HESI PHARMACOLOGY EXAM NEWEST VERSION 5 ACTUAL EXAM COMPLETE 160 QUESTIONS AND C

HESI Pharmacology Exam Practice
n n n




HESI Pharmacology Exam Practice
n n n n




1n/n90

, HESI Pharmacology Exam Practice
n n n




1. 149.) A client taking fexofenadine (Allegra) is scheduled for allergy skin testi
n n n n n n n n n n n n




ng and tells the nurse in the health care provider's office that a dose was taken
n n n n n n n n n n n n n n n n




this morning. The nurse determines that:
n n n n n




1. The client should reschedule the appointment.
n n n n n




2. A lower dose of allergen will need to be injected.
n n n n n n n n n




3. A higher dose of allergen will need to be injected.
n n n n n n n n n




4. The client should have the skin test read a day later than usual.: 1. The client
n n n n n n n n n n n n n n n n




should reschedule the appointment.
n n n




Rationale:


Fexofenadine is an antihistamine, which provides relief of symptoms caused by aller
n n n n n n n n n n n




gy. Antihistamines should be discontinued for at least 3 days (72 hours) before allerg
n n n n n n n n n n n n n




y skin testing to avoid false-
n n n n n




2n/n90

, HESI Pharmacology Exam Practice
n n n




negative readings. This client should have the appointment rescheduled for 3 days af
n n n n n n n n n n n n




ter discontinuing the medication.
n n n




2. 150.) A client complaining of not feeling well is seen in a clinic. The client is t
n n n n n n n n n n n n n n n n n




aking several medications for the control of heart disease and hypertension. T
n n n n n n n n n n n




hese medications include a ²-
n n n n




blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxi
n n n n n n n n n n n




city is made. Which of the following assessment data would support this diagn
n n n n n n n n n n n n




osis? n




1. Dyspnea, edema, and palpitations n n n




2. Chest pain, hypotension, and paresthesia
n n n n




3. Double vision, loss of appetite, and nausea
n n n n n n




4. Constipation, dry mouth, and sleep disorder: 3. Double vision, loss of appetite,
n n n n n n n n n n n




and nausea Rationale:
n n




Double vision, loss of appetite, and nausea are signs of digoxin toxicity. Additional sig
n n n n n n n n n n n n n




ns of digoxin toxicity include bradycardia, difficulty reading, visual alterations such as
n n n n n n n n n n n




3n/n90

, HESI Pharmacology Exam Practice
n n n




green and yellow vision or seeing spots or halos, confusion, vomiting, diarrhea, decre
n n n n n n n n n n n n




ased libido, and impotence.
n n n




**gastrointestinal (GI) and visual disturbances occur with digoxin toxicity** n n n n n n n n




3. 151.) A client is being treated for acute congestive heart failure with intraven
n n n n n n n n n n n n n




ously administered bumetanide. The vital signs are as follows: blood pressure
n n n n n n n n n n




, 100/60 mm Hg; pulse, 96 beats/min; and respirations, 24 breaths/min. After th
n n n n n n n n n n n n




e initial dose, which of the following is the priority assessment?
n n n n n n n n n n




1. Monitoring weight loss n n




2. Monitoring temperature n




3. Monitoring blood pressure n n




4. Monitoring potassium level: 3. Monitoring blood pressure Rationale: n n n n n n n




Bumetanide is a loop diuretic. Hypotension is a common side effect associated with t
n n n n n n n n n n n n n




he use of this medication. The other options also require assessment but are not the
n n n n n n n n n n n n n n




priority.

**priority ABCs—airway, breathing, and circulation**
n n n n




4n/n90