HESI PHARMACOLOGY 2021
1. A patient with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information
should the nurs include in the patient's instruction?
Take the medication with food.
2. A patient is receiving metoprolol (Lopressor SR). What assessment is most important for the nurs
to obtain?
Blood pressure.
00:00
3. A patient with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over
the next 24 hours. What dosing schedule is best for the nurs to implement?
q6h.
4. Which instruction(s) should the nurs give to a female patient who just received a
prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select
all that apply.)
Increase fluid intake, especially cranberry juice.
Avoid drinking alcohol while taking this medication.
Use condoms until treatment is completed. Ensure that all sexual partners are treated at the same
time.
5. An adult patient is given a prescription for a scopolamine patch (Transderm Scop) to prevent
motion sickness while on a cruise. Which information should the nurs provide to the
patient?
Apply the patch at least 4 hours prior to departure.
6. Which patient should the nurs identify as being at highest risk for complications during the
use of an opioid analgesic?
A young adult with inflammatory bowel disease.
7. A patient who has been prescribed atorvastatin (Lipitor) one month ago calls the triage nurs
at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects
the correct drug-specific teaching the nurs should provide to this patient?
Make an appointment to see the healthcare provider because muscle pain may be an indication of a
serious side effect
8. A patient is being treated for hyperthyroidism with propylthiouracil (PTU). The nurs knows
that the action of this drug is to
inhibit synthesis of T3 and T4 by the thyroid gland.
, HESI PHARMACOLOGY 2021
9. Which change in data indicates to the nurs that the desired effect of the angiotensin II
receptor antagonist valsartan (Diovan) has been achieved?
Blood pressure reduced from 160/90 to 130/80.
10. A patient has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at
50 ml/hour. The nurs notes that the patient's urinary output has been 20 ml/hour for the
last two hours. Which intervention should the nurs initiate?
Notify the healthcare provider of the urinary output.
11. A 43-year-old female patient is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the
nurs instruct the patient to report promptly to the healthcare provider?
Tachycardia and chest pain.
12. Following heparin treatment for a pulmonary embolism, a patient is being discharged with a
prescription for warfarin (Coumadin). In conducting discharge teaching, the nurs advises the
patient to have which diagnostic test monitored regularly after discharge?
Prothrombin Time (PT/INR).
13. An antacid (Maalox) is prescribed for a patient with peptic ulcer disease. The nurs knows
that the purpose of this medication is to
maintain a gastric pH of 3.5 or above.
14. Upon admission to the emergency center, an adult patient with acute status asthmaticus is
prescribed this series of medications. In which order should the nurs administer the
prescribed medications? (Arrange from first to last.)
1) Prednisone (Deltasone) orally.
2) Gentamicin (Garamycin) IM.
3) Albuterol (Proventil) puffs.
4) Salmeterol (Serevent Diskus).
Albuterol (Proventil) puffs.
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally.
Gentamicin (Garamycin) IM.
15. The nitrate isosorbide dinitrate (Isordil) is prescribed for a patient with angina. Which
instruction should the nurs include in this patient's discharge teaching plan?
Do not get up quickly. Always rise slowly.
1. A patient with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information
should the nurs include in the patient's instruction?
Take the medication with food.
2. A patient is receiving metoprolol (Lopressor SR). What assessment is most important for the nurs
to obtain?
Blood pressure.
00:00
3. A patient with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over
the next 24 hours. What dosing schedule is best for the nurs to implement?
q6h.
4. Which instruction(s) should the nurs give to a female patient who just received a
prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select
all that apply.)
Increase fluid intake, especially cranberry juice.
Avoid drinking alcohol while taking this medication.
Use condoms until treatment is completed. Ensure that all sexual partners are treated at the same
time.
5. An adult patient is given a prescription for a scopolamine patch (Transderm Scop) to prevent
motion sickness while on a cruise. Which information should the nurs provide to the
patient?
Apply the patch at least 4 hours prior to departure.
6. Which patient should the nurs identify as being at highest risk for complications during the
use of an opioid analgesic?
A young adult with inflammatory bowel disease.
7. A patient who has been prescribed atorvastatin (Lipitor) one month ago calls the triage nurs
at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects
the correct drug-specific teaching the nurs should provide to this patient?
Make an appointment to see the healthcare provider because muscle pain may be an indication of a
serious side effect
8. A patient is being treated for hyperthyroidism with propylthiouracil (PTU). The nurs knows
that the action of this drug is to
inhibit synthesis of T3 and T4 by the thyroid gland.
, HESI PHARMACOLOGY 2021
9. Which change in data indicates to the nurs that the desired effect of the angiotensin II
receptor antagonist valsartan (Diovan) has been achieved?
Blood pressure reduced from 160/90 to 130/80.
10. A patient has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at
50 ml/hour. The nurs notes that the patient's urinary output has been 20 ml/hour for the
last two hours. Which intervention should the nurs initiate?
Notify the healthcare provider of the urinary output.
11. A 43-year-old female patient is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity should the
nurs instruct the patient to report promptly to the healthcare provider?
Tachycardia and chest pain.
12. Following heparin treatment for a pulmonary embolism, a patient is being discharged with a
prescription for warfarin (Coumadin). In conducting discharge teaching, the nurs advises the
patient to have which diagnostic test monitored regularly after discharge?
Prothrombin Time (PT/INR).
13. An antacid (Maalox) is prescribed for a patient with peptic ulcer disease. The nurs knows
that the purpose of this medication is to
maintain a gastric pH of 3.5 or above.
14. Upon admission to the emergency center, an adult patient with acute status asthmaticus is
prescribed this series of medications. In which order should the nurs administer the
prescribed medications? (Arrange from first to last.)
1) Prednisone (Deltasone) orally.
2) Gentamicin (Garamycin) IM.
3) Albuterol (Proventil) puffs.
4) Salmeterol (Serevent Diskus).
Albuterol (Proventil) puffs.
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally.
Gentamicin (Garamycin) IM.
15. The nitrate isosorbide dinitrate (Isordil) is prescribed for a patient with angina. Which
instruction should the nurs include in this patient's discharge teaching plan?
Do not get up quickly. Always rise slowly.
