Pharmacology Hesi 2026 Actual Exam with correct
Answers
Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative
chronotrope (decreases heart rate). How do you assess for this? - ☑️ ☑A️ lways
take apical pulse for one full minute
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high
risk for dig toxicity because - ☑️☑L️ asix can cause hypokalemia, which can lead to
dig toxicity
What can happen when Digoxin is taken with Dronedarone (Multaq), which is
another anti-dysrhythmic drug)? - ☑️
☑D ️igoxin can increase in the blood level
and further increase the effects
What is the normal digoxin level? - ☑️
☑0
️ .5-2 ng/mL
Normal serum potassium level is - ☑️
☑️3.5-5.0 mEq/L
Low potassium or magnesium levels may increase risk for - ☑️
☑D
️igoxin toxicity
What are the signs and symptoms for digoxin toxcitiy? - ☑️ ☑️ anorexia,
bradycardia, headache, dizziness, confusion, nausea, and visual disturbances such
as blurred, yellow, or halo vision.
When should you hold off on giving digoxin drug therapy? - ☑️
☑i️
f apical pulse is
less than 60
, What effects do Calcium channel blockers (-dipine; amlodipine (Norvasc),
nifedipine (Procardia) cause - ☑️
☑p️ roduce vasodialation and reflex tachycardia
(lowers BP but increases HR)
Verapamil and diltiazam produce - ☑️
☑v️
asodialation and cardiosuppresssion
(lowers BP and Lowers heart rate)
Beta blockers have the drug ending - ☑️
☑️-OLOL such as atenolol, propanolol,
esmolol, ect.)
Beta 1 blocks receptors in the - ☑️
☑h
️ eart
Beta 2 blocks receptors in the - ☑️
☑l️
ungs
Beta blockers can be non selective so be aware of any - ☑️
☑️respiratory
conditions such as asthma, emphysema COPD, ect.
A nurse should always check _____ and _____ before giving a beta blocker -
☑️ ☑️ AP and BP
do not give if HR is below 60
never stop abruptly
Why do you never stop taking a Beta BLocker abruptly - ☑️
☑M
️ust taper because
angina or MI can orccur
Answers
Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative
chronotrope (decreases heart rate). How do you assess for this? - ☑️ ☑A️ lways
take apical pulse for one full minute
Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high
risk for dig toxicity because - ☑️☑L️ asix can cause hypokalemia, which can lead to
dig toxicity
What can happen when Digoxin is taken with Dronedarone (Multaq), which is
another anti-dysrhythmic drug)? - ☑️
☑D ️igoxin can increase in the blood level
and further increase the effects
What is the normal digoxin level? - ☑️
☑0
️ .5-2 ng/mL
Normal serum potassium level is - ☑️
☑️3.5-5.0 mEq/L
Low potassium or magnesium levels may increase risk for - ☑️
☑D
️igoxin toxicity
What are the signs and symptoms for digoxin toxcitiy? - ☑️ ☑️ anorexia,
bradycardia, headache, dizziness, confusion, nausea, and visual disturbances such
as blurred, yellow, or halo vision.
When should you hold off on giving digoxin drug therapy? - ☑️
☑i️
f apical pulse is
less than 60
, What effects do Calcium channel blockers (-dipine; amlodipine (Norvasc),
nifedipine (Procardia) cause - ☑️
☑p️ roduce vasodialation and reflex tachycardia
(lowers BP but increases HR)
Verapamil and diltiazam produce - ☑️
☑v️
asodialation and cardiosuppresssion
(lowers BP and Lowers heart rate)
Beta blockers have the drug ending - ☑️
☑️-OLOL such as atenolol, propanolol,
esmolol, ect.)
Beta 1 blocks receptors in the - ☑️
☑h
️ eart
Beta 2 blocks receptors in the - ☑️
☑l️
ungs
Beta blockers can be non selective so be aware of any - ☑️
☑️respiratory
conditions such as asthma, emphysema COPD, ect.
A nurse should always check _____ and _____ before giving a beta blocker -
☑️ ☑️ AP and BP
do not give if HR is below 60
never stop abruptly
Why do you never stop taking a Beta BLocker abruptly - ☑️
☑M
️ust taper because
angina or MI can orccur
