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HESI Pharmacology, HESI Pharmacology Practice Exam, HESI Nursing Pharmacology, Pharmacology Exam Review

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HESI Pharmacology practice exam covering medications, drug classifications, nursing pharmacology concepts, practice questions, and key topics for HESI exam preparation.

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HESI Pharmacology Practice Exam

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Terms in this set (68)


Following the administration of sublingual
nitroglycerin to a client experiencing an acute
A. nitroglycerin reduces anginal attack, which assessment finding indicates to
mycocardial oxygen the nurse that the desired effect has been achieved?
consumption which A. Client states chest pain is relieved
decreases ischemia and B. Client's pulse decreases from 120 to 90
reduces chest pain C. Client's systolic blood pressure decreases from
180 to 90
D. Clients SaO2 level increases from 92% to 96%

A. flushing of the face A client with hyperlipidemia recieves a prescription
and neck, lasting up to an for niacin (niaspan). which client teaching is most
hour, is a frequent reason important for the nurse to provide
for discontinuing niacin. a. expected duration of flushing
inclusion of this effect in b. symptoms of hyperglycemia
clietn teaching may c. diets that minimize gi irritation
promote compliance in d. comfort measure for pruritis
taking the med.

B. acetaminophen When assessing an adolescent who recently
toxicisty an result in liver overdosed on acetaminophen (tylonel), it is most
damage; therefore, it is important for the nurse to assess for pain in which
especially important for area of the body
the nurse to assess for a. flank
pain in the right upper b. abdomen
quadrant of the abdomen c. chest
(which might indicated d. head
liver damage)




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A client is admitted to the coronary care unit with a
A. nitroglycerin is a
medical diagnosis of acute myocardial infarction.
nitrate that causes
which medication prescription decreases both
peripheral vasodilation
preload and afterload
and decreases
a. nitroglycerin
contractility, thereby
b. propranolol
decreasing both preload
c. propranolol
and afterload
d. captopril

A client is being treated for hyperthyroidism with
D. PTU is an adjunct
propylthiouracil (PTU). The nurse knows that the
therapy used to control
action of this drug is to
hyperthyroidism by
A. decrease the amount of the thyroid-stimulating
inhibiting production of
hormone circulating in the blood
thyroid hormones. It is
B. increase the amount of thyroid-stimulating
often prescribed in prep
hormone circulating in the blood
for thyroidectomy or
C. increase the amount of T4 and decrease the
radioactive iodine
amount of T3 produced by the thyroid
therapy
D. inhibit synthesis of T3 and T4 by the thyroid gland

D. angiotensin II receptor Which change in data indicates to the nurse the
antagonist (blocker), desired effect of the angiotensin II receptor
prescribed from antagonist has been achieved
treatment of HTN. The A. Dependent edema reduced form +3 to +1
desired effect is a B. Serum HDL increased from 35 to 55mg/dl
decrease in blood C. PUlse rate reduced from 150 to 90 beats/min
pressure. D. Blood pressure reducedf rom 160/90 to 130.80




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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
ADEF
C. Check blood pressure daily to detect
hypertension
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

A. the concomitant use of The nurse is transcribing a new prescription for
an ACE inhibitor and a spironolactone (aldactone) for a client who receives
potassium-sparing an angiotensin-converting enzyme inhibitor. Which
diuretic sucha s action should the nurse implement
spironolactone, should A. verify both prescriptions with the HCP
be given with caution b/c B. report the med interactions to the nurse manager
the two drugs may C. hold the ACE inhibitor and give the new
interact to cause an prescription
elevation in serum D. Transcribe and send the prescription to the
potassium levels. pharmacy




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C. persons with A client has myxedema, which results from a
myxedema are deficiency of thyroid hormone synthesis in adults.
dangerously The nurse knows that which medication should be
hypersensitive to contraindicated for this client?
narcotics, barbiturates, A. liothyronine (cytomel) to replace iodine
and anesthetics. They do B. Furosemide (Lasix) for relief of fluid retention
not tolerate liothyronine C. Pentobarbital sodium for sleep
and usually receive D. nitroglycerin for angina pain
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?
D.
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.

A healthcare provider prescrives cephalexin
monhydrate (Keflex) for a client with a postoperative
A. Cross-allergies exist
infection. It is most important for the nurse to assess
between penicillins and
for what additional drug allergy before
cephalosporines, such as
administering this prescription?
keflex. so checking for
A. Penicillins
penicillin allergy is a wise
B. Aminoglycosides
precaution
C. Erythromycins
D.Sulfonamides




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