HESI PHARMACOLOGY PRACTICE EXAM
QUESTIONS AND 100% VERIFIED ANSWERS
2025 / GRADED A+ / GUARANTEED PASS!!
A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity
should the nurse instruct the client to report promptly to the healthcare provider?
A) Tinnitus and dizziness.
B) Tachycardia and chest pain.
C) Dry skin and intolerance to cold.
D) Weight gain and increased appetite.
- answer-B. Thyroid replacement hormone increases the metabolic rate of all
tissues, so common signs and symptoms of toxicity include tachycardia and chest
pain (B). (A, C, and D) do not indicate a thyroid hormone toxicity.
A category X drug is prescribed for a young adult female client. Which instruction
is most important for the nurse to teach this client?
A) Use a reliable form of birth control.
B) Avoid exposure to ultra violet light.
C) Refuse this medication if planning pregnancy.
D) Abstain from intercourse while on this drug.
- answer-A.
Drugs classified in the category X place a client who is in the first trimester of
pregnancy at risk for teratogenesis, so women in the childbearing years should be
counseled to use a reliable form of birth control (A) during drug therapy. (B) is not
a specific precaution with Category X drugs. The client should be encouraged to
discuss plans for pregnancy with the healthcare provider, so a safer alternative
prescription (C) can be provided if pregnancy occurs. Although the risk of birth
defects during pregnancy explains the restriction of these drugs during pregnancy,
(D) is not indicated.
A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response
should the nurse provide?
A. Yes it is an oral insulin and has the same actions and properties as intermediate
insulin
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,B. Yes, it is an oral insulin and is distributed, metabolized, and excreted in the
same manner as insulin
C. No it is not an oral insulin and can be used only when some beta cell function is
present
D. No, it is not an oral insulin, but it is effective for those who are resistant to
injectable insulins
- answer-C
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
B. change the normal saline to a keep open rate
C. replace the urinary catheter
D. notify the healthcare provider of the urinary output.
- answer-D.
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
- answer-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 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
b. propranolol
c. propranolol
d. captopril
- answer-A. nitroglycerin is a nitrate that causes peripheral vasodilation and
decreases contractility, thereby decreasing both preload and afterload
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, A client is admitted to the hospital for diagnostic testing for possible myasthenia
gravis. The nurse prepares for intravenous administration of edrophonium chloride
(Tensilon). What is the expected outcome for this client following administration
of this pharmacologic agent?
A) Progressive difficulty with swallowing.
B) Decreased respiratory effort.
C) Improvement in generalized fatigue.
D) Decreased muscle weakness.
- answer-D.
Administration of edrophonium chloride (Tensilon), a cholinergic agent, will
temporarily reduce muscle weakness (D), the most common complaint of newly-
diagnosed clients with myasthenia gravis. This medication is used to diagnose
myasthenia gravis due to its short duration of action. This drug would temporarily
reverse (A and B), not increase these symptoms. (C) is not a typical complaint of
clients with myasthenia gravis, but weakness of specific muscles, especially after
prolonged use, is a common symptom.
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
- answer-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 client is being treated for osteoporosis with alendronate (fosamax), and the nurse
has completed discharge teaching regarding medication administration. Which
morning schedule would indicated to the nurse that the client teaching has been
effective?
A. take medication, go for a30 minutes morning walk, then eat breakfast
B. take med, rest in bed for 30 min., eat breakfast, go for morning walk
C. take medication with breakfast, then take a 30 minute morning walk
D. go for a 30minute morning walk, eat breakfast, then take the med
- answer-A.
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QUESTIONS AND 100% VERIFIED ANSWERS
2025 / GRADED A+ / GUARANTEED PASS!!
A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity
should the nurse instruct the client to report promptly to the healthcare provider?
A) Tinnitus and dizziness.
B) Tachycardia and chest pain.
C) Dry skin and intolerance to cold.
D) Weight gain and increased appetite.
- answer-B. Thyroid replacement hormone increases the metabolic rate of all
tissues, so common signs and symptoms of toxicity include tachycardia and chest
pain (B). (A, C, and D) do not indicate a thyroid hormone toxicity.
A category X drug is prescribed for a young adult female client. Which instruction
is most important for the nurse to teach this client?
A) Use a reliable form of birth control.
B) Avoid exposure to ultra violet light.
C) Refuse this medication if planning pregnancy.
D) Abstain from intercourse while on this drug.
- answer-A.
Drugs classified in the category X place a client who is in the first trimester of
pregnancy at risk for teratogenesis, so women in the childbearing years should be
counseled to use a reliable form of birth control (A) during drug therapy. (B) is not
a specific precaution with Category X drugs. The client should be encouraged to
discuss plans for pregnancy with the healthcare provider, so a safer alternative
prescription (C) can be provided if pregnancy occurs. Although the risk of birth
defects during pregnancy explains the restriction of these drugs during pregnancy,
(D) is not indicated.
A client asks the nurse if glipizide (Glucotrol) is an oral insulin. Which response
should the nurse provide?
A. Yes it is an oral insulin and has the same actions and properties as intermediate
insulin
1|Page
,B. Yes, it is an oral insulin and is distributed, metabolized, and excreted in the
same manner as insulin
C. No it is not an oral insulin and can be used only when some beta cell function is
present
D. No, it is not an oral insulin, but it is effective for those who are resistant to
injectable insulins
- answer-C
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
B. change the normal saline to a keep open rate
C. replace the urinary catheter
D. notify the healthcare provider of the urinary output.
- answer-D.
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
- answer-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 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
b. propranolol
c. propranolol
d. captopril
- answer-A. nitroglycerin is a nitrate that causes peripheral vasodilation and
decreases contractility, thereby decreasing both preload and afterload
2|Page
, A client is admitted to the hospital for diagnostic testing for possible myasthenia
gravis. The nurse prepares for intravenous administration of edrophonium chloride
(Tensilon). What is the expected outcome for this client following administration
of this pharmacologic agent?
A) Progressive difficulty with swallowing.
B) Decreased respiratory effort.
C) Improvement in generalized fatigue.
D) Decreased muscle weakness.
- answer-D.
Administration of edrophonium chloride (Tensilon), a cholinergic agent, will
temporarily reduce muscle weakness (D), the most common complaint of newly-
diagnosed clients with myasthenia gravis. This medication is used to diagnose
myasthenia gravis due to its short duration of action. This drug would temporarily
reverse (A and B), not increase these symptoms. (C) is not a typical complaint of
clients with myasthenia gravis, but weakness of specific muscles, especially after
prolonged use, is a common symptom.
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
- answer-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 client is being treated for osteoporosis with alendronate (fosamax), and the nurse
has completed discharge teaching regarding medication administration. Which
morning schedule would indicated to the nurse that the client teaching has been
effective?
A. take medication, go for a30 minutes morning walk, then eat breakfast
B. take med, rest in bed for 30 min., eat breakfast, go for morning walk
C. take medication with breakfast, then take a 30 minute morning walk
D. go for a 30minute morning walk, eat breakfast, then take the med
- answer-A.
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