round your answer to the nearest whole number).31 gtt/min

• A nurse is admitting a client to a long-term care facility. While

reconciling the medication prescribed at home with those prescribed in the facility, the nurse discovers a discrepancy in the dosages. Which action should the nurse take?

• Clarify the medication dosages with the provider. 1 / 3

• Change the prescribed medication dosages to reconcile the

discrepancy o Contact the pharmacist regarding the dosage discrepancies

• Ask a family member to verify the medication dosages

• A nurse is caring for a client who is receiving a fentanyl

transdermal system (Duragesic). What is important to document in the client’s record?

• Fluid

intake o Skin integrity

• Respiratory

rate o Pulse rate

• A nurse is caring for a client who has acute angina and has a prescription for

nitroglycerin. Which of the following is an appropriate intervention for the nurse to take when administering this medication?

• Massage the nitroglycerin ointment completely into

the skin. o Replace the nitroglycerin transdermal patch every 4 hours.

• Administer a sustained nitroglycerin tablet orally.
• Administer a nitroglycerin tablet sublingually every 5 minutes.

• A nurse is preparing to administer infliximab (Remicade) to a client who has

rheumatoid arthritis. The nurse should watch the patient for which of the following adverse effects? (Select all that apply.)

• Bradycard

ia o Jaundice

• Polyuri

a o Urtipenia

• Fever 2 / 3

• A nurse is providing teaching to a client who was recently diagnosed as HIV

positive. The client is beginning medication therapy with zidovudine (Retrovir).Which of the following statements should the nurse include in the teaching.(Select all that apply.)

• Must be taken with other retroviral

medicines. o Has few adverse effects

• Cures an HIV infection
• Prevents you from transmitting the HIV

infection o Increases CD4+ cell count

• A nurse is assessing a school age client who is experiencing seizure activity and

is prescribed diazepam (Valium) IV. The nurse should should clarify the order if

the client is receiving a continuous infusion of which of the following IV:

• Lactated Ringers solution
• 0.9% Sodium chloride with 100 units of regular

insulin o 0.9% sodium chloride

• 0.9% Sodium chloride with 20 mEq of potassium chloride

• A nurse is assessing a client who is taking enalapril (Vasotec) for congestive

heart failure. Which of the following indicates an expected finding?

• Activity tolerance
• Orthostatic

hypotension o Loss of strength

• Increase in blood pressure

• A child with cerebral palsy is prescribed Baclofen (Lioresol). Which of

the following therapeutic effects should the nurse monitor?

• Increased urine

output o Increased energy

• Decreased

anxiety o Decreased spacity

• Clinical findings of a client who has a prescription for lithium carbonate

(Lithobid). For which reasons should the nurse withhold the medication and notify the provider?

• Lithium level 1.0

mEq/L o Potassium at 3.7 mEq/L o Sodium at 143 mEq/L

• / 3