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Exam (elaborations)

HESI Pharmacology Exam Question Bank (Latest 2023 Update)

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HESI Pharmacology Exam Question Bank (Latest 2023 Update)

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NURS 4003B HESI Pharmacology V2 – f f f f f



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDAT
f f f f f f f f f



E 2022 f




• A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows tha
f f f f f f f f f f f f f




t the actionof this drug is to
f f f f f f f




A) decreasefthefamountfoffthyroid-stimulatingfhormonefcirculatingfinfthefblood.

B) increasefthefamountfoffthyroid-stimulatingfhormonefcirculatingfinfthefblood.

C) increasefthefamountfoffT4fandfdecreasefthefamountfoffT3fproducedfbyfthefthyroid.

D) inhibitfsynthesisfoffT3fandfT4fbyfthefthyroidfgland.



D) inhibit synthesis of T3 and T4 by the thyroid gland.
f f f f f f f f f f




PTU is an adjunct therapy used to control hyperthyroidism by inhibiting production of thyroid hor
f f f f f f f f f f f f f f




mones (D). Itis often prescribed in preparation for thyroidectomy or radioactive iodine therapy. Th
f f f f f f f f f f f f f f




yroid-
stimulating hormone (TSH) is produced by the pituitary gland, and PTU does not affect the pituitary
f f f f f f f f f f f f f f f




(A and B). PTU inhibitsthe synthesis of all thyroid hormones--both T3 and T4(C).
f f f f f f f f f f f f f f




• A client has myxedema, which results from a deficiency of thyroid hormone synthesis in adults
f f f f f f f f f f f f f f




. The nurseknows that which medication should be contraindicated for this client?
f f f f f f f f f f f f




A) Liothyroninef(Cytomel)ftofreplacefiodine.

B) Furosemidef(Lasix)fforfrelieffofffluidfretention.
NURS 4003B HESI Pharmacology V2 – f f f f f



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDAT
f f f f f f f f f



E 2022 f

, NURS 4003B HESI Pharmacology V2 – f f f f f



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDAT
f f f f f f f f f



E 2022 f




C) Pentobarbitalfsodiumf(NembutalfSodium)fforfsleep.

D) Nitroglycerinf(Nitrostat)fforfanginafpain.



C) Pentobarbital sodium (Nembutal Sodium) for sleep.
f f f f f f




Persons with myxedema are dangerously hypersensitive to narcotics, barbiturates (C), and anes
f f f f f f f f f f f




thetics. Theydo tolerate liothyronine (Cytomel) (A) and usually receive iodine replacement thera
f f f f f f f f f f f f




py. These clients are alsosusceptible to heart problems such as angina for which nitroglycerin (Ni
f f f f f f f f f f f f f f f




trostat) (D) would be indicated, and congestive heart failure for which furosemide (Lasix) (B) wou
f f f f f f f f f f f f f f




ld be indicated.
f f




• Which change in data indicates to the nurse that the desired effect of the angiotensin II
f f f f f f f f f f f f f f f




receptorantagonist valsartan (Diovan) has been achieved?
f f f f f f f




A) Dependentfedemafreducedffromf+3ftof+1.

B) SerumfHDLfincreasedffromf35ftof55fmg/dl.

C) Pulsefratefreducedffromf150ftof90fbeats/minute.

D) Bloodfpressurefreducedffromf160/90ftof130/80.



D) Blood pressure reduced from 160/90 to 130/80.
f f f f f f f




NURS 4003B HESI Pharmacology V2 – f f f f f



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDAT
f f f f f f f f f



E 2022 f

, NURS 4003B HESI Pharmacology V2 – f f f f f



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDAT
f f f f f f f f f



E 2022 f




Diovan is an angiotensin receptor blocker, prescribed for the treatment of hypertension. The desi
f f f f f f f f f f f f f




red effect isa decrease in blood pressure (D). (A, B, and C) do not describe effects of Diovan.
f f f f f f f f f f f f f f f f f f




• A client is receiving digoxin for the onset of supraventricular tachycardia (SVT). Which laborat
f f f f f f f f f f f f f




ory findingsshould the nurse identify that places this client at risk?
f f f f f f f f f f f




A) Hypokalemia.

B) Hyponatremia.

C) Hypercalcemia.

D) Lowfuricfacidflevels.



A) Hypokalemia.
f




Hypokalemia affects myocardial contractility, so (A) places this client at greatest risk for dysrhy
f f f f f f f f f f f f f




thmias thatmay be unresponsive to drug therapy. Although an imbalance of serum electrolyte
f f f f f f f f f f f f f




s, (B and C), can effect cardiac rhythm, the greatest risk for the client receiving digoxin is (A). (D)
f f f f f f f f f f f f f f f f f f f




does not cause any interactions related to digoxin therapy for supraventricular tachycardia (SV
f f f f f f f f f f f f




T).


NURS 4003B HESI Pharmacology V2 – f f f f f



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDAT
f f f f f f f f f



E 2022 f

, NURS 4003B HESI Pharmacology V2 –
f f f f f



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDAT
f f f f f f f f f



E 2022
f




• Which dosing schedule should the nurse teach the client to observe for a controlled-
f f f f f f f f f f f f f




release oxycodoneprescription?
f f




A) Asfneeded.

B) Everyf12fhours.




NURS 4003B HESI Pharmacology V2 –
f f f f f



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDAT
f f f f f f f f f



E 2022
f
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