Pharm HESI Practice Exam
A 43-yr-old woman consumer is prescribed thyroid substitute hormone following a
thyroidectomy. Which negative outcomes have to the nurse teach the consumer to file right
away to the healthcare provider?
A. Tinnitus and dizziness.
B. Tachycardia and chest pain.
C. Dry skin and intolerance to bloodless.
D. Weight gain and accelerated urge for food. - ANS-B. Tachycardia and chest pain.
A Category X drug is prescribed for a younger adult female client. Which guidance is maximum
crucial for the nurse to educate this purchaser?
A. Use a reliable form of start control.
B. Avoid exposure to extremely violet light.
C. Refuse this remedy if planning pregnancy.
D. Abstain from sex even as on this drug. - ANS-A. Use a reliable form of beginning control.
A consumer asks the nurse if glipizide (Glucotrol) is an oral insulin. Which reaction must the
nurse offer?
A. "Yes, it's far an oral insulin and has the same movements and residences as intermediate
insulin."
B. "Yes, it's miles an oral insulin and is sent, metabolized, and excreted inside the equal way as
insulin."
C. "No, it isn't always an oral insulin and may be used most effective when a few beta cellular
characteristic is gift."
D. "No, it is not an oral insulin, but it is effective for people who are proof against injectable
insulins." - ANS-C. "No, it is not an oral insulin and can be used most effective while a few beta
cell function is gift."
A consumer being discharged domestic is prescribed an antibiotic with a dosage three
instances higher than it changed into administered while the patron became within the
sanatorium. Which course of administration ought to the nurse anticipate may be prescribed for
the best first-bypass impact?
A. Oral.
B. Sublingual.
C. Intravenous.
D. Subcutaneous. - ANS-A. Oral.
A patron being discharged is prescribed warfarin for the remedy following a pulmonary
embolism. Which diagnostic take a look at need to the nurse educate the customer to get hold
of as soon as a month?
, A. Perfusion scan.
B. Prothrombin Time (PT).
C. Activated partial thromboplastin (aPTT).
D. Serum Coumadin stage (SCL). - ANS-B. Prothrombin Time (PT).
A customer being dealt with for hyperthyroidism with propylthiouracil (PTU) asks the nurse how
the medicine works. Which is the exceptional response to present the client?
A. It decreases the quantity of thyroid-stimulating hormone circulating in the blood.
B. It increases the amount of thyroid-stimulating hormone circulating in the blood.
C. It complements the quantity of T4 and diminishes the amount of T3 produced by using the
thyroid.
D. It inhibits the synthesis of T3 and T4 by way of the thyroid gland. - ANS-D. It inhibits the
synthesis of T3 and T4 through the thyroid gland.
A client has a continuous IV infusion of dopamine (Intropin) and an IV of regular saline at 50
mL/hour. The nurse notes that the purchaser's urinary output has been 20 mL/hour for the last 2
hours. Which intervention should the nurse provoke?
A. Stop the infusion of dopamine.
B. Change the normal saline to a hold open price.
C. Replace the urinary catheter.
D. Notify the healthcare provider of the urinary output. - ANS-D. Notify the healthcare issuer of
the urinary output.
A customer is admitted to the health center for a new onset of supraventricular tachycardia
(SVT) and is prescribed digoxin. For which laboratory finding must the nurse notify the
healthcare company straight away?
A. Potassium stage of three.1 mEq/L.
B. Sodium stage of 132 mEq/L.
C. Calcium level of 8.6 mg/dL.
D. Magnesium degree of 1.2 mEq/L. - ANS-A. Potassium level of three.1 mEq/L.
A customer is admitted to the sanatorium for diagnostic trying out for viable myasthenia gravis.
The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is
the predicted outcome for this customer following management of this pharmacologic agent?
A. Progressive difficulty with swallowing.
B. Decreased breathing attempt.
C. Improvement in generalized fatigue.
D. Decreased muscle weakness. - ANS-D. Decreased muscle weakness.
A consumer is being treated for osteoporosis with alendronate (Fosamax), and the nurse has
finished discharge coaching regarding remedy administration. Which morning time table might
indicate to the nurse that the client teaching has been effective?
A. Take medicine, move for a 30 minute morning walk, then consume breakfast.
A 43-yr-old woman consumer is prescribed thyroid substitute hormone following a
thyroidectomy. Which negative outcomes have to the nurse teach the consumer to file right
away to the healthcare provider?
A. Tinnitus and dizziness.
B. Tachycardia and chest pain.
C. Dry skin and intolerance to bloodless.
D. Weight gain and accelerated urge for food. - ANS-B. Tachycardia and chest pain.
A Category X drug is prescribed for a younger adult female client. Which guidance is maximum
crucial for the nurse to educate this purchaser?
A. Use a reliable form of start control.
B. Avoid exposure to extremely violet light.
C. Refuse this remedy if planning pregnancy.
D. Abstain from sex even as on this drug. - ANS-A. Use a reliable form of beginning control.
A consumer asks the nurse if glipizide (Glucotrol) is an oral insulin. Which reaction must the
nurse offer?
A. "Yes, it's far an oral insulin and has the same movements and residences as intermediate
insulin."
B. "Yes, it's miles an oral insulin and is sent, metabolized, and excreted inside the equal way as
insulin."
C. "No, it isn't always an oral insulin and may be used most effective when a few beta cellular
characteristic is gift."
D. "No, it is not an oral insulin, but it is effective for people who are proof against injectable
insulins." - ANS-C. "No, it is not an oral insulin and can be used most effective while a few beta
cell function is gift."
A consumer being discharged domestic is prescribed an antibiotic with a dosage three
instances higher than it changed into administered while the patron became within the
sanatorium. Which course of administration ought to the nurse anticipate may be prescribed for
the best first-bypass impact?
A. Oral.
B. Sublingual.
C. Intravenous.
D. Subcutaneous. - ANS-A. Oral.
A patron being discharged is prescribed warfarin for the remedy following a pulmonary
embolism. Which diagnostic take a look at need to the nurse educate the customer to get hold
of as soon as a month?
, A. Perfusion scan.
B. Prothrombin Time (PT).
C. Activated partial thromboplastin (aPTT).
D. Serum Coumadin stage (SCL). - ANS-B. Prothrombin Time (PT).
A customer being dealt with for hyperthyroidism with propylthiouracil (PTU) asks the nurse how
the medicine works. Which is the exceptional response to present the client?
A. It decreases the quantity of thyroid-stimulating hormone circulating in the blood.
B. It increases the amount of thyroid-stimulating hormone circulating in the blood.
C. It complements the quantity of T4 and diminishes the amount of T3 produced by using the
thyroid.
D. It inhibits the synthesis of T3 and T4 by way of the thyroid gland. - ANS-D. It inhibits the
synthesis of T3 and T4 through the thyroid gland.
A client has a continuous IV infusion of dopamine (Intropin) and an IV of regular saline at 50
mL/hour. The nurse notes that the purchaser's urinary output has been 20 mL/hour for the last 2
hours. Which intervention should the nurse provoke?
A. Stop the infusion of dopamine.
B. Change the normal saline to a hold open price.
C. Replace the urinary catheter.
D. Notify the healthcare provider of the urinary output. - ANS-D. Notify the healthcare issuer of
the urinary output.
A customer is admitted to the health center for a new onset of supraventricular tachycardia
(SVT) and is prescribed digoxin. For which laboratory finding must the nurse notify the
healthcare company straight away?
A. Potassium stage of three.1 mEq/L.
B. Sodium stage of 132 mEq/L.
C. Calcium level of 8.6 mg/dL.
D. Magnesium degree of 1.2 mEq/L. - ANS-A. Potassium level of three.1 mEq/L.
A customer is admitted to the sanatorium for diagnostic trying out for viable myasthenia gravis.
The nurse prepares for intravenous administration of edrophonium chloride (Tensilon). What is
the predicted outcome for this customer following management of this pharmacologic agent?
A. Progressive difficulty with swallowing.
B. Decreased breathing attempt.
C. Improvement in generalized fatigue.
D. Decreased muscle weakness. - ANS-D. Decreased muscle weakness.
A consumer is being treated for osteoporosis with alendronate (Fosamax), and the nurse has
finished discharge coaching regarding remedy administration. Which morning time table might
indicate to the nurse that the client teaching has been effective?
A. Take medicine, move for a 30 minute morning walk, then consume breakfast.
