HESI Pharmacology Exit Exam Questions
and Answers
What is the indication for metoclopramide/reglan? - correct
answers✅✅Prevention of chemotherapy-induced emesis and
diabetic gastroparesis
Side effects of metoclopramide/reglan - correct
answers✅✅Drowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan -
correct answers✅✅Tremors
What is the indication xenical (orlistat, Alli) - correct
answers✅✅For PTs with BMI of 30+; LT weight control
SE of xenical (orlistat or alli) - correct answers✅✅Oily stool
and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - correct
answers✅✅Ask pt to describe dietary intake since SE are
increased if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or alli) -
correct answers✅✅Fiber laxatives like Metamucil help
decrease SE by binding to the fat.
Which type of fluids need plenty of water? - correct
answers✅✅Bulk forming laxatives
,HESI Pharmacology Exit Exam Questions
and Answers
Why do you need plenty of fluids when taking bulk forming
laxatives - correct answers✅✅Because they can produce
esophageal and or intestinal obstruction
Laxative use assessment - correct answers✅✅Last BM and
characteristics, abdominal pain, fever and obstruction. Assess
dietary and fluid intake.
With laxative use the nurse should - correct
answers✅✅Encourage fluids, fiber and exercise as
tolerated/indicated
Laxative use and result in - correct answers✅✅Lack of bowel
tone which can lead to dependency
what is ondansetron (zofran) - correct answers✅✅antiemetic
What is ondansetron (zofran)used for? - correct
answers✅✅Prevention of N/V associated with chemotherapy
and radiation therapy.
Who should you use caution with when giving
ondansetron/zofran? - correct answers✅✅PTs with liver failure
,HESI Pharmacology Exit Exam Questions
and Answers
Drugs for ulcerative colitis and crohns - correct answers✅✅5
aminosalicylates; mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? -
correct answers✅✅They decrease GI inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) -
correct answers✅✅Nausea, rash, arthralgia, hematological
disorders
Which drug can cause colitis/c.diff - correct
answers✅✅Linezolid/zyvox
What kind of infection is c.diff - correct
answers✅✅Suprainfection
What is azithromycin/zithromax? - correct answers✅✅An
antibiotic
What does azithromycin/zithromax treat? - correct
answers✅✅STDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - correct
answers✅✅One dose of 1g or 2g.
, HESI Pharmacology Exit Exam Questions
and Answers
If a female pt has trichomonas (any STI) and is asymptomatic
does the male need to be tested? - correct answers✅✅Yes!
azithromycin/zithromax can cause what? - correct
answers✅✅Hepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? - correct answers✅✅An
antibiotic for UTI
nitrofurantoin/cipro side effect - correct
answers✅✅Hepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations - correct
answers✅✅Give with milk or meals check LFTs. Watch for
numbness or tingling of extremities this can be an irreversible
peripheral neuropathy
Drug of choice for treating c.diff? - correct
answers✅✅Metronidazole/flagyl
When is metronidazole/flagyl to be taken? - correct
answers✅✅With food and around the clock
What should be avoided when taking metronidazole/flagyl and
why? - correct answers✅✅Alcohol; can cause a disulfiram-like
reaction
and Answers
What is the indication for metoclopramide/reglan? - correct
answers✅✅Prevention of chemotherapy-induced emesis and
diabetic gastroparesis
Side effects of metoclopramide/reglan - correct
answers✅✅Drowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan -
correct answers✅✅Tremors
What is the indication xenical (orlistat, Alli) - correct
answers✅✅For PTs with BMI of 30+; LT weight control
SE of xenical (orlistat or alli) - correct answers✅✅Oily stool
and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - correct
answers✅✅Ask pt to describe dietary intake since SE are
increased if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or alli) -
correct answers✅✅Fiber laxatives like Metamucil help
decrease SE by binding to the fat.
Which type of fluids need plenty of water? - correct
answers✅✅Bulk forming laxatives
,HESI Pharmacology Exit Exam Questions
and Answers
Why do you need plenty of fluids when taking bulk forming
laxatives - correct answers✅✅Because they can produce
esophageal and or intestinal obstruction
Laxative use assessment - correct answers✅✅Last BM and
characteristics, abdominal pain, fever and obstruction. Assess
dietary and fluid intake.
With laxative use the nurse should - correct
answers✅✅Encourage fluids, fiber and exercise as
tolerated/indicated
Laxative use and result in - correct answers✅✅Lack of bowel
tone which can lead to dependency
what is ondansetron (zofran) - correct answers✅✅antiemetic
What is ondansetron (zofran)used for? - correct
answers✅✅Prevention of N/V associated with chemotherapy
and radiation therapy.
Who should you use caution with when giving
ondansetron/zofran? - correct answers✅✅PTs with liver failure
,HESI Pharmacology Exit Exam Questions
and Answers
Drugs for ulcerative colitis and crohns - correct answers✅✅5
aminosalicylates; mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? -
correct answers✅✅They decrease GI inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) -
correct answers✅✅Nausea, rash, arthralgia, hematological
disorders
Which drug can cause colitis/c.diff - correct
answers✅✅Linezolid/zyvox
What kind of infection is c.diff - correct
answers✅✅Suprainfection
What is azithromycin/zithromax? - correct answers✅✅An
antibiotic
What does azithromycin/zithromax treat? - correct
answers✅✅STDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - correct
answers✅✅One dose of 1g or 2g.
, HESI Pharmacology Exit Exam Questions
and Answers
If a female pt has trichomonas (any STI) and is asymptomatic
does the male need to be tested? - correct answers✅✅Yes!
azithromycin/zithromax can cause what? - correct
answers✅✅Hepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? - correct answers✅✅An
antibiotic for UTI
nitrofurantoin/cipro side effect - correct
answers✅✅Hepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations - correct
answers✅✅Give with milk or meals check LFTs. Watch for
numbness or tingling of extremities this can be an irreversible
peripheral neuropathy
Drug of choice for treating c.diff? - correct
answers✅✅Metronidazole/flagyl
When is metronidazole/flagyl to be taken? - correct
answers✅✅With food and around the clock
What should be avoided when taking metronidazole/flagyl and
why? - correct answers✅✅Alcohol; can cause a disulfiram-like
reaction
