HESI PHARMACOLOGY PRACTICAL
LATEST EDITION 2025
Following the administration of sublingual nitroglycerin to a client
experiencing an acute angina attack, which assessment finding indicates
to the nurse that the desired effect has been achieved?
Client states chest pain is relieved
Client's pulse decreases from 120 to 90
Client's systolic blood pressure decreases from 180 to 90
Clients SaO2 level increases from 92% to 96% - Correct Answer ✅A.
nitroglycerin reduces myocardial oxygen consumption which decreases
ischemia and reduces chest pain
A client with hyperlipidemia receives a prescription for niacin
(Niaspan). Which client teaching is most important for the nurse to
provide?
Expected duration of flushing
Symptoms of hyperglycemia
Diets that minimize irritation
,Comfort measure for pruritis - Correct Answer ✅A.
Flushing of the face and neck, lasting up to an hour, is a frequent reason
for discontinuing niacin. Inclusion of this effect in client 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
Flank
Abdomen
Chest
Head - Correct Answer ✅B. acetaminophen toxicity 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?
Nitroglycerin
,Propranolol
Propranolol
Captopril - Correct Answer ✅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
Decrease the amount of the thyroid-stimulating hormone circulating in
the blood
Increase the amount of thyroid-stimulating hormone circulating in the
blood
Increase the amount of T4 and decrease the amount of T3 produced by
the thyroid
Inhibit synthesis of T3 and T4 by the thyroid gland - Correct Answer
✅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
Dependent edema reduced form +3 to +1
Serum HDL increased from 35 to 55mg/dl
Pulse rate reduced from 150 to 90 beats/min
Blood pressure reduced from 160/90 to 130.80 - Correct Answer ✅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)
Increase fluid intake, especially cranberry juice
Do not abruptly discontinue the medication; taper use
Check blood pressure daily to detect hypertension
Avoid drinking alcohol while taking this medication
Use condoms until treatment is completed
LATEST EDITION 2025
Following the administration of sublingual nitroglycerin to a client
experiencing an acute angina attack, which assessment finding indicates
to the nurse that the desired effect has been achieved?
Client states chest pain is relieved
Client's pulse decreases from 120 to 90
Client's systolic blood pressure decreases from 180 to 90
Clients SaO2 level increases from 92% to 96% - Correct Answer ✅A.
nitroglycerin reduces myocardial oxygen consumption which decreases
ischemia and reduces chest pain
A client with hyperlipidemia receives a prescription for niacin
(Niaspan). Which client teaching is most important for the nurse to
provide?
Expected duration of flushing
Symptoms of hyperglycemia
Diets that minimize irritation
,Comfort measure for pruritis - Correct Answer ✅A.
Flushing of the face and neck, lasting up to an hour, is a frequent reason
for discontinuing niacin. Inclusion of this effect in client 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
Flank
Abdomen
Chest
Head - Correct Answer ✅B. acetaminophen toxicity 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?
Nitroglycerin
,Propranolol
Propranolol
Captopril - Correct Answer ✅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
Decrease the amount of the thyroid-stimulating hormone circulating in
the blood
Increase the amount of thyroid-stimulating hormone circulating in the
blood
Increase the amount of T4 and decrease the amount of T3 produced by
the thyroid
Inhibit synthesis of T3 and T4 by the thyroid gland - Correct Answer
✅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
Dependent edema reduced form +3 to +1
Serum HDL increased from 35 to 55mg/dl
Pulse rate reduced from 150 to 90 beats/min
Blood pressure reduced from 160/90 to 130.80 - Correct Answer ✅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)
Increase fluid intake, especially cranberry juice
Do not abruptly discontinue the medication; taper use
Check blood pressure daily to detect hypertension
Avoid drinking alcohol while taking this medication
Use condoms until treatment is completed
