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HESI Pharmacology V1 Questions And Answers

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HESI Pharmacology V1 Questions And Answers HESI Pharmacology V1 Questions And Answers HESI Pharmacology V1 Questions And Answers

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2024-2025 HESI Pharmacology V1
Questions And Answers

42.)iAiclientiwithiaipepticiulceriisidiagnosediwithiaiHelicobacteripyloriiinfection.iTheinurseiisir
einforcingiteachingiforitheiclientiaboutitheimedicationsiprescribed,iincludingiclarithromycini(
Biaxin),iesomeprazolei(Nexium),iandiamoxicillini(Amoxil).iWhichistatementibyitheiclientiindi
catesitheibestiunderstandingiofitheimedicationiregimen?i
1.i"Myiulceriwillihealibecauseitheseimedicationsiwillikillitheibacteria."
2.i"TheseimedicationsiareionlyitakeniwheniIihaveipainifromimyiulcer."
3.i"Theimedicationsiwillikillitheibacteriaiandistopitheiacidiproduction."
4.i"Theseimedicationsiwillicoatitheiulceriandidecreaseitheiacidiproductioniinimyistomach."i-
iCORRECTiiANSWER-

3.i"Theimedicationsiwillikillitheibacteriaiandistopitheiacidiproduction."

Rationale:
TripleitherapyiforiHelicobacteripyloriiinfectioniusuallyiincludesitwoiantibacterialidrugsiandiai
protonipumpiinhibitor.iClarithromyciniandiamoxicilliniareiantibacterials.iEsomeprazoleiisiaip
rotonipumpiinhibitor.iTheseimedicationsiwillikillitheibacteriaiandidecreaseiacidiproduction.

57.)iAinurseiisimonitoringiaiclientiwhoiisitakingipropranololi(InderaliLA).iWhichidataicollectio
nifindingiwouldiindicateiaipotentialiseriousicomplicationiassociatediwithipropranolol?
1.iTheidevelopmentioficomplaintsiofiinsomnia
2.iTheidevelopmentiofiaudibleiexpiratoryiwheezes
3.iAibaselineibloodipressureiofi150/80immiHgifollowedibyiaibloodipressureiofi138/72immiHgi
afteritwoidosesiofitheimedication
4.iAibaselineirestingiheartirateiofi88ibeats/minifollowedibyiairestingiheartirateiofi72ibeats/min
iafteritwoidosesiofitheimedicationi-iCORRECTiiANSWER-

2.iTheidevelopmentiofiaudibleiexpiratoryiwheezes

Rationale:
Audibleiexpiratoryiwheezesimayiindicateiaiseriousiadverseireaction,ibronchospasm.iβ-
iBlockersimayiinduceithisireaction,iparticularlyiiniclientsiwithichroniciobstructiveipulmonaryi

diseaseioriasthma.iNormalidecreasesiinibloodipressureiandiheartirateiareiexpected.iInsom
niaiisiaifrequentimildisideieffectiandishouldibeimonitored.

Aiclientihasiaiprescriptionitoitakeiguaifenesini(Humibid)ieveryi4ihours,iasineeded.iTheinursei
determinesithatitheiclientiunderstandsitheimostieffectiveiuseiofithisimedicationiifitheiclientist
atesithatiheiorisheiwill:
1.iWatchiforiirritabilityiasiaisideieffect.
2.iTakeitheitabletiwithiaifulliglassiofiwater.
3.iTakeianiextraidoseiifitheicoughiisiaccompaniedibyifever.

,4.iCrushitheisustained-releaseitabletiifiimmediateireliefiisineeded.i-iCORRECTiiANSWER-
2.iTakeitheitabletiwithiaifulliglassiofiwater.

Rationale:
Guaifenesiniisianiexpectorant.iItishouldibeitakeniwithiaifulliglassiofiwateritoidecreaseiviscosit
yiofisecretions.iSustained-
releaseipreparationsishouldinotibeibrokeniopen,icrushed,iorichewed.iTheimedicationimayio
ccasionallyicauseidizziness,iheadache,ioridrowsinessiasisideieffects.iTheiclientishouldicont
actitheihealthicareiprovideriifitheicoughilastsilongerithani1iweekioriisiaccompaniedibyifever,ir
ash,isoreithroat,ioripersistentiheadache.

Aiclientihasibeenistartedionilong-
termitherapyiwithirifampini(Rifadin).iAinurseiteachesitheiclientithatitheimedication:
1.iShouldialwaysibeitakeniwithifoodioriantacids
2.iShouldibeidouble-dosediifioneidoseiisiforgotten
3.iCausesiorangeidiscolorationiofisweat,itears,iurine,iandifeces
4.iMayibeidiscontinuediindependentlyiifisymptomsiareigoneiini3imonthsi-
iCORRECTiiANSWER-3.iCausesiorangeidiscolorationiofisweat,itears,iurine,iandifeces



Rationale:
RifampinishouldibeitakeniexactlyiasidirectediasipartiofiTBitherapy.iDosesishouldinotibeidoub
ledioriskipped.iTheiclientishouldinotistopitherapyiuntilidirecteditoidoisoibyiaihealthicareiprovid
er.iTheimedicationishouldibeiadministeredionianiemptyistomachiunlessiiticausesigastrointe
stinaliupset,ianditheniitimayibeitakeniwithifood.iAntacids,iifiprescribed,ishouldibeitakeniatilea
sti1ihouribeforeitheimedication.iRifampinicausesiorange-
redidiscolorationiofibodyisecretionsiandiwillipermanentlyistainisofticontactilenses.

Aiclientihasibeenitakingiisoniazidi(INH)ifori2imonths.iTheiclienticomplainsitoiainurseiaboutin
umbness,iparesthesias,ianditinglingiinitheiextremities.iTheinurseiinterpretsithatitheiclientiisi
experiencing:
1.iHypercalcemia
2.iPeripheralineuritis
3.iSmallibloodivesselispasm
4.iImpairediperipheralicirculationi-iCORRECTiiANSWER-2.iPeripheralineuritis

Rationale:AicommonisideieffectiofitheiTBidrugiINHiisiperipheralineuritis.iThisiisimanifestedib
yinumbness,itingling,iandiparesthesiaiinitheiextremities.iThisisideieffecticanibeiminimizediby
ipyridoxinei(vitaminiB6)iintake.iOptionsi1,i3,iandi4iareiincorrect.



Aiclientiisidiagnosediwithianiacuteimyocardialiinfarctioniandiisireceivingitissueiplasminogeni
activator,ialteplasei(Activase,itPA).iWhichiactioniisiaipriorityinursingiintervention?
1.iMonitoriforirenalifailure.
2.iMonitoripsychosocialistatus.
3.iMonitoriforisignsiofibleeding.
4.iHaveiheparinisodiumiavailable.i-iCORRECTiiANSWER-3.iMonitoriforisignsiofibleeding.

,Rationale:
Tissueiplasminogeniactivatoriisiaithrombolytic.iHemorrhageiisiaicomplicationiofianyitypeiofit
hrombolyticimedication.iTheiclientiisimonitorediforibleeding.iMonitoringiforirenalifailureiandi
monitoringitheiclient'sipsychosocialistatusiareiimportantibutiareinotitheimosticriticaliintervent
ions.iHepariniisigiveniafterithrombolyticitherapy,ibutitheiquestioniisinotiaskingiaboutifollow-
upimedications.

Aiclientiisioninicotiniciacidi(niacin)iforihyperlipidemiaianditheinurseiprovidesiinstructionsitoith
eiclientiaboutitheimedication.iWhichistatementibyitheiclientiwouldiindicateianiunderstandingi
ofitheiinstructions?
1.i"Itiisinotinecessaryitoiavoiditheiuseiofialcohol."
2.i"Theimedicationishouldibeitakeniwithimealsitoidecreaseiflushing."
3.i"Clay-coloredistoolsiareiaicommonisideieffectiandishouldinotibeioficoncern."
4.i"Ibuprofeni(Motrin)itakeni30iminutesibeforeitheinicotiniciacidishouldidecreaseitheiflushing
."i-iCORRECTiiANSWER-
4.i"Ibuprofeni(Motrin)itakeni30iminutesibeforeitheinicotiniciacidishouldidecreaseitheiflushing
."

Rationale:
Flushingiisiaisideieffectiofithisimedication.iAspirinioriainonsteroidalianti-
inflammatoryidrugicanibeitakeni30iminutesibeforeitakingitheimedicationitoidecreaseiflushin
g.iAlcoholiconsumptionineedsitoibeiavoidedibecauseiitiwillienhanceithisisideieffect.iTheimed
icationishouldibeitakeniwithimeals,ithisiwillidecreaseigastrointestinaliupset.iTakingitheimedi
cationiwithimealsihasinoieffectionitheiflushing.iClay-
coloredistoolsiareiaisigniofihepaticidysfunctioniandishouldibeiimmediatelyireporteditoitheihe
althicareiprovideri(HCP).

Aiclientiisireceivingiacetylcysteinei(Mucomyst),i20%isolutionidilutediini0.9%inormalisalineib
yinebulizer.iTheinurseishouldihaveiwhichiitemiavailableiforipossibleiuseiafterigivingithisimed
ication?
1.iAmbuibag
2.iIntubationitray
3.iNasogastricitubei
4.iSuctioniequipmenti-iCORRECTiiANSWER-4.iSuctioniequipment

Rationale:
Acetylcysteineicanibeigiveniorallyioribyinasogastricitubeitoitreatiacetaminophenioverdose,io
riitimayibeigivenibyiinhalationiforiuseiasiaimucolytic.iTheinurseiadministeringithisimedicationi
asiaimucolyticishouldihaveisuctioniequipmentiavailableiinicaseitheiclienticannotimanageitoic
learitheiincreasedivolumeiofiliquefiedisecretions.

Aiclientiisireceivingimeperidineihydrochloridei(Demerol)iforipain.iWhichiofitheifollowingiareis
ideieffectsiofithisimedication.iSelectiallithatiapply.
1.iDiarrhea
2.iTremors
3.iDrowsiness

, 4.iHypotension
5.iUrinaryifrequency
6.iIncreasedirespiratoryiratei-iCORRECTiiANSWER-2.iTremors
3.iDrowsiness
4.iHypotension

Rationale:Meperidineihydrochlorideiisianiopioidianalgesic.iSideieffectsiincludeirespiratoryid
epression,idrowsiness,ihypotension,iconstipation,iurinaryiretention,inausea,ivomiting,iandit
remors.

AiclientiisitakingiHumuliniNPHiinsulinidailyieveryimorning.iTheinurseireinforcesiinstructionsif
oritheiclientianditellsitheiclientithatitheimostilikelyitimeiforiaihypoglycemicireactionitoioccuriis:
1.i2itoi4ihoursiafteriadministration
2.i4itoi12ihoursiafteriadministrationi
3.i16itoi18ihoursiafteriadministrationi
4.i18itoi24ihoursiafteriadministrationi-iCORRECTiiANSWER-
2.i4itoi12ihoursiafteriadministrationi

Rationale:i
HumuliniNPHiisianiintermediate-
actingiinsulin.iTheionsetiofiactioniisi1.5ihours,iitipeaksiini4itoi12ihours,iandiitsidurationiofiacti
oniisi24ihours.iHypoglycemicireactionsimostilikelyioccuriduringipeakitime.

Aiclientiisitakingiphenytoini(Dilantin)iforiseizureicontroliandiaisampleiforiaiserumidrugileveliisi
drawn.iWhichiofitheifollowingiindicatesiaitherapeuticiserumidrugirange?i
1.)i5itoi10imcg/mL
2.i10itoi20imcg/mL
3.i20itoi30imcg/mLi
4.i30itoi40imcg/mLi-iCORRECTiiANSWER-2.i10itoi20imcg/mLi

Rationale:
Theitherapeuticiserumidrugilevelirangeiforiphenytoini(Dilantin)iisi10itoi20imcg/mL.*iAihelpfuli
hintimayibeitoirememberithatitheitheophyllineitherapeuticirangeianditheiacetaminopheni(Tyl
enol)itherapeuticirangeiareitheisameiasitheiphenytoini(Dilantin)itherapeuticirange.*

Aiclientiisitoibeginiai6-
monthicourseiofitherapyiwithiisoniazidi(INH).iAinurseiplansitoiteachitheiclientito:
1.iDrinkialcoholiinismalliamountsionly.
2.iReportiyellowieyesioriskiniimmediately.
3.iIncreaseiintakeiofiSwissioriagedicheeses.i4.iAvoidivitaminisupplementsiduringitherapy.i-
iCORRECTiiANSWER-2.iReportiyellowieyesioriskiniimmediately.



Rationale:
INHiisihepatotoxic,iandithereforeitheiclientiisitaughtitoireportisignsiandisymptomsiofihepatitis
iimmediatelyi(whichiincludeiyellowiskiniandisclera).iForitheisameireason,ialcoholishouldibei

avoidediduringitherapy.iTheiclientishouldiavoidiintakeiofiSwissicheese,ifishisuchiasituna,ian

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