HESI RN Pharmacology Exam

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HESI RN Pharmacology Exam

VERSION 20

Chapter 1

• A provider prescribes phenobarbital for a client wo has a seizure disorder. The

medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication?

• One
• Two
• Three
• Four

• A nurse educator is reviewing medication metabolism at an in-service presentation.

Which of the following factors should the educator include as a reason to administer lower medication dosages? (Select all that apply.)

• Increased renal excretion
• Increased medication-metabolizing enzymes
• Liver failure
• Peripheral vascular disease
• Concurrent use of medication the same pathway metabolizes

• A nurse is preparing to administer eye drops to a client. Which of the following

actions should the nurse take? (Select all that apply.)

• Have the client lie on one side.
• Ask the client to look up at the ceiling.
• Tell the client to blink when the drops enter the eye.
• Drop the medication into the client’s conjunctival sac.
• Instruct the client to close the eye gently after instillation.

• A nurse is teaching a client about transdermal patches. Which of the following

statements should the nurse identify as an indication that the client understands?

• “I will clean the site with an alcohol swab before I apply the patch.”
• “I will rotate the application sites weekly.”
• “I will apply the patch to an area of skin with no hair.”
• “I will place the new patch on the site of the old patch.”

• A nurse reviewing a client’s medical record notes a new prescription for verifying

the trough level of the client’s medication. Which of the following actions should the nurse take?

• Obtain a blood specimen immediately prior to administering the next dose of

medication.

• Verify that the client has been taking the medication for 24hr before obtaining a

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Chapter 2

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• Ask the client to provide a urine specimen after the next dose of medication.
• Administer the medication, and obtain a blood specimen 30 min later.

• A nurse is preparing a client’s medications. Which of the following actions should

the nurse take I following legal practice guidelines? (Select all that apply.)

• Teach the client about the medication.
• Determine the dosage.
• Monitor for adverse effects.
• Lock compartments for controlled substances.
• Determine the client’s insurance status.

• A nurse is preparing to administer digoxin to a client who states, “I don’t want to

take that medication. I do not want one more pill.” Which of the following responses should the nurse make?

• “Your physician prescribed it for you, so you really should take it.”
• “Well, let’s just get it over quickly then.”
• “Okay, I’ll just give you your other medications.”
• “Tell me our concerns about taking this medication.”

• A nurse is reviewing a client’s prescribed medications. Which of the following

situations represents a contraindication to medication administration?

• The client drank grapefruit juice, which could reduce a medication’s

effectiveness.

• The medication has orthostatic hypotension as an adverse effect.
• A medication is approved for ages 12 and older, and the client is 8 years old.
• An antianxiety medication that has an adverse effect of drowsiness is prescribed

as a preoperative sedative.

• A nurse is assessing a client before administering medications. Which of the

following data should the nurse obtain? (Select all that apply.)

• Use of herbal products
• Daily fluid intake
• Ability to swallow
• Previous surgical history
• Allergies

• A nurse is working with a newly licensed nurse who is administering medications to

clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention?

• Taking all medications out of the unit-dose wrappers before entering the client’s

room.

• Checking the prescription when a single dose requires administration of

multiple tablets.

• Administering a medication, then looking the usual dosage range.
• Relying on another nurse to clarify a medication prescription. 2 / 4

Chapter 3

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• A nurse is preparing to administer vancomycin 1g by intermittent IV bolus.

Available is vancomycin 1g in 100 mL of dextrose 5% in water (D5W) to infuse over 45 min. the drop factor of the manual IV tubing is 10gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Do not use a trailing zero.) 22gtt/min

• A nurse is preparing to administer clindamycin 200mg by intermittent IV bolus. The

amount available is clindamycin injection 200mg in 100mL 0.9% NaCl to infuse over 30 min. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Do not use a trailing zero.) 200mL/hr

• A nurse is preparing to administer furosemide 80mg PO daily. The amount available

is furosemide oral solution 10mg/1mL. How many mL should the nurse administer?(Round to the nearest whole number. Do not use a trailing zero.)

• mL

• A nurse is preparing to administer haloperidol 2mg PO every 12 hr. The amount

available is haloperidol 1mg/tablet. How many tablets should the nurse administer?(Round to the nearest whole number. Do not use a trailing zero.)

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• A nurse is preparing to administer amoxicillin 20mg/kg/day PO to divide equally

every 12 hr to a preschooler who weighs 44lb. The amount available is amoxicillin suspension 250mg/5mL. How many mL should the nurse administer per dose?(Round to the nearest whole number. Do not use a trailing zero.)

• mL

• A nurse is preparing to administer heparin 15,000 units subcutaneously every 12 hr.

The amount available is heparin injection 20,000 units/mL. How many mL should the nurse administer per dose? (Round to the nearest tenth. Do not use a trailing zero.) 0.8 mL

• A nurse is preparing to administer acetaminophen 650mg PO every 6 hr PRN for

pain. The amount available is acetaminophen liquid 500 mg/5mL. how many mL should the nurse administer per dose? (Round to the nearest tenth. Use a leading zero if applies. Do not use a trailing zero.) 6.5mL

• A nurse is preparing to administer dextrose 5% in water (D5W) 750 mL IV to infuse

over 6 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Do not use a trailing zero.) 125 mL/hr

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