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HESI Pharmacology Practice Exam
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HESI Pharmacology Practice Exam
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HESI Pharmacology Practice ExamQuestions And Answers
x Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack,
which assessment finding indicates to the nurse that the desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96% - A. nitroglycerin reduces mycocardial oxygen
consumption which decreases ischemia and reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which client teaching is most
important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis - A. flushing of the face and neck, lasting up to an hour, is a frequent
reason for discontinuing niacin. inclusion of this effect in clietn teaching may promote compliance in
taking the med.
When assessing an adolescent who recently overdosed on acetaminophen (tylonel), it is most important
for the nurse to assess for pain in which area of the body
a. flank
b. abdomen
c. chest
d. head - B. acetaminophen toxicisty an result in liver damage; therefore, it is especially important for
the nurse to assess for pain in the right upper quadrant of the abdomen (which might indicated liver
damage)
A client is admitted to the coronary care unit with a medical diagnosis of acute myocardial infarction.
which medication prescription decreases both preload and afterload
a. nitroglycerin
b. propranolol
c. propranolol
,d. captopril - A. nitroglycerin is a nitrate that causes peripheral vasodilation and decreases contractility,
thereby decreasing both preload and afterload
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the action
of this drug is to
A. decrease the amount of the thyroid-stimulating hormone circulating in the blood
B. increase the amount of thyroid-stimulating hormone circulating in the blood
C. increase the amount of T4 and decrease the amount of T3 produced by the thyroid
D. inhibit synthesis of T3 and T4 by the thyroid gland - D. PTU is an adjunct therapy used to control
hyperthyroidism by inhibiting production of thyroid hormones. It is often prescribed in prep for
thyroidectomy or radioactive iodine therapy
Which change in data indicates to the nurse the desired effect of the angiotensin II receptor antagonist
has been achieved
A. Dependent edema reduced form +3 to +1
B. Serum HDL increased from 35 to 55mg/dl
C. PUlse rate reduced from 150 to 90 beats/min
D. Blood pressure reducedf rom 160/90 to 130.80 - D. angiotensin II receptor antagonist (blocker),
prescribed from treatment of HTN. The desired effect is a decrease in blood pressure.
Which instructions should the nurse give to a female client who just recieved a prescription for oral
metronidazole (flagyl) for treatment of trichomonas vaginalis (select all that apply)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time - ADEF
The nurse is transcribing a new prescription for spironolactone (aldactone) for a client who receives an
angiotensin-converting enzyme inhibitor. Which action should the nurse implement
A. verify both prescriptions with the HCP
B. report the med interactions to the nurse manager
C. hold the ACE inhibitor and give the new prescription
, D. Transcribe and send the prescription to the pharmacy - A. the concomitant use of an ACE inhibitor and
a potassium-sparing diuretic sucha s spironolactone, should be given with caution b/c the two drugs may
interact to cause an elevation in serum potassium levels.
A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults. The
nurse knows that which medication should be contraindicated for this client?
A. liothyronine (cytomel) to replace iodine
B. Furosemide (Lasix) for relief of fluid retention
C. xPentobarbital xsodium xfor xsleep
D. xnitroglycerin xfor xangina xpain x- xC. xpersons xwith xmyxedema xare xdangerously xhypersensitive xto
xnarcotics, xbarbiturates, xand xanesthetics. xThey xdo xnot xtolerate xliothyronine xand xusually xreceive
xiodine xreplacement xtherapy. xThese xclients xare xalso xsuceptable xto xheart xproblems xsuch xas xangina
xfor xwhich xnitroglycerine xwould xbe xindicated xand xand xcongestive xheart xfailure xfor xwhich xfurosemide
xwould xbe xindicated
A xclient xhas xa xcontinuous xIV xinfusion xof xdopamine xand xan xIV xof xnormal xsaline xat x50ml/hour. xThe
xnurse xnoes xthat xthe xclient's xurinary xoutput xhas xbeen x20ml/hour xfor xthe xlast xtwo xhours. xWhich
xintervention xshould xthe xnurse xinitiate?
A. xstop xthe xinfusion xof xdopamine
B. xchange xthe xnormal xsaline xto xa xkeep xopen xrate
C. xreplace xthe xurinary xcatheter
D. xnotify xthe xhealthcare xprovider xof xthe xurinary xoutput. x- xD.
A xhealthcare xprovider xprescrives xcephalexin xmonhydrate x(Keflex) xfor xa xclient xwith xa xpostoperative
xinfection. xIt xis xmost ximportant xfor xthe xnurse xto xassess xfor xwhat xadditional xdrug xallergy xbefore
xadministering xthis xprescription?
A. xPenicillins
B. xAminoglycosides
C. xErythromycins
D.Sulfonamides x- xA. xCross-allergies xexist xbetween xpenicillins xand xcephalosporines, xsuch xas xkeflex. xso
xchecking xfor xpenicillin xallergy xis xa xwise xprecaution
Which xmedications xshould xthe xnurse xcaution xthe xclient xabout xtaking xwhile xreceiving xan xopioid
xanalgesic?
A. xAntacids. x
B. xBenzodiasepines
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