HESI PHARMACOLOGY EXIT EXAM 2025
h h h h h
ACTUAL EXAM COMPLETE 230+ QUESTI
h h h h
ONS AND CORRECT DETAILED ANSWER
h h h h
S (VERIFIED ANSWERS) GRADED A+
h h h h
Whathishthehindicationhforhmetoclopramide/reglan?h-hanswerhPreventionhofhchemotherapy-
inducedhemesishandhdiabetichgastroparesis
Sideheffectshofhmetoclopramide/reglanh–hanswerhDrowsiness,hEPShsuchhashtremors
NotifyhMDhifhwhathoccurshwhenhusinghmetoclopramide/reglanh–hanswerhTremors
Whathishthehindicationhxenicalh(orlistat,hAlli)h–
hanswerhForhPTshwithhBMIhofh30+;hLThweighthcontrol
SEhofhxenicalh(orlistathorhalli)h–hanswerhOilyhstoolhandhflatulence
Nursinghimplicationshforhahpthonhxenicalh(orlistathorhalli)h–
hanswerhAskhpthtohdescribehdietaryhintakehsincehSEharehincreasedhifhgreaterhthanh30%hofhfa
thishinhdiet.
Whathcanhdecreasehsideheffectshofhxenicalh(orlistathorhalli)h–
hanswerhFiberhlaxativeshlikehMetamucilhhelphdecreasehSEhbyhbindinghtohthehfat.
Whichhtypehofhfluidshneedhplentyhofhwater?h–hanswerhBulkhforminghlaxatives
Whyhdohyouhneedhplentyhofhfluidshwhenhtakinghbulkhforminghlaxativesh–
hanswerhBecausehtheyhcanhproducehesophagealhandhorhintestinalhobstruction
Laxativehusehassessmenth-
hanswerhLasthBMhandhcharacteristics,habdominalhpain,hfeverhandhobstruction.hAssesshdiet
aryhandhfluidhintake.
Withhlaxativehusehthehnursehshouldh–
hanswerhEncouragehfluids,hfiberhandhexercisehashtolerated/indicated
Laxativehusehandhresulthinh–hanswerhLackhofhbowelhtonehwhichhcanhleadhtohdependency
whathishondansetronh(zofran)h–hanswerhantiemetic
Whathishondansetronh(zofran)usedhfor?h–
hanswerhPreventionhofhN/Vhassociatedhwithhchemotherapyhandhradiationhtherapy.
,Whohshouldhyouhusehcautionhwithhwhenhgivinghondansetron/zofran?h–
hanswerhPTshwithhliverhfailure
Drugshforhulcerativehcolitishandhcrohnsh–
hanswerh5haminosalicylates;hmesalamie,hsulfasalazine.
Howhdoh5haminosalicylates;h(mesalamie,hsulfasalazine)hwork?h–
hanswerhTheyhdecreasehGIhinflammation
Sideheffectshofh5haminosalicylates;h(mesalamie,hsulfasalazine)h–
hanswerhNausea,hrash,harthralgia,hhematologicalhdisorders
Whichhdrughcanhcausehcolitis/c.diffh–hanswerhLinezolid/zyvox
Whathkindhofhinfectionhishc.diffh–hanswerhSuprainfection
Whathishazithromycin/zithromax?h–hanswerhAnhantibiotic
Whathdoeshazithromycin/zithromaxhtreat?h–
hanswerhSTDshsuchhas:hgonorrheahandhchlamydia
Howhmuchhazithromycin/zithromaxhishusuallyhrequired?h–hanswerhOnehdosehofh1ghorh2g.
Ifhahfemalehpthhashtrichomonash(anyhSTI)handhishasymptomatichdoeshthehmalehneedhtohbeht
ested?h–hanswerhYes!
azithromycin/zithromaxhcanhcausehwhat?h–hanswerhHepatotoxicity-
helevatedhliverhenzymes
Whathishnitrofurantoin/ciprohusedhfor?h–hanswerhAnhantibiotichforhUTI
nitrofurantoin/ciprohsideheffecth–hanswerhHepatotoxicity,hskinhreactions,hneuropathy
nitrofurantoin/ciprohnursinghconsiderationsh–
hanswerhGivehwithhmilkhorhmealshcheckhLFTs.hWatchhforhnumbnesshorhtinglinghofhextremiti
eshthishcanhbehanhirreversiblehperipheralhneuropathy
Drughofhchoicehforhtreatinghc.diff?h–hanswerhMetronidazole/flagyl
Whenhishmetronidazole/flagylhtohbehtaken?h–hanswerhWithhfoodhandharoundhthehclock
Whathshouldhbehavoidedhwhenhtakinghmetronidazole/flagylhandhwhy?h–
hanswerhAlcohol;hcanhcausehahdisulfiram-likehreaction
, aminoglycosideshexamplesh–
hanswerhgentamicin(garamycin),hneomycin,htobramycin(nebcin)
howharehaminoglycosidesh,(-mycin,h-micin),hadministered?h–
hanswerhgivenhIVhforhseveralhdays
whathishanhadverseheffecthofhaminoglycosidesh(-mycin,h-micin)h–
hanswerhdecreasedhhearing/ototoxicityhandhnephrotoxicity
whathlabshneedhtohbehevaluatedhwhenhgivenhaminoglycosidesh(-mycin,h-micin)?h–
hanswerhBUNhandhcreatinine
DOChforhMRSAh–hanswerhvancomycin
whathishMRSAh–
hanswerhseverehstaphhinfectionshthathhavehbecomehresistanthtohmosthantibiotics
implicationshforhgivinghvancomycinh–
hanswerhacutehcarehrequireshfrequenthmonitoringhoghserumhdrughlevelhforhdosehadjustment
.hpeakhandhtroughhschedule.htroughhishdrawnhjusthpriorhtohnexthdose.
riskshwhenhusinghvancomycinh–hanswerhnephrotoxicityhandhototoxicity
SEhofhvancomycinh-
hanswerthrombophlebitis,hredhmanhsyndromehifhinfusedhtoohrapidly:hflushinghorhrashhofhupp
erhbody,hdyspnea,hitching,hhypotension-hcanhbehlethal
howhlonghshouldhIVhvancomycinhinfuse?h-hanswergreaterhthanh60hminutes
whathishtrimethoprim/sulfamethoxazole?h-
hanswerithishahsulfonamidehforhtreatmenthofhUTI.hcombinationhincreaseshefficacyhandhinhibit
shmetabolismhofhfolichacidhathtwohdifferenthpoints
whathishtrimethoprim/sulfamethoxazolehknownhfor?h-hanswersulfahallergy
nursinghimplicationshforhtrimethoprim/sulfamethoxazoleh-
hanswerassesshforhrashhduehtohpotentialhforhstevenshjohnsonhsyndrome
penicillinshhavehah____htoh____h-hanswercross-
sensitivity;hcephalosporins.htheyharehstructurallyhsimilar.
nursinghconsiderationshforhpenicillinsh-
hanswerobservehrespiratoryhstatushforhfirsth30hminuteshwhenhadministeringhforhthehfirsthtime
.hwatchhforhanaphylaxishifhallergichtohonehorhthehotherhmayhhavehcrosshsensitivity
whathcanhahnursehtreathpenicillinhanaphylaxishwith?h-hanswerepinephrine
h h h h h
ACTUAL EXAM COMPLETE 230+ QUESTI
h h h h
ONS AND CORRECT DETAILED ANSWER
h h h h
S (VERIFIED ANSWERS) GRADED A+
h h h h
Whathishthehindicationhforhmetoclopramide/reglan?h-hanswerhPreventionhofhchemotherapy-
inducedhemesishandhdiabetichgastroparesis
Sideheffectshofhmetoclopramide/reglanh–hanswerhDrowsiness,hEPShsuchhashtremors
NotifyhMDhifhwhathoccurshwhenhusinghmetoclopramide/reglanh–hanswerhTremors
Whathishthehindicationhxenicalh(orlistat,hAlli)h–
hanswerhForhPTshwithhBMIhofh30+;hLThweighthcontrol
SEhofhxenicalh(orlistathorhalli)h–hanswerhOilyhstoolhandhflatulence
Nursinghimplicationshforhahpthonhxenicalh(orlistathorhalli)h–
hanswerhAskhpthtohdescribehdietaryhintakehsincehSEharehincreasedhifhgreaterhthanh30%hofhfa
thishinhdiet.
Whathcanhdecreasehsideheffectshofhxenicalh(orlistathorhalli)h–
hanswerhFiberhlaxativeshlikehMetamucilhhelphdecreasehSEhbyhbindinghtohthehfat.
Whichhtypehofhfluidshneedhplentyhofhwater?h–hanswerhBulkhforminghlaxatives
Whyhdohyouhneedhplentyhofhfluidshwhenhtakinghbulkhforminghlaxativesh–
hanswerhBecausehtheyhcanhproducehesophagealhandhorhintestinalhobstruction
Laxativehusehassessmenth-
hanswerhLasthBMhandhcharacteristics,habdominalhpain,hfeverhandhobstruction.hAssesshdiet
aryhandhfluidhintake.
Withhlaxativehusehthehnursehshouldh–
hanswerhEncouragehfluids,hfiberhandhexercisehashtolerated/indicated
Laxativehusehandhresulthinh–hanswerhLackhofhbowelhtonehwhichhcanhleadhtohdependency
whathishondansetronh(zofran)h–hanswerhantiemetic
Whathishondansetronh(zofran)usedhfor?h–
hanswerhPreventionhofhN/Vhassociatedhwithhchemotherapyhandhradiationhtherapy.
,Whohshouldhyouhusehcautionhwithhwhenhgivinghondansetron/zofran?h–
hanswerhPTshwithhliverhfailure
Drugshforhulcerativehcolitishandhcrohnsh–
hanswerh5haminosalicylates;hmesalamie,hsulfasalazine.
Howhdoh5haminosalicylates;h(mesalamie,hsulfasalazine)hwork?h–
hanswerhTheyhdecreasehGIhinflammation
Sideheffectshofh5haminosalicylates;h(mesalamie,hsulfasalazine)h–
hanswerhNausea,hrash,harthralgia,hhematologicalhdisorders
Whichhdrughcanhcausehcolitis/c.diffh–hanswerhLinezolid/zyvox
Whathkindhofhinfectionhishc.diffh–hanswerhSuprainfection
Whathishazithromycin/zithromax?h–hanswerhAnhantibiotic
Whathdoeshazithromycin/zithromaxhtreat?h–
hanswerhSTDshsuchhas:hgonorrheahandhchlamydia
Howhmuchhazithromycin/zithromaxhishusuallyhrequired?h–hanswerhOnehdosehofh1ghorh2g.
Ifhahfemalehpthhashtrichomonash(anyhSTI)handhishasymptomatichdoeshthehmalehneedhtohbeht
ested?h–hanswerhYes!
azithromycin/zithromaxhcanhcausehwhat?h–hanswerhHepatotoxicity-
helevatedhliverhenzymes
Whathishnitrofurantoin/ciprohusedhfor?h–hanswerhAnhantibiotichforhUTI
nitrofurantoin/ciprohsideheffecth–hanswerhHepatotoxicity,hskinhreactions,hneuropathy
nitrofurantoin/ciprohnursinghconsiderationsh–
hanswerhGivehwithhmilkhorhmealshcheckhLFTs.hWatchhforhnumbnesshorhtinglinghofhextremiti
eshthishcanhbehanhirreversiblehperipheralhneuropathy
Drughofhchoicehforhtreatinghc.diff?h–hanswerhMetronidazole/flagyl
Whenhishmetronidazole/flagylhtohbehtaken?h–hanswerhWithhfoodhandharoundhthehclock
Whathshouldhbehavoidedhwhenhtakinghmetronidazole/flagylhandhwhy?h–
hanswerhAlcohol;hcanhcausehahdisulfiram-likehreaction
, aminoglycosideshexamplesh–
hanswerhgentamicin(garamycin),hneomycin,htobramycin(nebcin)
howharehaminoglycosidesh,(-mycin,h-micin),hadministered?h–
hanswerhgivenhIVhforhseveralhdays
whathishanhadverseheffecthofhaminoglycosidesh(-mycin,h-micin)h–
hanswerhdecreasedhhearing/ototoxicityhandhnephrotoxicity
whathlabshneedhtohbehevaluatedhwhenhgivenhaminoglycosidesh(-mycin,h-micin)?h–
hanswerhBUNhandhcreatinine
DOChforhMRSAh–hanswerhvancomycin
whathishMRSAh–
hanswerhseverehstaphhinfectionshthathhavehbecomehresistanthtohmosthantibiotics
implicationshforhgivinghvancomycinh–
hanswerhacutehcarehrequireshfrequenthmonitoringhoghserumhdrughlevelhforhdosehadjustment
.hpeakhandhtroughhschedule.htroughhishdrawnhjusthpriorhtohnexthdose.
riskshwhenhusinghvancomycinh–hanswerhnephrotoxicityhandhototoxicity
SEhofhvancomycinh-
hanswerthrombophlebitis,hredhmanhsyndromehifhinfusedhtoohrapidly:hflushinghorhrashhofhupp
erhbody,hdyspnea,hitching,hhypotension-hcanhbehlethal
howhlonghshouldhIVhvancomycinhinfuse?h-hanswergreaterhthanh60hminutes
whathishtrimethoprim/sulfamethoxazole?h-
hanswerithishahsulfonamidehforhtreatmenthofhUTI.hcombinationhincreaseshefficacyhandhinhibit
shmetabolismhofhfolichacidhathtwohdifferenthpoints
whathishtrimethoprim/sulfamethoxazolehknownhfor?h-hanswersulfahallergy
nursinghimplicationshforhtrimethoprim/sulfamethoxazoleh-
hanswerassesshforhrashhduehtohpotentialhforhstevenshjohnsonhsyndrome
penicillinshhavehah____htoh____h-hanswercross-
sensitivity;hcephalosporins.htheyharehstructurallyhsimilar.
nursinghconsiderationshforhpenicillinsh-
hanswerobservehrespiratoryhstatushforhfirsth30hminuteshwhenhadministeringhforhthehfirsthtime
.hwatchhforhanaphylaxishifhallergichtohonehorhthehotherhmayhhavehcrosshsensitivity
whathcanhahnursehtreathpenicillinhanaphylaxishwith?h-hanswerepinephrine
