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2025/2026 HESI RN Pharmacology Exam Test Bank Questions & Answers (Actual Exam)

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2024/2025 HESI RN Pharmacology Exam Test Bank Questions & Answers (Actual Exam)-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 ch...

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  • 15 février 2024
  • 16 décembre 2024
  • 27
  • 2024/2025
  • Examen
  • Questions et réponses

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  • hesi rn pharmacology
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  • 2024 hesi rn pharmacology exam test bank questions

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HESI RN Pharmacology Exam Test Bank
Questions & Answers (Actual Exam)
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. Client states chest pain is
relieved

Nitroglycerin reduces myocardial 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. expected duration of flushing

Flushing of the face and neck, lasting up to an hour, is a frequent reason for
discontinuing niacin. inclusion of this effect in client 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. abdomen

,Acetaminophen toxicity 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

Nitroglycerin is a nitrate that causes peripheral vasodilation and decreases
contractility, thereby decreasing both preload and afterload

A clietn 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. Inhibit synthesis of T3
and T4 by the thyroid gland

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 reduced from 160/90 to 130/80 - D. Blood pressure reduced
from 160/90 to 130/80

, 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 femail 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
A. Increase fluid intake, especially cranberry juice
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

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. verify both
prescriptions with the HCP

The concomitant use of an ACE inhibitor and a potassium-sparing diuretic such as
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

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