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HESI pharmacology exam

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 67 pages. Originally published on StudyMerit.

Pages
67
Academic year
2025/2026
Language
English

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HESI PHARMACOLOGY EVOLVE EXAM ASSEMENT POOL| 325 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | PRE - EVALUATED A+| VERIFIED ANSWERS 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 pancu ronium bromide IV, with adjunctive opioid analgesia. What medication should be immediately accessible for a potential complication with this drug? A. Dantrolene sodium B . Neostigmine bromide C. Succinylcholine bromide D. Epinephrine - CORRECT ANSWER -- B. Neostigmine bromide Neostigmine bromide and atropine sulfate, both anticholinergic drugs, reverse the respiratory muscle paralysis caused by pancuronium bromide. Options A, C, and D are not antagonists to pancuronium bromide and would not be helpful in reversing the effects o f the drug compared with the use of anticholinergics. A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and acetaminophen elixir, 650 mg PO every 4 hours PRN. The nurse calls the health care provider to report

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that the client has developed diarrhea. Which change in prescriptions should the nurse anticipate? A. Change the acetaminophen to ibuprofen. B. Change the elixir to an injectable route. C . Decrease the dose of vitamin C. D. Begin treatment with an antibiotic. - CORRECT ANSWER -- C. Decrease the dose of vitamin C. When providing nursing care for a client receiving pyridostigmine bromide for myasthenia gravis, which nursing intervention has the highest priority? A. Monitor the client frequently for urinary retention. B. Assess respiratory status and breath sounds often. C. Monitor blood pressure each shift to screen for hypertension. D. Administer most medications after meals to decrease gastrointestinal irritation. - CORRECT ANSWER -- B. Assess respiratory status and breath sounds often. A client with a dislocated shoulder is being prepared for a closed manual reduction using conscious sedation. Which medication should the nurse explain as a sedative used during the procedure? A.Inhaled nitrous oxide B .Midazolam IV C.Ketamine IM D.Fentanyl and droperidol IM - CORRECT ANSWER -- B. Midazolam IV

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A client is being discharged with a prescription for sulfasalazine to treat ulcerative colitis. Which instruction should the nurse provide to this client prior to discharge? A. Maintain good oral hygiene. B. Take the medication 30 minutes before a meal. C. Discontinue use of the drug gradually. D. Drink at least eight glasses of fluid a day. - CORRECT ANSWER -- D. Drink at least eight glasses of fluid a day. The health care provider prescribes carbamazepine for a child whose tonic - clonic seizures have been poorly controlled. The nurse informs the mother that the child must have blood tests every week. The mother asks why so many blood tests are necessary. Whic h complication is assessed through frequent laboratory testing that the nurse should explain to this mother? A. Nephrotoxicity B. Ototoxicity C . Myelosuppression D.Hepatotoxicity - CORRECT ANSWER -- C. Myelosuppression Myelosuppression is the highest priority complication that can potentially affect clients managed with carbamazepine therapy. The client requires close monitoring for this condition by weekly laboratory testing. Hepatic function may be altered, but this co mplication does not have as great a potential for occurrence as option C. Options A and B are not typical complications of carbamazepine therapy. When developing a written nursing care plan for a client receiving chemotherapy for treatment of cancer, the nurse writes, "Assess each voiding for hematuria." The administration of which type of chemotherapeutic agent would prompt the nurse to add this in tervention?

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