NGN HESI PHARMACOLOGY REAL LATEST EXAM S
(3 VERSIONS) 2023 & 2024 WITH ALL 255 QUESTIONS
AND CORRECT ANSWERS / HESI PHARM ACOLOGY
REAL EXAMS WITH NGN 2024/2025 ALREADY
GRADED A+ (BRAND NEW!!)
HESI PHARMACOLOGY REAL EXAM WITH NGN 2024 (VERSION 1)
A client with peptic ulcer disease receives a new prescription for cimetidine.Which statement provided by the client requires additional instruction by the nurse?
- Take the medication an hour after antacids.
- Notify the healthcare provider of lethargy.
- Decrease cigarette use to a pack per day.
- Monitor for any signs of sexual dysfunction.
- Decrease cigarette use to a pack per day.
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours which is to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200 mL. How many mL/hr should the nurse program the infusion pump to deliver?200 mL/hr
Rationale:
xmL/hr = 200 mL x 400 mg = 80,000 = 200 mL/hr 400 mg 1 hr 400 A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse should assess the client for the onset of which problem?
- Muscle tenderness.
- Nausea and vomiting. 1 / 4
- Excessive bruising.
- Peripheral edema.
- Muscle tenderness.
- LDL (Low-density lipoprotein)
- Triglycerides (Type of fat)
- HDL (High-density lipoprotein)
- VLDL (Very low-density lipoprotein)
- HDL (High-density lipoprotein)
An increase in which serum laboratory value indicates to the nurse that a prescription for atorvastatin is having the desired effect for a client at risk for coronary artery disease?
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90 mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in the past week. Her forced expiratory volume has been 60-65% even with multiple doses of albuterol for several days in a row. She came to the hospital feeling dizzy, lightheaded, and complaining of “heart palpitations”. Upon assessment, no wheezes were found. Her oxygen saturation is 99%.Review H and P, and nurse’s note. Identify from the choices below which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.
Potential Condition:
Methemoglobinemia
Actions to Take: 2 / 4
- Draw blood for a complete blood count
- Administer methylene blue
Parameters to Monitor:
- Methemoglobin level
- Heart rate and rhythm
- Sexual dysfunction
- Gastric irritation
- Rapid weight gain
- Photosensitivity
- Gastric irritation
- Assess back pain using numeric scale
- Palpate volume of pedal pulses
- Determine presence of abdominal pain
- Evaluate ongoing sleep patterns
- Determine presence of abdominal pain
- Instruct the client that it is necessary to take nothing but water with the
The nurse provide discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth three times a day for post herpetic neuralgia. Which symptoms should the nurse tell the client to report to the healthcare provider?
A client with chronic lower back pain has been taking non steroidal anti- inflammatory (NSAID) drug ibuprofen by mouth twice a day for several months.Which assessment is most important for the nurse to complete?
The nurse administers risedrineate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
medication. 3 / 4
- Assign an unlicensed assistive personnel (UAP) to bring the client a glass of
- Withhold the medication until the client's breakfast tray is available on the unit.
- Consult with a pharmacist about scheduling the dose one hour after the client
- Instruct the client that it is necessary to take nothing but water with the
- Note the clients serum calcium levels
- Monitor the clients serum electrolytes
- Review the clients intake and output
- Measure the clients blood pressure
- Measure the clients blood pressure
- Use a twice a week dosing schedule
- Stand and sit up slowly
- Take the medication early in the day
- Reduce daily fluid intake
- Stand and sit up slowly
- Nausea
- Involuntary movements
- Diarrhea
- / 4
low fat milk.
eats.
medication.Which action should the nurse implement to assess the effectiveness of calcium channel blocker amlodipine?
A client is receiving tamsulosin an alpha adrenergic - blocking agent for the management of urinary retention due to benign prostatic hyperplasia (BPH).Which instruction is most important for the nurse to provide?
A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?