HESI Pharmacology Practice Exam questions with 100% correct detailed answers (verified answers) already passed and rated a+

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HESI Pharmacology Practice Exam questions
with 100% correct detailed answers (verified
answers) already passed and rated a+

Following the administration of sublingual nitroglycerin to a client experiencing an
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acute anginal attack, which assessment finding indicates to the nurse that the desired
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effect has been achieved?
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A. Client states chest pain is relieved
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B. Client's pulse decreases from 120 to 90
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C. Client's systolic blood pressure decreases from 180 to 90
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D. Clients SaO2 level increases from 92% to 96% - (Correct Answer) `A. nitroglycerin
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reduces mycocardial oxygen consumption which decreases ischemia and reduces
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chest pain
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A client with hyperlipidemia recieves a prescription for niacin (niaspan). which client
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teaching is most important for the nurse to provide
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a. expected duration of flushing
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b. symptoms of hyperglycemia
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c. diets that minimize gi irritation
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d. comfort measure for pruritis - (Correct Answer) `A. flushing of the face and neck,
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lasting up to an hour, is a frequent reason for discontinuing niacin. inclusion of this
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effect in clietn teaching may promote compliance in taking the med.
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When assessing an adolescent who recently overdosed on acetaminophen (tylonel), it
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is most important for the nurse to assess for pain in which area of the body
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a. flank l




b. abdomenl




c. chest
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d. head - (Correct Answer) `B. acetaminophen toxicisty an result in liver damage;
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therefore, it is especially important for the nurse to assess for pain in the right upper
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quadrant of the abdomen (which might indicated liver damage)
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A client is admitted to the coronary care unit with a medical diagnosis of acute
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myocardial infarction. which medication prescription decreases both preload and
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afterload
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a. nitroglycerin
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b. propranolol
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c. propranolol
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d. captopril - (Correct Answer) `A. nitroglycerin is a nitrate that causes peripheral
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vasodilation and decreases contractility, thereby decreasing both preload and
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afterload
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A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse
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knows that the action of this drug is to
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A. decrease the amount of the thyroid-stimulating hormone circulating in the blood
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B. increase the amount of thyroid-stimulating hormone circulating in the blood
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C. increase the amount of T4 and decrease the amount of T3 produced by the thyroid
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D. inhibit synthesis of T3 and T4 by the thyroid gland - (Correct Answer) `D. PTU is an
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adjunct therapy used to control hyperthyroidism by inhibiting production of thyroid
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hormones. It is often prescribed in prep for thyroidectomy or radioactive iodine
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therapy
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Which change in data indicates to the nurse the desired effect of the angiotensin II
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receptor antagonist has been achieved
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A. Dependent edema reduced form +3 to +1
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B. Serum HDL increased from 35 to 55mg/dl
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C. PUlse rate reduced from 150 to 90 beats/min
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D. Blood pressure reducedf rom 160/90 to 130.80 - (Correct Answer) `D. angiotensin II
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receptor antagonist (blocker), prescribed from treatment of HTN. The desired effect is
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a decrease in blood pressure.
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Which instructions should the nurse give to a female client who just recieved a
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prescription for oral metronidazole (flagyl) for treatment of trichomonas vaginalis
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(select all that apply)
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A. increase fluid intake, especially cranberry juice
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B. Do not abruptly discontinue the medication; taper use
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C. Check blood pressure daily to detect hypertension
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D. Avoid drinking alcohol while taking this medication
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E. Use condoms until treatment is completed
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F. Ensure that all sexual partners are treated at the same time - (Correct Answer) `ADEF
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The nurse is transcribing a new prescription for spironolactone (aldactone) for a client
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who receives an angiotensin-converting enzyme inhibitor. Which action should the
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nurse implement
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A. verify both prescriptions with the HCP
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B. report the med interactions to the nurse manager
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C. hold the ACE inhibitor and give the new prescription
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D. Transcribe and send the prescription to the pharmacy - (Correct Answer) `A. the
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concomitant use of an ACE inhibitor and a potassium-sparing diuretic sucha s
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spironolactone, should be given with caution b/c the two drugs may interact to cause
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an elevation in serum potassium levels.
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A client has myxedema, which results from a deficiency of thyroid hormone synthesis
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in adults. The nurse knows that which medication should be contraindicated for this
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client?
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A. liothyronine (cytomel) to replace iodine
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B. Furosemide (Lasix) for relief of fluid retention
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C. Pentobarbital sodium for sleep
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D. nitroglycerin for angina pain - (Correct Answer) `C. persons with myxedema are
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dangerously hypersensitive to narcotics, barbiturates, and anesthetics. They do not
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tolerate liothyronine and usually receive iodine replacement therapy. These clients
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are also suceptable to heart problems such as angina for which nitroglycerine would be
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indicated and and congestive heart failure for which furosemide would be indicated
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