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Pharmacology Hesi 2023 Questions and Correct Answers
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Pharmacology Hesi 2023 Questions andCorrect Answers
Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases
heart rate). How do you assess for this? - correct answers:Always take apical pulse for one full minute
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity
because - correct answers:Lasix can cause hypokalemia, which can lead to dig toxicity
What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhythmic
drug)? - correct answers:Digoxin can increase in the blood level and further increase the effects
What is the normal digoxin level? - correct answers:0.5-2 ng/mL
Normal serum potassium level is - correct answers:3.5-5.0 mEq/L
Low potassium or magnesium levels may increase risk for - correct answers:Digoxin toxicity
What are the signs and symptoms for digoxin toxcitiy? - correct answers:anorexia, bradycardia,
headache, dizziness, confusion, nausea, and visual disturbances such as blurred, yellow, or halo vision.
When should you hold off on giving digoxin drug therapy? - correct answers:if apical pulse is less than 60
What effects do Calcium channel blockers (-dipine; amlodipine (Norvasc), nifedipine (Procardia) cause -
correct answers:produce vasodialation and reflex tachycardia
(lowers BP but increases HR)
Verapamil and diltiazam produce - correct answers:vasodialation and cardiosuppresssion (lowers BP and
Lowers heart rate)
, Beta blockers have the drug ending - correct answers:-OLOL such as atenolol, propanolol, esmolol, ect.)
Beta 1 blocks receptors in the - correct answers:heart
Beta 2 blocks receptors in the - correct answers:lungs
Beta blockers can be non selective so be aware of any - correct answers:respiratory conditions such as
asthma, emphysema COPD, ect.
A nurse should always check _____ and _____ before giving a beta blocker - correct answers:AP and BP
do not give if HR is below 60
never stop abruptly
Why do you never stop taking a Beta BLocker abruptly - correct answers:Must taper because angina or
MI can orccur
When would a nurse hold HTN medication Labetalol? - correct answers:A patient with a low pulse rate.
Side effect of Labetalol (beta blocker) is - correct answers:weight gain / fluid retention
montioring weight is one of the best indicators of loss/gain
1kg is equivalent to 1,000 mL
It is important to assess _____ when taking a beta blocker such as Labetalol - correct answers:pulmonary
is it OK to give nitroglycerin to a patient who is hypertensive? - correct answers:Yes
If an ICU patient on a nirto drip becomes hypotensive what immediate action should the nurse take? -
correct answers:titrate (decrease the rate) of the nitro drip.
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