HESI PHARMACOLOGY PRACTICE / ACTUAL
EXAM COMPLETE 60+ QUESTIONS AND
CORRECT DETAILED ANSWERS / 2025.
Terms in this set (68)
A client with A. flushing of the face and neck, lasting up to an hour, is a
hyperlipidemia recieves a frequent reason for discontinuing niacin. inclusion of this
effect in client teaching may promote compliance in taking
prescription for niacin
the med.
(niaspan). which client
teaching is most important
for the nurse to provide a.
expected duration of flushing
b. symptoms
ofhyperglycemia
c. diets that minimize
giirritation
d. comfort measure for
pruritis
, B. acetaminophen toxicisty an result in liver damage;
When assessing an therefore, it is especially important for the nurse to assess
adolescent who recently for pain in the right upper quadrant of the abdomen
overdosed on (which might indicated liver damage)
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
A medication that is classified C.
as a beta-1 agonist is most Beta-1 agonists improve cardiac output by increasing the
commonly prescribed for a heart rate and blood pressure and are indicated in heart
failure (C), shock, atrioventricular block dysrhythmias, and
client with which condition?
cardiac arrest. Glaucoma (A) is managed using adrenergic
A) Glaucoma. agents and betaadrenergic blocking agents. Beta-1 blocking
B) Hypertension. agents are used in the management of hypertension (B).
C) Heart failure. Medications that stimulate beta-2 receptors in the bronchi
are effective for bronchoconstriction in respiratory disorders,
D) Asthma.
such as asthma (D).
, B.
A client with Parkinson's Sinemet increases the amount of levodopa to the CNS
disease is taking carbidopa- (dopamine to the brain). Increased amounts of dopamine
levodopa (Sinemet). Which improve the symptoms of Parkinson's, such as involuntary
observation by the nurse movements, resting tremors (B), shuffling gait, etc. (A) is a
side effect of Sinemet. Decreased drooling would be a
should indicate that the
desired effect, not (C). Sinemet does not affect (D).
desired outcome of the
medication is being
achieved?
A) Decreased
bloodpressure.
B) Lessening of tremors.
C) Increased
salivation.D) Increased
attention span.
A client with heart failure is B.
prescribed spironolactone Spironolactone (Aldactone), an aldosterone antagonist, is a
(Aldactone). Which potassium-sparing diuretic, so a diet high in potassium
should be avoided (B), including potassium salt substitutes,
information is most
which can lead to hyperkalemia. Although (A) is a common
important for the nurse to diet modification in heart failure, the risk of hyperkalemia is
provide to the client about more important with Aldactone. Restriction of fluids (C) or
diet modifications? increasing milk and milk products (D) are not indicated with
this prescription.
A) Do not add salt
tofoods during preparation.
B) Refrain for eating
foodshigh in potassium.
C) Restrict fluid intake
to1000 ml per day.
D) Increase intake of
milkand milk products.
, D.
A client receiving
Doxorubicin is an antineoplastic agent that causes
Doxorubicin (Adriamycin) inflammation, blistering, and necrosis of tissue upon
intravenously (IV) complains extravasation. First, all IV fluids should be discontinued at
of pain at the insertion site, the site (D) to prevent further tissue damage by the
vesicant. Erythema is one sign of infiltration and should be
and the nurse notes edema
noted, but edema and pain at the infusion site require
at the site. Which stopping the IV fluids (A). Although an antidote may be
intervention is most available (B), additional fluids contribute to the trauma of
important for the nurse to the subcutaneous tissues. Depending on the type of
vesicant, warm or cold compresses (C) may be prescribed
implement?
after the infusion is discontinued.
A) Assess for erythema.
B) Administer the
antidote.C) Apply warm
compresses.
D) Discontinue the IV fluids.
Which nursing intervention is C.
most important when caring Cytosine arabinoside (Arc-C) affects the rapidly growing cells
for a client receiving the of the body, therefore stomatitis and mucosal ulcerations are
key signs of antimetabolite toxicity (C). (A, B, and D) are not
antimetabolite cytosine
typical interventions associated with the administration of
arabinoside (Arc-C) for antimetabolites.
chemotherapy?
A) Hydrate the client
withIV fluids before and after
infusion.
B) Assess the client
fornumbness and tingling of
extremities.
C) Inspect the client's
oralmucosa for ulcerations.
D) Monitor the client's urine
pH for increased acidity.
EXAM COMPLETE 60+ QUESTIONS AND
CORRECT DETAILED ANSWERS / 2025.
Terms in this set (68)
A client with A. flushing of the face and neck, lasting up to an hour, is a
hyperlipidemia recieves a frequent reason for discontinuing niacin. inclusion of this
effect in client teaching may promote compliance in taking
prescription for niacin
the med.
(niaspan). which client
teaching is most important
for the nurse to provide a.
expected duration of flushing
b. symptoms
ofhyperglycemia
c. diets that minimize
giirritation
d. comfort measure for
pruritis
, B. acetaminophen toxicisty an result in liver damage;
When assessing an therefore, it is especially important for the nurse to assess
adolescent who recently for pain in the right upper quadrant of the abdomen
overdosed on (which might indicated liver damage)
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
A medication that is classified C.
as a beta-1 agonist is most Beta-1 agonists improve cardiac output by increasing the
commonly prescribed for a heart rate and blood pressure and are indicated in heart
failure (C), shock, atrioventricular block dysrhythmias, and
client with which condition?
cardiac arrest. Glaucoma (A) is managed using adrenergic
A) Glaucoma. agents and betaadrenergic blocking agents. Beta-1 blocking
B) Hypertension. agents are used in the management of hypertension (B).
C) Heart failure. Medications that stimulate beta-2 receptors in the bronchi
are effective for bronchoconstriction in respiratory disorders,
D) Asthma.
such as asthma (D).
, B.
A client with Parkinson's Sinemet increases the amount of levodopa to the CNS
disease is taking carbidopa- (dopamine to the brain). Increased amounts of dopamine
levodopa (Sinemet). Which improve the symptoms of Parkinson's, such as involuntary
observation by the nurse movements, resting tremors (B), shuffling gait, etc. (A) is a
side effect of Sinemet. Decreased drooling would be a
should indicate that the
desired effect, not (C). Sinemet does not affect (D).
desired outcome of the
medication is being
achieved?
A) Decreased
bloodpressure.
B) Lessening of tremors.
C) Increased
salivation.D) Increased
attention span.
A client with heart failure is B.
prescribed spironolactone Spironolactone (Aldactone), an aldosterone antagonist, is a
(Aldactone). Which potassium-sparing diuretic, so a diet high in potassium
should be avoided (B), including potassium salt substitutes,
information is most
which can lead to hyperkalemia. Although (A) is a common
important for the nurse to diet modification in heart failure, the risk of hyperkalemia is
provide to the client about more important with Aldactone. Restriction of fluids (C) or
diet modifications? increasing milk and milk products (D) are not indicated with
this prescription.
A) Do not add salt
tofoods during preparation.
B) Refrain for eating
foodshigh in potassium.
C) Restrict fluid intake
to1000 ml per day.
D) Increase intake of
milkand milk products.
, D.
A client receiving
Doxorubicin is an antineoplastic agent that causes
Doxorubicin (Adriamycin) inflammation, blistering, and necrosis of tissue upon
intravenously (IV) complains extravasation. First, all IV fluids should be discontinued at
of pain at the insertion site, the site (D) to prevent further tissue damage by the
vesicant. Erythema is one sign of infiltration and should be
and the nurse notes edema
noted, but edema and pain at the infusion site require
at the site. Which stopping the IV fluids (A). Although an antidote may be
intervention is most available (B), additional fluids contribute to the trauma of
important for the nurse to the subcutaneous tissues. Depending on the type of
vesicant, warm or cold compresses (C) may be prescribed
implement?
after the infusion is discontinued.
A) Assess for erythema.
B) Administer the
antidote.C) Apply warm
compresses.
D) Discontinue the IV fluids.
Which nursing intervention is C.
most important when caring Cytosine arabinoside (Arc-C) affects the rapidly growing cells
for a client receiving the of the body, therefore stomatitis and mucosal ulcerations are
key signs of antimetabolite toxicity (C). (A, B, and D) are not
antimetabolite cytosine
typical interventions associated with the administration of
arabinoside (Arc-C) for antimetabolites.
chemotherapy?
A) Hydrate the client
withIV fluids before and after
infusion.
B) Assess the client
fornumbness and tingling of
extremities.
C) Inspect the client's
oralmucosa for ulcerations.
D) Monitor the client's urine
pH for increased acidity.
