HESI Pharmacology Exam Version 3| 55
Questions and Verified Answers | 2023 / 2024
Update
Q: the nurse is administering sucralfate to a client with stomatitis secondary to chemotherapy.
The client wants to take the medication after breakfast, how should the nurse respond?
Allow the client to take the medication up to 1 hour after breakfast
Instruct the client to take it when the meal tray is delivered
Explain the need to take the medication at least 1 hour before meals
Document the clients refusal of the medication at this time
Answer:
Explain the need to take the medication at 1 hour before meals
Q: the nurse is caring for a client receiving regular insulin prescribed per sliding scale. If a dose
of regular insulin is administered at 0730, which additional nursing action is indicated for this
client?
Assess the client for hypoglycemia around 1500
Provide a mid afternoon snack for the client
Ensure that the client eats breakfast
Perform a glucometer reading at 1000
Answer:
Ensure that the client eats breakfast
Q: the nurse is teaching a client with coronary artery disease about a newly prescribed
medication, atorvastin. The client plans to take the medication in the morning with breakfast.
Which food choices are best for the nurse to recommend that the client should include with the
meal?
Whole milk
Low fat yogurt
Oatmeal
Whole banana
Sliced grapefruit
Answer:
Whole milk
Low fat yogurt
Q: when assessing a female client who has been an antipsychotic medication for the past year,
the nurse observes that the client demonstrates involuntary foot tapping while both feet are flat
on the floor. The nurse plans to report observation to the healthcare provider. Which additional
action should the nurse take?
Prepare to initiate seizure precautions for the clients safety
Advise the client that she has developed tolerance to the medication
Assist the client in recognizing her manifestations of anxiety
Document the findings on the abnormal involuntary movement scale
Answer:
Prepare to initiate seizure precautions for the clients safety
Q: A female client who is taking bisoohosphonate medication ibandronate for osteoporosis
reports the onset of heartburn. Which action should the nurse implement?
Encourage the client to increase her calcium intake
Reassure the client that the heartburn is temporary
Explain that the use of antacids be helpful
Ask the client to describe how she takes the medication
Answer:
Ask the client to describe how she takes the medication
Q: a client with symptoms of influenza that started the previous day asks the clinic nurse about
taking oseltamivir to treat the infection. Which response should the nurse provide?
Instruct the client that over-the-counter medications are sufficient to manage influenza symptoms
Refer the clients to the healthcare provider at the clinic to obtain a medication prescription
Explain to the client that antibiotics are not useful in treating viral infections such as infleunza
Advise the client that one symptoms occur it is too late to receive an influenza vaccination
Answer:
Refer the client to the healthcare at the clinic to obtain a medication prescription
Q: A client with open angle glaucoma is using pilocarpine ophthalmic solution, a mitotic agent.
Which action should the nurse at the eye clinic include in evaluating the effectiveness of the
medication?
Review eye pressure measurements
Palpate eyelids to decreased swelling
Use snellen chart to assess visual acuity
Check amount of drainage from each eye
Answer:
Review eye pressure measurements
Q: the healthcare provider prescribes ciprofloxacin 250 mg twice daily for a client with a
urinary tract infection. The clients medication history includes routine use of magnesium
hydroxide and fluoxetine. Which information is most important for the nurse to provide this
client?
Take ciprofloxacin with meals to reduce gastric distress
Report any reduced urinary frequency or urgency
Do not take magnesium hydroxide within 2 hours of taking ciprofloxacin
Eat yogurt daily to reduce superimposed infections
Answer:
Do not take magnesium hydroxide within 2 hours of taking ciprofloxacin
Q: a client with heart failure, who is taking furosemide, complains of muscle cramps and
weakness in the lower extremities. Which action should the nurse implement?
Collect blood for serum electrolytes
Encourage the use of salt with meals
Restrict potassium rich foods
Stretch the foot into dorsiflexoin
Answer:
Collect blood for serum electrolytes
Q: a client with a history of angina reports the onset of chest pain. The nurse determines that
the heart rate is 104 beats/min and blood pressure is 138/86 mmhg. A transdermal nitriglycerin
that was applied 30 min ago to the right upper chest. Which action should the nurse take?
Obtain another transdermal patch and position it on the clients left upper chest
Reassure the client that the patch will begin to take effect within a few minutes