HESI PHARMACOLOGY PRACTICE QUESTIONS & ANSWERS FOR FINAL
EXAM LATEST UPDATED 2024 GUARANTEED SUCCESS FOR GRADE A+…
A nclient nis nreceiving nclonidine n(Catapres) n0.1 nmg/24hr nvia ntransdermal npatch. nWhich nassessment
finding nindicates nthat nthe ndesired neffect nof nthe nmedication nhas nbeen nachieved?
n
Page | 1
A. Client ndenies nrecent nepisodes nof nangina.
B. Change nin nperipheral nedema nfrom n+3 nto n+1.
C. Client ndenies nrecent nnausea nor nvomiting.
D. Blood npressure nhas nchanged nfrom n180/120 nto n140/70. nCorrect n- n Catapres nacts nas na
centrally- nacting nanalgesic nand nantihypertensive nagent. n(D) nindicates na nreduction nin nhypertension.
n
Catapres ndoes nnot naffect n(A, nB, nor nC), nso nthese nfindings ndo nnot nindicate ndesired noutcomes nof
n
Catapres
n
After nabdominal nsurgery, na nmale nclient nis nprescribed nlow nmolecular nweight nheparin n(LMWH). nDuring
administration nof nthe nmedication, nthe nclient nasks nthe nnurse nwhy nhe nis nreceiving nthis nmedication.
n
Which nis nthe nbest nresponse nfor nthe nnurse nto nprovide?
n
A. This nmedication nis na nblood nthinner ngiven nto nprevent nblood nclot nformation. nCorrect
B. This nmedication nenhances nantibiotics nto nprevent ninfection.
C. This nmedication ndissolves nany nclots nthat ndevelop nin nthe nlegs. nIncorrect
D. This nabdominal ninjection nassists nin nthe nhealing nof nthe nabdominal nwound. n- n Unfractionated
heparin nor nlow nmolecular nweight nheparin n(LMWH) nis nan nanticoagulant nthat ninhibits nthrombin-
mediated nconversion nof nfibrinogen nto nfibrin nand nis ngiven nprophylactically nto nprevent
postoperative nvenous
n
thrombosis n(A) nor nto ntreat npulmonary nembolism nor ndeep nvein nthrombosis nfollowing nknee nand
abdominal nsurgeries. nHeparin ndoes nnot ndissolve nclots nbut nprevents nclot nextension nor nfurther nclot
n
formation n(C). nThe nanticoagulant nheparin ndoes nnot nprevent ninfection n(B) nor ninfluence noperative
n
wound nhealing n(D).
n
,P na ng ne n 1 n| n53
,n HESI PHARMACOLOGY PRACTICE QUESTIONS & ANSWERS FOR FINAL
n n n n n n n
n EXAM LATEST UPDATED 2024 GUARANTEED SUCCESS FOR GRADE A+…
n n n n n n n n
A nclient nwith ncoronary nartery ndisease nwho nis ntaking ndigoxin n(Lanoxin) nreceives na nnew nprescription
for natorvastatin n(Lipitor). nTwo nweeks nafter ninitiation nof nthe nLipitor nprescription, nthe nnurse nassesses
n
the nclient. nWhich nfinding nrequires nthe nmost nimmediate nintervention?
n
A. Heartburn. Page | 2
B. Headache.
C. Constipation.
D. Vomiting. nCorrect n- n Vomiting, nanorexia nand nabdominal npain nare nearly nindications nof
digitalis ntoxicity. nSince nLipitor nincreases nthe nrisk nfor ndigitalis ntoxicity, nthis nfinding nrequires nthe
n
most nimmediate nintervention nby nthe nnurse n(D). n(A, nB nand nC) nare nexpected nside neffects nof
n
Lipitor
n
A nclient nwith nheart nfailure nis nprescribed nspironolactone n(Aldactone). nWhich ninformation nis nmost
important nfor nthe nnurse nto nprovide nto nthe nclient nabout ndiet nmodifications?
n
Do nnot nadd nsalt nto nfoods nduring npreparation.
Refrain nfor neating nfoods nhigh nin npotassium. nCorrect
n Restrict nfluid nintake nto n1000 nml nper nday.
Increase nintake nof nmilk nand nmilk nproducts. n- n Spironolactone n(Aldactone), nan naldosterone
antagonist, nis na npotassium-sparing ndiuretic, nso na ndiet nhigh nin npotassium nshould nbe navoided n(B),
including npotassium nsalt nsubstitutes, nwhich ncan nlead nto nhyperkalemia. nAlthough n(A) nis na ncommon
n
diet nmodification nin nheart nfailure, nthe nrisk nof nhyperkalemia nis nmore nimportant nwith nAldactone.
n
Restriction nof nfluids n(C) nor nincreasing nmilk nand nmilk nproducts n(D) nare nnot nindicated nwith nthis
n
prescription.
n
A nclient nwith na ndysrhythmia nis nto nreceive nprocainamide n(Pronestyl) nin n4 ndivided ndoses nover nthe nnext
24 nhours. nWhat ndosing nschedule nis nbest nfor nthe nnurse nto nimplement?
n
q6h. nCorrect
P na ng ne n 2 n| n53
, n HESI PHARMACOLOGY PRACTICE QUESTIONS & ANSWERS FOR FINAL
n n n n n n n
n EXAM LATEST UPDATED 2024 GUARANTEED SUCCESS FOR GRADE A+…
n n n n n n n n
QID.
AC nand nbedtime.
PC nand nbedtime. n- n Pronestyl nis na nclass n1A nantidysrhythmic. nIt nshould nbe ntaken naround-the-
Page | 3
clock n(A) nso nthat na nstable nblood nlevel nof nthe ndrug ncan nbe nmaintained, nthereby ndecreasing nthe
possibility nof
n
hypotension n(an nadverse neffect) noccurring nbecause nof ntoo nmuch nof nthe ndrug ncirculating nsystemically
at nany nparticular ntime nof nday. n(B, nC, nand nD) ndo nnot nprovide nan naround-the-clock ndosing nschedule.
n
Pronestyl nmay nbe ngiven nwith nfood nif nGI ndistress nis na nproblem, nbut nan naround-the-clock nschedule
n
should nstill nbe nmaintained.
n
A nclient nwho nwas nprescribed natorvastatin n(Lipitor) none nmonth nago ncalls nthe ntriage nnurse nat nthe
clinic ncomplaining nof nmuscle npain nand nweakness nin nhis nlegs. nWhich nstatement nreflects nthe ncorrect
n
drug-specific nteaching nthe nnurse nshould nprovide nto nthis nclient?
n
A. Increase nconsumption nof npotassium-rich nfoods nsince nlow npotassium nlevels ncan ncause nmuscle nspasms.
B. Have nserum nelectrolytes nchecked nat nthe nnext nscheduled nappointment nto nassess nhyponatremia, na
cause nof ncramping.
n
C. Make nan nappointment nto nsee nthe nhealthcare nprovider, nbecause nmuscle npain nmay nbe nan
indication nof na nserious nside neffect. nCorrect
n
P na ng ne n 3 n| n53
EXAM LATEST UPDATED 2024 GUARANTEED SUCCESS FOR GRADE A+…
A nclient nis nreceiving nclonidine n(Catapres) n0.1 nmg/24hr nvia ntransdermal npatch. nWhich nassessment
finding nindicates nthat nthe ndesired neffect nof nthe nmedication nhas nbeen nachieved?
n
Page | 1
A. Client ndenies nrecent nepisodes nof nangina.
B. Change nin nperipheral nedema nfrom n+3 nto n+1.
C. Client ndenies nrecent nnausea nor nvomiting.
D. Blood npressure nhas nchanged nfrom n180/120 nto n140/70. nCorrect n- n Catapres nacts nas na
centrally- nacting nanalgesic nand nantihypertensive nagent. n(D) nindicates na nreduction nin nhypertension.
n
Catapres ndoes nnot naffect n(A, nB, nor nC), nso nthese nfindings ndo nnot nindicate ndesired noutcomes nof
n
Catapres
n
After nabdominal nsurgery, na nmale nclient nis nprescribed nlow nmolecular nweight nheparin n(LMWH). nDuring
administration nof nthe nmedication, nthe nclient nasks nthe nnurse nwhy nhe nis nreceiving nthis nmedication.
n
Which nis nthe nbest nresponse nfor nthe nnurse nto nprovide?
n
A. This nmedication nis na nblood nthinner ngiven nto nprevent nblood nclot nformation. nCorrect
B. This nmedication nenhances nantibiotics nto nprevent ninfection.
C. This nmedication ndissolves nany nclots nthat ndevelop nin nthe nlegs. nIncorrect
D. This nabdominal ninjection nassists nin nthe nhealing nof nthe nabdominal nwound. n- n Unfractionated
heparin nor nlow nmolecular nweight nheparin n(LMWH) nis nan nanticoagulant nthat ninhibits nthrombin-
mediated nconversion nof nfibrinogen nto nfibrin nand nis ngiven nprophylactically nto nprevent
postoperative nvenous
n
thrombosis n(A) nor nto ntreat npulmonary nembolism nor ndeep nvein nthrombosis nfollowing nknee nand
abdominal nsurgeries. nHeparin ndoes nnot ndissolve nclots nbut nprevents nclot nextension nor nfurther nclot
n
formation n(C). nThe nanticoagulant nheparin ndoes nnot nprevent ninfection n(B) nor ninfluence noperative
n
wound nhealing n(D).
n
,P na ng ne n 1 n| n53
,n HESI PHARMACOLOGY PRACTICE QUESTIONS & ANSWERS FOR FINAL
n n n n n n n
n EXAM LATEST UPDATED 2024 GUARANTEED SUCCESS FOR GRADE A+…
n n n n n n n n
A nclient nwith ncoronary nartery ndisease nwho nis ntaking ndigoxin n(Lanoxin) nreceives na nnew nprescription
for natorvastatin n(Lipitor). nTwo nweeks nafter ninitiation nof nthe nLipitor nprescription, nthe nnurse nassesses
n
the nclient. nWhich nfinding nrequires nthe nmost nimmediate nintervention?
n
A. Heartburn. Page | 2
B. Headache.
C. Constipation.
D. Vomiting. nCorrect n- n Vomiting, nanorexia nand nabdominal npain nare nearly nindications nof
digitalis ntoxicity. nSince nLipitor nincreases nthe nrisk nfor ndigitalis ntoxicity, nthis nfinding nrequires nthe
n
most nimmediate nintervention nby nthe nnurse n(D). n(A, nB nand nC) nare nexpected nside neffects nof
n
Lipitor
n
A nclient nwith nheart nfailure nis nprescribed nspironolactone n(Aldactone). nWhich ninformation nis nmost
important nfor nthe nnurse nto nprovide nto nthe nclient nabout ndiet nmodifications?
n
Do nnot nadd nsalt nto nfoods nduring npreparation.
Refrain nfor neating nfoods nhigh nin npotassium. nCorrect
n Restrict nfluid nintake nto n1000 nml nper nday.
Increase nintake nof nmilk nand nmilk nproducts. n- n Spironolactone n(Aldactone), nan naldosterone
antagonist, nis na npotassium-sparing ndiuretic, nso na ndiet nhigh nin npotassium nshould nbe navoided n(B),
including npotassium nsalt nsubstitutes, nwhich ncan nlead nto nhyperkalemia. nAlthough n(A) nis na ncommon
n
diet nmodification nin nheart nfailure, nthe nrisk nof nhyperkalemia nis nmore nimportant nwith nAldactone.
n
Restriction nof nfluids n(C) nor nincreasing nmilk nand nmilk nproducts n(D) nare nnot nindicated nwith nthis
n
prescription.
n
A nclient nwith na ndysrhythmia nis nto nreceive nprocainamide n(Pronestyl) nin n4 ndivided ndoses nover nthe nnext
24 nhours. nWhat ndosing nschedule nis nbest nfor nthe nnurse nto nimplement?
n
q6h. nCorrect
P na ng ne n 2 n| n53
, n HESI PHARMACOLOGY PRACTICE QUESTIONS & ANSWERS FOR FINAL
n n n n n n n
n EXAM LATEST UPDATED 2024 GUARANTEED SUCCESS FOR GRADE A+…
n n n n n n n n
QID.
AC nand nbedtime.
PC nand nbedtime. n- n Pronestyl nis na nclass n1A nantidysrhythmic. nIt nshould nbe ntaken naround-the-
Page | 3
clock n(A) nso nthat na nstable nblood nlevel nof nthe ndrug ncan nbe nmaintained, nthereby ndecreasing nthe
possibility nof
n
hypotension n(an nadverse neffect) noccurring nbecause nof ntoo nmuch nof nthe ndrug ncirculating nsystemically
at nany nparticular ntime nof nday. n(B, nC, nand nD) ndo nnot nprovide nan naround-the-clock ndosing nschedule.
n
Pronestyl nmay nbe ngiven nwith nfood nif nGI ndistress nis na nproblem, nbut nan naround-the-clock nschedule
n
should nstill nbe nmaintained.
n
A nclient nwho nwas nprescribed natorvastatin n(Lipitor) none nmonth nago ncalls nthe ntriage nnurse nat nthe
clinic ncomplaining nof nmuscle npain nand nweakness nin nhis nlegs. nWhich nstatement nreflects nthe ncorrect
n
drug-specific nteaching nthe nnurse nshould nprovide nto nthis nclient?
n
A. Increase nconsumption nof npotassium-rich nfoods nsince nlow npotassium nlevels ncan ncause nmuscle nspasms.
B. Have nserum nelectrolytes nchecked nat nthe nnext nscheduled nappointment nto nassess nhyponatremia, na
cause nof ncramping.
n
C. Make nan nappointment nto nsee nthe nhealthcare nprovider, nbecause nmuscle npain nmay nbe nan
indication nof na nserious nside neffect. nCorrect
n
P na ng ne n 3 n| n53
