HESI Pharmacology Exam Version 1| 55
Questions and Verified Answers | 2023 / 2024
Update
Q: The nurse is administering IV fluconazole (Diflucan) to a client who has systemic
candidiasis. After reviewing the diagnostic studies, the nurse identifies a rising trend in the liver
enzyme for aspartate aminotransferase (AST). What action should the nurse implement?
Answer:
Hold the dose and notify the healthcare provider of the changes in laboratory studies
Q: The nurse suspects that a client has experienced an adverse response to a prescribed
medication. What action should the nurse take first?
Answer:
Complete a focused systems assessment of the client
Q: A male client who has been taking a high-dose of an NSAID comes to the clinic
complaining of gastric pain and blood in his stool. The healthcare provider discontinues the
NSAIDs and prescribes esomeprazole (Nexium). Which information should the nurse include in
this client’s teaching plan?
Answer:
Notify the healthcare provider of the passage of black stools
Q: The nurse assesses a client with intermittent claudication who is receiving pentoxifyline
(Trental). Which assessment should the nurse perform to determine the effectiveness of the
medication?
Answer:
Monitor numeric pain scale.
Q: A female client is receiving rifampin (Rifadin), an antitubercular medication. Which
assessment by this client should prompt the nurse to notify the prescriber of a potential problem?
Answer:
Reports sclera are yellow.
Q: The nurse administers naloxone to a client with opioid-induced respiratory depression. One
hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/min,
SpaO2 of 75%, and is unable to be aroused. What action should the nurse implement?
Answer:
Administer a second dose of naloxone
Q: A client is receiving orlistat (Xenlcal) as part of a weight management program. Which
ongoing assessment should be included in the plan of care to determine the effectiveness of the
medication?
Answer:
BMI
Q: A male client with Laennec’s cirrhosis refuses to take the daily dose of lactulose because he
had three soft stools yesterday. Which action should the nurse implement?
Answer:
Explain that this effect reduces serum ammonia levels.
Q: Prior to administering morning medications, the nurse assesses a client who is receiving
digoxin (Lanoxin) 0.25mg PO, levothyroxine (Synthroid) 0.5mcg PO, and olmesartan
hydrochlorothiazide (Benicar HCT) 40/12.5 PO. Which assessment finding indicates that the
nurse should withhold one of the morning medication doses?