Pharm II HESI Questions and Answers
A+ Graded (2025)
Which .of .the .following .is .a .rapid .acting .insulin .and .should .be .administered
.immediately .before .a .meal?
A. .Glargine
B. .Aspart .(Lispro)
C. .NPH
D. .Regular .- .CORRECT .ANSWER-B. .Aspart
rationale: .onset .is .5 .minutes
Glargine=Lantus .(long .lasting)
A .PT .has .an .anaphylactic .allergy .to .sulfa .drugs. .She .receives .sulfamethoxazole.
.She .becomes .flushed .and .SOB. .Her .HR .is .normal .but . her .BP .is .dropping. .You
.first .administer
A. .Epinephrine
B. .Diphenhydramine
C. .Albuterol
D. .Atropine .- .CORRECT .ANSWER-A. .Epi
rationale: .raises .BP
Which .of .the .following .would .be .an .adverse .effect .of .methimazole .(Tapazole)
A. .Tachycardia
B. .Bradycardia
C. .SOB
D. .Arrhythmias .- .CORRECT .ANSWER-This .is .an .anti-thyroid .medication
B. .Bradycardia
One .of .your .PTs .is .started .on .verapamil .(Calan). .Before .administering .the .dose
.you .check
A. .HR
B. .urine .output
C. .weight
D. .temp .- .CORRECT .ANSWER-this .is .a .calcium .channel .blocker--worried .about
.HR
A. .HR
, One .of .your .PTs .is .to .be .started .on .iron .sulfate .therapy. .You .instruct .him .to:
A. .take .with .meals
B. .take .on .empty .stomach
C. .remain .upright .for .at .least .60 .min .following .administration
D. .take .with .vitamin .A .to .increase .absorption .- .CORRECT .ANSWER-B. .take .on
.empty .stomach
rationale: .taking .with .food .lessens .absorption, .but .it .can .cause .upset .stomach
.so .most .like .to .take .with .food
take .iron .with .vitamin .C .to .increase .absorption
liquid .iron-drink .through .straw .bc .it .can .stain .teeth .black
which .of .the .following .should .be .considered .when .administering .IV .potassium?
A. .Max .rate .infused .through .central .line .is .20 .meq/h
B. .Max .rate .infused .through .peripheral .line .is .10 .meq/h
C. .Max .concentration .through .a .central .line .is .20 .meq/50ml
D. .Max .concentration .through .peripheral .line .is .10 .meq/100ml
E. .all .of .the .above .- .CORRECT .ANSWER-E. .all .of .the .above
will .usually .be .infused .peripherally
which .is .the .following .agents .is .used .to .treat .MG
A. .Atropine .(anticholinergic)
B. .Pyridostigmine .(Mestinon-acetylcholinesterase .inhibitor)
C. .Metoprolol .(Lopressor-beta .blocker)
D. .Albuterol .(Proventil-beta .2 .agonist) .- .CORRECT .ANSWER-B. .Pyridostigmine
rationale: .Atropine .is .emergency .drug .for .bradycardia
which .of .the .following .would .you .monitor .for .patients .started .on .a .narcotic .like
.morphine?
A. .HR
B. .respiratory .rate
C. .liver .function .tests
D. .creatine .phosphokinase .(CPK) .- .CORRECT .ANSWER-A. .HR
PT .is .receiving .baclofen .(Lioresal). .This .medication .can .cause
A. .sedation
B. .seizures
C. .none .of .the .above
D. .all .of .the .above .- .CORRECT .ANSWER-this .is .a .skeletal .muscle .relaxer
A. .sedation
rationale: .seizures .can .happen .if .you .discontinue .this .med
PT .is .started .on .orlistat .(Xenical, .Alli). .You .identify .that .this .medication
A. .is .a .lipase .inhibitor .used .to .treat .diabetes
B. .is .a .lipase .inhibitor .used .to .treat .obesity
C. .is .a .lipase .inhibitor .used .to .increase .muscle .mass
D. .is .a .lipase .inhibitor .used .to .lower .cholesterol .- .CORRECT .ANSWER-B. .lipase
.inhibitor .used .to .treat .obesity
rationale: .this .is .an .anorexiant .drug
A+ Graded (2025)
Which .of .the .following .is .a .rapid .acting .insulin .and .should .be .administered
.immediately .before .a .meal?
A. .Glargine
B. .Aspart .(Lispro)
C. .NPH
D. .Regular .- .CORRECT .ANSWER-B. .Aspart
rationale: .onset .is .5 .minutes
Glargine=Lantus .(long .lasting)
A .PT .has .an .anaphylactic .allergy .to .sulfa .drugs. .She .receives .sulfamethoxazole.
.She .becomes .flushed .and .SOB. .Her .HR .is .normal .but . her .BP .is .dropping. .You
.first .administer
A. .Epinephrine
B. .Diphenhydramine
C. .Albuterol
D. .Atropine .- .CORRECT .ANSWER-A. .Epi
rationale: .raises .BP
Which .of .the .following .would .be .an .adverse .effect .of .methimazole .(Tapazole)
A. .Tachycardia
B. .Bradycardia
C. .SOB
D. .Arrhythmias .- .CORRECT .ANSWER-This .is .an .anti-thyroid .medication
B. .Bradycardia
One .of .your .PTs .is .started .on .verapamil .(Calan). .Before .administering .the .dose
.you .check
A. .HR
B. .urine .output
C. .weight
D. .temp .- .CORRECT .ANSWER-this .is .a .calcium .channel .blocker--worried .about
.HR
A. .HR
, One .of .your .PTs .is .to .be .started .on .iron .sulfate .therapy. .You .instruct .him .to:
A. .take .with .meals
B. .take .on .empty .stomach
C. .remain .upright .for .at .least .60 .min .following .administration
D. .take .with .vitamin .A .to .increase .absorption .- .CORRECT .ANSWER-B. .take .on
.empty .stomach
rationale: .taking .with .food .lessens .absorption, .but .it .can .cause .upset .stomach
.so .most .like .to .take .with .food
take .iron .with .vitamin .C .to .increase .absorption
liquid .iron-drink .through .straw .bc .it .can .stain .teeth .black
which .of .the .following .should .be .considered .when .administering .IV .potassium?
A. .Max .rate .infused .through .central .line .is .20 .meq/h
B. .Max .rate .infused .through .peripheral .line .is .10 .meq/h
C. .Max .concentration .through .a .central .line .is .20 .meq/50ml
D. .Max .concentration .through .peripheral .line .is .10 .meq/100ml
E. .all .of .the .above .- .CORRECT .ANSWER-E. .all .of .the .above
will .usually .be .infused .peripherally
which .is .the .following .agents .is .used .to .treat .MG
A. .Atropine .(anticholinergic)
B. .Pyridostigmine .(Mestinon-acetylcholinesterase .inhibitor)
C. .Metoprolol .(Lopressor-beta .blocker)
D. .Albuterol .(Proventil-beta .2 .agonist) .- .CORRECT .ANSWER-B. .Pyridostigmine
rationale: .Atropine .is .emergency .drug .for .bradycardia
which .of .the .following .would .you .monitor .for .patients .started .on .a .narcotic .like
.morphine?
A. .HR
B. .respiratory .rate
C. .liver .function .tests
D. .creatine .phosphokinase .(CPK) .- .CORRECT .ANSWER-A. .HR
PT .is .receiving .baclofen .(Lioresal). .This .medication .can .cause
A. .sedation
B. .seizures
C. .none .of .the .above
D. .all .of .the .above .- .CORRECT .ANSWER-this .is .a .skeletal .muscle .relaxer
A. .sedation
rationale: .seizures .can .happen .if .you .discontinue .this .med
PT .is .started .on .orlistat .(Xenical, .Alli). .You .identify .that .this .medication
A. .is .a .lipase .inhibitor .used .to .treat .diabetes
B. .is .a .lipase .inhibitor .used .to .treat .obesity
C. .is .a .lipase .inhibitor .used .to .increase .muscle .mass
D. .is .a .lipase .inhibitor .used .to .lower .cholesterol .- .CORRECT .ANSWER-B. .lipase
.inhibitor .used .to .treat .obesity
rationale: .this .is .an .anorexiant .drug