HESI Pharmacology Study Guide & Practice Questions.
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 achieved?
assessment finding indicates to the A. Client states chest pain is
nurse that the desired effect has been relieved
, HESI Pharmacology Study Guide & Practice Questions.
B. Client's pulse decreases from 120 to chest pain
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 prescription for niacin (niaspan).
which client teaching is most impor-
tant for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia A. flushing of the face and neck, lasting up to
c. diets that minimize gi irritation an hour, is a frequent reason for discontinuing
d. comfort measure for pruritis niacin. inclusion of this ettect in clietn teaching
may pro- mote compliance in taking the med.
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 Study Guide & Practice Questions.
4. A client is admitted to the coro- A. nitroglycerin is a nitrate that causes
nary care unit with a medical di- peripher- al vasodilation and decreases
agnosis of acute myocardial infarc- contractility, thereby decreasing both preload and
tion. which medication prescription afterload
decreases both preload and afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
5. A client is being treated for hyperthy-
roidism with propylthiouracil (PTU). D. PTU is an adjunct therapy used to control hy-
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 Study Guide & Practice Questions.
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
prescription for spironolactone (al- and a potassium-sparing diuretic sucha s
dactone) for a client who receives spironolactone, should be given with caution b/c
the two drugs may
an angiotensin-converting enzyme in- interact to cause an elevation in serum potassium
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 achieved?
assessment finding indicates to the A. Client states chest pain is
nurse that the desired effect has been relieved
, HESI Pharmacology Study Guide & Practice Questions.
B. Client's pulse decreases from 120 to chest pain
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 prescription for niacin (niaspan).
which client teaching is most impor-
tant for the nurse to provide
a. expected duration of flushing
b. symptoms of hyperglycemia A. flushing of the face and neck, lasting up to
c. diets that minimize gi irritation an hour, is a frequent reason for discontinuing
d. comfort measure for pruritis niacin. inclusion of this ettect in clietn teaching
may pro- mote compliance in taking the med.
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 Study Guide & Practice Questions.
4. A client is admitted to the coro- A. nitroglycerin is a nitrate that causes
nary care unit with a medical di- peripher- al vasodilation and decreases
agnosis of acute myocardial infarc- contractility, thereby decreasing both preload and
tion. which medication prescription afterload
decreases both preload and afterload
a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
5. A client is being treated for hyperthy-
roidism with propylthiouracil (PTU). D. PTU is an adjunct therapy used to control hy-
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 Study Guide & Practice Questions.
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
prescription for spironolactone (al- and a potassium-sparing diuretic sucha s
dactone) for a client who receives spironolactone, should be given with caution b/c
the two drugs may
an angiotensin-converting enzyme in- interact to cause an elevation in serum potassium
