HESI Milestone #3
(Pharmacology)Questions with complete
solutions.
A pt is taking epinephrine. The RN understands there's a possible drug interaction with
which of the following?
a) albuterol (Proventil)
b) metoprolol (Lopressor)
c) bethanechol (Urecholine)
d) tolterodine tartrate (Detrol) - CORRECT ANSWER b) metoprolol (Lopressor)
For a pt taking albuterol (Proventil), which of the following effects should the RN monitor
for?
a) Palpitations
b) Hypoglycemia
c) Bronchospasm
d) Uterine contractions - CORRECT ANSWER a) Palpitations
A pt is prescribed metoprolol (Lopressor) for HTN. It's important for the RN to monitor
for which of the following?
a) Bradycardia
b) HTN
c) Ankle edema
d) Decreased respirations - CORRECT ANSWER a) Bradycardia
Atenolol (Tenormin) is prescribed for a pt. The RN realizes that this drug is a beta-
adrenergic blocker and that this drug class is contraindicated for pt's with which of the
following conditions?
a) Hypothyroidism
b) Angina pectoris
c) Cardiogenic shock
d) Liver dysfunction - CORRECT ANSWER c) Cardiogenic shock
The RN realizes that beta-1 receptor stimulation is differentiated from beta-2 stimulation
in that stimulation of beta-1 receptors leads to which of the following?
a) Increased bronchodilation
b) Decreased uterine contractility
c) Increased myocardial contractility
,d) Decreased blood flow to skeletal muscles - CORRECT ANSWER c) Increased
myocardial contractility
A pt was given epinephrine (Adrenalin), an adrenergic agonist (sympathomimetic). The
RN should monitor for which condition?
a) Decreased pulse
b) Pupil constriction
c) Bronchial constriction
d) Increased BP - CORRECT ANSWER d) Increased BP
Remember that epi is part of the SNS response, which causes vasoconstriction & thus
increases BP.
Epi is also considered a vasopressor for this reason.
The RN is giving atenolol (Tenormin) to a pt. Which concurrent drug does the RN
expect to most likely cause a drug interaction?
a) Ginseng herb
b) NSAID (e.g., ASA)
c) Methyldopa
d) Haloperidol (Haldol) - CORRECT ANSWER b) NSAIDs
A pt is receiving bethanechol (Urecholine). The RN realizes that the action of this drug
is to tx which of the following conditions?
a) Glaucoma
b) Urinary retention
c) Delayed gastric emptying
d) GERD - CORRECT ANSWER b) Urinary retention
Bethanechol is a cholinergic (opposite of anticholinergic where you can't see, can't pee,
can't spit & can't shit... thus with cholinergics, you get watery eyes, you can pee finally,
you have saliva & your bowels are moving).
The RN teaches a pt receiving atropine to expect which SE?
a) Diarrhea
b) Bradycardia
c) Blurry vision
d) Urinary frequency - CORRECT ANSWER c) Blurry vision
When benztropine (Cogentin) is ordered for a pt, the RN acknowledges that this drug is
an effective tx for which of the following conditions?
, a) PD
b) Paralytic ileus
c) Motion sickness
d) Urinary retention - CORRECT ANSWER a) PD
Dicyclomine (Bentyl) is an anticholinergic, which the RN realizes is given to tx which
condition?
a) Mydriasis
b) Constipation
c) Urinary retention
d) IBS - CORRECT ANSWER d) IBS
Remember anticholinergics have the following effects: can't see, can't pee, can't spit,
can't shit.
The RN realizes that cholinergic agonists mimic which PSNS NT?
a) Dopamine
b) ACh
c) Cholinesterase
d) Monoamine oxidase (MAO) - CORRECT ANSWER b) ACh
The RN is giving a cholinergic agonist & should know that the expected cholinergic
effects include which of the following?
a) Increased HR
b) Decreased peristalsis
c) Decreased salivation
d) Increased pupil constriction - CORRECT ANSWER d) Increased pupil constriction
When the pt has a cholinergic OD, the RN should anticipate giving which of the
following as an antidote?
a) Atropine
b) Bethanechol
c) Ambenonium
d) Metoclopramide - CORRECT ANSWER a) Atropine
When a 12 yo is prescribed methylphenidate, which is most important for the RN to
monitor?
a) Temp
b) Respirations
c) I&O
d) Height & weight - CORRECT ANSWER d) Height & weight
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