Pharmacology HESI Practice [ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] WITH PRACTICE EXAM DETAILED
AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE 2025
GRADED A (BRAND NEW!!)
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency
room. Which assessment data would indicate that the naloxone has been effective? The
client's...
A. Statement that the chest pain is better
B) respiratory rate is 16 breaths/minute.
C) seizure activity has stopped temporarily.
D) pupils are constricted bilaterally. - CORRECT ✔✔✔✔✔ B.
Naloxone (Narcan) is a narcotic antagonist that reverses the respiratory depression
effects of opiate overdose, so assessment of a normal respiratory rate (B) would
indicate that the respiratory depression has been halted. (A, C, and D) are not related to
naloxone (Narcan) administration.
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 ✔✔✔✔✔ 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 with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for
symptom management. The nurse notes the client is allergic to sulfa. Which action is
most important for the nurse to implement prior to administering the first dose?
A) Review the client's hemoglobin results.
B) Notify the healthcare provider.
C) Inquire about the reaction to sulfa.
D) Record the client's vital signs. - CORRECT ✔✔✔✔✔ B.
Celebrex contains a sulfur molecule, which can lead to an allergic reaction in individuals
who are sensitive to sulfonamides, so the healthcare provider should be notified of the
client's allergies (B). Although (A, C, and D) are important assessments, it is most
important to notify the healthcare provider for an alternate prescription.
The client with a dysrhythmia is to receive procainamide (pronestyl) in 4 divided doses
over the next 24 hours. What dosing schedule is best for the nurse to implement?
A. q4h
B. QID
C. AC and bedtime
D. PC and bedtime - CORRECT ✔✔✔✔✔ A. q6h
A client has a continous IV infusion of dopamine (Intropin) and an IV of normal saline at
50 ml/hour. The nurse notes that the client's urinary output has been 20 ml/hour for the
last two hours. Which intervention should the nurse initiate?
A. Stop the infusion of dopamine
B. Change the normal saline to a keep open rate.
C. Replace the urinary catheter.
D. Notify the healthcare provider of the urinary output. - CORRECT ✔✔✔✔✔ D. Notify
the healthcare provider of the urinary output.
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorlac
(toradol) 30mg IV q6h. which action should the nurse implement?
A. administer both medications according to the prescription
B. Hold the ketorolac to prevent an antagonist effect
, C. Hold the morphine to prevent an additive drug interaction
D. Contact the healthcare provider to clarify the prescription - CORRECT ✔✔✔✔✔ A.
Administer both medications according to the prescription
Morphine and ketorolac can be administered concurrently and may produce additive
analgesic effect resulting in ability to reduce the dose of morphine, as seen in this
prescription
A client is being treated for hyperthyridism with propylthiouracil (PTU). The nurse knows
that the action of this drug is to:
A. decrease the amount of 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 ✔✔✔✔✔ 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
A female client with RA takes ibuprofen (motrin) 600mg PO 4xday. To preven GI
bleeding, misoprostol (cytotec) 100mcg PO is prescribed. Which information is most
important for the nurse to include in client teaching?
A. use contraception during intercourse
B. ensure the cytotec is taken on an empty stomach
C. encourage oral fluid intake to prevent constipation
D. take cytotec 30min prior to motrin - CORRECT ✔✔✔✔✔ A. Use contraception
during intercourse.
Cytotec, a synthetic form of prostaglandin, is classified as pregnancy category X and
can act as an abortifacient, so the client should be instructed to use contraception
during intercourse to prevent loss of early pregnancy
Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client
with which condition?
A) Shock.
B) Asthma.
C) Hypotension.
[QUESTIONS AND ANSWERS] WITH PRACTICE EXAM DETAILED
AND VERIFIED FOR GUARANTEED PASS- LATEST UPDATE 2025
GRADED A (BRAND NEW!!)
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency
room. Which assessment data would indicate that the naloxone has been effective? The
client's...
A. Statement that the chest pain is better
B) respiratory rate is 16 breaths/minute.
C) seizure activity has stopped temporarily.
D) pupils are constricted bilaterally. - CORRECT ✔✔✔✔✔ B.
Naloxone (Narcan) is a narcotic antagonist that reverses the respiratory depression
effects of opiate overdose, so assessment of a normal respiratory rate (B) would
indicate that the respiratory depression has been halted. (A, C, and D) are not related to
naloxone (Narcan) administration.
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 ✔✔✔✔✔ 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 with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for
symptom management. The nurse notes the client is allergic to sulfa. Which action is
most important for the nurse to implement prior to administering the first dose?
A) Review the client's hemoglobin results.
B) Notify the healthcare provider.
C) Inquire about the reaction to sulfa.
D) Record the client's vital signs. - CORRECT ✔✔✔✔✔ B.
Celebrex contains a sulfur molecule, which can lead to an allergic reaction in individuals
who are sensitive to sulfonamides, so the healthcare provider should be notified of the
client's allergies (B). Although (A, C, and D) are important assessments, it is most
important to notify the healthcare provider for an alternate prescription.
The client with a dysrhythmia is to receive procainamide (pronestyl) in 4 divided doses
over the next 24 hours. What dosing schedule is best for the nurse to implement?
A. q4h
B. QID
C. AC and bedtime
D. PC and bedtime - CORRECT ✔✔✔✔✔ A. q6h
A client has a continous IV infusion of dopamine (Intropin) and an IV of normal saline at
50 ml/hour. The nurse notes that the client's urinary output has been 20 ml/hour for the
last two hours. Which intervention should the nurse initiate?
A. Stop the infusion of dopamine
B. Change the normal saline to a keep open rate.
C. Replace the urinary catheter.
D. Notify the healthcare provider of the urinary output. - CORRECT ✔✔✔✔✔ D. Notify
the healthcare provider of the urinary output.
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and ketorlac
(toradol) 30mg IV q6h. which action should the nurse implement?
A. administer both medications according to the prescription
B. Hold the ketorolac to prevent an antagonist effect
, C. Hold the morphine to prevent an additive drug interaction
D. Contact the healthcare provider to clarify the prescription - CORRECT ✔✔✔✔✔ A.
Administer both medications according to the prescription
Morphine and ketorolac can be administered concurrently and may produce additive
analgesic effect resulting in ability to reduce the dose of morphine, as seen in this
prescription
A client is being treated for hyperthyridism with propylthiouracil (PTU). The nurse knows
that the action of this drug is to:
A. decrease the amount of 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 ✔✔✔✔✔ 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
A female client with RA takes ibuprofen (motrin) 600mg PO 4xday. To preven GI
bleeding, misoprostol (cytotec) 100mcg PO is prescribed. Which information is most
important for the nurse to include in client teaching?
A. use contraception during intercourse
B. ensure the cytotec is taken on an empty stomach
C. encourage oral fluid intake to prevent constipation
D. take cytotec 30min prior to motrin - CORRECT ✔✔✔✔✔ A. Use contraception
during intercourse.
Cytotec, a synthetic form of prostaglandin, is classified as pregnancy category X and
can act as an abortifacient, so the client should be instructed to use contraception
during intercourse to prevent loss of early pregnancy
Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client
with which condition?
A) Shock.
B) Asthma.
C) Hypotension.
