Pharmacology HESI Practice Questions
1. which symptoms are serious ad-
verse effects of beta-adrenergic
blockers such as propranolol (in-
deral)?
A. Headache, hypertension, and
blurred vision.
B. Wheezing, hypotension, and AV
block.
C. Vomiting, dilated pupils, and pa-
pilledema.
D. Tinn...
Pharmacology HESI Practice Questions
1. which symptoms are serious ad- B. Wheezing, hypotension, and AV
verse effects of beta-adrenergic block.
blockers such as propranolol (in- (B) represents the most serious ad-
deral)? verse effects of beta-blocking agents.
A. Headache, hypertension, and AV block is generally associated with
blurred vision. bradycardia and results in potential-
B. Wheezing, hypotension, and AV ly life-threatening decreases in car-
block. diac output. Additionally, wheezing sec-
C. Vomiting, dilated pupils, and pa- ondary to bronchospasm and hypoten-
pilledema. sion represent life-threatening respira-
D. Tinnitus, muscle weakness, and tory and cardiac disorders. (A, C, and
tachypnea. D) are not associated with beta-block-
ers.
2. The healthcare provider prescribes B.
naloxone (Narcan) for a client in the Naloxone (Narcan) is a narcotic an-
emergency room. Which assess- tagonist that reverses the respiratory
ment data would indicate that the depression effects of opiate overdose,
naloxone has been effective? The so assessment of a normal respiratory
client's... rate (B) would indicate that the respi-
A. Statement that the chest pain is ratory depression has been halted. (A,
better C, and D) are not related to naloxone
B) respiratory rate is 16 (Narcan) administration.
breaths/minute.
C) seizure activity has stopped
temporarily.
D) pupils are constricted bilateral-
ly.
3. A client has myxedema, which re- C. persons with myxedema are dan-
sults from a deficiency of thyroid gerously hypersensitive to narcotics,
hormone synthesis in adults. The barbiturates, and anesthetics. They do
nurse knows that which medica- not tolerate liothyronine and usual-
tion should be contraindicated for ly receive iodine replacement thera-
this client? py. These clients are also suceptable
A. liothyronine (cytomel) to replace to heart problems such as angina for
iodine which nitroglycerine would be indicat-
B. Furosemide (Lasix) for relief of ed and and congestive heart failure for
fluid retention which furosemide would be indicated
, Pharmacology HESI Practice Questions
C. Pentobarbital sodium for sleep
D. nitroglycerin for angina pain
4. A client with osteoarthritis re- B.
ceives a new prescription for cele- Celebrex contains a sulfur molecule,
coxib (Celebrex) orally for symp- which can lead to an allergic reaction
tom management. The nurse notes in individuals who are sensitive to sul-
the client is allergic to sulfa. Which fonamides, so the healthcare provider
action is most important for the should be notified of the client's aller-
nurse to implement prior to admin- gies (B). Although (A, C, and D) are
istering the first dose? important assessments, it is most im-
A) Review the client's hemoglobin portant to notify the healthcare provider
results. for an alternate prescription.
B) Notify the healthcare provider.
C) Inquire about the reaction to sul-
fa.
D) Record the client's vital signs.
5. The client with a dysrhythmia is to A. q6h
receive procainamide (pronestyl)
in 4 divided doses over the next
24 hours. What dosing schedule is
best for the nurse to implement?
A. q4h
B. QID
C. AC and bedtime
D. PC and bedtime
6. A client has a continous IV infu- D. Notify the healthcare provider of the
sion of dopamine (Intropin) and an urinary output.
IV of normal saline at 50 ml/hour.
The nurse notes that the client's
urinary output has been 20 ml/hour
for the last two hours. Which inter-
vention should the nurse initiate?
A. Stop the infusion of dopamine
B. Change the normal saline to a
keep open rate.
C. Replace the urinary catheter.
, Pharmacology HESI Practice Questions
D. Notify the healthcare provider of
the urinary output.
7. An adult client has prescriptions A. Administer both medications accord-
for morphine sulfate 2.5 mg IV q6h ing to the prescription
and ketorlac (toradol) 30mg IV q6h. Morphine and ketorolac can be admin-
which action should the nurse im- istered concurrently and may produce
plement? additive analgesic effect resulting in
A. administer both medications ac- ability to reduce the dose of morphine,
cording to the prescription as seen in this prescription
B. Hold the ketorolac to prevent an
antagonist effect
C. Hold the morphine to prevent an
additive drug interaction
D. Contact the healthcare provider
to clarify the prescription
8. A client is being treated for hy- D. PTU is an adjunct therapy used
perthyridism with propylthiouracil to control hyperthyroidism by inhibiting
(PTU). The nurse knows that the ac- production of thyroid hormones. It is
tion of this drug is to: often prescribed in prep for thyroidec-
A. decrease the amount of thyroid tomy or radioactive iodine therapy
stimulating hormone circulating in
the blood.
B. increase the amount of thy-
roid-stimulating hormone circulat-
ing in the blood.
C. increase the amount of T4 and
decrease the amount of T3 pro-
duced by the thyroid.
D. inhibit synthesis of T3 and T4 by
the thyroid gland.
9. A female client with RA takes A. Use contraception during inter-
ibuprofen (motrin) 600mg PO course.
4xday. To preven GI bleeding, miso- Cytotec, a synthetic form of
prostol (cytotec) 100mcg PO is pre- prostaglandin, is classified as pregnan-
scribed. Which information is most cy category X and can act as an aborti-
important for the nurse to include facient, so the client should be instruct-
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