HESI RN PHARMACOLOGY PRACTICE EXAM QUESTIONS AND
HESI RN Pharmacology Practice Exam
CORRECT ANSWERS (ALREADY GRADED A+) | LATEST VERSIONS |
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1. Which nursing diagnosis is im- C. Risk for injury.
portant to include in the plan
of care for a client receiving the - Avapro is an antihypertensive agent, which acts by blocking
angiotensin-2 receptor antag- vasoconstrictor effects at various receptor sites. This can cause
onist irbesartan (Avapro)? hypotension and dizziness, placing the client at high risk for
injury.
A. Fluid volume deficit.
B. Risk for infection.
C. Risk for injury.
D. Impaired sleep patterns.
2. Which instruction(s) should the ( A, D, E, F )
nurse give to a female client
who just received a prescrip- Increased fluid intake and cranberry juice are recommended
tion for oral metronidazole for prevention and treatment of urinary tract infections, which
(Flagyl) for treatment of tri- frequently accompany vaginal infections. It is not necessary to
chomonas vaginalis? (Select all taper use of this drug or to check the blood pressure daily, as
that apply.) this condition is not related to hypertension. Flagyl can cause
a disulfiram-like reaction if taken in conjunction with ingestion
of alcohol, so the client should be instructed to avoid alcohol.
A. Increase fluid intake, espe- All sexual partners should be treated at the same time and
cially cranberry juice. condoms should be used until after treatment is completed to
B. Do not abruptly discontinue avoid reinfection.
the medication; taper use.
C. Check blood pressure daily
to detect hypertension.
D. Avoid drinking alcohol while
taking this medication.
E. Use condoms until treat-
ment is completed.
F. Ensure that all sexual part-
, HESI RN Pharmacology Practice Exam
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ners are treated at the same
time.
3. A client is receiving cloni- D. Blood pressure has changed from 180/120 to 140/70
dine (Catapres) 0.1 mg/24hr mmHg.
via transdermal patch. Which
assessment finding indicates - Catapres acts as a centrally-acting analgesic and antihyper-
that the desired effect of tensive agent. A reduction of the blood pressure to 140/70
the medication has been mmHg indicates a reduction in hypertension.
achieved?
A. Client denies recent
episodes of angina.
B. Change in peripheral edema
from +3 to +1.
C. Client denies recent nausea
or vomiting.
D. Blood pressure has changed
from 180/120 to 140/70
mmHg.
4. A client with coronary artery D. Vomiting.
disease who is taking digoxin
(Lanoxin) receives a new pre- - Vomiting, anorexia and abdominal pain are early indications
scription for atorvastatin (Lip- of digitalis toxicity. Since Lipitor increases the risk for digitalis
itor). Two weeks after initia- toxicity, this finding requires the most immediate intervention
tion of the Lipitor prescrip- by the nurse.
tion, the nurse assesses the
client. Which finding requires
the most immediate interven-
tion?
, HESI RN Pharmacology Practice Exam
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A. Heartburn.
B. Headache.
C. Constipation.
D. Vomiting.
5. A medication that is classi- C. Heart failure.
fied as a beta-1 agonist is
most commonly prescribed for - Beta-1 agonists improve cardiac output by increasing the
a client with which condition? heart rate and blood pressure and are indicated in heart
failure, shock, atrioventricular block dysrhythmias, and cardiac
A. Glaucoma. arrest. In contrast, glaucoma is managed using adrenergic
B. Hypertension. agents and beta-adrenergic blocking agents. Beta-1 blocking
C. Heart failure. agents are used in the management of hypertension. Med-
D. Asthma. ications that stimulate beta-2 receptors in the bronchi are
effective for bronchoconstriction in respiratory disorders, such
as asthma.
6. The nurse is assessing a client C. Epinephrine.
who is experiencing anaphy-
laxis from an insect sting. - Epinephrine is an adrenergic agent that stimulates beta
Which prescription should the receptors to increase cardiac automaticity in cardiac arrest
nurse prepare to administer and relax bronchospasms in anaphylaxis. On the ither hand,
this client? dopamine is a vasopressor used to treat clients with shock.
Ephedrine causes peripheral vasoconstriction and is used in
A. Dopamine. the treatment of nasal congestion. Diphenhydramine is an an-
B. Ephedrine. tihistamine decongestant used in the treatment of mild allergic
C. Epinephrine. reactions and motion sickness. Epinephrine is the medication
D. Diphenhydramine. of choice in treating anaphylaxis.
7. Which medications should the B. Benzodiazepines.
nurse caution the client about
taking while receiving an opi- - Respiratory depression increases with the concurrent use
oid analgesic? of opioid analgesics and other central nervous system de-
, HESI RN Pharmacology Practice Exam
Study online at https://quizlet.com/_f8i1s3
pressant agents, such as alcohol, barbiturates, and benzo-
A. Antacids. diazepines. Antacids and antidiabetic agents do not interact
B. Benzodiazepines. with opiates to produce adverse effects. Antihypertensives
C. Antihypertensives. may cause morphine-induced hypotension, but should not be
D. Oral antidiabetics. withheld without notifying the healthcare provider.
8. A client with a dysrhythmia is A. q6h.
to receive procainamide (Pron-
estyl) in 4 divided doses over - Pronestyl is a class 1A antidysrhythmic. It should be taken
the next 24 hours. What dosing around-the-clock, so that a stable blood level of the drug can
schedule is best for the nurse be maintained, thereby decreasing the possibility of hypoten-
to implement? sion (an adverse effect) occurring because of too much of
the drug circulating systemically at any particular time of day.
A. q6h. Pronestyl may be given with food if GI distress is a problem.
B. QID.
C. AC and bedtime.
D. PC and bedtime.
9. A client is receiving ampicillin A. Rash.
sodium (Omnipen) for a sinus
infection. The nurse should in- - Rash is the most common adverse effect of all penicillins,
struct the client to notify the indicating an allergy to the medication which could result in
healthcare provider immedi- anaphylactic shock, a medical emergency.
ately if which symptom oc-
curs?
A. Rash.
B. Nausea.
C. Headache.
D. Dizziness.
10. An adult client has prescrip- A. Administer both medications according to the prescription.
tions for morphine sulfate
HESI RN Pharmacology Practice Exam
CORRECT ANSWERS (ALREADY GRADED A+) | LATEST VERSIONS |
Study online at https://quizlet.com/_f8i1s3
1. Which nursing diagnosis is im- C. Risk for injury.
portant to include in the plan
of care for a client receiving the - Avapro is an antihypertensive agent, which acts by blocking
angiotensin-2 receptor antag- vasoconstrictor effects at various receptor sites. This can cause
onist irbesartan (Avapro)? hypotension and dizziness, placing the client at high risk for
injury.
A. Fluid volume deficit.
B. Risk for infection.
C. Risk for injury.
D. Impaired sleep patterns.
2. Which instruction(s) should the ( A, D, E, F )
nurse give to a female client
who just received a prescrip- Increased fluid intake and cranberry juice are recommended
tion for oral metronidazole for prevention and treatment of urinary tract infections, which
(Flagyl) for treatment of tri- frequently accompany vaginal infections. It is not necessary to
chomonas vaginalis? (Select all taper use of this drug or to check the blood pressure daily, as
that apply.) this condition is not related to hypertension. Flagyl can cause
a disulfiram-like reaction if taken in conjunction with ingestion
of alcohol, so the client should be instructed to avoid alcohol.
A. Increase fluid intake, espe- All sexual partners should be treated at the same time and
cially cranberry juice. condoms should be used until after treatment is completed to
B. Do not abruptly discontinue avoid reinfection.
the medication; taper use.
C. Check blood pressure daily
to detect hypertension.
D. Avoid drinking alcohol while
taking this medication.
E. Use condoms until treat-
ment is completed.
F. Ensure that all sexual part-
, HESI RN Pharmacology Practice Exam
Study online at https://quizlet.com/_f8i1s3
ners are treated at the same
time.
3. A client is receiving cloni- D. Blood pressure has changed from 180/120 to 140/70
dine (Catapres) 0.1 mg/24hr mmHg.
via transdermal patch. Which
assessment finding indicates - Catapres acts as a centrally-acting analgesic and antihyper-
that the desired effect of tensive agent. A reduction of the blood pressure to 140/70
the medication has been mmHg indicates a reduction in hypertension.
achieved?
A. Client denies recent
episodes of angina.
B. Change in peripheral edema
from +3 to +1.
C. Client denies recent nausea
or vomiting.
D. Blood pressure has changed
from 180/120 to 140/70
mmHg.
4. A client with coronary artery D. Vomiting.
disease who is taking digoxin
(Lanoxin) receives a new pre- - Vomiting, anorexia and abdominal pain are early indications
scription for atorvastatin (Lip- of digitalis toxicity. Since Lipitor increases the risk for digitalis
itor). Two weeks after initia- toxicity, this finding requires the most immediate intervention
tion of the Lipitor prescrip- by the nurse.
tion, the nurse assesses the
client. Which finding requires
the most immediate interven-
tion?
, HESI RN Pharmacology Practice Exam
Study online at https://quizlet.com/_f8i1s3
A. Heartburn.
B. Headache.
C. Constipation.
D. Vomiting.
5. A medication that is classi- C. Heart failure.
fied as a beta-1 agonist is
most commonly prescribed for - Beta-1 agonists improve cardiac output by increasing the
a client with which condition? heart rate and blood pressure and are indicated in heart
failure, shock, atrioventricular block dysrhythmias, and cardiac
A. Glaucoma. arrest. In contrast, glaucoma is managed using adrenergic
B. Hypertension. agents and beta-adrenergic blocking agents. Beta-1 blocking
C. Heart failure. agents are used in the management of hypertension. Med-
D. Asthma. ications that stimulate beta-2 receptors in the bronchi are
effective for bronchoconstriction in respiratory disorders, such
as asthma.
6. The nurse is assessing a client C. Epinephrine.
who is experiencing anaphy-
laxis from an insect sting. - Epinephrine is an adrenergic agent that stimulates beta
Which prescription should the receptors to increase cardiac automaticity in cardiac arrest
nurse prepare to administer and relax bronchospasms in anaphylaxis. On the ither hand,
this client? dopamine is a vasopressor used to treat clients with shock.
Ephedrine causes peripheral vasoconstriction and is used in
A. Dopamine. the treatment of nasal congestion. Diphenhydramine is an an-
B. Ephedrine. tihistamine decongestant used in the treatment of mild allergic
C. Epinephrine. reactions and motion sickness. Epinephrine is the medication
D. Diphenhydramine. of choice in treating anaphylaxis.
7. Which medications should the B. Benzodiazepines.
nurse caution the client about
taking while receiving an opi- - Respiratory depression increases with the concurrent use
oid analgesic? of opioid analgesics and other central nervous system de-
, HESI RN Pharmacology Practice Exam
Study online at https://quizlet.com/_f8i1s3
pressant agents, such as alcohol, barbiturates, and benzo-
A. Antacids. diazepines. Antacids and antidiabetic agents do not interact
B. Benzodiazepines. with opiates to produce adverse effects. Antihypertensives
C. Antihypertensives. may cause morphine-induced hypotension, but should not be
D. Oral antidiabetics. withheld without notifying the healthcare provider.
8. A client with a dysrhythmia is A. q6h.
to receive procainamide (Pron-
estyl) in 4 divided doses over - Pronestyl is a class 1A antidysrhythmic. It should be taken
the next 24 hours. What dosing around-the-clock, so that a stable blood level of the drug can
schedule is best for the nurse be maintained, thereby decreasing the possibility of hypoten-
to implement? sion (an adverse effect) occurring because of too much of
the drug circulating systemically at any particular time of day.
A. q6h. Pronestyl may be given with food if GI distress is a problem.
B. QID.
C. AC and bedtime.
D. PC and bedtime.
9. A client is receiving ampicillin A. Rash.
sodium (Omnipen) for a sinus
infection. The nurse should in- - Rash is the most common adverse effect of all penicillins,
struct the client to notify the indicating an allergy to the medication which could result in
healthcare provider immedi- anaphylactic shock, a medical emergency.
ately if which symptom oc-
curs?
A. Rash.
B. Nausea.
C. Headache.
D. Dizziness.
10. An adult client has prescrip- A. Administer both medications according to the prescription.
tions for morphine sulfate
