PHARMACOLOGY HESI PRACTICE EXAM.
COMPREHENSIVE TEST BANK WITH ACTUAL
QUESTIONS WITH CORRECT VERIFIED
ANSWERS. ALREADY GRADED A+
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.
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.
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.
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
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.
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
A. q6h
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.
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
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.
COMPREHENSIVE TEST BANK WITH ACTUAL
QUESTIONS WITH CORRECT VERIFIED
ANSWERS. ALREADY GRADED A+
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.
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.
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.
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
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.
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
A. q6h
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.
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
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.
