HESI Pharmacology Practice Exam
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1. Following the administration of sublingual nitroglycerin to a client
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f experiencing an acute anginal attack, which assessment finding indicates to
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f the nurse that the desired effect has been achieved?
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A. Client states chest pain is relieved
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B. Client's pulse decreases from 120 to 90
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C. Client's systolic blood pressure decreases from 180 to 90
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D. Clients SaO2 level increases from 92% to 96%: A. nitroglycerin reduces
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mycocardial oxygen consumption which decreases ischemia and
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reduces chest pain
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2. A client with hyperlipidemia recieves a prescription for niacin (niaspan).
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which client teaching is most important for the nurse to provide
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a. expected duration of flushing f f f
b. symptoms of hyperglycemia f f
c. diets that minimize gi irritation
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1 f/ f63
, HESI Pharmacology Practice Exam f f f
d. comfort measure for pruritis: A. flushing of the face and neck, lasting up to
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an hour, is a frequent reason for discontinuing niacin. inclusion of this
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effect in clietn teaching may promote compliance in taking the med.
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3. When assessing an adolescent who recently overdosed on acetaminophen
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(tylonel), it is most important for the nurse to assess for pain in which area of the
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body a. flank
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b. abdomen
c. chest
d. head: B. acetaminophen toxicisty an result in liver damage; therefore, it
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is especially important for the nurse to assess for pain in the right upper
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quadrant of the abdomen (which might indicated liver damage)
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4. A client is admitted to the coronary care unit with a medical diagnosis of
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acute myocardial infarction. which medication prescription decreases both
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preload and afterload a. nitroglycerin
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b. propranolol
c. propranolol
2 f/ f63
, HESI Pharmacology Practice Exam f f f
d. captopril: A. nitroglycerin is a nitrate that causes peripheral
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vasodilation and decreases contractility, thereby decreasing both
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preload and afterload
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5. A client is being treated for hyperthyroidism with propylthiouracil (PTU).
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The nurse knows that the action of this drug is to
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A. decrease the amount of the thyroid-stimulating hormone circulating in the
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f blood
3 f/ f63
, HESI Pharmacology Practice Exam
f f f
B. increase the amount of thyroid-stimulating hormone circulating in the
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f blood
C. increase the amount of T4 and decrease the amount of T3 produced by
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f the thyroid
f
D. inhibit synthesis of T3 and T4 by the thyroid gland: D. PTU is an adjunct
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f therapy used to control hyperthyroidism by inhibiting production of
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f thyroid hormones. f
t is often prescribed in prep for thyroidectomy or radioactive iodine therapy 6.
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f Which change in data indicates to the nurse the desired effect of the
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f angiotensin II receptor antagonist has been achieved f f f f f f
A. Dependent edema reduced form +3 to +1 f f f f f f
B. Serum HDL increased from 35 to 55mg/dl f f f f f f
C. PUlse rate reduced from 150 to 90 beats/min
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D. Blood pressure reducedf rom 160/90 to 130.80: D. angiotensin II receptor
f f f f f f f f f f
f antagonist (blocker), prescribed from treatment of HTN. The desired
f f f f f f f f
4 f/ f63
f f f
1. Following the administration of sublingual nitroglycerin to a client
f f f f f f f f
f experiencing an acute anginal attack, which assessment finding indicates to
f f f f f f f f f
f the nurse that the desired effect has been achieved?
f f f f f f f f
A. Client states chest pain is relieved
f f f f f
B. Client's pulse decreases from 120 to 90
f f f f f f
C. Client's systolic blood pressure decreases from 180 to 90
f f f f f f f f
D. Clients SaO2 level increases from 92% to 96%: A. nitroglycerin reduces
f f f f f f f f f f
mycocardial oxygen consumption which decreases ischemia and
f f f f f f f
reduces chest pain
f f f
2. A client with hyperlipidemia recieves a prescription for niacin (niaspan).
f f f f f f f f f
which client teaching is most important for the nurse to provide
f f f f f f f f f f f
a. expected duration of flushing f f f
b. symptoms of hyperglycemia f f
c. diets that minimize gi irritation
f f f f
1 f/ f63
, HESI Pharmacology Practice Exam f f f
d. comfort measure for pruritis: A. flushing of the face and neck, lasting up to
f f f f f f f f f f f f f
an hour, is a frequent reason for discontinuing niacin. inclusion of this
f f f f f f f f f f f f
effect in clietn teaching may promote compliance in taking the med.
f f f f f f f f f f f
3. When assessing an adolescent who recently overdosed on acetaminophen
f f f f f f f f
(tylonel), it is most important for the nurse to assess for pain in which area of the
f f f f f f f f f f f f f f f f f
body a. flank
f f f
b. abdomen
c. chest
d. head: B. acetaminophen toxicisty an result in liver damage; therefore, it
f f f f f f f f f f
is especially important for the nurse to assess for pain in the right upper
f f f f f f f f f f f f f f
quadrant of the abdomen (which might indicated liver damage)
f f f f f f f f f
4. A client is admitted to the coronary care unit with a medical diagnosis of
f f f f f f f f f f f f f
acute myocardial infarction. which medication prescription decreases both
f f f f f f f f
preload and afterload a. nitroglycerin
f f f f f
b. propranolol
c. propranolol
2 f/ f63
, HESI Pharmacology Practice Exam f f f
d. captopril: A. nitroglycerin is a nitrate that causes peripheral
f f f f f f f f
vasodilation and decreases contractility, thereby decreasing both
f f f f f f f
preload and afterload
f f f
5. A client is being treated for hyperthyroidism with propylthiouracil (PTU).
f f f f f f f f f
The nurse knows that the action of this drug is to
f f f f f f f f f f f
A. decrease the amount of the thyroid-stimulating hormone circulating in the
f f f f f f f f f
f blood
3 f/ f63
, HESI Pharmacology Practice Exam
f f f
B. increase the amount of thyroid-stimulating hormone circulating in the
f f f f f f f f
f blood
C. increase the amount of T4 and decrease the amount of T3 produced by
f f f f f f f f f f f f
f the thyroid
f
D. inhibit synthesis of T3 and T4 by the thyroid gland: D. PTU is an adjunct
f f f f f f f f f f f f f f
f therapy used to control hyperthyroidism by inhibiting production of
f f f f f f f f
f thyroid hormones. f
t is often prescribed in prep for thyroidectomy or radioactive iodine therapy 6.
f f f f f f f f f f f f
f Which change in data indicates to the nurse the desired effect of the
f f f f f f f f f f f f
f angiotensin II receptor antagonist has been achieved f f f f f f
A. Dependent edema reduced form +3 to +1 f f f f f f
B. Serum HDL increased from 35 to 55mg/dl f f f f f f
C. PUlse rate reduced from 150 to 90 beats/min
f f f f f f f
D. Blood pressure reducedf rom 160/90 to 130.80: D. angiotensin II receptor
f f f f f f f f f f
f antagonist (blocker), prescribed from treatment of HTN. The desired
f f f f f f f f
4 f/ f63
