HESI Pharmacology Exam Practice with Answers

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HESI Pharmacology Practice Exam Questions m m m m




And Answers
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Followingm them administrationm ofm sublingualm nitroglycerinm tom am clientm experiencing
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m anm acutem anginalm attack,m whichm assessmentm findingm indicatesm tom them nursem thatm t
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hem desiredm effectm hasm beenm achieved?m
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A.m Clientm statesm chestm painm ism relieved
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B.m Client'sm pulsem decreasesm fromm 120m tom 90
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C.m Client'sm systolicm bloodm pressurem decreasesm fromm 180m tom 90
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D.m Clientsm SaO2m levelm increasesm fromm 92%m tom 96%m -
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m (Correctm Answer)m `A.m nitroglycerinm reducesm mycocardialm oxygenm consumptionm w
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hichm decreasesm ischemiam andm reducesm chestm pain
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Am clientm withm hyperlipidemiam recievesm am prescriptionm form niacinm (niaspan).m which
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m clientm teachingm ism mostm importantm form them nursem tom provide
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a.m expectedm durationm ofm flushing
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b.m symptomsm ofm hyperglycemia
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c.m dietsm thatm minimizem gim irritation
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d.m comfortm measurem form pruritism -
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m (Correctm Answer)m `A.m flushingm ofm them facem andm neck,m lastingm upm tom anm hour,m ism am
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frequentm reasonm form discontinuingm niacin.m inclusionm ofm thism effectm inm clietnm teachi
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ngm maym promotem compliancem inm takingm them med.
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Whenm assessingm anm adolescentm whom recentlym overdosedm onm acetaminophenm (tylon
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el),m itm ism mostm importantm form them nursem tom assessm form painm inm whichm aream ofm them
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body

a.m flank l

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b.m abdomen l




c.m chest l




d.m headm - l l




m (Correctm Answer)m `B.m acetaminophenm toxicistym anm resultm inm liverm damage;m theref
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ore,m itm ism especiallym importantm form them nursem tom assessm form painm inm them rightm uppe
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rm quadrantm ofm them abdomenm (whichm mightm indicatedm liverm damage)
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Am clientm ism admittedm tom them coronarym carem unitm withm am medicalm diagnosism ofm acut
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em myocardialm infarction.m whichm medicationm prescriptionm decreasesm bothm preloadm
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andm afterload l




a.m nitroglycerin l




b.m propranolol l




c.m propranolol l




d.m captoprilm - l l




m (Correctm Answer)m `A.m nitroglycerinm ism am nitratem thatm causesm peripheralm vasodilati
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onm andm decreasesm contractility,m therebym decreasingm bothm preloadm andm afterload
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Am clientm ism beingm treatedm form hyperthyroidismm withm propylthiouracilm (PTU).m Them
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nursem knowsm thatm them actionm ofm thism drugm ism tom
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A.m decreasem them amountm ofm them thyroid-
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stimulatingm hormonem circulatingm inm them blood l l l l l




B.m increasem them amountm ofm thyroid-stimulatingm hormonem circulatingm inm them blood
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C.m increasem them amountm ofm T4m andm decreasem them amountm ofm T3m producedm bym them
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thyroid

D.m inhibitm synthesism ofm T3m andm T4m bym them thyroidm glandm -
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m (Correctm Answer)m `D.m PTUm ism anm adjunctm therapym usedm tom controlm hyperthyroidis
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mm bym inhibitingm productionm ofm thyroidm hormones.m Itm ism oftenm prescribedm inm prepm
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form thyroidectomym orm radioactivem iodinem therapy
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Whichm changem inm datam indicatesm tom them nursem them desiredm effectm ofm them angiotensi
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nm IIm receptorm antagonistm hasm beenm achieved
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A.m Dependentm edemam reducedm formm +3m tom +1
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B.m Serumm HDLm increasedm fromm 35m tom 55mg/dl
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C.m PUlsem ratem reducedm fromm 150m tom 90m beats/min
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D.m Bloodm pressurem reducedfm romm 160/90m tom 130.80m -
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m (Correctm Answer)m `D.m angiotensinm IIm receptorm antagonistm (blocker),m prescribedm fr
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omm treatmentm ofm HTN.m Them desiredm effectm ism am decreasem inm bloodm pressure.
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Whichm instructionsm shouldm them nursem givem tom am femalem clientm whom justm recievedm a
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m prescriptionm form oralm metronidazolem (flagyl)m form treatmentm ofm trichomonasm vagin
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alism (selectm allm thatm apply)
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A.m increasem fluidm intake,m especiallym cranberrym juice
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B.m Dom notm abruptlym discontinuem them medication;m taperm use
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C.m Checkm bloodm pressurem dailym tom detectm hypertension
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D.m Avoidm drinkingm alcoholm whilem takingm thism medication
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E.m Usem condomsm untilm treatmentm ism completed
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F.m Ensurem thatm allm sexualm partnersm arem treatedm atm them samem timem -
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m (Correctm Answer)m `ADEF
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Them nursem ism transcribingm am newm prescriptionm form spironolactonem (aldactone)m form
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am clientm whom receivesm anm angiotensin-
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convertingm enzymem inhibitor.m Whichm actionm shouldm them nursem implement l l l l l l l l




A.m verifym bothm prescriptionsm withm them HCP
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B.m reportm them medm interactionsm tom them nursem manager
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C.m holdm them ACEm inhibitorm andm givem them newm prescription
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D.m Transcribem andm sendm them prescriptionm tom them pharmacym -
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m (Correctm Answer)m `A.m them concomitantm usem ofm anm ACEm inhibitorm andm am potassium-
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sparingm diureticm sucham sm spironolactone,m shouldm bem givenm withm cautionm b/cm them t
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wom drugsm maym interactm tom causem anm elevationm inm serumm potassiumm levels.
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Am clientm hasm myxedema,m whichm resultsm fromm am deficiencym ofm thyroidm hormonem sy
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nthesism inm adults.m Them nursem knowsm thatm whichm medicationm shouldm bem contraindi
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catedm form thism client? l l l




A.m liothyroninem (cytomel)m tom replacem iodine
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B.m Furosemidem (Lasix)m form reliefm ofm fluidm retention
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