HESI Pharmacology Practice Exam
Study online at https://quizlet.com/_1gkv6a
1. Following the administration of sub- A. nitroglycerin reduces mycocardial oxygen con-
lingual nitroglycerin to a client experi- sumption which decreases ischemia and reduces
encing an acute anginal attack, which chest pain
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 de-
creases from 180 to 90
D. Clients SaO2 level increases from
92% to 96%
2. A client with hyperlipidemia recieves A. flushing of the face and neck, lasting up to an
a prescription for niacin (niaspan). hour, is a frequent reason for discontinuing niacin.
which client teaching is most impor- inclusion of this effect in clietn teaching may pro-
tant for the nurse to provide mote compliance in taking the med.
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis
3. When assessing an adolescent who re- B. acetaminophen toxicisty an result in liver dam-
cently overdosed on acetaminophen age; therefore, it is especially important for the
(tylonel), it is most important for the nurse to assess for pain in the right upper quad-
nurse to assess for pain in which area rant of the abdomen (which might indicated liver
of the body damage)
a. flank
b. abdomen
c. chest
d. head
, HESI Pharmacology Practice Exam
Study online at https://quizlet.com/_1gkv6a
4. A client is admitted to the coro- A. nitroglycerin is a nitrate that causes peripher-
nary care unit with a medical di- al vasodilation and decreases contractility, thereby
agnosis of acute myocardial infarc- decreasing both preload and afterload
tion. which medication prescription
decreases both preload and afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
5. A client is being treated for hyperthy- D. PTU is an adjunct therapy used to control hy-
roidism with propylthiouracil (PTU). perthyroidism by inhibiting production of thyroid
The nurse knows that the action of this hormones. It is often prescribed in prep for thy-
drug is to roidectomy or radioactive iodine therapy
A. decrease the amount of the thy-
roid-stimulating hormone circulating
in the blood
B. increase the amount of thy-
roid-stimulating hormone circulating
in the blood
C. increase the amount of T4 and de-
crease the amount of T3 produced by
the thyroid
D. inhibit synthesis of T3 and T4 by the
thyroid gland
6. Which change in data indicates to the D. angiotensin II receptor antagonist (blocker),
nurse the desired effect of the an- prescribed from treatment of HTN. The desired ef-
giotensin II receptor antagonist has fect is a decrease in blood pressure.
been achieved
A. Dependent edema reduced form +3
, HESI Pharmacology Practice Exam
Study online at https://quizlet.com/_1gkv6a
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
7. Which instructions should the nurse ADEF
give to a female client who just re-
cieved a prescription for oral metron-
idazole (flagyl) for treatment of tri-
chomonas vaginalis (select all that ap-
ply)
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
8. The nurse is transcribing a new A. the concomitant use of an ACE inhibitor and a
prescription for spironolactone (al- potassium-sparing diuretic sucha s spironolactone,
dactone) for a client who receives should be given with caution b/c the two drugs may
an angiotensin-converting enzyme in- interact to cause an elevation in serum potassium
hibitor. Which action should the nurse levels.
Study online at https://quizlet.com/_1gkv6a
1. Following the administration of sub- A. nitroglycerin reduces mycocardial oxygen con-
lingual nitroglycerin to a client experi- sumption which decreases ischemia and reduces
encing an acute anginal attack, which chest pain
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 de-
creases from 180 to 90
D. Clients SaO2 level increases from
92% to 96%
2. A client with hyperlipidemia recieves A. flushing of the face and neck, lasting up to an
a prescription for niacin (niaspan). hour, is a frequent reason for discontinuing niacin.
which client teaching is most impor- inclusion of this effect in clietn teaching may pro-
tant for the nurse to provide mote compliance in taking the med.
a. expected duration of flushing
b. symptoms of hyperglycemia
c. diets that minimize gi irritation
d. comfort measure for pruritis
3. When assessing an adolescent who re- B. acetaminophen toxicisty an result in liver dam-
cently overdosed on acetaminophen age; therefore, it is especially important for the
(tylonel), it is most important for the nurse to assess for pain in the right upper quad-
nurse to assess for pain in which area rant of the abdomen (which might indicated liver
of the body damage)
a. flank
b. abdomen
c. chest
d. head
, HESI Pharmacology Practice Exam
Study online at https://quizlet.com/_1gkv6a
4. A client is admitted to the coro- A. nitroglycerin is a nitrate that causes peripher-
nary care unit with a medical di- al vasodilation and decreases contractility, thereby
agnosis of acute myocardial infarc- decreasing both preload and afterload
tion. which medication prescription
decreases both preload and afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
5. A client is being treated for hyperthy- D. PTU is an adjunct therapy used to control hy-
roidism with propylthiouracil (PTU). perthyroidism by inhibiting production of thyroid
The nurse knows that the action of this hormones. It is often prescribed in prep for thy-
drug is to roidectomy or radioactive iodine therapy
A. decrease the amount of the thy-
roid-stimulating hormone circulating
in the blood
B. increase the amount of thy-
roid-stimulating hormone circulating
in the blood
C. increase the amount of T4 and de-
crease the amount of T3 produced by
the thyroid
D. inhibit synthesis of T3 and T4 by the
thyroid gland
6. Which change in data indicates to the D. angiotensin II receptor antagonist (blocker),
nurse the desired effect of the an- prescribed from treatment of HTN. The desired ef-
giotensin II receptor antagonist has fect is a decrease in blood pressure.
been achieved
A. Dependent edema reduced form +3
, HESI Pharmacology Practice Exam
Study online at https://quizlet.com/_1gkv6a
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
7. Which instructions should the nurse ADEF
give to a female client who just re-
cieved a prescription for oral metron-
idazole (flagyl) for treatment of tri-
chomonas vaginalis (select all that ap-
ply)
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
8. The nurse is transcribing a new A. the concomitant use of an ACE inhibitor and a
prescription for spironolactone (al- potassium-sparing diuretic sucha s spironolactone,
dactone) for a client who receives should be given with caution b/c the two drugs may
an angiotensin-converting enzyme in- interact to cause an elevation in serum potassium
hibitor. Which action should the nurse levels.
