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HESI Pharmacology Practice Exam
Questions with Detailed Verified Answers
(100% Correct Answers) /Already Graded
A+
Following the administration of sublingual nitroglycerin to a client experiencing
an acute anginal attack, which assessment finding indicates to the nurse that the
desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96%
Ans: A. nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia and
reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which
client teaching is most important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis
Ans: A. flushing of the face and neck, lasting up to an hour, is a frequent reason for
discontinuing niacin. inclusion of this effect in clietn teaching may promote compliance in taking
the med.
When assessing an adolescent who recently overdosed on acetaminophen
(tylonel), it is most important for the nurse to assess for pain in which area of the
body
a. flank
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b. abdomen
c. chest
d. head
Ans: B. acetaminophen toxicisty an result in liver damage; therefore, it is especially important
for the nurse to assess for pain in the right upper quadrant of the abdomen (which might
indicated liver damage)
A client is admitted to the coronary care unit with a medical diagnosis of acute
myocardial infarction. which medication prescription decreases both preload and
afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
Ans: A. nitroglycerin is a nitrate that causes peripheral vasodilation and decreases
contractility, thereby decreasing both preload and afterload
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The
nurse knows that the action of this drug is to
A. decrease the amount of the 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
Ans: 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
Which change in data indicates to the nurse the desired effect of the angiotensin
II receptor antagonist has been achieved
A. Dependent edema reduced form +3 to +1
B. Serum HDL increased from 35 to 55mg/dl
C. PUlse rate reduced from 150 to 90 beats/min
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D. Blood pressure reducedf rom 160/90 to 130.80
Ans: D. angiotensin II receptor antagonist (blocker), prescribed from treatment of HTN. The
desired effect is a decrease in blood pressure.
Which instructions should the nurse give to a female client who just recieved a
prescription for oral metronidazole (flagyl) for treatment of trichomonas
vaginalis (select all that apply)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time
Ans: ADEF
The nurse is transcribing a new prescription for spironolactone (aldactone) for a
client who receives an angiotensin-converting enzyme inhibitor. Which action
should the nurse implement
A. verify both prescriptions with the HCP
B. report the med interactions to the nurse manager
C. hold the ACE inhibitor and give the new prescription
D. Transcribe and send the prescription to the pharmacy
Ans: A. the concomitant use of an ACE inhibitor and a potassium-sparing diuretic sucha s
spironolactone, should be given with caution b/c the two drugs may interact to cause an
elevation in serum potassium levels.
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
Click here for more: Preppass - Stuvia
HESI Pharmacology Practice Exam
Questions with Detailed Verified Answers
(100% Correct Answers) /Already Graded
A+
Following the administration of sublingual nitroglycerin to a client experiencing
an acute anginal attack, which assessment finding indicates to the nurse that the
desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96%
Ans: A. nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia and
reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which
client teaching is most important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis
Ans: A. flushing of the face and neck, lasting up to an hour, is a frequent reason for
discontinuing niacin. inclusion of this effect in clietn teaching may promote compliance in taking
the med.
When assessing an adolescent who recently overdosed on acetaminophen
(tylonel), it is most important for the nurse to assess for pain in which area of the
body
a. flank
,Page | 2
Click here for more: Preppass - Stuvia
b. abdomen
c. chest
d. head
Ans: B. acetaminophen toxicisty an result in liver damage; therefore, it is especially important
for the nurse to assess for pain in the right upper quadrant of the abdomen (which might
indicated liver damage)
A client is admitted to the coronary care unit with a medical diagnosis of acute
myocardial infarction. which medication prescription decreases both preload and
afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
Ans: A. nitroglycerin is a nitrate that causes peripheral vasodilation and decreases
contractility, thereby decreasing both preload and afterload
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The
nurse knows that the action of this drug is to
A. decrease the amount of the 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
Ans: 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
Which change in data indicates to the nurse the desired effect of the angiotensin
II receptor antagonist has been achieved
A. Dependent edema reduced form +3 to +1
B. Serum HDL increased from 35 to 55mg/dl
C. PUlse rate reduced from 150 to 90 beats/min
, Page | 3
Click here for more: Preppass - Stuvia
D. Blood pressure reducedf rom 160/90 to 130.80
Ans: D. angiotensin II receptor antagonist (blocker), prescribed from treatment of HTN. The
desired effect is a decrease in blood pressure.
Which instructions should the nurse give to a female client who just recieved a
prescription for oral metronidazole (flagyl) for treatment of trichomonas
vaginalis (select all that apply)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time
Ans: ADEF
The nurse is transcribing a new prescription for spironolactone (aldactone) for a
client who receives an angiotensin-converting enzyme inhibitor. Which action
should the nurse implement
A. verify both prescriptions with the HCP
B. report the med interactions to the nurse manager
C. hold the ACE inhibitor and give the new prescription
D. Transcribe and send the prescription to the pharmacy
Ans: A. the concomitant use of an ACE inhibitor and a potassium-sparing diuretic sucha s
spironolactone, should be given with caution b/c the two drugs may interact to cause an
elevation in serum potassium levels.
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
