HESI PHARMACOLOGY EXAM QUESTIONS
2026/2027 || COMPREHENSIVE NURSING
PHARMACOLOGY EXAM PREPARATION WITH
UPDATED MEDICATION CLASSES, DOSAGE
CALCULATIONS, ADVERSE EFFECTS,
INTERACTIONS, AND PATIENT SAFETY REVIEW ||
REAL HESI-STYLE QUESTIONS WITH VERIFIED
DETAILED ACCURATE ANSWERS LATEST EDITION ||
ELITE A+ PREMIUM QUALITY GUARANTEED
which symptoms are serious adverse effects of beta-adrenergic blockers
such as propranolol (inderal)?
A. Headache, hypertension, and blurred vision.
B. Wheezing, hypotension, and AV block.
C. Vomiting, dilated pupils, and papilledema. D. Tinnitus, muscle
weakness, and tachypnea. - THE CORRECT ANSWER - B.
Wheezing, hypotension, and AV block.
(B) represents the most serious adverse effects of beta-blocking agents.
AV block is generally associated with bradycardia and results in
potentially life-threatening decreases in cardiac output. Additionally,
wheezing secondary to bronchospasm and hypotension represent life-
threatening respiratory and cardiac disorders. (A, C, and D) are not
associated with beta-blockers.
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. - THE CORRECT ANSWER - B) respiratory rate is 16
breaths/minute.
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. nitroglycerin for angina pain - THE CORRECT ANSWER - 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
.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. - THE CORRECT ANSWER -
B) Notify the healthcare provider.
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, , and D) are important assessments, it is most important
to notify the healthcare provider for an alternate prescription.
A. q6h - THE CORRECT ANSWER - 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. q6h
B. QID
C. AC and bedtime
D. PC and bedtime
, D. Notify the healthcare provider of the urinary output - THE
CORRECT ANSWER - 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
A. use contraception during intercourse - THE CORRECT
ANSWER - 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
D. take cytotec 30min prior to motrin Cytotec, a synthetic form of
prostaglandin, is classified as pregnancy category X and can act as an
abortifacient, so the client should be instructed to use contraception
during intercourse to prevent loss of early pregnancy
D) Heart failure
Dobutamine is a beta-l adrenergic agonist that is indicated for short term
use in cardiac decompensation or heart failure (D) related to reduced
cardiac contractility due to organic heart disease or cardiac surgical
procedures. Alpha and beta adrenergic agonists, such as epinephrine
and dopamine, are sympathomimetics used in the treatment of shock
(A). Other selective beta-2 adrenergic agonists, such as terbutaline and
isoproterenol, are indicated in the treatment of asthma (B) Although
dobutamine improves cardiac output, it is not used to treat hypotension
(C) - THE CORRECT ANSWER - Dobutamine (Dobutrex) is an
emergency drug most commonly prescribed for a client with which
condition?
A) Shock
B) Asthma.
C) Hypotension
D) Heart failure
B. Benzodiasepines
2026/2027 || COMPREHENSIVE NURSING
PHARMACOLOGY EXAM PREPARATION WITH
UPDATED MEDICATION CLASSES, DOSAGE
CALCULATIONS, ADVERSE EFFECTS,
INTERACTIONS, AND PATIENT SAFETY REVIEW ||
REAL HESI-STYLE QUESTIONS WITH VERIFIED
DETAILED ACCURATE ANSWERS LATEST EDITION ||
ELITE A+ PREMIUM QUALITY GUARANTEED
which symptoms are serious adverse effects of beta-adrenergic blockers
such as propranolol (inderal)?
A. Headache, hypertension, and blurred vision.
B. Wheezing, hypotension, and AV block.
C. Vomiting, dilated pupils, and papilledema. D. Tinnitus, muscle
weakness, and tachypnea. - THE CORRECT ANSWER - B.
Wheezing, hypotension, and AV block.
(B) represents the most serious adverse effects of beta-blocking agents.
AV block is generally associated with bradycardia and results in
potentially life-threatening decreases in cardiac output. Additionally,
wheezing secondary to bronchospasm and hypotension represent life-
threatening respiratory and cardiac disorders. (A, C, and D) are not
associated with beta-blockers.
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. - THE CORRECT ANSWER - B) respiratory rate is 16
breaths/minute.
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. nitroglycerin for angina pain - THE CORRECT ANSWER - 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
.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. - THE CORRECT ANSWER -
B) Notify the healthcare provider.
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, , and D) are important assessments, it is most important
to notify the healthcare provider for an alternate prescription.
A. q6h - THE CORRECT ANSWER - 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. q6h
B. QID
C. AC and bedtime
D. PC and bedtime
, D. Notify the healthcare provider of the urinary output - THE
CORRECT ANSWER - 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
A. use contraception during intercourse - THE CORRECT
ANSWER - 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
D. take cytotec 30min prior to motrin Cytotec, a synthetic form of
prostaglandin, is classified as pregnancy category X and can act as an
abortifacient, so the client should be instructed to use contraception
during intercourse to prevent loss of early pregnancy
D) Heart failure
Dobutamine is a beta-l adrenergic agonist that is indicated for short term
use in cardiac decompensation or heart failure (D) related to reduced
cardiac contractility due to organic heart disease or cardiac surgical
procedures. Alpha and beta adrenergic agonists, such as epinephrine
and dopamine, are sympathomimetics used in the treatment of shock
(A). Other selective beta-2 adrenergic agonists, such as terbutaline and
isoproterenol, are indicated in the treatment of asthma (B) Although
dobutamine improves cardiac output, it is not used to treat hypotension
(C) - THE CORRECT ANSWER - Dobutamine (Dobutrex) is an
emergency drug most commonly prescribed for a client with which
condition?
A) Shock
B) Asthma.
C) Hypotension
D) Heart failure
B. Benzodiasepines
