HESI Pharmacology Exam Practice
n n n
HESI Pharmacology Exam Practice
n n n n
1n/n90
, HESI Pharmacology Exam Practice
n n n
1. 149.) A client taking fexofenadine (Allegra) is scheduled for allergy skin testi
n n n n n n n n n n n n
ng and tells the nurse in the health care provider's office that a dose was taken
n n n n n n n n n n n n n n n n
this morning. The nurse determines that:
n n n n n
1. The client should reschedule the appointment.
n n n n n
2. A lower dose of allergen will need to be injected.
n n n n n n n n n
3. A higher dose of allergen will need to be injected.
n n n n n n n n n
4. The client should have the skin test read a day later than usual.: 1. The client
n n n n n n n n n n n n n n n n
should reschedule the appointment.
n n n
Rationale:
Fexofenadine is an antihistamine, which provides relief of symptoms caused by aller
n n n n n n n n n n n
gy. Antihistamines should be discontinued for at least 3 days (72 hours) before allerg
n n n n n n n n n n n n n
y skin testing to avoid false-
n n n n n
2n/n90
, HESI Pharmacology Exam Practice
n n n
negative readings. This client should have the appointment rescheduled for 3 days af
n n n n n n n n n n n n
ter discontinuing the medication.
n n n
2. 150.) A client complaining of not feeling well is seen in a clinic. The client is t
n n n n n n n n n n n n n n n n n
aking several medications for the control of heart disease and hypertension. T
n n n n n n n n n n n
hese medications include a ²-
n n n n
blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxi
n n n n n n n n n n n
city is made. Which of the following assessment data would support this diagn
n n n n n n n n n n n n
osis? n
1. Dyspnea, edema, and palpitations n n n
2. Chest pain, hypotension, and paresthesia
n n n n
3. Double vision, loss of appetite, and nausea
n n n n n n
4. Constipation, dry mouth, and sleep disorder: 3. Double vision, loss of appetite,
n n n n n n n n n n n
and nausea Rationale:
n n
Double vision, loss of appetite, and nausea are signs of digoxin toxicity. Additional sig
n n n n n n n n n n n n n
ns of digoxin toxicity include bradycardia, difficulty reading, visual alterations such as
n n n n n n n n n n n
3n/n90
, HESI Pharmacology Exam Practice
n n n
green and yellow vision or seeing spots or halos, confusion, vomiting, diarrhea, decre
n n n n n n n n n n n n
ased libido, and impotence.
n n n
**gastrointestinal (GI) and visual disturbances occur with digoxin toxicity** n n n n n n n n
3. 151.) A client is being treated for acute congestive heart failure with intraven
n n n n n n n n n n n n n
ously administered bumetanide. The vital signs are as follows: blood pressure
n n n n n n n n n n
, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After th
n n n n n n n n n n n n
e initial dose, which of the following is the priority assessment?
n n n n n n n n n n
1. Monitoring weight loss n n
2. Monitoring temperature n
3. Monitoring blood pressure n n
4. Monitoring potassium level: 3. Monitoring blood pressure Rationale: n n n n n n n
Bumetanide is a loop diuretic. Hypotension is a common side effect associated with t
n n n n n n n n n n n n n
he use of this medication. The other options also require assessment but are not the
n n n n n n n n n n n n n n
priority.
**priority ABCs—airway, breathing, and circulation**
n n n n
4n/n90
n n n
HESI Pharmacology Exam Practice
n n n n
1n/n90
, HESI Pharmacology Exam Practice
n n n
1. 149.) A client taking fexofenadine (Allegra) is scheduled for allergy skin testi
n n n n n n n n n n n n
ng and tells the nurse in the health care provider's office that a dose was taken
n n n n n n n n n n n n n n n n
this morning. The nurse determines that:
n n n n n
1. The client should reschedule the appointment.
n n n n n
2. A lower dose of allergen will need to be injected.
n n n n n n n n n
3. A higher dose of allergen will need to be injected.
n n n n n n n n n
4. The client should have the skin test read a day later than usual.: 1. The client
n n n n n n n n n n n n n n n n
should reschedule the appointment.
n n n
Rationale:
Fexofenadine is an antihistamine, which provides relief of symptoms caused by aller
n n n n n n n n n n n
gy. Antihistamines should be discontinued for at least 3 days (72 hours) before allerg
n n n n n n n n n n n n n
y skin testing to avoid false-
n n n n n
2n/n90
, HESI Pharmacology Exam Practice
n n n
negative readings. This client should have the appointment rescheduled for 3 days af
n n n n n n n n n n n n
ter discontinuing the medication.
n n n
2. 150.) A client complaining of not feeling well is seen in a clinic. The client is t
n n n n n n n n n n n n n n n n n
aking several medications for the control of heart disease and hypertension. T
n n n n n n n n n n n
hese medications include a ²-
n n n n
blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxi
n n n n n n n n n n n
city is made. Which of the following assessment data would support this diagn
n n n n n n n n n n n n
osis? n
1. Dyspnea, edema, and palpitations n n n
2. Chest pain, hypotension, and paresthesia
n n n n
3. Double vision, loss of appetite, and nausea
n n n n n n
4. Constipation, dry mouth, and sleep disorder: 3. Double vision, loss of appetite,
n n n n n n n n n n n
and nausea Rationale:
n n
Double vision, loss of appetite, and nausea are signs of digoxin toxicity. Additional sig
n n n n n n n n n n n n n
ns of digoxin toxicity include bradycardia, difficulty reading, visual alterations such as
n n n n n n n n n n n
3n/n90
, HESI Pharmacology Exam Practice
n n n
green and yellow vision or seeing spots or halos, confusion, vomiting, diarrhea, decre
n n n n n n n n n n n n
ased libido, and impotence.
n n n
**gastrointestinal (GI) and visual disturbances occur with digoxin toxicity** n n n n n n n n
3. 151.) A client is being treated for acute congestive heart failure with intraven
n n n n n n n n n n n n n
ously administered bumetanide. The vital signs are as follows: blood pressure
n n n n n n n n n n
, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After th
n n n n n n n n n n n n
e initial dose, which of the following is the priority assessment?
n n n n n n n n n n
1. Monitoring weight loss n n
2. Monitoring temperature n
3. Monitoring blood pressure n n
4. Monitoring potassium level: 3. Monitoring blood pressure Rationale: n n n n n n n
Bumetanide is a loop diuretic. Hypotension is a common side effect associated with t
n n n n n n n n n n n n n
he use of this medication. The other options also require assessment but are not the
n n n n n n n n n n n n n n
priority.
**priority ABCs—airway, breathing, and circulation**
n n n n
4n/n90
