HESI PHARMACOLOGY TEST V3 2024-2025
MIDTERM EXAM QUESTIONS WITH WELL
VERIFIED ANSWERS ALREADY GRADED A+
A client is receiving metoprolol (Lopressor SR). What assessment is most important for the nurse to
obtain?
A. Temperature
B. Lung sounds
C. Blood pressure.
D. Urinary output - ANSWERS -C. Blood Pressure
It is most important to monitor the blood pressure (C) of clients taking this medication because
Lopressor is an antianginal, antiarryhthmic, antihypertensive agent. While (A and B) are important data
to obtain on any client, they are not as important for a client receiving Lopressor as (C). Intake and
output rations and daily weights should be monitored while taking Lopressor to assess for signs and
symptoms of congestive heart failure, but (D) alone does not have the importance of (C).
A client with Parkinson's disease is t aking carbidopa-levodopa (Sinemet). Which observation by the
nurse should indicate that the desired outcome of the medication is being achieved?
A. Decreased blood pressure
B. Lessening of tremors.
C. Increased salivation.
D. Increased attention span. - ANSWERS -B. Lessening of tremors
Sinemet increase the amount of levodopa to the CNS (dopamine to the brain). Increased amounts of
dopamine improve the symptoms of Parkinson's, such as involuntary movements, resting tremors (B),
shuffling gait, etc. (A) is a side effect of Sinemet. Decreased drooling would be a desired effect, not (C).
Sinemet does not affect (D).
Which drug is used as a palliative treatment for a client with tumor-induced spinal cord compression?
, A. Morphine Sulfate (Duromorph)
B. Ibuprofen (Advil)
C. Amitriptyline (Amitril)
D. Dexamethasone (Decadron) - ANSWERS -D. Dexamethasone (Decadron)
Dexamethasone (Decadron) is a palliative treatment modality to manage symptoms related to
compression due to tumor growth. Morphine sulfate (A) is an opioid analgesic used in oncology to
manage severe or intrachtable pain. Ibuprofen (B), a nonsteroidal antiinflammatory drug (NSAID),
provides relief for mild to moderate pain, suppresion of inflammation, and reduction of fever.
Amitriptyline (C), a tricyclic antidepressant, is often prescribed for pain related to neuropathin origin and
provides a reduction in opioid dosage.
Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for
arthritis?
A. Loperamide (Imodium)
B. Probanthine (Propantheline)
C. Bismuth subsalicylate (Pepto Bismol)
D. Diphenoxylate hydrochloride with atropine (Lomotil) - ANSWERS -C. Bismuth subsalicylate (Pepto
Bismol)
Bismuth subsalicylate (Pepto Bismol) contains a subsalicylate that increases the potential for salicylate
toxicity when used concurrently with aspirin (acetylsalicylc acid, another salicylate preparation). (A, B,
and D) do not pose the degree of risk of drug interaction with aspirin as Pepto Bismol would.
A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the
client to notify the healthcare provider immediately if which symptom occurs?
A. Rash
B. Nausea
C. Headache
D. Dizziness - ANSWERS -A. Rash
Rash (A) is the most common adverse effect of all penicillins, indicating an allergy to the medication
which could result in anaphylactic shock, a medical emergency. (B, C, and D) are common side effects of
penicillins that should subside after the body adjusts to the medication. These would not require
immediate medical care unless the symptoms persist beyond the first few days or become extremely
severe.
MIDTERM EXAM QUESTIONS WITH WELL
VERIFIED ANSWERS ALREADY GRADED A+
A client is receiving metoprolol (Lopressor SR). What assessment is most important for the nurse to
obtain?
A. Temperature
B. Lung sounds
C. Blood pressure.
D. Urinary output - ANSWERS -C. Blood Pressure
It is most important to monitor the blood pressure (C) of clients taking this medication because
Lopressor is an antianginal, antiarryhthmic, antihypertensive agent. While (A and B) are important data
to obtain on any client, they are not as important for a client receiving Lopressor as (C). Intake and
output rations and daily weights should be monitored while taking Lopressor to assess for signs and
symptoms of congestive heart failure, but (D) alone does not have the importance of (C).
A client with Parkinson's disease is t aking carbidopa-levodopa (Sinemet). Which observation by the
nurse should indicate that the desired outcome of the medication is being achieved?
A. Decreased blood pressure
B. Lessening of tremors.
C. Increased salivation.
D. Increased attention span. - ANSWERS -B. Lessening of tremors
Sinemet increase the amount of levodopa to the CNS (dopamine to the brain). Increased amounts of
dopamine improve the symptoms of Parkinson's, such as involuntary movements, resting tremors (B),
shuffling gait, etc. (A) is a side effect of Sinemet. Decreased drooling would be a desired effect, not (C).
Sinemet does not affect (D).
Which drug is used as a palliative treatment for a client with tumor-induced spinal cord compression?
, A. Morphine Sulfate (Duromorph)
B. Ibuprofen (Advil)
C. Amitriptyline (Amitril)
D. Dexamethasone (Decadron) - ANSWERS -D. Dexamethasone (Decadron)
Dexamethasone (Decadron) is a palliative treatment modality to manage symptoms related to
compression due to tumor growth. Morphine sulfate (A) is an opioid analgesic used in oncology to
manage severe or intrachtable pain. Ibuprofen (B), a nonsteroidal antiinflammatory drug (NSAID),
provides relief for mild to moderate pain, suppresion of inflammation, and reduction of fever.
Amitriptyline (C), a tricyclic antidepressant, is often prescribed for pain related to neuropathin origin and
provides a reduction in opioid dosage.
Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for
arthritis?
A. Loperamide (Imodium)
B. Probanthine (Propantheline)
C. Bismuth subsalicylate (Pepto Bismol)
D. Diphenoxylate hydrochloride with atropine (Lomotil) - ANSWERS -C. Bismuth subsalicylate (Pepto
Bismol)
Bismuth subsalicylate (Pepto Bismol) contains a subsalicylate that increases the potential for salicylate
toxicity when used concurrently with aspirin (acetylsalicylc acid, another salicylate preparation). (A, B,
and D) do not pose the degree of risk of drug interaction with aspirin as Pepto Bismol would.
A client is receiving ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the
client to notify the healthcare provider immediately if which symptom occurs?
A. Rash
B. Nausea
C. Headache
D. Dizziness - ANSWERS -A. Rash
Rash (A) is the most common adverse effect of all penicillins, indicating an allergy to the medication
which could result in anaphylactic shock, a medical emergency. (B, C, and D) are common side effects of
penicillins that should subside after the body adjusts to the medication. These would not require
immediate medical care unless the symptoms persist beyond the first few days or become extremely
severe.
