2022-2023 HESI PHARMACOLOGY ACTUAL EXAM
QUESTIONS AND ANSWERS/PHARMACOLOGY HESI
EXIT EXAM 2022-2023
which symptoms are serious adverse effects of beta-adrenergic blockers such as
propranolol (inderal)?
A. Headache, hypertension, and blurred vision.
B. Wheezing, hypotension, and AV block.
C. Vomiting, dilated pupils, and papilledema.
D. Tinnitus, muscle weakness, and tachypnea.
--ANS- B. Wheezing, hypotension, and AV block.
(B) represents the most serious adverse effects of beta-blocking agents. AV block
is generally associated with bradycardia and results in potentially life-threatening
decreases in cardiac output. Additionally, wheezing secondary to bronchospasm
and hypotension represent life-threatening respiratory and cardiac disorders. (A, C,
and D) are not associated with beta-blockers.
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency
room. Which assessment data would indicate that the naloxone has been effective?
The client's...
A. Statement that the chest pain is better
B) respiratory rate is 16 breaths/minute.
C) seizure activity has stopped temporarily.
D) pupils are constricted bilaterally.
--ANS- B.
Naloxone (Narcan) is a narcotic antagonist that reverses the respiratory depression
effects of opiate overdose, so assessment of a normal respiratory rate (B) would
indicate that the respiratory depression has been halted. (A, C, and D) are not
related to naloxone (Narcan) administration.
A client has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. The nurse knows that which medication should be
contraindicated for this client?
A. liothyronine (cytomel) to replace iodine
B. Furosemide (Lasix) for relief of fluid retention
C. Pentobarbital sodium for sleep
D. nitroglycerin for angina pain
, --ANS- C. persons with myxedema are dangerously hypersensitive to narcotics,
barbiturates, and anesthetics. They do not tolerate liothyronine and usually receive
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 with osteoarthritis receives a new prescription for celecoxib (Celebrex)
orally for symptom management. The nurse notes the client is allergic to sulfa.
Which action is most important for the nurse to implement prior to administering
the first dose?
A) Review the client's hemoglobin results.
B) Notify the healthcare provider.
C) Inquire about the reaction to sulfa.
D) Record the client's vital signs.
--ANS- B.
Celebrex contains a sulfur molecule, which can lead to an allergic reaction in
individuals who are sensitive to sulfonamides, so the healthcare provider should be
notified of the client's allergies (B). Although (A, C, and D) are important
assessments, it is most important to notify the healthcare provider for an alternate
prescription.
The client with a dysrhythmia is to receive procainamide (pronestyl) in 4 divided
doses over the next 24 hours. What dosing schedule is best for the nurse to
implement?
A. q4h
B. QID
C. AC and bedtime
D. PC and bedtime –
-ANS- A. q6h
A client has a continous IV infusion of dopamine (Intropin) and an IV of normal
saline at 50 ml/hour. The nurse notes that the client's urinary output has been 20
ml/hour for the last two hours. Which intervention should the nurse initiate?
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.
--ANS- D. Notify the healthcare provider of the urinary output.
QUESTIONS AND ANSWERS/PHARMACOLOGY HESI
EXIT EXAM 2022-2023
which symptoms are serious adverse effects of beta-adrenergic blockers such as
propranolol (inderal)?
A. Headache, hypertension, and blurred vision.
B. Wheezing, hypotension, and AV block.
C. Vomiting, dilated pupils, and papilledema.
D. Tinnitus, muscle weakness, and tachypnea.
--ANS- B. Wheezing, hypotension, and AV block.
(B) represents the most serious adverse effects of beta-blocking agents. AV block
is generally associated with bradycardia and results in potentially life-threatening
decreases in cardiac output. Additionally, wheezing secondary to bronchospasm
and hypotension represent life-threatening respiratory and cardiac disorders. (A, C,
and D) are not associated with beta-blockers.
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency
room. Which assessment data would indicate that the naloxone has been effective?
The client's...
A. Statement that the chest pain is better
B) respiratory rate is 16 breaths/minute.
C) seizure activity has stopped temporarily.
D) pupils are constricted bilaterally.
--ANS- B.
Naloxone (Narcan) is a narcotic antagonist that reverses the respiratory depression
effects of opiate overdose, so assessment of a normal respiratory rate (B) would
indicate that the respiratory depression has been halted. (A, C, and D) are not
related to naloxone (Narcan) administration.
A client has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. The nurse knows that which medication should be
contraindicated for this client?
A. liothyronine (cytomel) to replace iodine
B. Furosemide (Lasix) for relief of fluid retention
C. Pentobarbital sodium for sleep
D. nitroglycerin for angina pain
, --ANS- C. persons with myxedema are dangerously hypersensitive to narcotics,
barbiturates, and anesthetics. They do not tolerate liothyronine and usually receive
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 with osteoarthritis receives a new prescription for celecoxib (Celebrex)
orally for symptom management. The nurse notes the client is allergic to sulfa.
Which action is most important for the nurse to implement prior to administering
the first dose?
A) Review the client's hemoglobin results.
B) Notify the healthcare provider.
C) Inquire about the reaction to sulfa.
D) Record the client's vital signs.
--ANS- B.
Celebrex contains a sulfur molecule, which can lead to an allergic reaction in
individuals who are sensitive to sulfonamides, so the healthcare provider should be
notified of the client's allergies (B). Although (A, C, and D) are important
assessments, it is most important to notify the healthcare provider for an alternate
prescription.
The client with a dysrhythmia is to receive procainamide (pronestyl) in 4 divided
doses over the next 24 hours. What dosing schedule is best for the nurse to
implement?
A. q4h
B. QID
C. AC and bedtime
D. PC and bedtime –
-ANS- A. q6h
A client has a continous IV infusion of dopamine (Intropin) and an IV of normal
saline at 50 ml/hour. The nurse notes that the client's urinary output has been 20
ml/hour for the last two hours. Which intervention should the nurse initiate?
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.
--ANS- D. Notify the healthcare provider of the urinary output.
