Pharm HESI Practice Exam Questions and Answers

Pharm HESI Practice Exam Questions
and Answers

Ai43-year-
oldifemaleiclientiisiprescribedithyroidireplacementihormoneifollowingiaithyroidectomy.iWhic
hiadverseieffectsishoulditheinurseiinstructitheiclientitoireportiimmediatelyitoitheihealthcareip
rovider?

A.iTinnitusiandidizziness.
B.iTachycardiaiandichestipain.i
C.iDryiskiniandiintoleranceitoicold.
D.iWeightigainiandiincreasediappetite.i-iCORRECTiiANSWER-
B.iTachycardiaiandichestipain.

AiCategoryiXidrugiisiprescribediforiaiyoungiadultifemaleiclient.iWhichiinstructioniisimostiimp
ortantiforitheinurseitoiteachithisiclient?

A.iUseiaireliableiformiofibirthicontrol.i
B.iAvoidiexposureitoiultraivioletilight.
C.iRefuseithisimedicationiifiplanningipregnancy.
D.iAbstainifromiintercourseiwhileionithisidrug.i-iCORRECTiiANSWER-
A.iUseiaireliableiformiofibirthicontrol.

Aiclientiasksitheinurseiifiglipizidei(Glucotrol)iisianioraliinsulin.iWhichiresponseishoulditheinur
seiprovide?

A.i"Yes,iitiisianioraliinsuliniandihasitheisameiactionsiandipropertiesiasiintermediateiinsulin."
B.i"Yes,iitiisianioraliinsuliniandiisidistributed,imetabolized,iandiexcretediinitheisameimanneri
asiinsulin."
C.i"No,iitiisinotianioraliinsuliniandicanibeiusedionlyiwhenisomeibetaicellifunctioniisipresent."i
D.i"No,iitiisinotianioraliinsulin,ibutiitiisieffectiveiforithoseiwhoiareiresistantitoiinjectableiinsulins
."i-iCORRECTiiANSWER-
C.i"No,iitiisinotianioraliinsuliniandicanibeiusedionlyiwhenisomeibetaicellifunctioniisipresent."

Aiclientibeingidischargedihomeiisiprescribedianiantibioticiwithiaidosageithreeitimesihigherith
aniitiwasiadministerediwhenitheiclientiwasiinitheihospital.iWhichirouteiofiadministrationishou
lditheinurseianticipateiwillibeiprescribediforitheigreatestifirst-passieffect?

A.iOral.i
B.iSublingual.
C.iIntravenous.
D.iSubcutaneous.i-iCORRECTiiANSWER-A.iOral.

, Aiclientibeingidischargediisiprescribediwarfariniforitheitreatmentifollowingiaipulmonaryiemb
olism.iWhichidiagnosticitestishoulditheinurseiinstructitheiclientitoireceiveionceiaimonth?

A.iPerfusioniscan.
B.iProthrombiniTimei(PT).i
C.iActivatedipartialithromboplastini(aPTT).
D.iSerumiCoumadinileveli(SCL).i-iCORRECTiiANSWER-B.iProthrombiniTimei(PT).

Aiclientibeingitreatediforihyperthyroidismiwithipropylthiouracili(PTU)iasksitheinurseihowithei
medicationiworks.iWhichiisitheibestiresponseitoigiveitheiclient?

A.iItidecreasesitheiamountiofithyroid-stimulatingihormoneicirculatingiinitheiblood.
B.iItiincreasesitheiamountiofithyroid-stimulatingihormoneicirculatingiinitheiblood.
C.iItienhancesitheiamountiofiT4iandidiminishesitheiamountiofiT3iproducedibyitheithyroid.
D.iItiinhibitsitheisynthesisiofiT3iandiT4ibyitheithyroidigland.i-iCORRECTiiANSWER-
D.iItiinhibitsitheisynthesisiofiT3iandiT4ibyitheithyroidigland.

AiclientihasiaicontinuousiIViinfusioniofidopaminei(Intropin)iandianiIViofinormalisalineiati50im
L/hour.iTheinurseinotesithatitheiclient'siurinaryioutputihasibeeni20imL/houriforitheilasti2ihour
s.iWhichiinterventionishoulditheinurseiinitiate?

A.iStopitheiinfusioniofidopamine.
B.iChangeitheinormalisalineitoiaikeepiopenirate.
C.iReplaceitheiurinaryicatheter.
D.iNotifyitheihealthcareiprovideriofitheiurinaryioutput.i-iCORRECTiiANSWER-
D.iNotifyitheihealthcareiprovideriofitheiurinaryioutput.

Aiclientiisiadmitteditoitheihospitaliforiainewionsetiofisupraventricularitachycardiai(SVT)iandii
siprescribedidigoxin.iForiwhichilaboratoryifindingishoulditheinurseinotifyitheihealthcareiprovi
deriimmediately?

A.iPotassiumileveliofi3.1imEq/L.i
B.iSodiumileveliofi132imEq/L.
C.iCalciumileveliofi8.6img/dL.
D.iMagnesiumileveliofi1.2imEq/L.i-iCORRECTiiANSWER-A.iPotassiumileveliofi3.1imEq/L.

Aiclientiisiadmitteditoitheihospitaliforidiagnosticitestingiforipossibleimyastheniaigravis.iThein
urseipreparesiforiintravenousiadministrationiofiedrophoniumichloridei(Tensilon).iWhatiisith
eiexpectedioutcomeiforithisiclientifollowingiadministrationiofithisipharmacologiciagent?

A.iProgressiveidifficultyiwithiswallowing.
B.iDecreasedirespiratoryieffort.
C.iImprovementiinigeneralizedifatigue.
D.iDecreasedimuscleiweakness.i-iCORRECTiiANSWER-D.iDecreasedimuscleiweakness.