2025/2026 HESI RN Pharmacology Exam Test Bank Questions & Answers (Actual Exam Updated 2025))

HESI PHARMACOLOGY PRACTICE EXAM
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QUESTIONS AND ANSWERS (2025)
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THIS EXAM CONTAINS:
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 Hesi Pharmacology
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 Practice Exam
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 Questions And Answers
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1|Pag
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,1. Followingtheadministrationofsublingualnitroglycerintoaclientexperi- encing an acute anginal attack, v v v v v



v which assessment finding indicates to the nurse that the desired effect has been achieved?
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A. Client states chest pain is relieved
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B. Client's pulse decreases from 120 to 90
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C. Client's systolic blood pressure decreases from 180 to 90
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D. Clients SaO2 level increases from 92% to 96%
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..ANS>> A.nitroglycerin reduces mycocardialoxygenconsumptionwhichdecreasesischemiaandreduces
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v chest pain
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2. Aclientwithhyperlipidemia recievesa prescriptionfor niacin (niaspan). i v v i v which client teaching is most
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v important for the nurse to provide v v v v v




a. expected duration of flushing v v v




b. symptoms of hyperglycemia v v




c. diets that minimize gi irritation
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d. comfortmeasure for pruritis v v




..ANS>> A.flushing oftheface andneck,lastingupto an hour, is a frequent reason for discontinuing niacin.
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inclusion ofthis effect inclietn teaching may promote compliance in taking the med.
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3. Whenassessing an adolescent who recently overdosed onacetaminophen (tylonel), it is most important for
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v thenursetoassessforpaininwhichareaof the body v v




a. flank
b. abdomen
c. chest
d. head
..ANS>>B.acetaminophentoxicistyanresultin liverdamage;therefore,itisespe- cially important for the nurse to
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v assess for pain in the right upper quadrant of the abdomen (which might indicated liver damage)
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2|Pag
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,4. A v client is admitted to the coronary care unit with a medical diagnosis of acute
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v myocardial infarction.whichmedication prescriptiondecreasesboth preload and afterload
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a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
..ANS>> A.nitroglycerin isa nitrate that causes peripheralvasodilationand decreases contractility, thereby
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v decreasing both preload andafterload
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5. Aclientisbeingtreatedforhyperthyroidismwithpropylthiouracil(PTU).The nurse knows that the action of
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v this drug is to
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A. decreasethe amountof thethyroid-stimulatinghormonecirculatinginthe blood
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B. increase the amount ofthyroid-stimulating hormone circulating in the
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3|Pag
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, blood

C. increasethe amount ofT4 anddecrease the amount ofT3 produced by the thyroid
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D. inhibit synthesis ofT3 andT4 by the thyroid gland
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..ANS>> D.PTU is an adjunct therapyusedtocontrolhyperthyroidismbyinhibitingproductionofthyroidhormones.
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v It is often prescribed in prep for thyroidectomy or radioactive iodine therapy
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6. Which change in data indicates to the nurse thedesired effect ofthe angiotensin II receptor
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v antagonist has been achieved v v v




A. Dependent edema reduced form +3 to +1 v v v v v v




B. Serum HDL increased from 35 to 55mg/dl
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C. PUlse rate reduced from 150 to 90 beats/min
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D. Bloodpressurereducedfrom160/90 to130.80 v




..ANS>>D.angiotensinIIreceptor antagonist(blocker), prescribed fromtreatment of HTN.The desired
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v effect is a decrease in blood pressure.
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7. Which instructions should the nurse give to a female client who just recieveda prescriptionfororal
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v metronidazole (flagyl) fortreatment oftri- chomonas vaginalis (select all that apply)
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A. increase fluid intake, especially cranberry juice
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B. Do not abruptly discontinue the medication;taper use
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C. Check blood pressure daily to detect hypertension
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D. Avoiddrinking alcohol while taking thismedication v v v v




E. Use condoms until treatment is completed
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F. Ensure that all sexual partners are treated at the same time
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i..ANS>> ADEF i v




4|Pag
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