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