PHARMACOLOGY HESI PRACTICE EXAM
QUESTIONS AND ANSWERS ALL SOLVED
SOLUTION YEAR 2026
The healthcare provider prescribes naloxone (Narcan) for a client in the
emergency room. Which assessment data would indicate that the
naloxone has been effective? The client's...
A. Statement that the chest pain is better
B) respiratory rate is 16 breaths/minute.
C) seizure activity has stopped temporarily.
D) pupils are constricted bilaterally. - CORRECT ANSWERB.
Naloxone (Narcan) is a narcotic antagonist that reverses the respiratory
depression effects of opiate overdose, so assessment of a normal
respiratory rate (B) would indicate that the respiratory depression has
been halted. (A, C, and D) are not related to naloxone (Narcan)
administration.
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
C. Pentobarbital sodium for sleep
D. nitroglycerinfor angina pain - CORRECT ANSWERC. 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
A client with osteoarthritis receives a new prescription for celecoxib
(Celebrex) orally for symptom management. The nurse notes the client
is allergic to sulfa. Which action is most important for the nurse to
implement prior to administering the first dose?
A) Review the client's hemoglobin results.
B) Notify the healthcare provider.
C) Inquire about the reaction to sulfa.
D) Record the client's vital signs. - CORRECT ANSWERB.
Celebrex contains a sulfur molecule, which can lead to an allergic
reaction in individuals who are sensitive to sulfonamides, so the
healthcare provider should be notified of the client's allergies (B).
Although (A, C, and D) are important assessments, it is most important
to notify the healthcare provider for an alternate prescription.
The client with a dysrhythmia is to receive procainamide (pronestyl) in
4 divided doses over the next 24 hours. What dosing schedule is best
for the nurse to implement?
A. q4h
B. QID
C. AC and bedtime
D. PC and bedtime - CORRECT ANSWERA. q6h
A client has a continous IV infusion of dopamine (Intropin) and an IV
of normal saline at 50 ml/hour. The nurse notes that the client's urinary
output has been 20 ml/hour for the last two hours. Which intervention
,should the nurse initiate?
A. Stop the infusion of dopamine
B. Change the normal saline to a keep open rate.
C. Replace the urinary catheter.
D. Notify
the healthcare provider of the urinary output. - CORRECT
ANSWERD. Notify the healthcare provider of the urinary output.
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and
ketorlac (toradol) 30mg IV q6h. which action should the nurse
implement?
A. administer both medications according to the prescription
, B. Hold the ketorolac to prevent an antagonist effect
C. Hold the morphine to prevent an additive drug interaction
D. Contact the healthcare provider to clarify the prescription -
CORRECT ANSWERA. Administer both medications according
to the prescription
Morphine and ketorolac can be administered concurrently and may
produce additive analgesic effect resulting in ability to reduce the dose
of morphine, as seen in this prescription
A client is being treated for hyperthyridism with propylthiouracil (PTU).
The nurse knows that the action of this drug is to:
A. decrease the amount of thyroid stimulating hormone circulating in the
blood.
B. increase the amount of thyroid-stimulating hormone circulating in the
blood.
C. increasethe amount of T4 and decrease the amount of T3 produced by
the thyroid.
D. inhibitsynthesis of T3 and T4 by the thyroid gland. - CORRECT
ANSWERD. 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
A female client with RA takes ibuprofen (motrin) 600mg PO 4xday. To
preven GI bleeding, misoprostol (cytotec) 100mcg PO is prescribed.
Which information is most important for the nurse to include in client
teaching?
A. use contraception during intercourse
B. ensure the cytotec is taken on an empty stomach
C. encourage oral fluid intake to prevent constipation
QUESTIONS AND ANSWERS ALL SOLVED
SOLUTION YEAR 2026
The healthcare provider prescribes naloxone (Narcan) for a client in the
emergency room. Which assessment data would indicate that the
naloxone has been effective? The client's...
A. Statement that the chest pain is better
B) respiratory rate is 16 breaths/minute.
C) seizure activity has stopped temporarily.
D) pupils are constricted bilaterally. - CORRECT ANSWERB.
Naloxone (Narcan) is a narcotic antagonist that reverses the respiratory
depression effects of opiate overdose, so assessment of a normal
respiratory rate (B) would indicate that the respiratory depression has
been halted. (A, C, and D) are not related to naloxone (Narcan)
administration.
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
C. Pentobarbital sodium for sleep
D. nitroglycerinfor angina pain - CORRECT ANSWERC. 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
A client with osteoarthritis receives a new prescription for celecoxib
(Celebrex) orally for symptom management. The nurse notes the client
is allergic to sulfa. Which action is most important for the nurse to
implement prior to administering the first dose?
A) Review the client's hemoglobin results.
B) Notify the healthcare provider.
C) Inquire about the reaction to sulfa.
D) Record the client's vital signs. - CORRECT ANSWERB.
Celebrex contains a sulfur molecule, which can lead to an allergic
reaction in individuals who are sensitive to sulfonamides, so the
healthcare provider should be notified of the client's allergies (B).
Although (A, C, and D) are important assessments, it is most important
to notify the healthcare provider for an alternate prescription.
The client with a dysrhythmia is to receive procainamide (pronestyl) in
4 divided doses over the next 24 hours. What dosing schedule is best
for the nurse to implement?
A. q4h
B. QID
C. AC and bedtime
D. PC and bedtime - CORRECT ANSWERA. q6h
A client has a continous IV infusion of dopamine (Intropin) and an IV
of normal saline at 50 ml/hour. The nurse notes that the client's urinary
output has been 20 ml/hour for the last two hours. Which intervention
,should the nurse initiate?
A. Stop the infusion of dopamine
B. Change the normal saline to a keep open rate.
C. Replace the urinary catheter.
D. Notify
the healthcare provider of the urinary output. - CORRECT
ANSWERD. Notify the healthcare provider of the urinary output.
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and
ketorlac (toradol) 30mg IV q6h. which action should the nurse
implement?
A. administer both medications according to the prescription
, B. Hold the ketorolac to prevent an antagonist effect
C. Hold the morphine to prevent an additive drug interaction
D. Contact the healthcare provider to clarify the prescription -
CORRECT ANSWERA. Administer both medications according
to the prescription
Morphine and ketorolac can be administered concurrently and may
produce additive analgesic effect resulting in ability to reduce the dose
of morphine, as seen in this prescription
A client is being treated for hyperthyridism with propylthiouracil (PTU).
The nurse knows that the action of this drug is to:
A. decrease the amount of thyroid stimulating hormone circulating in the
blood.
B. increase the amount of thyroid-stimulating hormone circulating in the
blood.
C. increasethe amount of T4 and decrease the amount of T3 produced by
the thyroid.
D. inhibitsynthesis of T3 and T4 by the thyroid gland. - CORRECT
ANSWERD. 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
A female client with RA takes ibuprofen (motrin) 600mg PO 4xday. To
preven GI bleeding, misoprostol (cytotec) 100mcg PO is prescribed.
Which information is most important for the nurse to include in client
teaching?
A. use contraception during intercourse
B. ensure the cytotec is taken on an empty stomach
C. encourage oral fluid intake to prevent constipation
