HESI Pharmacology Assignment Exam
Questions And Answers
Ai38-year-oldigravidai2iparai2iisidiagnosediwithibacterialivaginosisi9-
monthsipostpartum.iAiprescriptioniisiwritteniforimetronidazolei(Flagyl).iWhichiinformationiisi
mostiimportantiforitheinurseitoiobtainiforitheiclientibeforeiinitiatingitreatment?
A.iMethodiofiinfantifeeding
B.iSexualihistory
C.iPossibilityiofipregnancy
D.iUseiofioralicontraceptivesi-iCORRECTiiANSWER-A.iMethodiofiinfantifeeding
Ai48-year-
oldiclientiisiexperiencingiaisevereianaphylacticireactionitoianiinjectionioficontrastimedia.iWh
atipharmacologiciagentiisiofigreatestiuseiinithisisituation?
A.iLoratadinei(Claritin)
B.iDopaminei(Intropin)
C.iNitroprussidei(Nipride)
D.iEpinephrinei(Adrenalin)i-iCORRECTiiANSWER-D.iEpinephrinei(Adrenalin)
Aiclientiasksitheinurseitoiexplainitheimeaningiofiainarrowitherapeuticiindexiofimedication.iW
hatiinformationishoulditheinurseiuseitoiansweritheiquestion?
A.iBioavailabilityiisisignificantlyireducedibyitheifirst-passieffect
B.iMinimumidosageiisineedediforitheimedicationitoibeieffective
C.iAismallimarginiexistsibetweenisafeianditoxiciplasmailevels
D.iTheionsetiofiactioniforitheimedicationioccursiveryiquicklyi-iCORRECTiiANSWER-
C.iAismallimarginiexistsibetweenisafeianditoxiciplasmailevels
Aiclientiati30-weeksigestationiisiinipretermilabor.iTheiHCPiprescribesitwoi12-
mgidosesiofibetamethasonei(Celestone)iintramuscularlyieveryi12ihours.iTheiclientiasksithei
nurseiwhyisheiisireceivingitheiCelestone.iWhatiinformationishoulditheinurseiuseitoiexplainit
heiactioniofitheimedication?
A.iReducesimaternaliandifetalitachycardiaiassociatediwithiterbutalinei(Brethine)iadministra
tion
B.iSuppressesiuterineicontractions
C.iStimulatesifetalisurfactantiproduction
D.iMaintainsiadequateimaternalirespiratoryieffortiandiventilationiwithimagnesiumiadministr
ationi-iCORRECTiiANSWER-C.iStimulatesifetalisurfactantiproduction
Aiclienticallsitheicliniciandistatesithatisheiforgotitoitakeiherioralicontraceptivesiforitheipastitw
oidays.iWhichiinstructioniisibestiforitheinurseitoiprovideitoithisiclient?
A.iTakei2ipillsiaidayifori2idaysiandiuseianialternateimethodioficontraceptionifori7idays
, B.iTakeioneiextraipilliperidayiforitheirestiofithisicycle,itheniresumeitakingipillsiasiusualinexticy
cle.
C.iQuititheipillsiforithisicycle,iuseianialternateimethodioficontraception,iandiresumeipillsionith
eififthidayiofimenstruation.
D.iTakei4ipillsinowiandiuseianialternateimethodioficontraceptioniforitheirestiofithisicycle.i-
iCORRECTiiANSWER-
A.iTakei2ipillsiaidayifori2idaysiandiuseianialternateimethodioficontraceptionifori7idays
Aiclientiisiadmittediforiatrialifibrillation,ianditheiHCPiprescribesidisopryamidei(Norpace).iAft
eriexplainingitheiactioniofithisiantidysrhythmiciagent,iwhichicomplaintishoulditheinurseiinstr
uctitheiclientitoireport?
A.iDailyiweightigainiofi2ipounds
B.iJointipain
C.iDizzinessiorimuscleiweakness
D.iDryimouthi-iCORRECTiiANSWER-A.iDailyiweightigainiofi2ipounds
Aiclientiisibeginningitherapyiwithimontelukasti(Singulair)iPOi10imgionceiaidayiinitheievening
.iTheiclientiasksitheinurse,i"whenishouldiIibeginitoifeelibetter?"iHowishoulditheinurseirespon
d?
A.iImmediately
B.i30iminutesitoi1ihour
C.iiniabouti12ihours
D.iWithini24ihoursi-iCORRECTiiANSWER-D.iWithini24ihours
Aiclientiisireceivingifentanyliviaianiepiduraliinfusion.iWhichisideieffectishoulditheinurseiantici
pateiinitheifirsti24ihoursiofiepiduralianalgesia?
A.iAgitation
B.iUrinaryiretention
C.iHeadache
D.iAbdominalicrampingiandidiarrheai-iCORRECTiiANSWER-B.iUrinaryiretention
Aiclientiisitakingicyclosporineiforirenalirenaliallograftirejectioniprevention.iAfteri9imonthsiofid
rugitherapy,itheinurseireviewsilaboratoryidataiandinotesithatitheibloodiureainitrogenileveliisi
36img/dl.iWhatiadditionalifindingishoulditheinurseiidentify?
A.iHypotension
B.iCreatininei28img/dl
C.iAnaphylacticireaction
D.iWhiteibloodicellicounti10,000i-iCORRECTiiANSWER-B.iCreatininei28img/dl
Aiclientiisitakingidanazoli(Danocrine)iforiendometriosisiandicallsitheiclinicinurseitoicomplaini
ofiaidark,iswollen,iandipainfulileg.iWhatiinstructionsishoulditheinurseiprovideitheiclient?
A.iProceeditoitheinearestiemergencyiroom
B.iWalkifori20itoi30iminutesitoireduceimuscleicramps
C.iElevateibothilegsiandiapplyiheat
D.iWearisupportistockingsi-iCORRECTiiANSWER-
A.iProceeditoitheinearestiemergencyiroom
Questions And Answers
Ai38-year-oldigravidai2iparai2iisidiagnosediwithibacterialivaginosisi9-
monthsipostpartum.iAiprescriptioniisiwritteniforimetronidazolei(Flagyl).iWhichiinformationiisi
mostiimportantiforitheinurseitoiobtainiforitheiclientibeforeiinitiatingitreatment?
A.iMethodiofiinfantifeeding
B.iSexualihistory
C.iPossibilityiofipregnancy
D.iUseiofioralicontraceptivesi-iCORRECTiiANSWER-A.iMethodiofiinfantifeeding
Ai48-year-
oldiclientiisiexperiencingiaisevereianaphylacticireactionitoianiinjectionioficontrastimedia.iWh
atipharmacologiciagentiisiofigreatestiuseiinithisisituation?
A.iLoratadinei(Claritin)
B.iDopaminei(Intropin)
C.iNitroprussidei(Nipride)
D.iEpinephrinei(Adrenalin)i-iCORRECTiiANSWER-D.iEpinephrinei(Adrenalin)
Aiclientiasksitheinurseitoiexplainitheimeaningiofiainarrowitherapeuticiindexiofimedication.iW
hatiinformationishoulditheinurseiuseitoiansweritheiquestion?
A.iBioavailabilityiisisignificantlyireducedibyitheifirst-passieffect
B.iMinimumidosageiisineedediforitheimedicationitoibeieffective
C.iAismallimarginiexistsibetweenisafeianditoxiciplasmailevels
D.iTheionsetiofiactioniforitheimedicationioccursiveryiquicklyi-iCORRECTiiANSWER-
C.iAismallimarginiexistsibetweenisafeianditoxiciplasmailevels
Aiclientiati30-weeksigestationiisiinipretermilabor.iTheiHCPiprescribesitwoi12-
mgidosesiofibetamethasonei(Celestone)iintramuscularlyieveryi12ihours.iTheiclientiasksithei
nurseiwhyisheiisireceivingitheiCelestone.iWhatiinformationishoulditheinurseiuseitoiexplainit
heiactioniofitheimedication?
A.iReducesimaternaliandifetalitachycardiaiassociatediwithiterbutalinei(Brethine)iadministra
tion
B.iSuppressesiuterineicontractions
C.iStimulatesifetalisurfactantiproduction
D.iMaintainsiadequateimaternalirespiratoryieffortiandiventilationiwithimagnesiumiadministr
ationi-iCORRECTiiANSWER-C.iStimulatesifetalisurfactantiproduction
Aiclienticallsitheicliniciandistatesithatisheiforgotitoitakeiherioralicontraceptivesiforitheipastitw
oidays.iWhichiinstructioniisibestiforitheinurseitoiprovideitoithisiclient?
A.iTakei2ipillsiaidayifori2idaysiandiuseianialternateimethodioficontraceptionifori7idays
, B.iTakeioneiextraipilliperidayiforitheirestiofithisicycle,itheniresumeitakingipillsiasiusualinexticy
cle.
C.iQuititheipillsiforithisicycle,iuseianialternateimethodioficontraception,iandiresumeipillsionith
eififthidayiofimenstruation.
D.iTakei4ipillsinowiandiuseianialternateimethodioficontraceptioniforitheirestiofithisicycle.i-
iCORRECTiiANSWER-
A.iTakei2ipillsiaidayifori2idaysiandiuseianialternateimethodioficontraceptionifori7idays
Aiclientiisiadmittediforiatrialifibrillation,ianditheiHCPiprescribesidisopryamidei(Norpace).iAft
eriexplainingitheiactioniofithisiantidysrhythmiciagent,iwhichicomplaintishoulditheinurseiinstr
uctitheiclientitoireport?
A.iDailyiweightigainiofi2ipounds
B.iJointipain
C.iDizzinessiorimuscleiweakness
D.iDryimouthi-iCORRECTiiANSWER-A.iDailyiweightigainiofi2ipounds
Aiclientiisibeginningitherapyiwithimontelukasti(Singulair)iPOi10imgionceiaidayiinitheievening
.iTheiclientiasksitheinurse,i"whenishouldiIibeginitoifeelibetter?"iHowishoulditheinurseirespon
d?
A.iImmediately
B.i30iminutesitoi1ihour
C.iiniabouti12ihours
D.iWithini24ihoursi-iCORRECTiiANSWER-D.iWithini24ihours
Aiclientiisireceivingifentanyliviaianiepiduraliinfusion.iWhichisideieffectishoulditheinurseiantici
pateiinitheifirsti24ihoursiofiepiduralianalgesia?
A.iAgitation
B.iUrinaryiretention
C.iHeadache
D.iAbdominalicrampingiandidiarrheai-iCORRECTiiANSWER-B.iUrinaryiretention
Aiclientiisitakingicyclosporineiforirenalirenaliallograftirejectioniprevention.iAfteri9imonthsiofid
rugitherapy,itheinurseireviewsilaboratoryidataiandinotesithatitheibloodiureainitrogenileveliisi
36img/dl.iWhatiadditionalifindingishoulditheinurseiidentify?
A.iHypotension
B.iCreatininei28img/dl
C.iAnaphylacticireaction
D.iWhiteibloodicellicounti10,000i-iCORRECTiiANSWER-B.iCreatininei28img/dl
Aiclientiisitakingidanazoli(Danocrine)iforiendometriosisiandicallsitheiclinicinurseitoicomplaini
ofiaidark,iswollen,iandipainfulileg.iWhatiinstructionsishoulditheinurseiprovideitheiclient?
A.iProceeditoitheinearestiemergencyiroom
B.iWalkifori20itoi30iminutesitoireduceimuscleicramps
C.iElevateibothilegsiandiapplyiheat
D.iWearisupportistockingsi-iCORRECTiiANSWER-
A.iProceeditoitheinearestiemergencyiroom