PN HESI PHARM PRACTICE SET 2026
MEDICATION ADMINISTRATION QUESTIONS
HIGH YIELD A+
◉ Metronidazole (Flagyl) Alcohol Interaction.
Answer: Can cause a disulfiram-like reaction if taken with alcohol.
◉ Doxorubicin (Adriamycin) Side Effects.
Answer: Causes inflammation, blistering, and necrosis of tissue upon
extravasation.
◉ Albuterol (Proventil) Timing.
Answer: Changing the time of the dose should correspond to meal
times.
◉ Doxorubicin (Adriamycin) Pain Management.
Answer: Warm or cold compresses may be prescribed after the
infusion is discontinued.
◉ Metronidazole (Flagyl) Treatment Context.
Answer: Recommended for prevention and treatment of urinary
tract infections.
,◉ Captopril (Capoten) Mechanism.
Answer: Reduces afterload by reversing vasoconstriction in heart
failure.
◉ Captopril (Capoten) Side Effects.
Answer: Hypotension can cause dizziness.
◉ Doxorubicin (Adriamycin) IV Complications.
Answer: Edema and pain at the infusion site require stopping the IV
fluids.
◉ Losartan (Cozaar).
Answer: An angiotensin II receptor blocker (ARB) used for
hypertension and heart failure.
◉ Serum potassium level 5.9 mEq/L.
Answer: Indicates hyperkalemia, which is above the normal range of
3.5 to 5 mEq/L.
◉ Tinnitus.
Answer: An early sign of salicylate toxicity, often described as
ringing in the ears.
,◉ Digitalis (Digoxin).
Answer: A medication prescribed for congestive heart failure that
requires monitoring of serum potassium levels to prevent toxicity.
◉ Hypokalemia.
Answer: A condition characterized by low serum potassium levels,
which can precipitate digitalis toxicity.
◉ Levodopa.
Answer: A medication used to control symptoms of Parkinson's
disease, typically taken three times a day.
◉ Sustained release levodopa/carbidopa (Sinemet 25/100).
Answer: A combination medication prescribed for Parkinson's
disease that reduces the need for levodopa.
◉ Procainamide (Pronestyl).
Answer: A class 1A antidysrhythmic medication that should be
administered in divided doses to maintain stable blood levels.
◉ Dosing schedule for procainamide.
, Answer: Best implemented as q6h to ensure around-the-clock
dosing.
◉ Cardiac dysrhythmias.
Answer: Abnormal heart rhythms that can occur due to
hyperkalemia.
◉ Aspirin therapy.
Answer: High dose aspirin can lead to tinnitus as a side effect.
◉ Blood pressure monitoring.
Answer: An important assessment to perform before administering
digoxin.
◉ Apical pulse check.
Answer: Should be performed to assess heart rate and rhythm,
especially in cases of hyperkalemia.
◉ Medication discontinuation.
Answer: Necessary when signs of toxicity, such as tinnitus, are
present.
◉ Teaching plan for Sinemet.
MEDICATION ADMINISTRATION QUESTIONS
HIGH YIELD A+
◉ Metronidazole (Flagyl) Alcohol Interaction.
Answer: Can cause a disulfiram-like reaction if taken with alcohol.
◉ Doxorubicin (Adriamycin) Side Effects.
Answer: Causes inflammation, blistering, and necrosis of tissue upon
extravasation.
◉ Albuterol (Proventil) Timing.
Answer: Changing the time of the dose should correspond to meal
times.
◉ Doxorubicin (Adriamycin) Pain Management.
Answer: Warm or cold compresses may be prescribed after the
infusion is discontinued.
◉ Metronidazole (Flagyl) Treatment Context.
Answer: Recommended for prevention and treatment of urinary
tract infections.
,◉ Captopril (Capoten) Mechanism.
Answer: Reduces afterload by reversing vasoconstriction in heart
failure.
◉ Captopril (Capoten) Side Effects.
Answer: Hypotension can cause dizziness.
◉ Doxorubicin (Adriamycin) IV Complications.
Answer: Edema and pain at the infusion site require stopping the IV
fluids.
◉ Losartan (Cozaar).
Answer: An angiotensin II receptor blocker (ARB) used for
hypertension and heart failure.
◉ Serum potassium level 5.9 mEq/L.
Answer: Indicates hyperkalemia, which is above the normal range of
3.5 to 5 mEq/L.
◉ Tinnitus.
Answer: An early sign of salicylate toxicity, often described as
ringing in the ears.
,◉ Digitalis (Digoxin).
Answer: A medication prescribed for congestive heart failure that
requires monitoring of serum potassium levels to prevent toxicity.
◉ Hypokalemia.
Answer: A condition characterized by low serum potassium levels,
which can precipitate digitalis toxicity.
◉ Levodopa.
Answer: A medication used to control symptoms of Parkinson's
disease, typically taken three times a day.
◉ Sustained release levodopa/carbidopa (Sinemet 25/100).
Answer: A combination medication prescribed for Parkinson's
disease that reduces the need for levodopa.
◉ Procainamide (Pronestyl).
Answer: A class 1A antidysrhythmic medication that should be
administered in divided doses to maintain stable blood levels.
◉ Dosing schedule for procainamide.
, Answer: Best implemented as q6h to ensure around-the-clock
dosing.
◉ Cardiac dysrhythmias.
Answer: Abnormal heart rhythms that can occur due to
hyperkalemia.
◉ Aspirin therapy.
Answer: High dose aspirin can lead to tinnitus as a side effect.
◉ Blood pressure monitoring.
Answer: An important assessment to perform before administering
digoxin.
◉ Apical pulse check.
Answer: Should be performed to assess heart rate and rhythm,
especially in cases of hyperkalemia.
◉ Medication discontinuation.
Answer: Necessary when signs of toxicity, such as tinnitus, are
present.
◉ Teaching plan for Sinemet.
