HESI Pharmacology Practice Exam 2023 QUESTIONS AND ANSWERS (100% CORRECT) GRADED A

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 ANS A. nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia and reduces chest pain A client with hyperlipidemia recieves 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 ANS A. flushing of the face and neck, lasting up to an hour, is a frequent reason for discontinuing niacin. inclusion of this effect in clietn 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 ANS B. acetaminophen toxicisty 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. nitroglycerin b. propranolol c. propranolol d. captopril - CORRECT ANS 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 propylthiouracil (PTU). The nurse knows that the action of this drug is to A. decrease the amount of the thyroid-stimulating hormone circulating in the blood B. increase the amount of thyroid-stimulating hormone circulating in the blood C. increase the amount of T4 and decrease the amount of T3 produced by the thyroid D. inhibit synthesis of T3 and T4 by the thyroid gland - CORRECT ANS D. PTU is an adjunct therapy used to control hyperthyroidism by inhibiting production of thyroid hormones. It is often prescribed in prep for thyroidectomy or radioactive iodine therapy Which change in data indicates to the nurse the desired effect of the angiotensin II receptor antagonist has been achieved