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HESI PHARMACOLOGY PRACTICE EXAM QUESTIONS AND ANSWERS
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HESI PHARMACOLOGY PRACTICE EXAM QUESTIONS AND ANSWERS
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HESI PHARMACOLOGY PRACTICEEXAM QUESTIONS AND ANSWERS
Followingytheyadministrationyofysublingualynitroglycerinytoyayclientyexperiencingyanyacu
teyanginalyattack,ywhichyassessmentyfindingyindicatesytoytheynurseythatytheydesiredyeff
ectyhasybeenyachieved?y
A.yClientystatesychestypainyisyrelieved
B.yClient'sypulseydecreasesyfromy120ytoy90
C.yClient'sysystolicybloodypressureydecreasesyfromy180ytoy90
D.yClientsySaO2ylevelyincreasesyfromy92%ytoy96%y-yanswer--
A.ynitroglycerinyreducesymycocardialyoxygenyconsumptionywhichydecreasesyischemiay
andyreducesychestypain
Ayclientywithyhyperlipidemiayrecievesyayprescriptionyforyniaciny(niaspan).ywhichyclientyt
eachingyisymostyimportantyforytheynurseytoyprovide
a.yexpectedydurationyofyflushing
b.ysymptomsyofyhyperglycemia
c.ydietsythatyminimizeygiyirritation
d.ycomfortymeasureyforypruritisy-yanswer--
A.yflushingyofytheyfaceyandyneck,ylastingyupytoyanyhour,yisyayfrequentyreasonyforydiscont
inuingyniacin.yinclusionyofythisyeffectyinyclietnyteachingymayypromoteycomplianceyinytaki
ngytheymed.
Whenyassessingyanyadolescentywhoyrecentlyyoverdosedyonyacetaminopheny(tylonel),yi
tyisymostyimportantyforytheynurseytoyassessyforypainyinywhichyareayofytheybody
a.yflank
b.yabdomen
c.ychest
d.yheady-yanswer--
B.yacetaminophenytoxicistyyanyresultyinyliverydamage;ytherefore,yityisyespeciallyyimport
antyforytheynurseytoyassessyforypainyinytheyrightyupperyquadrantyofytheyabdomeny(which
ymightyindicatedyliverydamage)
Ayclientyisyadmittedytoytheycoronaryycareyunitywithyaymedicalydiagnosisyofyacuteymyocar
dialyinfarction.ywhichymedicationyprescriptionydecreasesybothypreloadyandyafterload
a.ynitroglycerin
b.ypropranolol
c.ypropranolol
d.ycaptoprily-yanswer--
A.ynitroglycerinyisyaynitrateythatycausesyperipheralyvasodilationyandydecreasesycontract
ility,ytherebyydecreasingybothypreloadyandyafterload
Ayclientyisybeingytreatedyforyhyperthyroidismywithypropylthiouracily(PTU).yTheynurseykn
owsythatytheyactionyofythisydrugyisytoy
,A.ydecreaseytheyamountyofytheythyroid-stimulatingyhormoneycirculatingyinytheyblood
B.yincreaseytheyamountyofythyroid-stimulatingyhormoneycirculatingyinytheyblood
C.yincreaseytheyamountyofyT4yandydecreaseytheyamountyofyT3yproducedybyytheythyroid
D.yinhibitysynthesisyofyT3yandyT4ybyytheythyroidyglandy-yanswer--
D.yPTUyisyanyadjunctytherapyyusedytoycontrolyhyperthyroidismybyyinhibitingyproductiony
ofythyroidyhormones.yItyisyoftenyprescribedyinyprepyforythyroidectomyyoryradioactiveyiodi
neytherapy
WhichychangeyinydatayindicatesytoytheynurseytheydesiredyeffectyofytheyangiotensinyIIyre
ceptoryantagonistyhasybeenyachieved
A.yDependentyedemayreducedyformy+3ytoy+1
B.ySerumyHDLyincreasedyfromy35ytoy55mg/dl
C.yPUlseyrateyreducedyfromy150ytoy90ybeats/min
D.yBloodypressureyreducedfyromy160/90ytoy130.80y-yanswer--
D.yangiotensinyIIyreceptoryantagonisty(blocker),yprescribedyfromytreatmentyofyHTN.yTh
eydesiredyeffectyisyaydecreaseyinybloodypressure.
Whichyinstructionsyshouldytheynurseygiveytoyayfemaleyclientywhoyjustyrecievedyayprescri
ptionyforyoralymetronidazoley(flagyl)yforytreatmentyofytrichomonasyvaginalisy(selectyallyt
hatyapply)
A.yincreaseyfluidyintake,yespeciallyycranberryyjuice
B.yDoynotyabruptlyydiscontinueytheymedication;ytaperyuse
C.yCheckybloodypressureydailyytoydetectyhypertension
D.yAvoidydrinkingyalcoholywhileytakingythisymedication
E.yUseycondomsyuntilytreatmentyisycompleted
F.yEnsureythatyallysexualypartnersyareytreatedyatytheysameytimey-yanswer--ADEF
Theynurseyisytranscribingyaynewyprescriptionyforyspironolactoney(aldactone)yforyayclient
ywhoyreceivesyanyangiotensin-
convertingyenzymeyinhibitor.yWhichyactionyshouldytheynurseyimplement
A.yverifyybothyprescriptionsywithytheyHCP
B.yreportytheymedyinteractionsytoytheynurseymanager
C.yholdytheyACEyinhibitoryandygiveytheynewyprescription
D.yTranscribeyandysendytheyprescriptionytoytheypharmacyy-yanswer--
A.ytheyconcomitantyuseyofyanyACEyinhibitoryandyaypotassium-
sparingydiureticysuchaysyspironolactone,yshouldybeygivenywithycautionyb/
cytheytwoydrugsymayyinteractytoycauseyanyelevationyinyserumypotassiumylevels.
Ayclientyhasymyxedema,ywhichyresultsyfromyaydeficiencyyofythyroidyhormoneysynthesisy
inyadults.yTheynurseyknowsythatywhichymedicationyshouldybeycontraindicatedyforythisycl
ient?
A.yliothyroniney(cytomel)ytoyreplaceyiodine
B.yFurosemidey(Lasix)yforyreliefyofyfluidyretention
C.yPentobarbitalysodiumyforysleep
D.ynitroglycerinyforyanginaypainy-yanswer--
C.ypersonsywithymyxedemayareydangerouslyyhypersensitiveytoynarcotics,ybarbiturates,
yandyanesthetics.yTheyydoynotytolerateyliothyronineyandyusuallyyreceiveyiodineyreplace
mentytherapy.yTheseyclientsyareyalsoysuceptableytoyheartyproblemsysuchyasyanginayfor
ywhichynitroglycerineywouldybeyindicatedyandyandycongestiveyheartyfailureyforywhichyfur
osemideywouldybeyindicated
, AyclientyhasyaycontinuousyIVyinfusionyofydopamineyandyanyIVyofynormalysalineyaty50ml/
hour.yTheynurseynoesythatytheyclient'syurinaryyoutputyhasybeeny20ml/
houryforytheylastytwoyhours.yWhichyinterventionyshouldytheynurseyinitiate?
A.ystopytheyinfusionyofydopamine
B.ychangeytheynormalysalineytoyaykeepyopenyrate
C.yreplaceytheyurinaryycatheter
D.ynotifyytheyhealthcareyprovideryofytheyurinaryyoutput.y-yanswer--D.
Ayhealthcareyprovideryprescrivesycephalexinymonhydratey(Keflex)yforyayclientywithyaypo
stoperativeyinfection.yItyisymostyimportantyforytheynurseytoyassessyforywhatyadditionalydr
ugyallergyybeforeyadministeringythisyprescription?
A.yPenicillins
B.yAminoglycosides
C.yErythromycins
D.Sulfonamidesy-yanswer--A.yCross-
allergiesyexistybetweenypenicillinsyandycephalosporines,ysuchyasykeflex.ysoycheckingyf
orypenicillinyallergyyisyaywiseyprecaution
Whichymedicationsyshouldytheynurseycautionytheyclientyaboutytakingywhileyreceivingyan
yopioidyanalgesic?
A.yAntacids.y
B.yBenzodiasepines
C.yAntihypertensives
D.yOralyantidiabeticsy-yanswer--
B.yrespiratoryydepressionyincreasesywithytheyconcurrentyuseyofyopioidyanalgesicsyandy
otherycnsydepressantyagents,ysuchyasyalcohol,ybarbiturates,yandybenzodiasepines
Whichynursingydiagnosisyisyimportantytoyincludeyinytheyplanyofycareyforyayclientyrecievin
gytheyangiotensinyIIyreceptoryantagonistyirbesartany(avapro)?
A.yFluidyvolumeydeficit
B.Riskyforyinfection
C.yRiskyforyinjury
D.yImpairedysleepypatternsy-yanswer--
C.yAvaproyisyanyantihypertensiveyagent,ywhichyactsybyyblockingyvasoconstrictoryeffects
yatyvariousyreceptorysites.yThisycanycauseyhypotensionyandydizziness,yplacingytheyclien
tyatyhighyriskyforyinjury
AypostoperativeyclientyhasybeenyrecievingyaycontinuousyIVyinfusionyofymeperidiney(de
merol)y35mg/
hryforyfourydays.yTheyclientyhasyayPRNyprescriptionyforyDemoroly100mgyPOyQ3H.yThey
nurseynotesythatytheyclientyhasybecomeyincreasinglyyrestless,yirritableyandyconfused,yst
atingythatythereyareybugsyallyoverytheywalls.yWhatyactionyshouldytheynurseytakeyFIRST?
A.yAdministeryayPRNydoseyofytheyPOymeperidiney(demorol)
B.yAdministerynaloxoney(narcan)yIVyperyPRNyprotocol
C.yDecreaseytheyIVyinfusionyrateyofytheydemerolyperyprotocol
D.ynotifyytheyhealthcareyprovideryofytheyclientsyconfusionyandyhallucinationsy-yanswer--
C.yTheyclientyisyexhibitingysymptomsyofydemerolytoxicity,ywhichyisyconsistentywithytheyla
rgeydoseyofydemerolyrecievedyoveryfourydays.yC.yisytheymostyeffectiveyactionytoyimmedi
atelyydecreaseytheyamountyofyserumydemerol.
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