Pharm II HESI exam with 100% correct answers 2024

Pharm II HESI

Which of the following is a rapid acting insulin and should be administered
immediately
before a
meal?
A.
Glargine
B. Aspart
(Lispro)
C. NPH
D. Regular correct answers B.
Aspart
rationale: onset is 5
minutes
Glargine=Lantus (long
lasting)
A PT has an anaphylactic allergy to sulfa drugs. She receives
sulfamethoxazole.
becomes SheSOB. Her HR is normal but her BP is dropping.
flushed and
You first
administ
er
A.
Epinephrine
B.
Diphenhydramine
C.
Albuterol
D. Atropine correct answers A.
Epi
rationale: raises
BP
Which of the following would be an adverse effect of methimazole
(Tapazole)
A.
Tachycardia
B.
Bradycardia
C. SOB
D. Arrhythmias correct answers This is an anti-thyroid
medication
B.
Bradycardia
One of your PTs is started on verapamil (Calan). Before administering the
dose you
chec
k
A. HR
B. urine
output
C.
weight
D. temp correct answers this is a calcium channel blocker--worried
about
A. HR HR

One of your PTs is to be started on iron sulfate therapy. You
instruct
A. him to:
take with
meals
B. take on empty
stomach
C. remain upright for at least 60 min following
administration
D. take with vitamin A to increase absorption correct answers B. take
on empty
stomac
h
rationale: taking with food lessens absorption, but it can cause upset
stomach
like so with
to take most
food

, take iron with vitamin C to increase
absorption
liquid iron-drink through straw bc it can stain
teeth black
which of the following should be considered when administering IV
potassium?
A. Max rate infused through central line is 20
meq/h
B. Max rate infused through peripheral line is 10
meq/h
C. Max concentration through a central line is 20
meq/50ml
D. Max concentration through peripheral line is 10
meq/100ml
E. all of the above correct answers E. all of the
above
will usually be infused
peripherally
which is the following agents is used to
treat
A. MG
Atropine
(anticholinergic)
B. Pyridostigmine (Mestinon-acetylcholinesterase
inhibitor)
C. Metoprolol (Lopressor-beta
blocker)
D. Albuterol (Proventil-beta 2 agonist) correct answers B.
Pyridostigmine
rationale: Atropine is emergency drug for
bradycardia
which of the following would you monitor for patients started on a
narcotic like
morphine
?
A. HR
B. respiratory
rate
C. liver function
tests
D. creatine phosphokinase (CPK) correct answers
A. HR
PT is receiving baclofen (Lioresal). This medication can
cause
A.
sedation
B.
seizures
C. none of the
above
D. all of the above correct answers this is a skeletal
muscle relaxer
A.
sedation
rationale: seizures can happen if you discontinue
this med
PT is started on orlistat (Xenical, Alli). You identify that this
medication
A. is a lipase inhibitor used to treat
diabetes
B. is a lipase inhibitor used to treat
C. is a lipase inhibitor used to increase muscle
obesity
mass
D. is a lipase inhibitor used to lower cholesterol correct answers B. lipase
inhibitor
to treat used
obesity
rationale: this is an anorexiant
drug
One of your PTs receives vancomycin at 12 every day. It takes 90 min to
administer
entire dose.the
What time should a trough be
drawn?
A.
B.
1230
1400
C.
1130