1|Page
EVOLVE PHARMACOLOGY HESI EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
The nurse assesses the intravenous infusion site of a patient
receiving dopamine and finds it is infiltrated. The nurse will
prepare which medication to treat this infiltration? - ANSWER-
phentolamine (Regitine)
Rationale: Phentolamine is an alpha blocker that causes
vasodilation, thus counteracting the vasoconstrictive effects
of the infiltrated dopamine. The vasodilation will increase
blood flow to the site and decrease the risk of tissue
necrosis.
The physician has ordered dopamine to treat the patient's
hypovolemic shock secondary to severe blood loss. For the
medication to be effective, the physician must also order -
ANSWER-fluid replacement
,2|Page
Rationale: Dopamine increases blood pressure secondary to
vasoconstriction, which has a limited effect if there is not
enough volume within the circulatory system.
When assessing for cardiovascular effects of an adrenergic
(sympathomimetic) drug, the nurse understands that these drugs
produce - ANSWER-a positive inotropic, positive chronotropic,
and positive dromotropic effect
Rationale: Adrenergic stimulation of the beta1-adrenergic
receptors on the myocardium and in the conduction system
of the heart results in an increased heart rate (positive
chronotropic effect), increased contractility (positive
inotropic effect), and increased conductivity (positive
dromotropic effect).
During assessment of a patient diagnosed with
pheochromocytoma, the nurse auscultates a blood pressure of
210/110 mm Hg. The nurse would expect to administer which
medication? - ANSWER-phentolamine (Regitine)
,3|Page
Rationale: Phentolamine is a potent alpha-blocking drug
specifically effective for treatment of hypertension
associated with pheochromocytoma.
Patient teaching for a patient being discharged on a beta blocker
includes which statement? - ANSWER-"If you take your pulse and
it is less than 60, hold your medicine and call your health care
provider for instructions."
Rationale: Beta blockers have a negative chronotropic effect
and could cause symptomatic bradycardia and/or heart
block. The physician should be consulted before
administering to a patient with bradycardia (heart rate <60
beats/min).
When teaching a patient about beta blockers such as atenolol
(Tenormin) and metoprolol (Lopressor), it is important to inform
the patient that - ANSWER-abrupt medication withdrawal may
lead to a rebound hypertensive crisis
, 4|Page
Rationale: Abrupt withdrawal of a beta-blocking drug can
cause rebound hypertension. These drugs should be
gradually decreased.
The priority nursing diagnosis for a patient taking metoprolol
(Lopressor) would be - ANSWER-Risk for decreased cardiac
tissue perfusion related to effects of medication.
Rationale: Using the ABCs of prioritization, Risk for
decreased cardiac tissue perfusion puts the patient at
highest risk. Although the other nursing diagnoses are
pertinent, they are not the priority.
Cholinergic (parasympathomimetic) drugs are indicated for which
situation? - ANSWER-Lowering intraocular pressure in patients
with glaucoma
Rationale: Cholinergic drugs stimulate the pupil to constrict
(miosis), thus decreasing intraocular pressure
EVOLVE PHARMACOLOGY HESI EXAM LATEST 2026-2027 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
The nurse assesses the intravenous infusion site of a patient
receiving dopamine and finds it is infiltrated. The nurse will
prepare which medication to treat this infiltration? - ANSWER-
phentolamine (Regitine)
Rationale: Phentolamine is an alpha blocker that causes
vasodilation, thus counteracting the vasoconstrictive effects
of the infiltrated dopamine. The vasodilation will increase
blood flow to the site and decrease the risk of tissue
necrosis.
The physician has ordered dopamine to treat the patient's
hypovolemic shock secondary to severe blood loss. For the
medication to be effective, the physician must also order -
ANSWER-fluid replacement
,2|Page
Rationale: Dopamine increases blood pressure secondary to
vasoconstriction, which has a limited effect if there is not
enough volume within the circulatory system.
When assessing for cardiovascular effects of an adrenergic
(sympathomimetic) drug, the nurse understands that these drugs
produce - ANSWER-a positive inotropic, positive chronotropic,
and positive dromotropic effect
Rationale: Adrenergic stimulation of the beta1-adrenergic
receptors on the myocardium and in the conduction system
of the heart results in an increased heart rate (positive
chronotropic effect), increased contractility (positive
inotropic effect), and increased conductivity (positive
dromotropic effect).
During assessment of a patient diagnosed with
pheochromocytoma, the nurse auscultates a blood pressure of
210/110 mm Hg. The nurse would expect to administer which
medication? - ANSWER-phentolamine (Regitine)
,3|Page
Rationale: Phentolamine is a potent alpha-blocking drug
specifically effective for treatment of hypertension
associated with pheochromocytoma.
Patient teaching for a patient being discharged on a beta blocker
includes which statement? - ANSWER-"If you take your pulse and
it is less than 60, hold your medicine and call your health care
provider for instructions."
Rationale: Beta blockers have a negative chronotropic effect
and could cause symptomatic bradycardia and/or heart
block. The physician should be consulted before
administering to a patient with bradycardia (heart rate <60
beats/min).
When teaching a patient about beta blockers such as atenolol
(Tenormin) and metoprolol (Lopressor), it is important to inform
the patient that - ANSWER-abrupt medication withdrawal may
lead to a rebound hypertensive crisis
, 4|Page
Rationale: Abrupt withdrawal of a beta-blocking drug can
cause rebound hypertension. These drugs should be
gradually decreased.
The priority nursing diagnosis for a patient taking metoprolol
(Lopressor) would be - ANSWER-Risk for decreased cardiac
tissue perfusion related to effects of medication.
Rationale: Using the ABCs of prioritization, Risk for
decreased cardiac tissue perfusion puts the patient at
highest risk. Although the other nursing diagnoses are
pertinent, they are not the priority.
Cholinergic (parasympathomimetic) drugs are indicated for which
situation? - ANSWER-Lowering intraocular pressure in patients
with glaucoma
Rationale: Cholinergic drugs stimulate the pupil to constrict
(miosis), thus decreasing intraocular pressure
