HESI Pharmacology Practice Test Exam With
Questions and Answers All Answers 100% Verified
(Latest Update 2024/2025 RATED A+
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% - CORRECT ANSWERS 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 - CORRECT ANSWERS 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
,HESI Pharmacology Practice Test Exam With
Questions and Answers All Answers 100% Verified
(Latest Update 2024/2025 RATED A+
d. head - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS
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
,HESI Pharmacology Practice Test Exam With
Questions and Answers All Answers 100% Verified
(Latest Update 2024/2025 RATED A+
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 - CORRECT ANSWERS 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 - CORRECT
ANSWERS 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
, HESI Pharmacology Practice Test Exam With
Questions and Answers All Answers 100% Verified
(Latest Update 2024/2025 RATED A+
D. Transcribe and send the prescription to the pharmacy - CORRECT ANSWERS
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. Pentobarbital sodium for sleep
D. nitroglycerin for angina pain - CORRECT ANSWERS C. persons with
myxedema are dangerously hypersensitive to narcotics, barbiturates, and
anesthetics. They do not tolerate liothyronine and usually receive iodine
replacement therapy. These clients are also suceptable to heart problems such
as angina for which nitroglycerine would be indicated and and congestive
heart failure for which furosemide would be indicated
A client has a continuous IV infusion of dopamine and an IV of normal saline at
50ml/hour. The nurse noes that the client's urinary output has been
20ml/hour for the last two hours. Which intervention should the nurse
initiate?
A. stop the infusion of dopamine
B. change the normal saline to a keep open rate
C. replace the urinary catheter
D. notify the healthcare provider of the urinary output. - CORRECT ANSWERS
D.
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