Pharm II HESI Questions and Answers Graded A

Pharm II HESI Questions and Answers Graded A Which of the following is a rapid acting insulin and should be administered immediately before a meal? A. Glargine B. Aspart (Lispro) C. NPH D. Regular B. Aspart rationale: onset is 5 minutes Glargine=Lantus (long lasting) A PT has an anaphylactic allergy to sulfa drugs. She receives sulfamethoxazole. She becomes flushed and SOB. Her HR is normal but her BP is dropping. You first administer A. Epinephrine B. Diphenhydramine C. Albuterol D. Atropine A. Epi rationale: raises BP Which of the following would be an adverse effect of methimazole (Tapazole) A. Tachycardia B. Bradycardia C. SOB D. Arrhythmias This is an anti-thyroid medication B. Bradycardia One of your PTs is started on verapamil (Calan). Before administering the dose you check A. HR B. urine output C. weight D. temp this is a calcium channel blocker--worried about HR A. HR One of your PTs is to be started on iron sulfate therapy. You instruct him to: A. take with meals B. take on empty stomach C. remain upright for at least 60 min following administration D. take with vitamin A to increase absorption B. take on empty stomach rationale: taking with food lessens absorption, but it can cause upset stomach so most like to take with food take iron with vitamin C to increase absorption liquid iron-drink through straw bc it can stain teeth black which of the following should be considered when administering IV potassium? A. Max rate infused through central line is 20 meq/h B. Max rate infused through peripheral line is 10 meq/h C. Max concentration through a central line is 20 meq/50ml D. Max concentration through peripheral line is 10 meq/100ml E. all of the above E. all of the above will usually be infused peripherally which is the following agents is used to treat MG A. Atropine (anticholinergic) B. Pyridostigmine (Mestinon-acetylcholinesterase inhibitor) C. Metoprolol (Lopressor-beta blocker) D. Albuterol (Proventil-beta 2 agonist) B. Pyridostigmine rationale: Atropine is emergency drug for bradycardia which of the following would you monitor for patients started on a narcotic like morphine? A. HR B. respiratory rate C. liver function tests D. creatine phosphokinase (CPK) A. HR PT is receiving baclofen (Lioresal). This medication can cause A. sedation B. seizures C. none of the above D. all of the above this is a skeletal muscle relaxer A. sedation rationale: seizures can happen if you discontinue this med PT is started on orlistat (Xenical, Alli). You identify that this medication A. is a lipase inhibitor used to treat diabetes B. is a lipase inhibitor used to treat obesity C. is a lipase inhibitor used to increase muscle mass D. is a lipase inhibitor used to lower cholesterol B. lipase inhibitor used to treat obesity rationale: this is an anorexiant drug One of your PTs receives vancomycin at 12 every day. It takes 90 min to administer the entire dose. What time should a trough be drawn? A. 1230 B. 1400 C. 1130 D. 1300 C. 1130 rationale: if you have to choose between 1130 and 1200 pick 12 bc it should be immediately before which of the following agents reduce mortal