HESI Pharmacology Practice Exam
questions and well answered 2023
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HESI Pharmacology Practice Exam questions
and well answered 2023
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%
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
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
d. head
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
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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
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
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
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
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
D. Transcribe and send the prescription to the pharmacy
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.
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questions and well answered 2023
written by
Killey
The Marketplace to Buy and Sell your Study Material
At Stuvia, you will find the best notes, summaries, flashcards & other study material. Search for your
school or uni and find the study material you need.
www.stuvia.com
Downloaded by: Killey | Want to earn $1.236
Distribution of this document is illegal extra per year?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
HESI Pharmacology Practice Exam questions
and well answered 2023
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%
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
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
d. head
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
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Distribution of this document is illegal extra per year?
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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
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
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
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
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
D. Transcribe and send the prescription to the pharmacy
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.
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Distribution of this document is illegal extra per year?
