HESI PHARMACOLOGY EXIT EXAM QUESTIONS
AND ANSWERS (ANSWERS VERIFIED )
1. What is the indication for metoclopramide/reglan?: Prevention of chemotherapy-induced
emesis and diabetic gastroparesis
2. Side effects of metoclopramide/reglan: Drowsiness, EPS such as tremors
3. Notify MD if what occurs when using metoclopramide/reglan: Tremors
4. What is the indication xenical (orlistat, Alli): For PTs with BMI of 30+; LT weight control
5. SE of xenical (orlistat or alli): Oily stool and flatulence
6. Nursing implications for a pt on xenical (orlistat or alli): Ask pt to describe dietary intake
since SE are increased if greater than 30% of fat is in diet.
7. What can decrease side effects of xenical (orlistat or alli): Fiber laxatives like Metamucil
help decrease SE by binding to the fat.
8. Which type of fluids need plenty of water?: Bulk forming laxatives
9. Why do you need plenty of fluids when taking bulk forming laxatives: Because
they can produce esophageal and or intestinal obstruction
10. Laxative use assessment: Last BM and characteristics, abdominal pain, fever and obstruction. Assess
dietary and fluid intake.
11. With laxative use the nurse should: Encourage fluids, fiber and exercise as tolerated/indicated
12. Laxative use and result in: Lack of bowel tone which can lead to dependency
13. what is ondansetron (zofran): antiemetic
14. What is ondansetron (zofran)used for?: Prevention of N/V associated with chemotherapy and
radiation therapy.
15. Who should you use caution with when giving ondansetron/zofran?: PTs with
liver failure
16. Drugs for ulcerative colitis and crohns: 5 aminosalicylates; mesalamie, sulfasalazine.
17. How do 5 aminosalicylates; (mesalamie, sulfasalazine) work?: They decrease GI
inflammation
18. Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine): Nausea, rash, arthral-
gia, hematological disorders
19. Which drug can cause colitis/c.diff: Linezolid/zyvox
20. What kind of infection is c.diff: Suprainfection
, 21. What is azithromycin/zithromax?: An antibiotic
22. What does azithromycin/zithromax treat?: STDs such as: gonorrhea and chlamydia
23. How much azithromycin/zithromax is usually required?: One dose of 1g or 2g.
AND ANSWERS (ANSWERS VERIFIED )
1. What is the indication for metoclopramide/reglan?: Prevention of chemotherapy-induced
emesis and diabetic gastroparesis
2. Side effects of metoclopramide/reglan: Drowsiness, EPS such as tremors
3. Notify MD if what occurs when using metoclopramide/reglan: Tremors
4. What is the indication xenical (orlistat, Alli): For PTs with BMI of 30+; LT weight control
5. SE of xenical (orlistat or alli): Oily stool and flatulence
6. Nursing implications for a pt on xenical (orlistat or alli): Ask pt to describe dietary intake
since SE are increased if greater than 30% of fat is in diet.
7. What can decrease side effects of xenical (orlistat or alli): Fiber laxatives like Metamucil
help decrease SE by binding to the fat.
8. Which type of fluids need plenty of water?: Bulk forming laxatives
9. Why do you need plenty of fluids when taking bulk forming laxatives: Because
they can produce esophageal and or intestinal obstruction
10. Laxative use assessment: Last BM and characteristics, abdominal pain, fever and obstruction. Assess
dietary and fluid intake.
11. With laxative use the nurse should: Encourage fluids, fiber and exercise as tolerated/indicated
12. Laxative use and result in: Lack of bowel tone which can lead to dependency
13. what is ondansetron (zofran): antiemetic
14. What is ondansetron (zofran)used for?: Prevention of N/V associated with chemotherapy and
radiation therapy.
15. Who should you use caution with when giving ondansetron/zofran?: PTs with
liver failure
16. Drugs for ulcerative colitis and crohns: 5 aminosalicylates; mesalamie, sulfasalazine.
17. How do 5 aminosalicylates; (mesalamie, sulfasalazine) work?: They decrease GI
inflammation
18. Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine): Nausea, rash, arthral-
gia, hematological disorders
19. Which drug can cause colitis/c.diff: Linezolid/zyvox
20. What kind of infection is c.diff: Suprainfection
, 21. What is azithromycin/zithromax?: An antibiotic
22. What does azithromycin/zithromax treat?: STDs such as: gonorrhea and chlamydia
23. How much azithromycin/zithromax is usually required?: One dose of 1g or 2g.
