HESI Pharmacology 2021 Questions and
Answers
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information
should the nurse include in the client's instruction? Correct answer- Take the medication
with food.
A client is receiving metoprolol (Lopressor SR). What assessment is most important for
the nurse to obtain? Correct answer- Blood pressure.
A 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?
Correct answer- q6h.
Which instruction(s) should the nurse give to a female client who just received a
prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis?
(Select all that apply.) Correct answer- Increase fluid intake, especially cranberry juice.
Avoid drinking alcohol while taking this medication.
Use condoms until treatment is completed. Ensure that all sexual partners are treated at
the same time.
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to
prevent motion sickness while on a cruise. Which information should the nurse provide
to the client? Correct answer- Apply the patch at least 4 hours prior to departure.
Which client should the nurse identify as being at highest risk for complications during
the use of an opioid analgesic? Correct answer- A young adult with inflammatory bowel
disease.
A client who has been prescribed atorvastatin (Lipitor) one month ago calls the triage
nurse at the clinic complaining of muscle pain and weakness in his legs. Which
statement reflects the correct drug-specific teaching the nurse should provide to this
client? Correct answer- Make an appointment to see the healthcare provider because
muscle pain may be an indication of a serious side effect
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse
knows that the action of this drug is to Correct answer- inhibit synthesis of T3 and T4 by
the thyroid gland.
, Which change in data indicates to the nurse that the desired effect of the angiotensin II
receptor antagonist valsartan (Diovan) has been achieved? Correct answer- Blood
pressure reduced from 160/90 to 130/80.
A client has a continuous 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? Correct answer- Notify
the healthcare provider of the urinary output.
A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity should
the nurse instruct the client to report promptly to the healthcare provider? Correct
answer- Tachycardia and chest pain.
Following heparin treatment for a pulmonary embolism, a client is being discharged with
a prescription for warfarin (Coumadin). In conducting discharge teaching, the nurse
advises the client to have which diagnostic test monitored regularly after discharge?
Correct answer- Prothrombin Time (PT/INR).
An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse
knows that the purpose of this medication is to Correct answer- maintain a gastric pH of
3.5 or above.
Upon admission to the emergency center, an adult client with acute status asthmaticus
is prescribed this series of medications. In which order should the nurse administer the
prescribed medications? (Arrange from first to last.)
1) Prednisone (Deltasone) orally.
2) Gentamicin (Garamycin) IM.
3) Albuterol (Proventil) puffs.
4) Salmeterol (Serevent Diskus). Correct answer- Albuterol (Proventil) puffs.
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally.
Gentamicin (Garamycin) IM.
The nitrate isosorbide dinitrate (Isordil) is prescribed for a client with angina. Which
instruction should the nurse include in this client's discharge teaching plan? Correct
answer- Do not get up quickly. Always rise slowly.
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old
client with arthritis. The client reports that she can't hear the nurse's questions because
her ears are ringing. What action should the nurse implement? Correct answer- Notify
the healthcare provider of this finding immediately.
A client with congestive heart failure (CHF) is being discharged with a new prescription
for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's
Answers
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information
should the nurse include in the client's instruction? Correct answer- Take the medication
with food.
A client is receiving metoprolol (Lopressor SR). What assessment is most important for
the nurse to obtain? Correct answer- Blood pressure.
A 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?
Correct answer- q6h.
Which instruction(s) should the nurse give to a female client who just received a
prescription for oral metronidazole (Flagyl) for treatment of trichomonas vaginalis?
(Select all that apply.) Correct answer- Increase fluid intake, especially cranberry juice.
Avoid drinking alcohol while taking this medication.
Use condoms until treatment is completed. Ensure that all sexual partners are treated at
the same time.
An adult client is given a prescription for a scopolamine patch (Transderm Scop) to
prevent motion sickness while on a cruise. Which information should the nurse provide
to the client? Correct answer- Apply the patch at least 4 hours prior to departure.
Which client should the nurse identify as being at highest risk for complications during
the use of an opioid analgesic? Correct answer- A young adult with inflammatory bowel
disease.
A client who has been prescribed atorvastatin (Lipitor) one month ago calls the triage
nurse at the clinic complaining of muscle pain and weakness in his legs. Which
statement reflects the correct drug-specific teaching the nurse should provide to this
client? Correct answer- Make an appointment to see the healthcare provider because
muscle pain may be an indication of a serious side effect
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse
knows that the action of this drug is to Correct answer- inhibit synthesis of T3 and T4 by
the thyroid gland.
, Which change in data indicates to the nurse that the desired effect of the angiotensin II
receptor antagonist valsartan (Diovan) has been achieved? Correct answer- Blood
pressure reduced from 160/90 to 130/80.
A client has a continuous 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? Correct answer- Notify
the healthcare provider of the urinary output.
A 43-year-old female client is receiving thyroid replacement hormone following a
thyroidectomy. What adverse effects associated with thyroid hormone toxicity should
the nurse instruct the client to report promptly to the healthcare provider? Correct
answer- Tachycardia and chest pain.
Following heparin treatment for a pulmonary embolism, a client is being discharged with
a prescription for warfarin (Coumadin). In conducting discharge teaching, the nurse
advises the client to have which diagnostic test monitored regularly after discharge?
Correct answer- Prothrombin Time (PT/INR).
An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse
knows that the purpose of this medication is to Correct answer- maintain a gastric pH of
3.5 or above.
Upon admission to the emergency center, an adult client with acute status asthmaticus
is prescribed this series of medications. In which order should the nurse administer the
prescribed medications? (Arrange from first to last.)
1) Prednisone (Deltasone) orally.
2) Gentamicin (Garamycin) IM.
3) Albuterol (Proventil) puffs.
4) Salmeterol (Serevent Diskus). Correct answer- Albuterol (Proventil) puffs.
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally.
Gentamicin (Garamycin) IM.
The nitrate isosorbide dinitrate (Isordil) is prescribed for a client with angina. Which
instruction should the nurse include in this client's discharge teaching plan? Correct
answer- Do not get up quickly. Always rise slowly.
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old
client with arthritis. The client reports that she can't hear the nurse's questions because
her ears are ringing. What action should the nurse implement? Correct answer- Notify
the healthcare provider of this finding immediately.
A client with congestive heart failure (CHF) is being discharged with a new prescription
for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's
