HESI pharm practice test 1 questions
with 100% pass
/.The first-pass effect occurs when hepatic metabolism decreases the bioavailability of a
drug. Oral forms of medications are processed through the GI tract, absorbed through
the small intestines, and undergo the first-pass effect in the liver in which some of the
active ingredients is removed from the drug before it reaches the intended site of action.
- Answer-✅Which route should the nurse clarify with the healthcare provider prior to
administering a drug with high first-pass effect?
Oral
Buccal
Sublingual
Intravenous
/.With the loss of exocrine function for a client with chronic pancreatitis, replacement of
pancreatic enzymes using pancrelipase (Pancrease) becomes necessary. Diarrhea and
steatorrhea (fatty stools) indicate insufficient pancreatic enzymes are present to digest
dietary fats and other of nutrients, so pancrelipase, a fat-digesting enzyme, should be
consumed with any type of food. - Answer-✅A client with chronic pancreatitis receives a
new prescription for pancrelipase (pancrease). Which instruction is most important for
the nurse to include in this client's teaching?
Avoid prolonged exposure to direct sunlight
Stay away from products containing alcohol
Ingest 8 oz of grapefruit juice with the medication
Take the medication when consuming food
, /.Beta-blockers are used to inhibit aqueous humor production, with the goal is to reduce
intraocular pressure. - Answer-✅What is the effect of beta-blocking agents when used
for treatment of glaucoma?
Inhibiting aqueous humor production
Enhancing aqueous humor outflow
Increasing intraocular pressure
Preventing extraocular infection
/.The most frequent manifestations of chronic salicylate intoxication in adults are tinnitus
and hearing loss - Answer-✅Which findings should the nurse identify in an adult client
with possible chronic salicylate intoxication?
Tinnitus and hearing loss
Photosensitivity and nervousness
Acute gastrointestinal bleeding and anorexia
Hyperventilation and central nervous system effects
/.Minocycline (Minocin), a tetracycline antibiotic, is used to treat mild cases of
rheumatoid arthritis and can cause damage to the vestibular part of the inner ear, so the
client should report dizziness or difficulty maintaining balance. - Answer-✅A client with
rheumatoid arthritis is receiving a prescription for minocycline (Minocin). Which side
effect is most important for the nurse to instruct the client to report?
Loss of balance and dizziness
Nausea and Vomiting
Headache and mouth sores
Abdominal pain and diarrhea
/. Recommended medical treatment for Helicobacter pylori includes the use of at least 2
different antibiotics and a proton pump inhibitor to decrease the incidence of antibiotic
with 100% pass
/.The first-pass effect occurs when hepatic metabolism decreases the bioavailability of a
drug. Oral forms of medications are processed through the GI tract, absorbed through
the small intestines, and undergo the first-pass effect in the liver in which some of the
active ingredients is removed from the drug before it reaches the intended site of action.
- Answer-✅Which route should the nurse clarify with the healthcare provider prior to
administering a drug with high first-pass effect?
Oral
Buccal
Sublingual
Intravenous
/.With the loss of exocrine function for a client with chronic pancreatitis, replacement of
pancreatic enzymes using pancrelipase (Pancrease) becomes necessary. Diarrhea and
steatorrhea (fatty stools) indicate insufficient pancreatic enzymes are present to digest
dietary fats and other of nutrients, so pancrelipase, a fat-digesting enzyme, should be
consumed with any type of food. - Answer-✅A client with chronic pancreatitis receives a
new prescription for pancrelipase (pancrease). Which instruction is most important for
the nurse to include in this client's teaching?
Avoid prolonged exposure to direct sunlight
Stay away from products containing alcohol
Ingest 8 oz of grapefruit juice with the medication
Take the medication when consuming food
, /.Beta-blockers are used to inhibit aqueous humor production, with the goal is to reduce
intraocular pressure. - Answer-✅What is the effect of beta-blocking agents when used
for treatment of glaucoma?
Inhibiting aqueous humor production
Enhancing aqueous humor outflow
Increasing intraocular pressure
Preventing extraocular infection
/.The most frequent manifestations of chronic salicylate intoxication in adults are tinnitus
and hearing loss - Answer-✅Which findings should the nurse identify in an adult client
with possible chronic salicylate intoxication?
Tinnitus and hearing loss
Photosensitivity and nervousness
Acute gastrointestinal bleeding and anorexia
Hyperventilation and central nervous system effects
/.Minocycline (Minocin), a tetracycline antibiotic, is used to treat mild cases of
rheumatoid arthritis and can cause damage to the vestibular part of the inner ear, so the
client should report dizziness or difficulty maintaining balance. - Answer-✅A client with
rheumatoid arthritis is receiving a prescription for minocycline (Minocin). Which side
effect is most important for the nurse to instruct the client to report?
Loss of balance and dizziness
Nausea and Vomiting
Headache and mouth sores
Abdominal pain and diarrhea
/. Recommended medical treatment for Helicobacter pylori includes the use of at least 2
different antibiotics and a proton pump inhibitor to decrease the incidence of antibiotic
