PHARM HESI - EAQ questions

A seven-year-old child has a peripherally inserted central venous catheter placed into the left arm. A peripheral IV line is still in place, and an antibiotic is to be administered immediately. Which action with the nurse take next? A) connect the IV antibiotic to the peripheral line B) administer the antibiotic through the central venous catheter C) order an x-ray confirmation report on central line placement D) document a verbal prescription on the chart stating the central line can be used.

A) connect the IV antibiotic to the peripheral line

Pyridoxine (vitamin B6) and isoniazid (INH) are prescribed as part of the medication protocol for a client with tuberculosis. Which response indicates that vitamin B6 is effective? A) weight gain B) improvement of stomatitis C) absence of paresthesias D) absence of night sweats

C) absence of paresthesias

A client with pulmonary tuberculosis develops tinnitus and vertigo. Which anti-tubercular medication with the nurse suspect is causing the symptoms? A) isoniazid B) rifampin C) streptomycin D) ethambutol

C) streptomycin

The nurse administer his albuterol to a child with asthma. Which common side effects with the nurse monitor for in a child? A) flushing B) dyspnea C) tachycardia D) hypotension

C) tachycardia

A client with hepatitis B asked the nurse, "are there any medications to help me get rid of this problem?" Which is the best response by the nurse? A) "sedatives can be given to help you relax." B) "We can give you immune system globulin." C) "Vitamin supplements are frequently helpful and hast in recovery." D) "There are medications to help reduce viral load and liver inflammation."

D) "There are medications to help reduce viral load and liver inflammation."

An obese client myself administer insulin at home. The nurse will teach the client to inject insulin at which angle? A) 30° angle B) 60° angle C) 45° angle D) 90° angle

D) 90° angle

The nurse understands that he took her in a client who is prescribed clozapine? A) seizures B) sedation C) akathisia D) myocarditis

D) myocarditis

According to developmental norms for a five-year-old child, the nurse would hold the Docksin if an apical heart rate falls below which number? A) 70 bpm B) 80 bpm C) 90 bpm D) 100 bpm

A) 70 bpm

A healthcare provider prescribed methylphenidate for a child with attention-deficit/hyperactivity disorder (ADHD). When teaching the parents, which instruction with the nurse provide? A) Monitor the effects of the medication on the child's behavior. B) increase or decrease the dosage, depending on the child's behavior. C) avoid imposing too many rules, because this will frustrate the child. D) reinforce to the child that behavior can be controlled

A) Monitor the effects of the medication on the child's behavior.

Client receiving the medication buspirone is admitted to the hospital with a diagnosis of possible hepatitis. Which action with the nurse take? A) withhold the medication. B) give the buspirone with milk. C) reduce the dosage of the medication. D) ensure that the medication can be given parenterally

A) with hold the medication

Which nursing interventions with a nurse implement when administering medication to toddlers? SATA A) providing comfort measures to the child B) encouraging self-expression and self-care C) helping the child understand the treatment D) holding the child securely while administering the medication E) accepting aggressive behavior as a healthy response to medication administration

A, C, D, E

The nurse recognizes which atypical antipsychotics is being approved for long-term use to prevent the reoccurrence of mood episodes inclines with bipolar disease? Select all that apply A) olanzapine B) quetiapine C) ziprasidone D) risperidone E) aripiprazole

A, C, E

Daily regular insulin has been prescribed for a client with type one diabetes. The nurse administers the insulin at 8 AM. When will the nurse monitor the client for a potential hypoglycemic reaction? A) at breakfast B) before lunch C) before dinner D) in the early afternoon

B) before lunch

Which medication's with the nurse anticipate teaching the parents about for a preschooler newly diagnosed with cystic fibrosis? Select all that apply A) steroids B) antibiotics C) anti-histamines D) pancreatic enzymes E) fat-soluble vitamins

B, D, E

Which vaccine with the nurse administer to provide protection from pre-cancerous lesions and cancers of the vulva, cervix, and vagina and young girls and women? A) rotavirus vaccine B) varicella virus vaccine C) HPV vaccine D) meningococcal conjugate vaccine

C) HPV vaccine

A school-age child with end-stage cancer has a continuous infusion of morphine to manage their pain. Breakthrough pain occurs in a fentanyl "lollipop" as prescribed. Which instruction with the nurse give the child regarding the use of the "lollipop" when pain occurs? A) "chew it and en swallow every 4 hours" B) "suck on it for half an hour every 6 hours" C) "hold it in your cheek only until the pain is relieved" D) "place it in your mouth and suck on it until it dissolves"

C) "hold it in your cheek only until the pain is relieved"

The nurse understands that which client may benefit from administration of the herbal preparation Hypericum perforatum? A) Client with dementia B) client was schizophrenia C) client with sleep disorder D) client with Alzheimer's disease

C) client with sleep disorder

An infant with congenital hypothyroidism receives level thyroxine for three months. Which finding would indicate to the nurse that the medication is effective? A) the infant is alert and interactive B) the skin is cool to the touch C) the baby's fine tremor has ceased D) the baby's thyroid stimulating hormone level has increased

A) the infant is alert and interactive

A child recovering from a severe asthma attack is giving oral prednisone 15 mg twice daily. Which intervention would be a priority for the nurse? A) having the child rear as much as possible B) checking the child's eosinophil count daily C) preventing exposure of the child to infection D) offering sips of water when administering the medication

C) preventing exposure of the child to infection

A client with Addison's disease is receiving Cortizone therapy. Which complications with the nurse expected the client abruptly stops medication? Select all that apply A) hypokalemia B) generalized Edema C) shock D) alkalosis E) circulatory collapse

C, E

Which clinical findings would indicate to the nurse that an infant is experiencing life-threatening zidovudine toxicity? A) fatigue and lethargy B) increased urine output C) progressive weight loss D) bruises on the limbs and trunk

D) bruises on the limbs and trunk

Which with the nurse assessed for in a male child prescribed an androgen? A) tendon rupture B) delayed puberty C) cartilage erosion D) decreased height

D) decreased height

One week after being hospitalized for an acute myocardial infarction, a client reports nausea and loss of appetite. Which of the client's prescribed medications would be withheld and the healthcare provider notified? A) digoxin B) propranolol C) furosemide D) spironolactone

A) digoxin

A blood transfusion is prescribed for a child with acute lymphocytic leukemia (ALL). Which interventions will the nurse implement during the administration of the blood product? A) infuse the blood over no more than four hours. B) take the vital signs three hours after the transfusion. C) check the vital signs 15 minutes after starting the transfusion. D) have the blood warm at room temperature for one hour before administration.

A) infuse the blood over no more than four hours

A client takes furosemide and digoxin for heart failure. Why would the nurse advise the client to drink a glass of orange juice every day? A) maintaining potassium levels B) preventing increased sodium levels C) limiting the medications' synergistic effects D) correcting the associated dehydration

A) maintaining potassium levels

Morphine has been prescribed for a client in a hospice home care program. Which information will the nurse provide regarding this pain management regimen? A) medication addiction is a concern if this patient. B) Request medication before the pain becomes severe. C) Dosages of the medication will be given automatically at regular intervals around the clock. D) Intermittent administration of the medication as possible after an intermittent clock is inserted.

C) dosages of the medication will be given automatically at regular intervals around the clock.

The healthcare provider prescribes one tube of glucose gel for the client with type one diabetes. The nurse recognizes that this is for treatment of which diabetic complication? A) diabetic acidosis B) hyper-insulin secretion C) insulin-induced hypoglycemia D) idiosyncratic reactions to insulin

C) insulin-induced hypoglycemia

Status epilepticus develops in an adolescent with a seizure disorder who is taking anti-seizure medication. Which reason with the nurse identify as the most common reason for the development of status epilepticus? A) the provider failed to account for a growth spurt B) the amount prescribed is insufficient to cover activities C) the prescribed antiseizure medication probably is not taken consistently D) the client is prescribed a medication that is ineffective in preventing seizures

C) the prescribed anti-seizure medication probably is not taken consistently

Which statement by the client indicates to the nurse a need for further teaching on rifampin therapy? A) "I can expect my skin to turn yellow" B) "I can expect my sweat to change color" C) "I can expect my urine to turn red-orange" D) "I can expect my contact lenses stain orange"

A) " I can expect my skin to turn yellow"

Which monoamine oxidase inhibitor with the nurse identified as being used to treat Parkinson disease? A) Selegiline B) Phenelzine C) isocarboxazid D) tranylcypromine

A) selegiline

The nurse suspects that the client has shiftwork sleep disorder (SWSD). Which medication is indicated to treat this disorder? A) caffeine B) modafinil C) Atomoxetine D) methylphenidate

B) Modafinil

The client is diagnosed with stage IV Hodgkin's disease. Which therapy option is indicated? A) radiation therapy B) combination chemotherapy C) radiation with chemotherapy D) surgical removal of the affected nodes

B) combination chemotherapy

Which medication's with the nurse identify as commonly used as an adjunct during conscious sedation for minor surgeries? A) diazepam B) midazolam C) lorazepam D) clonazepam

B) midazolam

Which clinical indicator with the nurse monitor to determine if the client's simvastatin is effective? A) heart rate B) triglycerides C) blood pressure D) international normalized ratio (INR)

B) triglycerides

A client who is receiving atenolol for hypertension frequently reports feeling dizzy. Which effect of atenolol is responsible for this response? A) depleting acetylcholine B) stimulating histamine release C) blocking the adrenergic response D) decreasing adrenal release of epinephrine

C) blocking the adrenergic response

A client developed leukopenia three weeks after having a renal transplant. Which factor with the nurse conclude is the cause of the leukopenia? A) bacterial infection B) high creatine levels C) rejection of the kidney D) anti-rejection medication

D) anti-rejection medication

The client receiving to fit sentencing deck and he develops dystonia early and therapy. Which medication with the nurse anticipate administering to reverse this side effect? A) nafarelin B) fluoxetine C) trandolapril D) benztropine

D) benztropine

The nurse understands that clozapine is contraindicated in the client with which condition? A) seizures B) glaucoma C) dysrhythmias D) bone marrow depression

D) bone marrow depression

The nurse is monitoring a client who is having a third transfusion of packed red blood cells. Which signs and symptoms may be evident if the client experiences a febrile transfusion reaction? SATA A) Chills B) urticaria C) hypotension D) tachycardia E) bronchospasm F) sense of impending doom

A, C, D

The nurse is preparing to administer insulin to a client with diabetes. In which order will the nurse perform the actions associated with insulin administration? 1. Wipe the top of the insulin while with an alcohol swab. 2. Wash hands with soap and water. 3. Rotate the vial of insulin between the palms of the hands. 4. Withdrawal the correct amount of insulin from the inverted bile. 5. Instill air into the vial of insulin equal to the desired dose.

2, 3, 1, 5, 4

Acquirement with a gastric hemorrhage is scheduled to receive two units of whole blood. List the nurses activities in order that they will be performed on administering a blood transfusion. 1. Obtain venous access, preferably with a 19 gauge needle or larger. 2. Ask another nurse to check the blood identification at the clients bedside. 3. Run the blood at a slower rate during the first 10 minutes of the transfusion. 4. Prime the blood infusion set to being with normal saline at the bedside. 5. Verify that a type of crossmatch blood sample has been sent to the laboratory.

5, 1, 4, 2, 3

Which instructions with the nurse include when teaching parents techniques to promote medication adherence and toddlers? Select all that apply A) choose the proper dosage form B) compensate for spilled or spit-out medicine by overdosing C) complete the prescribed dose D) use calibrated spoons for measuring liquid formulations E) improve palatability of the medication by mixing it with food or juice

A, C, D

The nurse suspects a child has mumps after completing an assessment. Which symptoms present in the child would support the nurses suspicion? Select all that apply A) skin rash B) sore throat C) fever D) difficulty swallowing E) swelling of the parotid gland

C, E

A client with hyperthyroidism is to receive potassium iodine solution before a subtotal thyroidectomy is performed. Which purpose would the nurse include when explaining why this medication is prescribed? A) decreases the total basal metabolic rate B) maintains the function of the parathyroid C) blocks the formation of thyroxine by the thyroid gland D) decreases the size and vascularity of the thyroid gland

D) decreases the size and vascularity of the thyroid gland

After receiving streptomycin sulfate for two weeks as part of the medical regimen for tuberculosis, the client reports feeling dizzy and having some hearing loss. Which part of the body is the medication affecting? A) pyramidal tracts B) cerebellar tissue C) peripheral motor and plates D) eighth cranial nerves vestibular branch

D) eighth cranial nerves vestibular branch

A client who had an organ transplant is receiving cyclosporine. The nurse would monitor for which serious adverse effects of cyclosporine? A) Hirsutism B) constipation C) dysrhythmias D) increased creatine level

D) increased creatine level

The nurse plans to teach a fifth grader with type one diabetes how to self administer lispro and glargine insulin. Which action with the nurse include in the teaching plan? A) alternate the sites until the best one to use is found B) self-administer the injections after being taught the technique. C) draw up the insulin glargine and then draw up the insulin lispro D) learn to use the needle and syringe by practicing on an insulin pad first

D) learn to use the needle and syringe by practicing on an insulin pad first

A preschooler is to have a peripheral intravenous catheter inserted. Which measure would the nurse implement to minimize the trauma for the child? A) apply a topical analgesic before the procedure B) tell the child that the procedure will not cause pain C) have the parents leave the room during the procedure D) describe the procedure several hours before the catheter is inserted

A) apply a topical analgesic before the procedure

The nurse identifies that a clients urinary output is less than 40 mL per hour over the past three hours. Which action would the nurse take? A) assess breath sounds and obtain vital signs B) decrease intervenous flow rate and increase oral fluids C) insert and enroll in catheter to facilitate emptying of the bladder D) check for dependent Edema by assessing the lower extremities

A) assess breath sounds and obtain vital signs

The nurse is caring for a child undergoing chemotherapy P for acute lymphoid leukemia. The parents ask why the child needs prednisone. Which response by the nurse would be correct? A) "it decreases inflammation." B) "it suppresses the production of lymphocytes." C) "it increases appetite and a sense of well-being." D) "it may decrease skin irritation and edema."

A) "it decreases inflammation."

The nurse is caring for several clients with major thought disorder such as those occurring in clients with schizophrenia. They are all being treated with narcoleptic medication's. How do these medication's act in the body to promote mental health? A) they inhibit enzymes at the postsynaptic receptor site. B) they decrease serotonin at the pro synaptic receptor site. C) they increase dopamine uptake at the postsynaptic receptor site. D) they block access to dopamine receptors at the postsynaptic receptor site.

D) the block access to dopamine receptors at the postsynaptic receptor site.

A neonate with heart failure as prescribed furosemide. Which changes to the dosage or time intervals between doses with a nurse make? A) the dosage should be doubled B) the dosage should be cut in half C) the time between doses should be shortened D) the time between doses should be lengthened

D) the time between doses should be lengthened

A child undergoing treatment in the hospital develops fatigue, elevated blood pressure, sleep problems, nervousness, and Gastro intestinal track upset. The nurse will suspect which type of medication may be responsible? A) barbituates B) loop diuretics C) thiazide diuretics D) tricyclic antidepressants

D) tricyclic antidepressants

A two-year-old boy with hemophilia a is to receive prophylactic intravenous infusions of the recumbent form factor VIII 3 times a week at home. The nurse would instruct the parents to minister the factor at which time on the designated days? A) at bedtime B) after lunch C) before dinner D) upon awakening

D) upon awakening

A healthcare provider prescribes daily docusate sodium for a client. The nurse explained to the client that this medication has which action? A) lubricates the feces B) creates an osmotic effect C) stimulates motor activity D) softens the feces

D) softens the feces

The nurse is teaching a client who is taking a loop diuretics about foods that are high in potassium. Which foods with the nurse emphasize? Select all that apply. A) bananas B) apricots C) roasted chicken D) macaroni and cheese E) baked potatoes with skins

A, B, E Bananas, apricots, and baked potatoes with skins are among the top 10 foods high in potassium. Others include dark leafy greens, white beans, winter squash, salmon, avocados, and mushrooms.

A client is prescribed albuterol to relieve severe asthma. Which adverse effects will the nurse instruct the client to anticipate? Select all that apply A) tremors B) lethargy C) palpitations D) bronchoconstriction E) decreased pulse rate

A, C

An 18 month old toddler is being treated with intravenous diazepam every four hours for generalized tightness. Which responds to the medication with the nurse anticipate? A) control of hypertonicity and prevention of seizures B) control of learned of spasms and neck and jaw rigidity C) prevention of excess oxygen and Collett caloric expenditure D) prevention of restlessness and resistance to assisted ventilation

A) control of hypertonicity and prevention of seizures

A 12-year-old child has just received a dose of epinephrine. Which assessment is a priority after this medication is administered? A) heart rate B) glucose level C) neurological status D) blood pressure

A) heart rate

A teenager with a deep laceration of his leg does not remember the date of the last tetanus immunization received. The nurse explains that tetanus immuno globin and tetanus toxoid are required. Which explanation underlies the nurses statement? A) neither medication is effective alone. B) both illuminate the need for additional medications. C) antibodies provide protection, whereas the toxoid stimulates a response. D) tetanus toxoid minimize the risks related to the tetanus immunoglobin.

C) antibodies provide protection, whereas the toxoid stimulates a response.

Digoxin is prescribed for a client. Which therapeutic effect of digoxin would the nurse expect? A) decrease cardiac output B) decreased stroke volume of the heart C) increased contractile force of the myocardium D) increased electrical conduction through the atrioventricular (AV) node

C) increased contractile force of the myocardium