HESI Pharmacology Practice Test Exam with
questions and answers 100%Correctly verified
answers latest update 2025 RATED A+
Following the administration of sublingual nitroglycerin to a client experiencing an
acute anginal attack, which assessment finding indicates to the nurse that the
desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96% - CORRECT ANSWERS A.
nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia
and reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which client
teaching is most important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis - CORRECT ANSWERS A. flushing of the face
and neck, lasting up to an hour, is a frequent reason for discontinuing niacin.
inclusion of this effect in clietn 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
a. flank
b. abdomen
c. chest
d. head - CORRECT ANSWERS B. acetaminophen toxicisty 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
a. nitroglycerin
,HESI Pharmacology Practice Test Exam with
questions and answers 100%Correctly verified
answers latest update 2025 RATED A+
b. propranolol
c. propranolol
d. captopril - CORRECT ANSWERS 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
A. decrease the amount of the thyroid-stimulating hormone circulating in the blood
B. increase the amount of thyroid-stimulating hormone circulating in the blood
C. increase the amount of T4 and decrease the amount of T3 produced by the
thyroid
D. inhibit synthesis of T3 and T4 by the thyroid gland - CORRECT ANSWERS
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
A. Dependent edema reduced form +3 to +1
B. Serum HDL increased from 35 to 55mg/dl
C. PUlse rate reduced from 150 to 90 beats/min
D. Blood pressure reducedf rom 160/90 to 130.80 - CORRECT ANSWERS 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)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
, HESI Pharmacology Practice Test Exam with
questions and answers 100%Correctly verified
answers latest update 2025 RATED A+
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time - CORRECT
ANSWERS ADEF
The nurse is transcribing a new prescription for spironolactone (aldactone) for a
client who receives an angiotensin-converting enzyme inhibitor. Which action should
the nurse implement
A. verify both prescriptions with the HCP
B. report the med interactions to the nurse manager
C. hold the ACE inhibitor and give the new prescription
D. Transcribe and send the prescription to the pharmacy - CORRECT ANSWERS
A. the concomitant use of an ACE inhibitor and a potassium-sparing diuretic sucha s
spironolactone, should be given with caution b/c the two drugs may interact to
cause an elevation in serum potassium levels.
A client has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. The nurse knows that which medication should be
contraindicated for this client?
A. liothyronine (cytomel) to replace iodine
B. Furosemide (Lasix) for relief of fluid retention
C. Pentobarbital sodium for sleep
D. nitroglycerin for angina pain - CORRECT ANSWERS C. persons with
myxedema are dangerously hypersensitive to narcotics, barbiturates, and
anesthetics. They do not tolerate liothyronine and usually receive iodine
replacement therapy. These clients are also suceptable to heart problems such as
angina for which nitroglycerine would be indicated and and congestive heart failure
for which furosemide would be indicated
A client has a continuous IV infusion of dopamine and an IV of normal saline at
50ml/hour. The nurse noes that the client's urinary output has been 20ml/hour for
the last two hours. Which intervention should the nurse initiate?
A. stop the infusion of dopamine
questions and answers 100%Correctly verified
answers latest update 2025 RATED A+
Following the administration of sublingual nitroglycerin to a client experiencing an
acute anginal attack, which assessment finding indicates to the nurse that the
desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96% - CORRECT ANSWERS A.
nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia
and reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which client
teaching is most important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis - CORRECT ANSWERS A. flushing of the face
and neck, lasting up to an hour, is a frequent reason for discontinuing niacin.
inclusion of this effect in clietn 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
a. flank
b. abdomen
c. chest
d. head - CORRECT ANSWERS B. acetaminophen toxicisty 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
a. nitroglycerin
,HESI Pharmacology Practice Test Exam with
questions and answers 100%Correctly verified
answers latest update 2025 RATED A+
b. propranolol
c. propranolol
d. captopril - CORRECT ANSWERS 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
A. decrease the amount of the thyroid-stimulating hormone circulating in the blood
B. increase the amount of thyroid-stimulating hormone circulating in the blood
C. increase the amount of T4 and decrease the amount of T3 produced by the
thyroid
D. inhibit synthesis of T3 and T4 by the thyroid gland - CORRECT ANSWERS
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
A. Dependent edema reduced form +3 to +1
B. Serum HDL increased from 35 to 55mg/dl
C. PUlse rate reduced from 150 to 90 beats/min
D. Blood pressure reducedf rom 160/90 to 130.80 - CORRECT ANSWERS 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)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
, HESI Pharmacology Practice Test Exam with
questions and answers 100%Correctly verified
answers latest update 2025 RATED A+
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time - CORRECT
ANSWERS ADEF
The nurse is transcribing a new prescription for spironolactone (aldactone) for a
client who receives an angiotensin-converting enzyme inhibitor. Which action should
the nurse implement
A. verify both prescriptions with the HCP
B. report the med interactions to the nurse manager
C. hold the ACE inhibitor and give the new prescription
D. Transcribe and send the prescription to the pharmacy - CORRECT ANSWERS
A. the concomitant use of an ACE inhibitor and a potassium-sparing diuretic sucha s
spironolactone, should be given with caution b/c the two drugs may interact to
cause an elevation in serum potassium levels.
A client has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. The nurse knows that which medication should be
contraindicated for this client?
A. liothyronine (cytomel) to replace iodine
B. Furosemide (Lasix) for relief of fluid retention
C. Pentobarbital sodium for sleep
D. nitroglycerin for angina pain - CORRECT ANSWERS C. persons with
myxedema are dangerously hypersensitive to narcotics, barbiturates, and
anesthetics. They do not tolerate liothyronine and usually receive iodine
replacement therapy. These clients are also suceptable to heart problems such as
angina for which nitroglycerine would be indicated and and congestive heart failure
for which furosemide would be indicated
A client has a continuous IV infusion of dopamine and an IV of normal saline at
50ml/hour. The nurse noes that the client's urinary output has been 20ml/hour for
the last two hours. Which intervention should the nurse initiate?
A. stop the infusion of dopamine
