HESI Pharmacology Exam Practice
questions with answers
149.) A client taking fexofenadine (Allegra) is scheduled for allergy
skin testing and tells the nurse in the health care provider's office
that a dose was taken this morning. The nurse determines that:
1. The client should reschedule the appointment.
2. A lower dose of allergen will need to be injected.
3. A higher dose of allergen will need to be injected.
4. The client should have the skin test read a day later than usual. -
CORRECT ANSWERS ✔✔1. The client should reschedule the
appointment.
Rationale:
Fexofenadine is an antihistamine, which provides relief of
symptoms caused by allergy. Antihistamines should be
discontinued for at least 3 days (72 hours) before allergy skin
testing to avoid false-negative readings. This client should have the
appointment rescheduled for 3 days after discontinuing the
medication.
,150.) A client complaining of not feeling well is seen in a clinic. The
client is taking several medications for the control of heart disease
and hypertension. These medications include a β-blocker, digoxin
(Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxicity is
made. Which of the following assessment data would support this
diagnosis?
1. Dyspnea, edema, and palpitations
2. Chest pain, hypotension, and paresthesia
3. Double vision, loss of appetite, and nausea
4. Constipation, dry mouth, and sleep disorder - CORRECT
ANSWERS ✔✔3. Double vision, loss of appetite, and nausea
Rationale:
Double vision, loss of appetite, and nausea are signs of digoxin
toxicity. Additional signs of digoxin toxicity include bradycardia,
difficulty reading, visual alterations such as green and yellow vision
or seeing spots or halos, confusion, vomiting, diarrhea, decreased
libido, and impotence.
**gastrointestinal (GI) and visual disturbances occur with digoxin
toxicity**
151.) A client is being treated for acute congestive heart failure with
,intravenously administered bumetanide. The vital signs are as
follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and
respirations, 24 breaths/min. After the initial dose, which of the
following is the priority assessment?
1. Monitoring weight loss
2. Monitoring temperature
3. Monitoring blood pressure
4. Monitoring potassium level - CORRECT ANSWERS ✔✔3.
Monitoring blood pressure
Rationale:
Bumetanide is a loop diuretic. Hypotension is a common side effect
associated with the use of this medication. The other options also
require assessment but are not the priority.
**priority ABCs—airway, breathing, and circulation**
152.) Intravenous heparin therapy is prescribed for a client. While
implementing this prescription, a nurse ensures that which of the
following medications is available on the nursing unit?
1. Protamine sulfate
2. Potassium chloride
3. Phytonadione (vitamin K )
, 4. Aminocaproic acid (Amicar) - CORRECT ANSWERS ✔✔1.
Protamine sulfate
Rationale:
The antidote to heparin is protamine sulfate; it should be readily
available for use if excessive bleeding or hemorrhage occurs.
Potassium chloride is administered for a potassium deficit. Vitamin
K is an antidote for warfarin sodium. Aminocaproic acid is the
antidote for thrombolytic therapy.
153.) A client is diagnosed with pulmonary embolism and is to be
treated with streptokinase (Streptase). A nurse would report which
priority data collection finding to the registered nurse before
initiating this therapy?
1. Adventitious breath sounds
2. Temperature of 99.4° F orally
3. Blood pressure of 198/110 mm Hg
4. Respiratory rate of 28 breaths/min - CORRECT ANSWERS
✔✔3. Blood pressure of 198/110 mm Hg
Rationale:
Thrombolytic therapy is contraindicated in a number of preexisting
conditions in which there is a risk of uncontrolled bleeding, similar
questions with answers
149.) A client taking fexofenadine (Allegra) is scheduled for allergy
skin testing and tells the nurse in the health care provider's office
that a dose was taken this morning. The nurse determines that:
1. The client should reschedule the appointment.
2. A lower dose of allergen will need to be injected.
3. A higher dose of allergen will need to be injected.
4. The client should have the skin test read a day later than usual. -
CORRECT ANSWERS ✔✔1. The client should reschedule the
appointment.
Rationale:
Fexofenadine is an antihistamine, which provides relief of
symptoms caused by allergy. Antihistamines should be
discontinued for at least 3 days (72 hours) before allergy skin
testing to avoid false-negative readings. This client should have the
appointment rescheduled for 3 days after discontinuing the
medication.
,150.) A client complaining of not feeling well is seen in a clinic. The
client is taking several medications for the control of heart disease
and hypertension. These medications include a β-blocker, digoxin
(Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxicity is
made. Which of the following assessment data would support this
diagnosis?
1. Dyspnea, edema, and palpitations
2. Chest pain, hypotension, and paresthesia
3. Double vision, loss of appetite, and nausea
4. Constipation, dry mouth, and sleep disorder - CORRECT
ANSWERS ✔✔3. Double vision, loss of appetite, and nausea
Rationale:
Double vision, loss of appetite, and nausea are signs of digoxin
toxicity. Additional signs of digoxin toxicity include bradycardia,
difficulty reading, visual alterations such as green and yellow vision
or seeing spots or halos, confusion, vomiting, diarrhea, decreased
libido, and impotence.
**gastrointestinal (GI) and visual disturbances occur with digoxin
toxicity**
151.) A client is being treated for acute congestive heart failure with
,intravenously administered bumetanide. The vital signs are as
follows: blood pressure, 100/60 mm Hg; pulse, 96 beats/min; and
respirations, 24 breaths/min. After the initial dose, which of the
following is the priority assessment?
1. Monitoring weight loss
2. Monitoring temperature
3. Monitoring blood pressure
4. Monitoring potassium level - CORRECT ANSWERS ✔✔3.
Monitoring blood pressure
Rationale:
Bumetanide is a loop diuretic. Hypotension is a common side effect
associated with the use of this medication. The other options also
require assessment but are not the priority.
**priority ABCs—airway, breathing, and circulation**
152.) Intravenous heparin therapy is prescribed for a client. While
implementing this prescription, a nurse ensures that which of the
following medications is available on the nursing unit?
1. Protamine sulfate
2. Potassium chloride
3. Phytonadione (vitamin K )
, 4. Aminocaproic acid (Amicar) - CORRECT ANSWERS ✔✔1.
Protamine sulfate
Rationale:
The antidote to heparin is protamine sulfate; it should be readily
available for use if excessive bleeding or hemorrhage occurs.
Potassium chloride is administered for a potassium deficit. Vitamin
K is an antidote for warfarin sodium. Aminocaproic acid is the
antidote for thrombolytic therapy.
153.) A client is diagnosed with pulmonary embolism and is to be
treated with streptokinase (Streptase). A nurse would report which
priority data collection finding to the registered nurse before
initiating this therapy?
1. Adventitious breath sounds
2. Temperature of 99.4° F orally
3. Blood pressure of 198/110 mm Hg
4. Respiratory rate of 28 breaths/min - CORRECT ANSWERS
✔✔3. Blood pressure of 198/110 mm Hg
Rationale:
Thrombolytic therapy is contraindicated in a number of preexisting
conditions in which there is a risk of uncontrolled bleeding, similar
