2
2024-2025 HESI PHARMACOLOGY PRACTICE
EXAM UPGRADED QUESTIONS WITH WELL
EXPLAINED ANSWERS| GRADED A+
Following the administration of sublingual nitroglycerin to a client experiencing an
acute angina attack, which assessment 昀椀nding indicates to the nurse that the
desired sect 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%
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 昀氀ushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis
A. 昀氀ushing of the face and neck, lasting up to an hour, is a frequent reason for
discontinuing niacin. inclusion of this e昀昀ect in clietn teaching may promote
compliance in taking the med.
, 3
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. 昀氀ank
b. abdomen
c. chest
d. head
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
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
\
, 4
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
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 e昀昀ect 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
D. angiotensin II receptor antagonist (blocker), prescribed from treatment of
HTN. The desired e昀昀ect is a decrease in blood pressure.
Which instructions should the nurse give to a female client who just recieved a
prescription for oral metronidazole (昀氀agyl) for treatment of trichomonas vaginalis
(select all that apply)
A. increase 昀氀uid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
2024-2025 HESI PHARMACOLOGY PRACTICE
EXAM UPGRADED QUESTIONS WITH WELL
EXPLAINED ANSWERS| GRADED A+
Following the administration of sublingual nitroglycerin to a client experiencing an
acute angina attack, which assessment 昀椀nding indicates to the nurse that the
desired sect 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%
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 昀氀ushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis
A. 昀氀ushing of the face and neck, lasting up to an hour, is a frequent reason for
discontinuing niacin. inclusion of this e昀昀ect in clietn teaching may promote
compliance in taking the med.
, 3
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. 昀氀ank
b. abdomen
c. chest
d. head
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
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
\
, 4
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
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 e昀昀ect 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
D. angiotensin II receptor antagonist (blocker), prescribed from treatment of
HTN. The desired e昀昀ect is a decrease in blood pressure.
Which instructions should the nurse give to a female client who just recieved a
prescription for oral metronidazole (昀氀agyl) for treatment of trichomonas vaginalis
(select all that apply)
A. increase 昀氀uid intake, especially cranberry juice
B. Do not abruptly discontinue the medication; taper use
C. Check blood pressure daily to detect hypertension
