HESI PHARMACOLOGY ACTUAL EXAM 2022

1. A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug (NSAID) comes to the clinic

complaining of gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes

esomeprazole. Which information should the client include in the nurse’s teaching plan?

A. Once pain subsides, NSAID therapy can be continued

B. Resume a diet that consists of milk, cream, and bland foods

C. Notify the healthcare provider of the passage of black stool

D. Call the clinic if diarrhea or headache occur when taking esomeprazole

Answer: C. Notify the healthcare provider of the passage of black stool

2.When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has

been achieved?

A. Sleeps soundly through the night

B. Decreased episodes of incontinence

C. Exhibits fewer emotional outburst

D. Improved ability to concentrate

Answer: A. Sleeps soundly through the night

3.A male client with a fungal infection of the toenail reports to the nurse that he has been applying an over-the-counter

triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse

take?

A. Instruct the client to obtain a prescription for oral terbinafine

B. Suggest that the client use the ointment twice a day to be more effective

C. Reassure that the treatment of fungus-infected toenails often takes several months

D. Advise the client to obtain a prescription-strength formulation of the ointment

Answer: A. Instruct the client to obtain a prescription for oral terbinafine

4. A client with a nasogastric tube (NGT) has a prescription for sucralfate. The liquid form of the medication is not

currently available in the pharmacy and tablets have been delivered to the medication dispensing system. Which action

should the nurse include when administering the medication?

A. Crush the tablet and mix it with water separately from other medications

B. Crush the tablet and mix it with other crushed tablets diluted in water

C. Withhold the medication until a liquid form is available on the nursing unit

D. Crush the tablet and mix it with other liquid medications for administration

Answer: A. Crush the tablet and mix it with water separately from other medications

5. A client with chronic asthma receives a prescription for montelukast, a leukotriene modifier. Which statement by the

client indicates to the nurse that medication teaching was effective?

A. I should take this medication only when I am having an asthma attack

B. I will take the tablet every evening to control my asthma

C. This medication will stop an asthma attack immediately

D. I will not need to use my inhalers twice a day when I start this medication

Answer: B. I will take the tablet every evening to control my asthma

6. The nurse is planning to administer the antiulcer GI agent sucralfate to a client with peptic ulcer disease. Which action

should the nurse include in this client’s plan of care?