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HESI Pharmacology Exit TEST FINAL EXAM AND PRACTICE
EXAM 20262027 BANK 2 VERSIONS QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
What is the indication for metoclopramide/reglan? - ANSWER--
Prevention of chemotherapy-induced emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan - ANSWER--Drowsiness, EPS
such as tremors
Notify MD if what occurs when using metoclopramide/reglan -
ANSWER--Tremors
What is the indication xenical (orlistat, Alli) - ANSWER--For PTs with BMI
of 30+; LT weight control
SE of xenical (orlistat or alli) - ANSWER--Oily stool and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - ANSWER--Ask
pt to describe dietary intake since SE are increased if greater than 30%
of fat is in diet.
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What can decrease side effects of xenical (orlistat or alli) - ANSWER--
Fiber laxatives like Metamucil help decrease SE by binding to the fat.
Which type of fluids need plenty of water? - ANSWER--Bulk forming
laxatives
Why do you need plenty of fluids when taking bulk forming laxatives -
ANSWER--Because they can produce esophageal and or intestinal
obstruction
Laxative use assessment - ANSWER--Last BM and characteristics,
abdominal pain, fever and obstruction. Assess dietary and fluid intake.
With laxative use the nurse should - ANSWER--Encourage fluids, fiber
and exercise as tolerated/indicated
Laxative use and result in - ANSWER--Lack of bowel tone which can lead
to dependency
what is ondansetron (zofran) - ANSWER--antiemetic
What is ondansetron (zofran)used for? - ANSWER--Prevention of N/V
associated with chemotherapy and radiation therapy.
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Who should you use caution with when giving ondansetron/zofran? -
ANSWER--PTs with liver failure
Drugs for ulcerative colitis and crohns - ANSWER--5 aminosalicylates;
mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? -
ANSWER--They decrease GI inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) - ANSWER-
-Nausea, rash, arthralgia, hematological disorders
Which drug can cause colitis/c.diff - ANSWER--Linezolid/zyvox
What kind of infection is c.diff - ANSWER--Suprainfection
What is azithromycin/zithromax? - ANSWER--An antibiotic
What does azithromycin/zithromax treat? - ANSWER--STDs such as:
gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - ANSWER--One
dose of 1g or 2g.
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If a female pt has trichomonas (any STI) and is asymptomatic does the
male need to be tested? - ANSWER--Yes!
Azithromycin/zithromax can cause what? - ANSWER--Hepatotoxicity-
elevated liver enzymes
What is nitrofurantoin/cipro used for? - ANSWER--An antibiotic for UTI
Nitrofurantoin/cipro side effect - ANSWER--Hepatotoxicity, skin
reactions, neuropathy
nitrofurantoin/cipro nursing considerations - ANSWER--Give with milk
or meals check LFTs. Watch for numbness or tingling of extremities this
can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? - ANSWER--Metronidazole/flagyl
When is metronidazole/flagyl to be taken? - ANSWER--With food and
around the clock
What should be avoided when taking metronidazole/flagyl and why? -
ANSWER--Alcohol; can cause a disulfiram-like reaction
HESI Pharmacology Exit TEST FINAL EXAM AND PRACTICE
EXAM 20262027 BANK 2 VERSIONS QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXAM QUESTIONS WILL
COME FROM HERE (100% CORRECT ANSWERS A+ GRADED
What is the indication for metoclopramide/reglan? - ANSWER--
Prevention of chemotherapy-induced emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan - ANSWER--Drowsiness, EPS
such as tremors
Notify MD if what occurs when using metoclopramide/reglan -
ANSWER--Tremors
What is the indication xenical (orlistat, Alli) - ANSWER--For PTs with BMI
of 30+; LT weight control
SE of xenical (orlistat or alli) - ANSWER--Oily stool and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - ANSWER--Ask
pt to describe dietary intake since SE are increased if greater than 30%
of fat is in diet.
,2|Page
What can decrease side effects of xenical (orlistat or alli) - ANSWER--
Fiber laxatives like Metamucil help decrease SE by binding to the fat.
Which type of fluids need plenty of water? - ANSWER--Bulk forming
laxatives
Why do you need plenty of fluids when taking bulk forming laxatives -
ANSWER--Because they can produce esophageal and or intestinal
obstruction
Laxative use assessment - ANSWER--Last BM and characteristics,
abdominal pain, fever and obstruction. Assess dietary and fluid intake.
With laxative use the nurse should - ANSWER--Encourage fluids, fiber
and exercise as tolerated/indicated
Laxative use and result in - ANSWER--Lack of bowel tone which can lead
to dependency
what is ondansetron (zofran) - ANSWER--antiemetic
What is ondansetron (zofran)used for? - ANSWER--Prevention of N/V
associated with chemotherapy and radiation therapy.
,3|Page
Who should you use caution with when giving ondansetron/zofran? -
ANSWER--PTs with liver failure
Drugs for ulcerative colitis and crohns - ANSWER--5 aminosalicylates;
mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? -
ANSWER--They decrease GI inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) - ANSWER-
-Nausea, rash, arthralgia, hematological disorders
Which drug can cause colitis/c.diff - ANSWER--Linezolid/zyvox
What kind of infection is c.diff - ANSWER--Suprainfection
What is azithromycin/zithromax? - ANSWER--An antibiotic
What does azithromycin/zithromax treat? - ANSWER--STDs such as:
gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - ANSWER--One
dose of 1g or 2g.
, 4|Page
If a female pt has trichomonas (any STI) and is asymptomatic does the
male need to be tested? - ANSWER--Yes!
Azithromycin/zithromax can cause what? - ANSWER--Hepatotoxicity-
elevated liver enzymes
What is nitrofurantoin/cipro used for? - ANSWER--An antibiotic for UTI
Nitrofurantoin/cipro side effect - ANSWER--Hepatotoxicity, skin
reactions, neuropathy
nitrofurantoin/cipro nursing considerations - ANSWER--Give with milk
or meals check LFTs. Watch for numbness or tingling of extremities this
can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? - ANSWER--Metronidazole/flagyl
When is metronidazole/flagyl to be taken? - ANSWER--With food and
around the clock
What should be avoided when taking metronidazole/flagyl and why? -
ANSWER--Alcohol; can cause a disulfiram-like reaction
