HESI PHARMACOLOGY TEST V4 ON
HORMONES 2024-2025 MID TERM EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS|ALREADY GRADED A+
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. - ANSWERS -B.
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 - ANSWERS -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. - ANSWERS -B.
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 - ANSWERS -A. q6h
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. - ANSWERS -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.
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. - ANSWERS -D. 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 - ANSWERS -A. 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. increase the amount of T4 and decrease the amount of T3 produced by the thyroid.
D. inhibit synthesis of T3 and T4 by the thyroid gland. - ANSWERS -D. 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
D. take cytotec 30min prior to motrin - ANSWERS -A. Use contraception during intercourse.
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
HORMONES 2024-2025 MID TERM EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS|ALREADY GRADED A+
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. - ANSWERS -B.
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 - ANSWERS -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. - ANSWERS -B.
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 - ANSWERS -A. q6h
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. - ANSWERS -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.
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. - ANSWERS -D. 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 - ANSWERS -A. 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. increase the amount of T4 and decrease the amount of T3 produced by the thyroid.
D. inhibit synthesis of T3 and T4 by the thyroid gland. - ANSWERS -D. 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
D. take cytotec 30min prior to motrin - ANSWERS -A. Use contraception during intercourse.
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
