HESI Pharmacology Practice Exam with Verified Answers

Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? A. Client states chest pain is relieved B. Client's pulse decreases from 120 to 90 C. Client's systolic blood pressure decreases from 180 to 90 D. Clients SaO2 level increases from 92% to 96% Correct Answer- A. nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia and reduces chest pain A client with hyperlipidemia receives a prescription for niacin (niaspan). which client teaching is most important for the nurse to provide a. expected duration of flushing b. symptoms of hyperglycemia c. diets that minimize gi irritation d. comfort measure for pruritis Correct Answer- A. flushing of the face and neck, lasting up to an hour, is a frequent reason for discontinuing niacin. inclusion of this effect in client teaching may promote compliance in taking the med. When assessing an adolescent who recently overdosed on acetaminophen (tylonel), it is most important for the nurse to assess for pain in which area of the body a. flank b. abdomen c. chest d. head Correct Answer- B. acetaminophen toxicity an result in liver damage; therefore, it is especially important for the nurse to assess for pain in the right upper quadrant of the abdomen (which might indicated liver damage) 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. nitroglycerinb. propranolol c. propranolol d. captopril Correct Answer- A. nitroglycerin is a nitrate that causes peripheral vasodilation and decreases contractility, thereby decreasing both preload and afterload A client is being treated for hyperthyroidism with pr