HESI Pharmacology Practice Exam

HESI Pharmacology Practice Exam Related

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Bethanechol chloride (Urecholine) is prescribed for a client with urinary retention. Which disorder would be a contraindication to the administration of this medication?

  • A. Gastric atony
  • B. Urinary strictures
  • C. Neurogenic atony
  • D. Gastroesophageal reflux
Correct Answer: B

Rationale: Bethanechol chloride (Urecholine) should not be administered to clients with urinary strictures as it can contract the bladder and increase pressure within the urinary tract. In individuals with urinary strictures, this elevated pressure may lead to bladder rupture. Therefore, caution is advised when considering the use of Bethanechol chloride in clients with urinary strictures to prevent potential complications.

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Before initiating a client with tuberculosis on anti-tuberculosis therapy with isoniazid (INH), a nurse ensures that which of the following baseline studies has been completed?

  • A. Electrolyte levels
  • B. Coagulation times
  • C. Liver enzyme levels
  • D. Serum creatinine level
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client taking ethambutol (Myambutol) understands the instructions provided by the nurse if the client states that he or she will immediately report:

  • A. Impaired sense of hearing
  • B. Problems with visual acuity
  • C. Gastrointestinal (GI) side effects
  • D. Orange-red discoloration of body secretions
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client with severe acne is seen in the clinic, and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the HCP if the client is taking which medication?

  • A. Vitamin A
  • B. Digoxin (Lanoxin)
  • C. Furosemide (Lasix)
  • D. Phenytoin (Dilantin)
Correct Answer: A

Rationale: Isotretinoin is a metabolite of vitamin A, which can lead to toxicity when taken together. Therefore, it is crucial to avoid concurrent use of vitamin A supplements with isotretinoin. Contacting the HCP to discuss discontinuing vitamin A supplements is important to prevent potential adverse effects.

A client is taking lansoprazole (Prevacid). On data collection, which question should the nurse ask to determine medication effectiveness?

  • A. Has your appetite increased?
  • B. Are you experiencing any heartburn?
  • C. Do you have any problems with vision?
  • D. Do you experience any leg pain when walking?
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A client is taking cetirizine hydrochloride (Zyrtec). The nurse checks for which of the following side effects of this medication?

  • A. Diarrhea
  • B. Excitability
  • C. Drowsiness
  • D. Excess salivation
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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