PHARMACOLOGY HESI PRACTICE QUESTIONS EXAM STUDY GUIDE WITH VERIFIED DETAILED ANSWERS. [GRADED A+}
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Course
PHARMACOLOGY HESI
Institution
PHARMACOLOGY HESI
PHARMACOLOGY HESI PRACTICE QUESTIONS
EXAM STUDY GUIDE WITH VERIFIED
DETAILED ANSWERS. [GRADED A+}
A client is being treated for hyperthyridism with propylthiouracil (PTU). The
nurse knows that the action of this drug is to:
A. decrease the amount of thyroid stimulating hormone circulating ...
PHARMACOLOGY HESI PRACTICE QUESTIONS
EXAM STUDY GUIDE WITH VERIFIED
DETAILED ANSWERS. [GRADED A+}
A client is being treated for hyperthyridism with propylthiouracil (PTU). The
nurse knows that the action of this drug is to:
A. decrease the amount of 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. - ANS✔✔-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
A female client with RA takes ibuprofen (motrin) 600mg PO 4xday. To preven GI
bleeding, misoprostol (cytotec) 100mcg PO is prescribed. Which information is
most important for the nurse to include in client teaching?
A. use contraception during intercourse
B. ensure the cytotec is taken on an empty stomach
C. encourage oral fluid intake to prevent constipation
D. take cytotec 30min prior to motrin - ANS✔✔-A. Use contraception during
intercourse.
Cytotec, a synthetic form of prostaglandin, is classified as pregnancy category X
and can act as an abortifacient, so the client should be instructed to use
contraception during intercourse to prevent loss of early pregnancy
,Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a
client with which condition?
A) Shock.
B) Asthma.
C) Hypotension.
D) Heart failure - ANS✔✔-D. Heart Failure
Dobutamine is a beta-1 adrenergic agonist that is indicated for short term use in
cardiac decompensation or heart failure (D) related to reduced cardiac
contractility due to organic heart disease or cardiac surgical procedures. Alpha
and beta adrenergic agonists, such as epinephrine and dopamine, are
sympathomimetics used in the treatment of shock (A). Other selective beta-2
adrenergic agonists, such as terbutaline and isoproterenol, are indicated in the
treatment of asthma (B). Although dobutamine improves cardiac output, it is not
used to treat hypotension (C).
Which medications should the nurse caution the client about taking while
receiving an opioid analgesic?
A. Antacids.
B. Benzodiasepines
C. Antihypertensives
D. Oral antidiabetics - ANS✔✔-B. B. Benzodiasepines
Respiratory depression increases with the concurrent use of opioid analgesics
and other cns depressant agents, such as alcohol, barbiturates, and
benzodiasepines
Which client should the nurse identify as being at the highest risk for
complications during the use of an opioid analgesic?
A. an older client with type 2 diabetes
B. A client with chronic rheumatoid arthritis
C. A client with a open compound fracture
D. A young adult with inflammatory bowel disease - ANS✔✔-D. A young adult
with inflammatory bowel disease
, Which change in data indicates to the nurse the desired effect of the angiotensin
II receptor antagonist valsartan (Diovan) 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 - ANS✔✔-D. 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.
A client who has been taking levodopa PO TID to control the symptoms of
Parkinsons disease has a new prescription for sustained release
levodopa/carbidopa (sinemet 25/100 PO BID. The client took his levodopa at
0800. Which instruction should the nurse include in the teaching plan for this
client?
A. take the first dose of sinemet today, as soon as your prescription is filld
B. Since you already took your levodopa, wait until tomorrow to take the
sinemet
C. Take both drugs for the 1st week, then switch to taking only the sinemet.
D. You can begin taking the sinemet this evening, but do not take anymore
levodopa - ANS✔✔-D
Which method of medication administration provides the client with the greatest
first-pass effect?
A) Oral.
B) Sublingual.
C) Intravenous.
D) Subcutaneous. - ANS✔✔-A.
The first-pass effect is a pharmacokinetic phenomenon that is related to the
drug's metabolism in the liver. After oral (A) medications are absorbed from the
gastrointestinal tract, the drug is carried directly to the liver via the hepatic
portal circulation where hepatic inactivation occurs and reduces the
bioavailability of the drug. Alternative method of administration, such as
sublingual (B), IV (C), and subcutaneous (D) routes, avoid this first-pass effect.
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