HESI Pharmacology Practice Exam
GRADED A 2023 100 QUESTIONS AN
ANSWERS
Following the administration of sublingual nitroglycerin to a client experiencing an
acute anginal attack, which assessment finding indicates to the nurse that the
desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96% - CORRECT ANSWER A.
nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia
and reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which
client teaching is most important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis - CORRECT ANSWER A. flushing of the face and
neck, lasting up to an hour, is a frequent reason for discontinuing niacin. inclusion
of this effect in clietn teaching may promote compliance in taking the med.
When assessing an adolescent who recently overdosed on acetaminophen
(tylonel), it is most important for the nurse to assess for pain in which area of the
body
,a. flank
b. abdomen
c. chest
d. head - CORRECT ANSWER B. acetaminophen toxicisty an result in liver
damage; therefore, it is especially important for the nurse to assess for pain in the
right upper quadrant of the abdomen (which might indicated liver damage)
A client is admitted to the coronary care unit with a medical diagnosis of acute
myocardial infarction. which medication prescription decreases both preload and
afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril - CORRECT ANSWER A. nitroglycerin is a nitrate that causes
peripheral vasodilation and decreases contractility, thereby decreasing both
preload and afterload
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The
nurse knows that the action of this drug is to
A. decrease the amount of the thyroid-stimulating hormone circulating in the
blood
B. increase the amount of thyroid-stimulating hormone circulating in the blood
C. increase the amount of T4 and decrease the amount of T3 produced by the
thyroid
D. inhibit synthesis of T3 and T4 by the thyroid gland - CORRECT ANSWER D. PTU
is an adjunct therapy used to control hyperthyroidism by inhibiting production of
thyroid hormones. It is often prescribed in prep for thyroidectomy or radioactive
iodine therapy
, Which change in data indicates to the nurse the desired effect of the angiotensin II
receptor antagonist has been achieved
A. Dependent edema reduced form +3 to +1
B. Serum HDL increased from 35 to 55mg/dl
C. PUlse rate reduced from 150 to 90 beats/min
D. Blood pressure reducedf rom 160/90 to 130.80 - CORRECT ANSWER D.
angiotensin II receptor antagonist (blocker), prescribed from treatment of HTN.
The desired effect is a decrease in blood pressure.
Which instructions should the nurse give to a female client who just recieved a
prescription for oral metronidazole (flagyl) for treatment of trichomonas vaginalis
(select all that apply)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time - CORRECT
ANSWER ADEF
The nurse is transcribing a new prescription for spironolactone (aldactone) for a
client who receives an angiotensin-converting enzyme inhibitor. Which action
should the nurse implement
A. verify both prescriptions with the HCP
B. report the med interactions to the nurse manager
C. hold the ACE inhibitor and give the new prescription
GRADED A 2023 100 QUESTIONS AN
ANSWERS
Following the administration of sublingual nitroglycerin to a client experiencing an
acute anginal attack, which assessment finding indicates to the nurse that the
desired effect has been achieved?
A. Client states chest pain is relieved
B. Client's pulse decreases from 120 to 90
C. Client's systolic blood pressure decreases from 180 to 90
D. Clients SaO2 level increases from 92% to 96% - CORRECT ANSWER A.
nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia
and reduces chest pain
A client with hyperlipidemia recieves a prescription for niacin (niaspan). which
client teaching is most important for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis - CORRECT ANSWER A. flushing of the face and
neck, lasting up to an hour, is a frequent reason for discontinuing niacin. inclusion
of this effect in clietn teaching may promote compliance in taking the med.
When assessing an adolescent who recently overdosed on acetaminophen
(tylonel), it is most important for the nurse to assess for pain in which area of the
body
,a. flank
b. abdomen
c. chest
d. head - CORRECT ANSWER B. acetaminophen toxicisty an result in liver
damage; therefore, it is especially important for the nurse to assess for pain in the
right upper quadrant of the abdomen (which might indicated liver damage)
A client is admitted to the coronary care unit with a medical diagnosis of acute
myocardial infarction. which medication prescription decreases both preload and
afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril - CORRECT ANSWER A. nitroglycerin is a nitrate that causes
peripheral vasodilation and decreases contractility, thereby decreasing both
preload and afterload
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The
nurse knows that the action of this drug is to
A. decrease the amount of the thyroid-stimulating hormone circulating in the
blood
B. increase the amount of thyroid-stimulating hormone circulating in the blood
C. increase the amount of T4 and decrease the amount of T3 produced by the
thyroid
D. inhibit synthesis of T3 and T4 by the thyroid gland - CORRECT ANSWER D. PTU
is an adjunct therapy used to control hyperthyroidism by inhibiting production of
thyroid hormones. It is often prescribed in prep for thyroidectomy or radioactive
iodine therapy
, Which change in data indicates to the nurse the desired effect of the angiotensin II
receptor antagonist has been achieved
A. Dependent edema reduced form +3 to +1
B. Serum HDL increased from 35 to 55mg/dl
C. PUlse rate reduced from 150 to 90 beats/min
D. Blood pressure reducedf rom 160/90 to 130.80 - CORRECT ANSWER D.
angiotensin II receptor antagonist (blocker), prescribed from treatment of HTN.
The desired effect is a decrease in blood pressure.
Which instructions should the nurse give to a female client who just recieved a
prescription for oral metronidazole (flagyl) for treatment of trichomonas vaginalis
(select all that apply)
A. increase fluid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
D. Avoid drinking alcohol while taking this medication
E. Use condoms until treatment is completed
F. Ensure that all sexual partners are treated at the same time - CORRECT
ANSWER ADEF
The nurse is transcribing a new prescription for spironolactone (aldactone) for a
client who receives an angiotensin-converting enzyme inhibitor. Which action
should the nurse implement
A. verify both prescriptions with the HCP
B. report the med interactions to the nurse manager
C. hold the ACE inhibitor and give the new prescription
