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HESI Pharmacology Practice Exam
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Cardiac Study Guide MED SURG HESI V2 - 2024/2025 Georgia Constitution
55 terms 51 terms 47 terms
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Following the administration of A. nitroglycerin reduces mycocardial oxygen consumption which
sublingual nitroglycerin to a decreases ischemia and reduces chest pain
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%
A client with hyperlipidemia A. flushing of the face and neck, lasting up to an hour, is a
recieves a prescription for niacin frequent reason for discontinuing niacin. inclusion of this effect in
(niaspan). which client teaching clietn teaching may promote compliance in taking the med.
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
,When assessing an adolescent B. acetaminophen toxicisty an result in liver damage; therefore, it
who recently overdosed on is especially important for the nurse to assess for pain in the right
acetaminophen (tylonel), it is upper quadrant of the abdomen (which might indicated liver
most important for the nurse to damage)
assess for pain in which area of
the body
a. flank
b. abdomen
c. chest
d. head
A client is admitted to the A. nitroglycerin is a nitrate that causes peripheral vasodilation
coronary care unit with a and decreases contractility, thereby decreasing both preload
medical diagnosis of acute and afterload
myocardial infarction. which
medication prescription
decreases both preload and
afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
A client is being treated for D. PTU is an adjunct therapy used to control hyperthyroidism by
hyperthyroidism with inhibiting production of thyroid hormones. It is often prescribed
propylthiouracil (PTU). The nurse in prep for thyroidectomy or radioactive iodine therapy
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
Which change in data indicates D. angiotensin II receptor antagonist (blocker), prescribed from
to the nurse the desired effect treatment of HTN. The desired effect is a decrease in blood
of the angiotensin II receptor pressure.
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
, Which instructions should the ADEF
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
The nurse is transcribing a new A. the concomitant use of an ACE inhibitor and a potassium-
prescription for spironolactone sparing diuretic sucha s spironolactone, should be given with
(aldactone) for a client who caution b/c the two drugs may interact to cause an elevation in
receives an angiotensin- serum potassium levels.
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
D. Transcribe and send the
prescription to the pharmacy
A client has myxedema, which C. persons with myxedema are dangerously hypersensitive to
results from a deficiency of narcotics, barbiturates, and anesthetics. They do not tolerate
thyroid hormone synthesis in liothyronine and usually receive iodine replacement therapy.
adults. The nurse knows that These clients are also suceptable to heart problems such as
which medication should be angina for which nitroglycerine would be indicated and and
contraindicated for this client? congestive heart failure for which furosemide would be
A. liothyronine (cytomel) to indicated
replace iodine
B. Furosemide (Lasix) for relief of
fluid retention
C. Pentobarbital sodium for
sleep
D. nitroglycerin for angina pain
HESI Pharmacology Practice Exam
Save
Students also studied
Flashcard sets Study guides Practice tests
Cardiac Study Guide MED SURG HESI V2 - 2024/2025 Georgia Constitution
55 terms 51 terms 47 terms
ABB0725 Preview annyadale Preview Preview
Following the administration of A. nitroglycerin reduces mycocardial oxygen consumption which
sublingual nitroglycerin to a decreases ischemia and reduces chest pain
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%
A client with hyperlipidemia A. flushing of the face and neck, lasting up to an hour, is a
recieves a prescription for niacin frequent reason for discontinuing niacin. inclusion of this effect in
(niaspan). which client teaching clietn teaching may promote compliance in taking the med.
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
,When assessing an adolescent B. acetaminophen toxicisty an result in liver damage; therefore, it
who recently overdosed on is especially important for the nurse to assess for pain in the right
acetaminophen (tylonel), it is upper quadrant of the abdomen (which might indicated liver
most important for the nurse to damage)
assess for pain in which area of
the body
a. flank
b. abdomen
c. chest
d. head
A client is admitted to the A. nitroglycerin is a nitrate that causes peripheral vasodilation
coronary care unit with a and decreases contractility, thereby decreasing both preload
medical diagnosis of acute and afterload
myocardial infarction. which
medication prescription
decreases both preload and
afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
A client is being treated for D. PTU is an adjunct therapy used to control hyperthyroidism by
hyperthyroidism with inhibiting production of thyroid hormones. It is often prescribed
propylthiouracil (PTU). The nurse in prep for thyroidectomy or radioactive iodine therapy
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
Which change in data indicates D. angiotensin II receptor antagonist (blocker), prescribed from
to the nurse the desired effect treatment of HTN. The desired effect is a decrease in blood
of the angiotensin II receptor pressure.
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
, Which instructions should the ADEF
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
The nurse is transcribing a new A. the concomitant use of an ACE inhibitor and a potassium-
prescription for spironolactone sparing diuretic sucha s spironolactone, should be given with
(aldactone) for a client who caution b/c the two drugs may interact to cause an elevation in
receives an angiotensin- serum potassium levels.
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
D. Transcribe and send the
prescription to the pharmacy
A client has myxedema, which C. persons with myxedema are dangerously hypersensitive to
results from a deficiency of narcotics, barbiturates, and anesthetics. They do not tolerate
thyroid hormone synthesis in liothyronine and usually receive iodine replacement therapy.
adults. The nurse knows that These clients are also suceptable to heart problems such as
which medication should be angina for which nitroglycerine would be indicated and and
contraindicated for this client? congestive heart failure for which furosemide would be
A. liothyronine (cytomel) to indicated
replace iodine
B. Furosemide (Lasix) for relief of
fluid retention
C. Pentobarbital sodium for
sleep
D. nitroglycerin for angina pain
