HESI RN Pharmacology Exam

HESI RN Pharmacology Exam

VERSION 3

• Which response best supports the observations that the nurse identifies in a client who is

experiencing a placebo effect?✓ Psychological response to inert medication

• Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-old

child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching plan for the parents of this child newly diagnosed with ADHD, which instruction is most important for the nurse to provide to the parents?✓ Administer the medication in the morning before the child goes to school.

• Which physiologic mechanism explains a drug's increased metabolism that is triggered

by a disease process?✓ Pharmacokinetics

• The health care provider prescribes ipratropium (Atrovent) for a client. An allergic

reaction to which other medication would cause the nurse to question the prescription for Atrovent?✓ Atropine sulfate (Atropine)

• A 42-year-old client is admitted to the emergency department after taking an overdose of

amitriptyline (Elavil) in a suicide attempt. Which drug should the nurse plan to administer to reverse the cardiac and central nervous system effects of amitriptyline (Elavil)?✓ Sodium bicarbonate

• A client who is hypertensive receives a prescription for hydrochlorothiazide (HCTZ) –

thiazide diuretic cause potassium wasting in the urine. When teaching about the side effects of this drug, which symptoms are most important for the nurse to instruct the client to report?✓ Fatigue and muscle weakness

• The nurse is preparing to apply a surface anesthetic agent for a client. Which action

should the nurse implement to reduce the risk of systemic absorption?✓ Avoid abraded skin areas when applying the anesthetic. – apply to the smallest surface of intact skin

• The health care provider prescribes cisplatin (Platinol) to be administered in 5% dextrose

and 0.45% normal saline with mannitol (Osmitrol) added. Which assessment parameters would be most helpful to the nurse in evaluating the effectiveness of the Osmitrol 1 / 2

therapy?✓ Urine output

• A 19-year-old male client who has sustained a severe head injury is intubated and placed

on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client from "fighting" the ventilator, the health care provider administers pancuronium bromide (Pavulon) IV, with adjunctive opioid analgesia. What medication should the nurse maintain at the client's bedside?✓ Neostigmine bromide (Prostigmin)

• The nurse is reviewing a client's laboratory results before a procedure in which a

neuromuscular blocking agent is a standing order. Which finding should the nurse report to the health care provider?✓ Hypokalemia - Low potassium levels enhance the effects of neuromuscular blocking agents

• A female client with myasthenia gravis is taking a cholinesterase inhibitor and asks the

nurse what can be done to remedy her fatigue and difficulty swallowing. What action should the nurse implement?✓ Develop a teaching plan for the client to self-adjust the dose of medication in response to symptoms. - Clients should be taught to recognize signs of overmedication and undermedication so that they can modify the dosage themselves based on a prescribed sliding scale.

• A client receives pancuronium (Pavulon), a long-acting, nondepolarizing neuromuscular

blocker, during surgical anesthesia. Which client situation should alert the nurse to evaluate the client for a prolonged muscle relaxation response to this medication?✓ Renal insufficiency

• A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2

mL. How many mL should be administered?✓ 2.2 mL - (22 mg/20 mg) × 2 mL = 2.2 mL

• A client is receiving oral griseofulvin (Grisactin) for a persistent tinea corporis infection.

Which response by the client indicates an accurate understanding of the drug teaching conducted by the nurse?✓ "I'll wear sunscreen whenever I mow the lawn." - Photosensitivity is a side effect of griseofulvin (Grisactin), so clients should be cautioned to wear protective sunscreen during sun exposure.

• / 2