1|Page
HESI PHARMACOLOGY PROCTORED
EXAM 250 COMPLETE QUESTIONS AND
VERIFIED SOLUTION WITH RATIONALES
GUARANEED PASS GRADED A+ 2024-
2025
A category X drug is prescribed for a young adult female client. Which
instruction is most important for the nurse to teach this client?
A) Use a reliable form of birth control.
B) Avoid exposure to ultra violet light.
C) Refuse this medication if planning pregnancy.
D) Abstain from intercourse while on this drug.
- Correct Answer-A) Use a reliable form of birth control.
Note: category x drug crosses the placenta and can cause harm to the fetus,
therefore, the mother is at risk for teratogenesis and requires reliable birth
control.
When assessing an adolescent who recently overdosed on Acetaminophen
(Tylenol), it is most important for the nurse to assess for pain in which area of
the body?
A. Flank
B. Abdomen
,2|Page
C. Chest
D. Head
- Correct Answer-B. Abdomen
Note: Acetaminophen causes liver damage, the nurse should assess for pain
in the right-upper quadrant of the abdomen.
A client is being treated for hyperthyroidism with Prpylthiourial (PTU). The
nurse knows that the action of this drug is to:
A. Decrease the amount of thyroid-stimulating hormones circulating in the
blood
B. Increase the amount of thyroid-stimulating hormones circulating in the
blood
C. Increase the amount of T4 & decrease T3 produced by the thyroid
D. Inhibits synthesis of T3 & T4 by the thyroid gland
- Correct Answer-D. Inhibits synthesis of T3 & T4 by the thyroid gland
Note: PTU controls hyperthyrodism and does not impact the Pitutiary Gland
but inhibits synthesis of T4 & T3.
Thyroid Production Cycle: Pituitary Gland produces "TSH" --> that stimulates
the Thyroid Gland to produce T4--> & T4 is converted to T3 that is delivered
to different systems in the body. This production cycle is known as the
"negative feedback" cycle. When there are low levels of T4 in the body, it
reduces TSH production and when there are high levels of T4 in the body, it
,3|Page
increases TSH production. Listed below is how a patient is defined by hypo &
hyper:
TSH is HIGH & T4 is LOW = Hypothyroidism
TSH is LOW & T4 is HIGH = Hyperthyroidism - Correct Answer-Thyroid
Production Cycle: Pituitary Gland produces "TSH" --> that stimulates the
Thyroid Gland to produce T4--> & T4 is converted to T3 that is delivered to
different systems in the body. This production cycle is known as the "negative
feedback" cycle. When there are low levels of T4 in the body, it reduces TSH
production and when there are high levels of T4 in the body, it increases TSH
production. Listed below is how a patient is defined by hypo & hyper:
TSH is HIGH & T4 is LOW = Hypothyroidism
TSH is LOW & T4 is HIGH = Hyperthyroidism
A nurse is caring for a client with hyperparathyroidism and notes that the client's
serum calcium level is 13 mg/dL. Which medication should the nurse prepare to
administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used for
the treatment of tetany, which occurs as a result of acute hypocalcemia. In
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a thyroid
, 4|Page
hormone, decreases the plasma calcium level by inhibiting bone resorption and
lowering the serum calcium concentration.
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency
anemia. The nurse instructs the mother to administer the iron with which best
food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice
4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be
instructed to administer the medication with a citrus fruit or a juice that is high in
vitamin C. Milk may affect absorption of the iron. Water will not assist in
absorption. Orange juice contains a greater amount of vitamin C than apple juice.
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse
monitors the client, knowing that which of the following would indicate the
presence of systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
disturbances. Constipation and diarrhea are not associated with salicylism.
HESI PHARMACOLOGY PROCTORED
EXAM 250 COMPLETE QUESTIONS AND
VERIFIED SOLUTION WITH RATIONALES
GUARANEED PASS GRADED A+ 2024-
2025
A category X drug is prescribed for a young adult female client. Which
instruction is most important for the nurse to teach this client?
A) Use a reliable form of birth control.
B) Avoid exposure to ultra violet light.
C) Refuse this medication if planning pregnancy.
D) Abstain from intercourse while on this drug.
- Correct Answer-A) Use a reliable form of birth control.
Note: category x drug crosses the placenta and can cause harm to the fetus,
therefore, the mother is at risk for teratogenesis and requires reliable birth
control.
When assessing an adolescent who recently overdosed on Acetaminophen
(Tylenol), it is most important for the nurse to assess for pain in which area of
the body?
A. Flank
B. Abdomen
,2|Page
C. Chest
D. Head
- Correct Answer-B. Abdomen
Note: Acetaminophen causes liver damage, the nurse should assess for pain
in the right-upper quadrant of the abdomen.
A client is being treated for hyperthyroidism with Prpylthiourial (PTU). The
nurse knows that the action of this drug is to:
A. Decrease the amount of thyroid-stimulating hormones circulating in the
blood
B. Increase the amount of thyroid-stimulating hormones circulating in the
blood
C. Increase the amount of T4 & decrease T3 produced by the thyroid
D. Inhibits synthesis of T3 & T4 by the thyroid gland
- Correct Answer-D. Inhibits synthesis of T3 & T4 by the thyroid gland
Note: PTU controls hyperthyrodism and does not impact the Pitutiary Gland
but inhibits synthesis of T4 & T3.
Thyroid Production Cycle: Pituitary Gland produces "TSH" --> that stimulates
the Thyroid Gland to produce T4--> & T4 is converted to T3 that is delivered
to different systems in the body. This production cycle is known as the
"negative feedback" cycle. When there are low levels of T4 in the body, it
reduces TSH production and when there are high levels of T4 in the body, it
,3|Page
increases TSH production. Listed below is how a patient is defined by hypo &
hyper:
TSH is HIGH & T4 is LOW = Hypothyroidism
TSH is LOW & T4 is HIGH = Hyperthyroidism - Correct Answer-Thyroid
Production Cycle: Pituitary Gland produces "TSH" --> that stimulates the
Thyroid Gland to produce T4--> & T4 is converted to T3 that is delivered to
different systems in the body. This production cycle is known as the "negative
feedback" cycle. When there are low levels of T4 in the body, it reduces TSH
production and when there are high levels of T4 in the body, it increases TSH
production. Listed below is how a patient is defined by hypo & hyper:
TSH is HIGH & T4 is LOW = Hypothyroidism
TSH is LOW & T4 is HIGH = Hyperthyroidism
A nurse is caring for a client with hyperparathyroidism and notes that the client's
serum calcium level is 13 mg/dL. Which medication should the nurse prepare to
administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
3. Calcitonin (Miacalcin)
Rationale:
The normal serum calcium level is 8.6 to 10.0 mg/dL. This client is experiencing
hypercalcemia. Calcium gluconate and calcium chloride are medications used for
the treatment of tetany, which occurs as a result of acute hypocalcemia. In
hypercalcemia, large doses of vitamin D need to be avoided. Calcitonin, a thyroid
, 4|Page
hormone, decreases the plasma calcium level by inhibiting bone resorption and
lowering the serum calcium concentration.
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency
anemia. The nurse instructs the mother to administer the iron with which best
food item?
1. Milk
2. Water
3. Apple juice
4. Orange juice
4. Orange juice
Rationale:
Vitamin C increases the absorption of iron by the body. The mother should be
instructed to administer the medication with a citrus fruit or a juice that is high in
vitamin C. Milk may affect absorption of the iron. Water will not assist in
absorption. Orange juice contains a greater amount of vitamin C than apple juice.
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse
monitors the client, knowing that which of the following would indicate the
presence of systemic toxicity from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations
Rationale:
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
disturbances. Constipation and diarrhea are not associated with salicylism.
