HESI PHARMACOLOGY PRACTICE QUESTIONS FOR FINAL
Study online at https://quizlet.com/_1g9vi6
1. A client is receiving clonidine Catapres acts as a centrally-acting analgesic and antihyper-
(Catapres) 0.1 mg/24hr via trans- tensive agent. (D) indicates a reduction in hypertension.
dermal patch. Which assessment Catapres does not affect (A, B, or C), so these findings do
finding indicates that the desired not indicate desired outcomes of Catapres
effect of the medication has been
achieved?
A. Client denies recent episodes
of angina.
B. Change in peripheral edema
from +3 to +1.
C. Client denies recent nausea or
vomiting.
D. Blood pressure has changed
from 180/120 to 140/70. Correct
2. After abdominal surgery, a male Unfractionated heparin or low molecular weight heparin
client is prescribed low molecu- (LMWH) is an anticoagulant that inhibits thrombin-medi-
lar weight heparin (LMWH). Dur- ated conversion of fibrinogen to fibrin and is given prophy-
ing administration of the med- lactically to prevent postoperative venous thrombosis (A)
ication, the client asks the nurse or to treat pulmonary embolism or deep vein thrombosis
why he is receiving this medica- following knee and abdominal surgeries. Heparin does not
tion. Which is the best response dissolve clots but prevents clot extension or further clot
for the nurse to provide? formation (C). The anticoagulant heparin does not prevent
A. This medication is a blood infection (B) or influence operative wound healing (D).
thinner given to prevent blood
clot formation. Correct
B. This medication enhances an-
tibiotics to prevent infection.
C. This medication dissolves any
clots that develop in the legs. In-
correct
D. This abdominal injection as-
, HESI PHARMACOLOGY PRACTICE QUESTIONS FOR FINAL
Study online at https://quizlet.com/_1g9vi6
sists in the healing of the abdom-
inal wound.
3. A client with coronary artery Vomiting, anorexia and abdominal pain are early indica-
disease who is taking digoxin tions of digitalis toxicity. Since Lipitor increases the risk for
(Lanoxin) receives a new pre- digitalis toxicity, this finding requires the most immediate
scription for atorvastatin (Lipi- intervention by the nurse (D). (A, B and C) are expected side
tor). Two weeks after initiation effects of Lipitor
of the Lipitor prescription, the
nurse assesses the client. Which
finding requires the most imme-
diate intervention?
A. Heartburn.
B. Headache.
C. Constipation.
D. Vomiting. Correct
4. A client with heart failure is pre- Spironolactone (Aldactone), an aldosterone antagonist, is
scribed spironolactone (Aldac- a potassium-sparing diuretic, so a diet high in potassium
tone). Which information is most should be avoided (B), including potassium salt substi-
important for the nurse to pro- tutes, which can lead to hyperkalemia. Although (A) is a
vide to the client about diet mod- common diet modification in heart failure, the risk of hy-
ifications? perkalemia is more important with Aldactone. Restriction of
Do not add salt to foods during fluids (C) or increasing milk and milk products (D) are not
preparation. indicated with this prescription.
Refrain for eating foods high in
potassium. Correct
Restrict fluid intake to 1000 ml
per day.
Increase intake of milk and milk
products.
, HESI PHARMACOLOGY PRACTICE QUESTIONS FOR FINAL
Study online at https://quizlet.com/_1g9vi6
5. A client with a dysrhythmia is to Pronestyl is a class 1A antidysrhythmic. It should be tak-
receive procainamide (Pronestyl) en around-the-clock (A) so that a stable blood level of
in 4 divided doses over the next the drug can be maintained, thereby decreasing the pos-
24 hours. What dosing schedule sibility of hypotension (an adverse effect) occurring be-
is best for the nurse to imple- cause of too much of the drug circulating systemically
ment? at any particular time of day. (B, C, and D) do not pro-
q6h. Correct vide an around-the-clock dosing schedule. Pronestyl may
QID. be given with food if GI distress is a problem, but an
AC and bedtime. around-the-clock schedule should still be maintained.
PC and bedtime.
6. A client who was prescribed ator- Myopathy, suggested by the leg pain and weakness, is a
vastatin (Lipitor) one month ago serious, and potentially life-threatening, complication of
calls the triage nurse at the clin- Lipitor, and should be evaluated immediately by the health-
ic complaining of muscle pain care provider (C). Although electrolyte imbalances such as
and weakness in his legs. Which (A or B) can cause muscle spasms in some cases, this
statement reflects the correct is not the likely cause of leg pain in the client receiving
drug-specific teaching the nurse Lipitor, and evaluation by the healthcare provider should
should provide to this client? not be delayed for any reason. A low-cholesterol diet is
recommended for those taking Lipitor since the drug is
used to lower total cholesterol (D), but diet is not related
A. Increase consumption of
to the leg pain symptom.
potassium-rich foods since low
potassium levels can cause mus-
cle spasms.
B. Have serum electrolytes
checked at the next scheduled
appointment to assess hypona-
tremia, a cause of cramping.
, HESI PHARMACOLOGY PRACTICE QUESTIONS FOR FINAL
Study online at https://quizlet.com/_1g9vi6
C. Make an appointment to see
the healthcare provider, because
muscle pain may be an indication
of a serious side effect. Correct
D. Be sure to consume a low-cho-
lesterol diet while taking the
drug to enhance the effective-
ness of the drug.
7. A category X drug is prescribed Drugs classified in the category X place a client who is in
for a young adult female client. the first trimester of pregnancy at risk for teratogenesis, so
Which instruction is most impor- women in the childbearing years should be counseled to
tant for the nurse to teach this use a reliable form of birth control (A) during drug therapy.
client? (B) is not a specific precaution with Category X drugs. The
client should be encouraged to discuss plans for pregnancy
with the healthcare provider, so a safer alternative prescrip-
A. Use a reliable form of birth
tion (C) can be provided if pregnancy occurs. Although the
control. Correct
risk of birth defects during pregnancy explains the restric-
tion of these drugs during pregnancy, (D) is not indicated.
B. Avoid exposure to ultra violet
light.
C. Refuse this medication if plan-
ning pregnancy.
D. Abstain from intercourse while
on this drug.
8. A client receiving Doxorubicin Doxorubicin is an antineoplastic agent that causes inflam-
(Adriamycin) intravenously (IV) mation, blistering, and necrosis of tissue upon extravasa-
complains of pain at the insertion tion. First, all IV fluids should be discontinued at the site (D)
Study online at https://quizlet.com/_1g9vi6
1. A client is receiving clonidine Catapres acts as a centrally-acting analgesic and antihyper-
(Catapres) 0.1 mg/24hr via trans- tensive agent. (D) indicates a reduction in hypertension.
dermal patch. Which assessment Catapres does not affect (A, B, or C), so these findings do
finding indicates that the desired not indicate desired outcomes of Catapres
effect of the medication has been
achieved?
A. Client denies recent episodes
of angina.
B. Change in peripheral edema
from +3 to +1.
C. Client denies recent nausea or
vomiting.
D. Blood pressure has changed
from 180/120 to 140/70. Correct
2. After abdominal surgery, a male Unfractionated heparin or low molecular weight heparin
client is prescribed low molecu- (LMWH) is an anticoagulant that inhibits thrombin-medi-
lar weight heparin (LMWH). Dur- ated conversion of fibrinogen to fibrin and is given prophy-
ing administration of the med- lactically to prevent postoperative venous thrombosis (A)
ication, the client asks the nurse or to treat pulmonary embolism or deep vein thrombosis
why he is receiving this medica- following knee and abdominal surgeries. Heparin does not
tion. Which is the best response dissolve clots but prevents clot extension or further clot
for the nurse to provide? formation (C). The anticoagulant heparin does not prevent
A. This medication is a blood infection (B) or influence operative wound healing (D).
thinner given to prevent blood
clot formation. Correct
B. This medication enhances an-
tibiotics to prevent infection.
C. This medication dissolves any
clots that develop in the legs. In-
correct
D. This abdominal injection as-
, HESI PHARMACOLOGY PRACTICE QUESTIONS FOR FINAL
Study online at https://quizlet.com/_1g9vi6
sists in the healing of the abdom-
inal wound.
3. A client with coronary artery Vomiting, anorexia and abdominal pain are early indica-
disease who is taking digoxin tions of digitalis toxicity. Since Lipitor increases the risk for
(Lanoxin) receives a new pre- digitalis toxicity, this finding requires the most immediate
scription for atorvastatin (Lipi- intervention by the nurse (D). (A, B and C) are expected side
tor). Two weeks after initiation effects of Lipitor
of the Lipitor prescription, the
nurse assesses the client. Which
finding requires the most imme-
diate intervention?
A. Heartburn.
B. Headache.
C. Constipation.
D. Vomiting. Correct
4. A client with heart failure is pre- Spironolactone (Aldactone), an aldosterone antagonist, is
scribed spironolactone (Aldac- a potassium-sparing diuretic, so a diet high in potassium
tone). Which information is most should be avoided (B), including potassium salt substi-
important for the nurse to pro- tutes, which can lead to hyperkalemia. Although (A) is a
vide to the client about diet mod- common diet modification in heart failure, the risk of hy-
ifications? perkalemia is more important with Aldactone. Restriction of
Do not add salt to foods during fluids (C) or increasing milk and milk products (D) are not
preparation. indicated with this prescription.
Refrain for eating foods high in
potassium. Correct
Restrict fluid intake to 1000 ml
per day.
Increase intake of milk and milk
products.
, HESI PHARMACOLOGY PRACTICE QUESTIONS FOR FINAL
Study online at https://quizlet.com/_1g9vi6
5. A client with a dysrhythmia is to Pronestyl is a class 1A antidysrhythmic. It should be tak-
receive procainamide (Pronestyl) en around-the-clock (A) so that a stable blood level of
in 4 divided doses over the next the drug can be maintained, thereby decreasing the pos-
24 hours. What dosing schedule sibility of hypotension (an adverse effect) occurring be-
is best for the nurse to imple- cause of too much of the drug circulating systemically
ment? at any particular time of day. (B, C, and D) do not pro-
q6h. Correct vide an around-the-clock dosing schedule. Pronestyl may
QID. be given with food if GI distress is a problem, but an
AC and bedtime. around-the-clock schedule should still be maintained.
PC and bedtime.
6. A client who was prescribed ator- Myopathy, suggested by the leg pain and weakness, is a
vastatin (Lipitor) one month ago serious, and potentially life-threatening, complication of
calls the triage nurse at the clin- Lipitor, and should be evaluated immediately by the health-
ic complaining of muscle pain care provider (C). Although electrolyte imbalances such as
and weakness in his legs. Which (A or B) can cause muscle spasms in some cases, this
statement reflects the correct is not the likely cause of leg pain in the client receiving
drug-specific teaching the nurse Lipitor, and evaluation by the healthcare provider should
should provide to this client? not be delayed for any reason. A low-cholesterol diet is
recommended for those taking Lipitor since the drug is
used to lower total cholesterol (D), but diet is not related
A. Increase consumption of
to the leg pain symptom.
potassium-rich foods since low
potassium levels can cause mus-
cle spasms.
B. Have serum electrolytes
checked at the next scheduled
appointment to assess hypona-
tremia, a cause of cramping.
, HESI PHARMACOLOGY PRACTICE QUESTIONS FOR FINAL
Study online at https://quizlet.com/_1g9vi6
C. Make an appointment to see
the healthcare provider, because
muscle pain may be an indication
of a serious side effect. Correct
D. Be sure to consume a low-cho-
lesterol diet while taking the
drug to enhance the effective-
ness of the drug.
7. A category X drug is prescribed Drugs classified in the category X place a client who is in
for a young adult female client. the first trimester of pregnancy at risk for teratogenesis, so
Which instruction is most impor- women in the childbearing years should be counseled to
tant for the nurse to teach this use a reliable form of birth control (A) during drug therapy.
client? (B) is not a specific precaution with Category X drugs. The
client should be encouraged to discuss plans for pregnancy
with the healthcare provider, so a safer alternative prescrip-
A. Use a reliable form of birth
tion (C) can be provided if pregnancy occurs. Although the
control. Correct
risk of birth defects during pregnancy explains the restric-
tion of these drugs during pregnancy, (D) is not indicated.
B. Avoid exposure to ultra violet
light.
C. Refuse this medication if plan-
ning pregnancy.
D. Abstain from intercourse while
on this drug.
8. A client receiving Doxorubicin Doxorubicin is an antineoplastic agent that causes inflam-
(Adriamycin) intravenously (IV) mation, blistering, and necrosis of tissue upon extravasa-
complains of pain at the insertion tion. First, all IV fluids should be discontinued at the site (D)
