HESI Pharmacology Final Exam Practice 2024-2025 Verified
f f f f f f
Correct Answers
f f
Following the administration of sublingual nitroglycerin to a
f f f f f f f
f client experiencing an acute anginal attack, which assessment
f f f f f f f
f finding indicates to the nurse that the desired effect has been
f f f f f f f f f f
f achieved?
A. Client states chest pain is relievedf f f f f
B. Client's pulse decreases from 120 to 90 f f f f f f
C. Client's systolic blood pressure decreases from 180 to 90
f f f f f f f f
D. Clients SaO2 level increases from 92% to 96% - Correct
f f f f f f f f f
f Answer>>A. nitroglycerin reduces mycocardial oxygen f f f f
f consumption which decreases ischemia and reduces chest pain A f f f f f f f f
f client with hyperlipidemia recieves a prescription for niacin
f f f f f f f
f (niaspan). which client teaching is most important for the nurse to
f f f f f f f f f f
f provide
a. expected duration of flushing f f f
b. symptoms of hyperglycemia f f
c. diets that minimize gi irritation
f f f f
d. comfort measure for pruritis - Correct Answer>>A. flushing of
f f f f f f f f
f the face and neck, lasting up to an hour, is a frequent reason for
f f f f f f f f f f f f f
f discontinuing niacin. inclusion of this effect in clietn teaching f f f f f f f f
f may promote compliance in taking the med.
f f f f f f
When assessing an adolescent who recently overdosed on
f f f f f f f
f acetaminophen (tylonel), it is most important for the nurse to f f f f f f f f f
f assess for pain in which area of the body
f f f f f f f f
,a. flank
b. abdomen
c. chest
d. head - Correct Answer>>B. acetaminophen toxicisty an result in
f f f f f f f f
f liver damage; therefore, it is especially important for the nurse to
f f f f f f f f f f
f assess for pain in the right upper quadrant of the abdomen
f f f f f f f f f f
f (which might indicated liver damage)
f f f f
A client is admitted to the coronary care unit with a medical
f f f f f f f f f f f
f diagnosis of acute myocardial infarction. which medication
f f f f f f
f prescription decreases both preload and afterload f f f f f
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril - Correct Answer>>A. nitroglycerin is a nitrate that f f f f f f f f
f causes peripheral vasodilation and decreases contractility,
f f f f f
f thereby decreasing both preload and afterload
f f f f f
A client is being treated for hyperthyroidism with
f f f f f f f
f propylthiouracil (PTU). The nurse knows that the action of this f f f f f f f f f
f drug is to
f f
A. decrease the amount of the thyroid-stimulating hormone f f f f f f
f circulating in the blood f f f
B. increase the amount of thyroid-stimulating hormone f f f f f
f circulating in the blood f f f
C. increase the amount of T4 and decrease the amount of T3 f f f f f f f f f f
f produced by the thyroid f f f
D. inhibit synthesis of T3 and T4 by the thyroid gland - Correct
f f f f f f f f f f f
,Answer>>D. PTU is an adjunct therapy used to control f f f f f f f f
f hyperthyroidism by inhibiting production of thyroid hormones. It f f f f f f f
f is often prescribed in prep for thyroidectomy or radioactive
f f f f f f f f
f iodine therapy f
Which change in data indicates to the nurse the desired effect of
f f f f f f f f f f f
f the angiotensin II receptor antagonist has been achieved
f f f f f f f
A. Dependent edema reduced form +3 to +1 f f f f f f
B. Serum HDL increased from 35 to 55mg/dl f f f f f f
C. PUlse rate reduced from 150 to 90 beats/min
f f f f f f f
D. Blood pressure reducedf rom 160/90 to 130.80 - Correct
f f f f f f f f
f Answer>>D. angiotensin II receptor antagonist (blocker), f f f f f
f prescribed from treatment of HTN. The desired effect is a f f f f f f f f f
f decrease in blood pressure. f f f
Which instructions should the nurse give to a female client who
f f f f f f f f f f
f just recieved a prescription for oral metronidazole (flagyl) for
f f f f f f f f
f treatment of trichomonas vaginalis (select all that apply)
f f f f f f f
A. increase fluid intake, especially cranberry juice f f f f f
B. Do not abruptly discontinue the medication; taper use
f f f f f f f
C. Check blood pressure daily to detect hypertension
f f f f f f
D. Avoid drinking alcohol while taking this medication
f f f f f f
E. Use condoms until treatment is completed
f f f f f
F. Ensure that all sexual partners are treated at the same time -
f f f f f f f f f f f
f Correct Answer>>ADEF f
The nurse is transcribing a new prescription for spironolactone
f f f f f f f f
f (aldactone) for a client who receives an angiotensin-converting f f f f f f f
f enzyme inhibitor. Which action should the nurse implement
f f f f f f f
, A. verify both prescriptions with the HCP f f f f f
B. report the med interactions to the nurse manager f f f f f f f
C. hold the ACE inhibitor and give the new prescription
f f f f f f f f
D. Transcribe and send the prescription to the pharmacy - Correct f f f f f f f f f
f Answer>>A. the concomitant use of an ACE inhibitor and a f f f f f f f f f
potassium-sparing diuretic sucha s spironolactone, should be
f f f f f f f
f given with caution b/c the two drugs may interact to cause an
f f f f f f f f f f f
f elevation in serum potassium levels. f f f f
A client has myxedema, which results from a deficiency of
f f f f f f f f f
f thyroid hormone synthesis in adults. The nurse knows that
f f f f f f f f
f which medication should be contraindicated for this client?
f f f f f f f
A. liothyronine (cytomel) to replace iodine f f f f
B. Furosemide (Lasix) for relief of fluid retention f f f f f f
C. Pentobarbital sodium for sleep f f f
D. nitroglycerin for angina pain - Correct Answer>>C. persons f f f f f f f
f with myxedema are dangerously hypersensitive to narcotics,
f f f f f f
f barbiturates, and anesthetics. They do not tolerate liothyronine f f f f f f f
f and usually receive iodine replacement therapy. These clients are
f f f f f f f f
f also suceptable to heart problems such as angina for which
f f f f f f f f f
f nitroglycerine would be indicated and and congestive heart f f f f f f f
f failure for which furosemide would be indicated
f f f f f f
A client has a continuous IV infusion of dopamine and an IV of
f f f f f f f f f f f f
f normal saline at 50ml/hour. The nurse noes that the client's
f f f f f f f f f
f urinary output has been 20ml/hour for the last two hours.
f f f f f f f f f
Which intervention should the nurse initiate?
f f f f f
A. stop the infusion of dopamine f f f f
f f f f f f
Correct Answers
f f
Following the administration of sublingual nitroglycerin to a
f f f f f f f
f client experiencing an acute anginal attack, which assessment
f f f f f f f
f finding indicates to the nurse that the desired effect has been
f f f f f f f f f f
f achieved?
A. Client states chest pain is relievedf f f f f
B. Client's pulse decreases from 120 to 90 f f f f f f
C. Client's systolic blood pressure decreases from 180 to 90
f f f f f f f f
D. Clients SaO2 level increases from 92% to 96% - Correct
f f f f f f f f f
f Answer>>A. nitroglycerin reduces mycocardial oxygen f f f f
f consumption which decreases ischemia and reduces chest pain A f f f f f f f f
f client with hyperlipidemia recieves a prescription for niacin
f f f f f f f
f (niaspan). which client teaching is most important for the nurse to
f f f f f f f f f f
f provide
a. expected duration of flushing f f f
b. symptoms of hyperglycemia f f
c. diets that minimize gi irritation
f f f f
d. comfort measure for pruritis - Correct Answer>>A. flushing of
f f f f f f f f
f the face and neck, lasting up to an hour, is a frequent reason for
f f f f f f f f f f f f f
f discontinuing niacin. inclusion of this effect in clietn teaching f f f f f f f f
f may promote compliance in taking the med.
f f f f f f
When assessing an adolescent who recently overdosed on
f f f f f f f
f acetaminophen (tylonel), it is most important for the nurse to f f f f f f f f f
f assess for pain in which area of the body
f f f f f f f f
,a. flank
b. abdomen
c. chest
d. head - Correct Answer>>B. acetaminophen toxicisty an result in
f f f f f f f f
f liver damage; therefore, it is especially important for the nurse to
f f f f f f f f f f
f assess for pain in the right upper quadrant of the abdomen
f f f f f f f f f f
f (which might indicated liver damage)
f f f f
A client is admitted to the coronary care unit with a medical
f f f f f f f f f f f
f diagnosis of acute myocardial infarction. which medication
f f f f f f
f prescription decreases both preload and afterload f f f f f
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril - Correct Answer>>A. nitroglycerin is a nitrate that f f f f f f f f
f causes peripheral vasodilation and decreases contractility,
f f f f f
f thereby decreasing both preload and afterload
f f f f f
A client is being treated for hyperthyroidism with
f f f f f f f
f propylthiouracil (PTU). The nurse knows that the action of this f f f f f f f f f
f drug is to
f f
A. decrease the amount of the thyroid-stimulating hormone f f f f f f
f circulating in the blood f f f
B. increase the amount of thyroid-stimulating hormone f f f f f
f circulating in the blood f f f
C. increase the amount of T4 and decrease the amount of T3 f f f f f f f f f f
f produced by the thyroid f f f
D. inhibit synthesis of T3 and T4 by the thyroid gland - Correct
f f f f f f f f f f f
,Answer>>D. PTU is an adjunct therapy used to control f f f f f f f f
f hyperthyroidism by inhibiting production of thyroid hormones. It f f f f f f f
f is often prescribed in prep for thyroidectomy or radioactive
f f f f f f f f
f iodine therapy f
Which change in data indicates to the nurse the desired effect of
f f f f f f f f f f f
f the angiotensin II receptor antagonist has been achieved
f f f f f f f
A. Dependent edema reduced form +3 to +1 f f f f f f
B. Serum HDL increased from 35 to 55mg/dl f f f f f f
C. PUlse rate reduced from 150 to 90 beats/min
f f f f f f f
D. Blood pressure reducedf rom 160/90 to 130.80 - Correct
f f f f f f f f
f Answer>>D. angiotensin II receptor antagonist (blocker), f f f f f
f prescribed from treatment of HTN. The desired effect is a f f f f f f f f f
f decrease in blood pressure. f f f
Which instructions should the nurse give to a female client who
f f f f f f f f f f
f just recieved a prescription for oral metronidazole (flagyl) for
f f f f f f f f
f treatment of trichomonas vaginalis (select all that apply)
f f f f f f f
A. increase fluid intake, especially cranberry juice f f f f f
B. Do not abruptly discontinue the medication; taper use
f f f f f f f
C. Check blood pressure daily to detect hypertension
f f f f f f
D. Avoid drinking alcohol while taking this medication
f f f f f f
E. Use condoms until treatment is completed
f f f f f
F. Ensure that all sexual partners are treated at the same time -
f f f f f f f f f f f
f Correct Answer>>ADEF f
The nurse is transcribing a new prescription for spironolactone
f f f f f f f f
f (aldactone) for a client who receives an angiotensin-converting f f f f f f f
f enzyme inhibitor. Which action should the nurse implement
f f f f f f f
, A. verify both prescriptions with the HCP f f f f f
B. report the med interactions to the nurse manager f f f f f f f
C. hold the ACE inhibitor and give the new prescription
f f f f f f f f
D. Transcribe and send the prescription to the pharmacy - Correct f f f f f f f f f
f Answer>>A. the concomitant use of an ACE inhibitor and a f f f f f f f f f
potassium-sparing diuretic sucha s spironolactone, should be
f f f f f f f
f given with caution b/c the two drugs may interact to cause an
f f f f f f f f f f f
f elevation in serum potassium levels. f f f f
A client has myxedema, which results from a deficiency of
f f f f f f f f f
f thyroid hormone synthesis in adults. The nurse knows that
f f f f f f f f
f which medication should be contraindicated for this client?
f f f f f f f
A. liothyronine (cytomel) to replace iodine f f f f
B. Furosemide (Lasix) for relief of fluid retention f f f f f f
C. Pentobarbital sodium for sleep f f f
D. nitroglycerin for angina pain - Correct Answer>>C. persons f f f f f f f
f with myxedema are dangerously hypersensitive to narcotics,
f f f f f f
f barbiturates, and anesthetics. They do not tolerate liothyronine f f f f f f f
f and usually receive iodine replacement therapy. These clients are
f f f f f f f f
f also suceptable to heart problems such as angina for which
f f f f f f f f f
f nitroglycerine would be indicated and and congestive heart f f f f f f f
f failure for which furosemide would be indicated
f f f f f f
A client has a continuous IV infusion of dopamine and an IV of
f f f f f f f f f f f f
f normal saline at 50ml/hour. The nurse noes that the client's
f f f f f f f f f
f urinary output has been 20ml/hour for the last two hours.
f f f f f f f f f
Which intervention should the nurse initiate?
f f f f f
A. stop the infusion of dopamine f f f f
