HESI Pharmacology Exam 2 NEWEST ACTUAL EXAM
HESI PHARMACOLOGY EXAM 2 NEWEST ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
A client is taking danazol (Danocrine) for endometriosis and calls the clinic nurse
to complain of a dark, swollen, and painful leg. What instructions should the nurse
provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps. - Correct Answer-Proceed to
the closest emergency room.
A client asks the nurse to explain the meaning of a narrow therapeutic index of a
medication. What information should the nurse use to answer the question?
The onset of action for the medication occurs very quickly.
A small margin exists between safe and toxic plasma levels.
Bioavailability is significantly reduced by the first-pass effect.
Minimum dosage is needed for the medication to be effective. - Correct Answer-A
small margin exists between safe and toxic plasma levels.
1|Page
, HESI Pharmacology Exam 2 NEWEST ACTUAL EXAM
A c lient is receiving fentanyl via an epidural infusion. Which side effect should the
nurse anticipate in the first 24 hours of epidural analgesia ?
Headache.
Agitation.
Urinary retention.
Abdominal cramping and diarrhea. - Correct Answer-Urinary retention.
The healthcare provider prescribes a medication for an older adult client who is
complaining of insomnia, and instructs the client to return in two weeks. The
nurse should question which prescription?
Zolpidem (Ambien) 10 milligrams orally at bedtime.
Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
Temazepam (Restoril) 7.5 milligrams orally at bedtime.
Ramelteon (Rozerem) 8 milligrams orally at bedtime. - Correct Answer-Eszopiclone
(Lunesta) 10 milligrams orally at bedtime.
Which route should the nurse clarify with the healthcare provider prior to
administering a drug with a high first-pass effect?
Oral.
Buccal.
Sublingual.
Intravenous. - Correct Answer-Oral.
2|Page
, HESI Pharmacology Exam 2 NEWEST ACTUAL EXAM
The therapeutic effect of insulin in treating Type 1 diabetes mellitus is based on
which physiologic action?
Facilitates transport of glucose into the cells.
Stimulates function of beta cells in the pancreas.
Increases intracellular receptor site sensitivity.
Delays carbohydrate digestion and absorption. - Correct Answer-Facilitates
transport of glucose into the cells.
The healthcare provider discontinues prednisone, a glucocorticoid, for a client
with chronic obstructive pulmonary disease. What instructions should the nurse
give the client about the regimen to follow?
Life-long treatment is common for chronic disease.
The drug should be stopped immediately if no longer needed.
The dose must be tapered over the course of 7 to 10 days.
Another glucocorticoid should be used to prevent cross-tolerance. - Correct
Answer-The dose must be tapered over the course of 7 to 10 days.
What pathophysiological action supports the expected outcome for a client with
chronic cancer pain who is treated with imipramine (Tofranil), a tricyclic
antidepressant?
3|Page
, HESI Pharmacology Exam 2 NEWEST ACTUAL EXAM
Increases pain threshold by stimulating opiate receptors in the CNS to release of
endogenous enkephalins.
Decreases perception of pain by blocking opiate receptors in the brain and
descending inhibitory nerves.
Decreases transmission of pain impulses by altering serotonin and norepinephrine
activity at nerve synapses.
Increases pain tolerance through relief of depression by increasing the amounts of
norepinephrine in the brain. - Correct Answer-Decreases transmission of pain
impulses by altering serotonin and norepinephrine activity at nerve synapses.
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic
quinolone. When teaching about this drug, which information in the client's
history requires special emphasis by the nurse?
Snacks on dairy products such as yogurt or ice cream.
Previously had a mild allergic reaction to a cephalosporin.
Consumes alcoholic drinks occasionally on the weekends.
Works twenty hours a week as a lifeguard at the local pool. - Correct Answer-
Works twenty hours a week as a lifeguard at the local pool.
A client receives a prescription for esomeprazole (Nexium) for heartburn. Which
finding in the client's history should the nurse report to the healthcare provider
before administering the prescription?
Eats spicy food three times a week.
History of deep vein thrombosis.
4|Page
HESI PHARMACOLOGY EXAM 2 NEWEST ACTUAL EXAM
COMPLETE 150 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
A client is taking danazol (Danocrine) for endometriosis and calls the clinic nurse
to complain of a dark, swollen, and painful leg. What instructions should the nurse
provide the client?
Wear support stockings.
Elevate both legs and apply heat.
Proceed to the closest emergency room.
Walk for 20 to 30 minutes to reduce muscle cramps. - Correct Answer-Proceed to
the closest emergency room.
A client asks the nurse to explain the meaning of a narrow therapeutic index of a
medication. What information should the nurse use to answer the question?
The onset of action for the medication occurs very quickly.
A small margin exists between safe and toxic plasma levels.
Bioavailability is significantly reduced by the first-pass effect.
Minimum dosage is needed for the medication to be effective. - Correct Answer-A
small margin exists between safe and toxic plasma levels.
1|Page
, HESI Pharmacology Exam 2 NEWEST ACTUAL EXAM
A c lient is receiving fentanyl via an epidural infusion. Which side effect should the
nurse anticipate in the first 24 hours of epidural analgesia ?
Headache.
Agitation.
Urinary retention.
Abdominal cramping and diarrhea. - Correct Answer-Urinary retention.
The healthcare provider prescribes a medication for an older adult client who is
complaining of insomnia, and instructs the client to return in two weeks. The
nurse should question which prescription?
Zolpidem (Ambien) 10 milligrams orally at bedtime.
Eszopiclone (Lunesta) 10 milligrams orally at bedtime.
Temazepam (Restoril) 7.5 milligrams orally at bedtime.
Ramelteon (Rozerem) 8 milligrams orally at bedtime. - Correct Answer-Eszopiclone
(Lunesta) 10 milligrams orally at bedtime.
Which route should the nurse clarify with the healthcare provider prior to
administering a drug with a high first-pass effect?
Oral.
Buccal.
Sublingual.
Intravenous. - Correct Answer-Oral.
2|Page
, HESI Pharmacology Exam 2 NEWEST ACTUAL EXAM
The therapeutic effect of insulin in treating Type 1 diabetes mellitus is based on
which physiologic action?
Facilitates transport of glucose into the cells.
Stimulates function of beta cells in the pancreas.
Increases intracellular receptor site sensitivity.
Delays carbohydrate digestion and absorption. - Correct Answer-Facilitates
transport of glucose into the cells.
The healthcare provider discontinues prednisone, a glucocorticoid, for a client
with chronic obstructive pulmonary disease. What instructions should the nurse
give the client about the regimen to follow?
Life-long treatment is common for chronic disease.
The drug should be stopped immediately if no longer needed.
The dose must be tapered over the course of 7 to 10 days.
Another glucocorticoid should be used to prevent cross-tolerance. - Correct
Answer-The dose must be tapered over the course of 7 to 10 days.
What pathophysiological action supports the expected outcome for a client with
chronic cancer pain who is treated with imipramine (Tofranil), a tricyclic
antidepressant?
3|Page
, HESI Pharmacology Exam 2 NEWEST ACTUAL EXAM
Increases pain threshold by stimulating opiate receptors in the CNS to release of
endogenous enkephalins.
Decreases perception of pain by blocking opiate receptors in the brain and
descending inhibitory nerves.
Decreases transmission of pain impulses by altering serotonin and norepinephrine
activity at nerve synapses.
Increases pain tolerance through relief of depression by increasing the amounts of
norepinephrine in the brain. - Correct Answer-Decreases transmission of pain
impulses by altering serotonin and norepinephrine activity at nerve synapses.
A client receives a new prescription for ciprofloxacin (Cipro), a synthetic
quinolone. When teaching about this drug, which information in the client's
history requires special emphasis by the nurse?
Snacks on dairy products such as yogurt or ice cream.
Previously had a mild allergic reaction to a cephalosporin.
Consumes alcoholic drinks occasionally on the weekends.
Works twenty hours a week as a lifeguard at the local pool. - Correct Answer-
Works twenty hours a week as a lifeguard at the local pool.
A client receives a prescription for esomeprazole (Nexium) for heartburn. Which
finding in the client's history should the nurse report to the healthcare provider
before administering the prescription?
Eats spicy food three times a week.
History of deep vein thrombosis.
4|Page
