2022 HESI Pharmacology Version 1 (v1) exit exam – Brand New Q&As

NURS 4003B HESI Pharmacology V2 – q q q q q



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDA
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• A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows t
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hat the actionof this drug is to
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A) decreaseqtheqamountqofqthyroid-stimulatingqhormoneqcirculatingqinqtheqblood.

B) increaseqtheqamountqofqthyroid-stimulatingqhormoneqcirculatingqinqtheqblood.

C) increaseqtheqamountqofqT4qandqdecreaseqtheqamountqofqT3qproducedqbyqtheqthyroid.

D) inhibitqsynthesisqofqT3qandqT4qbyqtheqthyroidqgland.



D) inhibit synthesis of T3 and T4 by the thyroid gland.
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PTU is an adjunct therapy used to control hyperthyroidism by inhibiting production of thyroid h
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ormones (D). Itis often prescribed in preparation for thyroidectomy or radioactive iodine therap
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y. Thyroid-
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stimulating hormone (TSH) is produced by the pituitary gland, and PTU does not affect the pituit
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ary (A and B). PTU inhibitsthe synthesis of all thyroid hormones--both T3 and T4(C).
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• A client has myxedema, which results from a deficiency of thyroid hormone synthesis in ad
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ults. The nurseknows that which medication should be contraindicated for this client?
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A) Liothyronineq(Cytomel)qtoqreplaceqiodine.

B) Furosemideq(Lasix)qforqreliefqofqfluidqretention.
NURS 4003B HESI Pharmacology V2 – q q q q q



EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDA
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TE 2022 q

, NURS 4003B HESI Pharmacology V2 –
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EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDA
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TE 2022 q




C) Pentobarbitalqsodiumq(NembutalqSodium)qforqsleep.

D) Nitroglycerinq(Nitrostat)qforqanginaqpain.



C) Pentobarbital sodium (Nembutal Sodium) for sleep.
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Persons with myxedema are dangerously hypersensitive to narcotics, barbiturates (C), and an
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esthetics. Theydo tolerate liothyronine (Cytomel) (A) and usually receive iodine replacement t
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herapy. These clients are alsosusceptible to heart problems such as angina for which nitroglyc
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erin (Nitrostat) (D) would be indicated, and congestive heart failure for which furosemide (Las
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ix) (B) would be indicated.
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• Which change in data indicates to the nurse that the desired effect of the angiotensi
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n II receptorantagonist valsartan (Diovan) has been achieved?
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A) Dependentqedemaqreducedqfromq+3qtoq+1.

B) SerumqHDLqincreasedqfromq35qtoq55qmg/dl.

C) Pulseqrateqreducedqfromq150qtoq90qbeats/minute.

D) Bloodqpressureqreducedqfromq160/90qtoq130/80.



D) Blood pressure reduced from 160/90 to 130/80.
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NURS 4003B HESI Pharmacology V2 –
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EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDA
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TE 2022 q

, NURS 4003B HESI Pharmacology V2 –
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EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDA
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Diovan is an angiotensin receptor blocker, prescribed for the treatment of hypertension. The d
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esired effect isa decrease in blood pressure (D). (A, B, and C) do not describe effects of Diovan.
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• A client is receiving digoxin for the onset of supraventricular tachycardia (SVT). Which labo
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ratory findingsshould the nurse identify that places this client at risk?
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A) Hypokalemia.

B) Hyponatremia.

C) Hypercalcemia.

D) Lowquricqacidqlevels.



A) Hypokalemia.
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Hypokalemia affects myocardial contractility, so (A) places this client at greatest risk for dysr
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hythmias thatmay be unresponsive to drug therapy. Although an imbalance of serum electr
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olytes, (B and C), can effect cardiac rhythm, the greatest risk for the client receiving digoxin i
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s (A). (D) does not cause any interactions related to digoxin therapy for supraventricular tac
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hycardia (SVT). q




NURS 4003B HESI Pharmacology V2 –
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EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDA
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TE 2022 q

, NURS 4003B HESI Pharmacology V2 –
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EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDA
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TE 2022
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• Which dosing schedule should the nurse teach the client to observe for a controlled-
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release oxycodoneprescription?
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A) Asqneeded.

B) Everyq12qhours.




NURS 4003B HESI Pharmacology V2 –
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EXAM QUESTIONS AND ANSWERS BEST GRADED A+ NEW UPDA
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TE 2022
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