Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
Older client with a decreased percentage of lean body receives a Rx that is
adjusted based on which pharmacokinetic process?
Distribution
A decreased lean body mass in an older adult affects the distribution of drugs(D), which
affects the pharmacokinetics of drugs. Decreased gastric pH, delayed gastric emptying,
decreased splanchnic blood flow, decreased gastrointestinal absorption surface areas and
motility affect (A) in the older adult population. Decreased hepatic blood flow, decreased
hepatic mass, anddecreased activity of hepatic enzymes affect (B) in older adults.
Decreased renal blood flow, decreased glomerular filtration rate, decreased tubular
secretion, and decreased number of nephrons affects (C) in an older adult.
Know the insulins and their peak/onset (there are several Qs about this in
different formats)
Rapid-Lispro (Humalog) and Aspart (Novolog) Onset: 5-15 minutes Peak: .
5-1.5 hours
Short acting- regular (humulin) Onset: 30-60 minutes Peak: 2-3 hours (IV
ok)
Intermediate acting- NPH Onset: 1-2 hours Peak 6-12 hours
Long acting- Glargine (lantus) Onset: 1.1 hour Peak: 14-20 hours (DO NOT
MIX)
Chlamidia
Tetracycline
Trichomoniasis
Flagyl
Candidiasis
Nystatin
Herpes Simplex 2
Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
,Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
Acyclovir
Parkinson’s disease
Levodopa/Carbidopa
Phenobarbitol
Seizures
Nurse is conducting DC teaching about anti-anxiety drug diazepam (valium)
Evaluate the ingredients of all over-the-counter drugs for alcohol content
Nursing instruction most important for patient on Zyloprim
Increase fluid intake
Client getting Tofranil (Imipramine)
Give medication at night
Magnesium antidote
Calcium gluconate
Patient with hyperthyroidism taking inderal (propanalol)
Decreases pulse rate
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates
that the medication is having the desired effect?
Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
,Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
• Decrease in serum T4 levels
• Increase in blood pressure
• Decrease in pulse rate
• Goiter no longer palpable
Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to 900
units what is the
Mls/hr
Med was ordered 100mg in 4 divided doses in 24 hours available in 25mg,
how many will you give every 6 hours
1
Patient on benzos
Answer is not narcan
- A client experiencing withdrawal from the benzodiazepines alprazolam (Xanax) is
demonstrating severe agitation and tremors. What is the best initial nursing action?
• Administer naloxone (Narcan) per PNR protocol
• Initiate seizure precautions
• Obtain a serum drug screen
• Instruct the family about withdrawal symptoms.
• Rationale: Withdrawal of CNS depressants, such as Xanax, results in rebound
over-excitation of the CNS. Since the client exhibiting tremors, the nurse should
anticipate seizure activity and protect the client.
Patient Dx with bipolar-how to know if meds are effective
Family states patient is doing better with manic phases
Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
, Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
- A client with bipolar disorder began taking valproic acid (Depakote) 250 mg
PO three times daily two months ago. Which finding provides the best
indication that the medication regimen is effective?
•The family reports a great reduction in client’s maniac behavior
Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
and answers best rated A+ latest update
2022
Older client with a decreased percentage of lean body receives a Rx that is
adjusted based on which pharmacokinetic process?
Distribution
A decreased lean body mass in an older adult affects the distribution of drugs(D), which
affects the pharmacokinetics of drugs. Decreased gastric pH, delayed gastric emptying,
decreased splanchnic blood flow, decreased gastrointestinal absorption surface areas and
motility affect (A) in the older adult population. Decreased hepatic blood flow, decreased
hepatic mass, anddecreased activity of hepatic enzymes affect (B) in older adults.
Decreased renal blood flow, decreased glomerular filtration rate, decreased tubular
secretion, and decreased number of nephrons affects (C) in an older adult.
Know the insulins and their peak/onset (there are several Qs about this in
different formats)
Rapid-Lispro (Humalog) and Aspart (Novolog) Onset: 5-15 minutes Peak: .
5-1.5 hours
Short acting- regular (humulin) Onset: 30-60 minutes Peak: 2-3 hours (IV
ok)
Intermediate acting- NPH Onset: 1-2 hours Peak 6-12 hours
Long acting- Glargine (lantus) Onset: 1.1 hour Peak: 14-20 hours (DO NOT
MIX)
Chlamidia
Tetracycline
Trichomoniasis
Flagyl
Candidiasis
Nystatin
Herpes Simplex 2
Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
,Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
Acyclovir
Parkinson’s disease
Levodopa/Carbidopa
Phenobarbitol
Seizures
Nurse is conducting DC teaching about anti-anxiety drug diazepam (valium)
Evaluate the ingredients of all over-the-counter drugs for alcohol content
Nursing instruction most important for patient on Zyloprim
Increase fluid intake
Client getting Tofranil (Imipramine)
Give medication at night
Magnesium antidote
Calcium gluconate
Patient with hyperthyroidism taking inderal (propanalol)
Decreases pulse rate
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding indicates
that the medication is having the desired effect?
Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
,Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
• Decrease in serum T4 levels
• Increase in blood pressure
• Decrease in pulse rate
• Goiter no longer palpable
Medication dosing-heparin 25000 units at 7ml/hr doctor changed rate to 900
units what is the
Mls/hr
Med was ordered 100mg in 4 divided doses in 24 hours available in 25mg,
how many will you give every 6 hours
1
Patient on benzos
Answer is not narcan
- A client experiencing withdrawal from the benzodiazepines alprazolam (Xanax) is
demonstrating severe agitation and tremors. What is the best initial nursing action?
• Administer naloxone (Narcan) per PNR protocol
• Initiate seizure precautions
• Obtain a serum drug screen
• Instruct the family about withdrawal symptoms.
• Rationale: Withdrawal of CNS depressants, such as Xanax, results in rebound
over-excitation of the CNS. Since the client exhibiting tremors, the nurse should
anticipate seizure activity and protect the client.
Patient Dx with bipolar-how to know if meds are effective
Family states patient is doing better with manic phases
Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
, Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
- A client with bipolar disorder began taking valproic acid (Depakote) 250 mg
PO three times daily two months ago. Which finding provides the best
indication that the medication regimen is effective?
•The family reports a great reduction in client’s maniac behavior
Pharmacology Exit HESI exam questions
and answers best rated A+ latest update
2022
