2022 HESI PHARMACOLOGY EXIT EXAM V1 - BRAND NEW/ACTUAL EXAM| A+ SCORE 2023

2022 HESI PHARMACOLOGY EXIT EXAM V1 - BRAND NEW/ACTUAL EXAM| A+ SCORE 2023

The nurse is planning discharge teaching for a client with diabetes mellitus who has a new prescription for insulin glargine. What action should the nurse plan to include in the discharge teaching?

A.) Teach the client self injection skills for daily subcutaneous administration

B.) provide information on increasing medication dosage if ketoacidosis occurs

C.) demonstrate how to select dose based on before meal blood sugar readings

D.) explain to the family how to inject this medication for severe hypoglycemia

{{Correct Ans- A.) Teach the client self injection skills for daily subcutaneous administration

The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and is now prescribed adalimumab. Which instructions should the nurse provide the client?

A.) have a chest x-ray prior to your first dose

B.) avoid crowds and people who are sick

C.) obtain routine vaccinations as scheduled

D.) undergo annual eye examinations

{{Correct Ans- A.) have a chest x-ray prior to your first dose

The nurse if providing discharge instructions to a client who has been prescribed gabapentin 300mg by mouth three times a day for post-herpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?

A.) sexual dysfunction

B.) gastric irritation

C.) rapid weight gain

D.) photosensitivity

{{Correct Ans- B.) gastric irritation

A client receives a prescription to itraconazole. Which information provide by the client requires additional instruction by the nurse?

A.) monitor for changes in stool color

B.) report any difficulty with breathing

C.) take the medication with antacids

D.) avoid the consumption of grapefruit juice

{{Correct Ans- C.) take the medication with antacids

The nurse is preparing a client with chronic obstructive pulmonary disease (COPD) and a chronic productive cough for discharged home. Which prescribed medication should the nurse review with the client to manage this symptoms?

A.) prednisone

B.) tiotropium

C.) guaifenesin

D.) salmeterol

{{Correct Ans- C.) guaifenesin

When caring for a client with diabetes insipidus who is receiving an antidiuretic hormone intranasally, which serum lab test is most important for the nurse to monitor?

A.) calcium

B.) osmolality

C.) glucose

D.) platelets

{{Correct Ans- B.) osmolality

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.) use a twice a week dosing schedule

B.) stand and sit up slowly

C.) take the medication early in the day

D.) reduce daily fluid intake

{{Correct Ans- B.) stand and sit up slowly

A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?

A.) nausea

B.) involuntary movements

C.) diarrhea

D.) unusual irritability {{Correct Ans- B.) involuntary movements