HESI Pharmacology Practice Exam
HESI PHARMACOLOGY PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
A client has a continuous IV infusion of dopamine and an IV of normal saline at
50ml/hour. The nurse noes that the client's urinary output has been 20ml/hour
for the last two hours. Which intervention should the nurse initiate?
A. stop the infusion of dopamine
B. change the normal saline to a keep open rate
C. replace the urinary catheter
D. notify the healthcare provider of the urinary output. - Correct Answer-D.
A healthcare provider prescrives cephalexin monhydrate (Keflex) for a client with a
postoperative infection. It is most important for the nurse to assess for what
additional drug allergy before administering this prescription?
A. Penicillins
B. Aminoglycosides
C. Erythromycins
D.Sulfonamides - Correct Answer-A. Cross-allergies exist between penicillins and
cephalosporines, such as keflex. so checking for penicillin allergy is a wise
precaution
Which medications should the nurse caution the client about taking while
receiving an opioid analgesic?
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, HESI Pharmacology Practice Exam
A. Antacids.
B. Benzodiasepines
C. Antihypertensives
D. Oral antidiabetics - Correct Answer-B. respiratory depression increases with the
concurrent use of opioid analgesics and other cns depressant agents, such as
alcohol, barbiturates, and benzodiasepines
Which nursing diagnosis is important to include in the plan of care for a client
recieving the angiotensin II receptor antagonist irbesartan (avapro)?
A. Fluid volume deficit
B.Risk for infection
C. Risk for injury
D. Impaired sleep patterns - Correct Answer-C. Avapro is an antihypertensive
agent, which acts by blocking vasoconstrictor effects at various receptor sites. This
can cause hypotension and dizziness, placing the client at high risk for injury
A postoperative client has been recieving a continuous IV infusion of meperidine
(demerol) 35mg/hr for four days. The client has a PRN prescription for Demorol
100mg PO Q3H. The nurse notes that the client has become increasingly restless,
irritable and confused, stating that there are bugs all over the walls. What action
should the nurse take FIRST?
A. Administer a PRN dose of the PO meperidine (demorol)
B. Administer naloxone (narcan) IV per PRN protocol
C. Decrease the IV infusion rate of the demerol per protocol
D. notify the healthcare provider of the clients confusion and hallucinations -
Correct Answer-C. The client is exhibiting symptoms of demerol toxicity, which is
2|Page
, HESI Pharmacology Practice Exam
consistent with the large dose of demerol recieved over four days. C. is the most
effective action to immediately decrease the amount of serum demerol.
The client with a dysrhythmia is to receive procainamide (pronestyl) in 4 divided
doses over the next 24 hours. What dosing schedule is best for the nurse to
implement?
A. q6h
B. QID
C. AC and bedtime
D. PC and bedtime - Correct Answer-A. q6h
After abdominal surgery, a male client is prescribed low molecular weight heparin.
during administration of the medication, the client asks the nurse why he is
receiving this medication. Which is the best response for the nurse to provide.
A. This medication is a blood thinner given to prevent blood clot formation
B. this medication enhances antibiotics to prevent infection
C. This medication dissolves any glots that develop int he legs
D. This abdominal injection assists in the healing of the abdominal wound -
Correct Answer-A
Following heparin treatment for a PE, a client is being discharged with a
prescription for warfarin. In conducting discharge teaching, the nurse advises the
client to have which diagnostic test monitored regularly?
A. Perfusion scan
B. Prothrombin time (PT/INR)
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, HESI Pharmacology Practice Exam
C. Activated Partial thromboplastin (APTT)
D. Serum Coumadin Level (SCL) - Correct Answer-B. When used for a client with
PE, the therapeutic goal for wafarin therapy is a PT 1/5 to 2/5 times greater than
the control or an INR of 2-3. A perfusion might be preformed to monitor lung
function but not monthly. APTT is monitored for Heparin.
A client who has been taking levodopa PO TID to control the symptoms of
Parkinsons disease has a new prescription for sustained release
levodopa/carbidopa (sinemet 25/100 PO BID. The client took his levodopa at
0800. Which instruction should the nurse include in the teaching plan for this
client?
A. take the first dose of sinemet today, as soon as your prescription is filld
B. Since you already took your levodopa, wait until tomorrow to take the sinemet
C. Take both drugs for the 1st week, then switch to taking only the sinemet.
D. You can begin taking the sinemet this evening, but do not take anymore
levodopa - Correct Answer-D
While taking a nursing history, the client states, "I am allergice to penicillin." what
related allergy to another type of anti-infective agent should the nurse ask the
client about when taking nursing history.
A. aminoglycosides
B. Cephalosporins
C. Sulfonamides
D. Tetracyclines - Correct Answer-B. Cross allergies exist between penicillins and
cephalosporins
4|Page
HESI PHARMACOLOGY PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!!
A client has a continuous IV infusion of dopamine and an IV of normal saline at
50ml/hour. The nurse noes that the client's urinary output has been 20ml/hour
for the last two hours. Which intervention should the nurse initiate?
A. stop the infusion of dopamine
B. change the normal saline to a keep open rate
C. replace the urinary catheter
D. notify the healthcare provider of the urinary output. - Correct Answer-D.
A healthcare provider prescrives cephalexin monhydrate (Keflex) for a client with a
postoperative infection. It is most important for the nurse to assess for what
additional drug allergy before administering this prescription?
A. Penicillins
B. Aminoglycosides
C. Erythromycins
D.Sulfonamides - Correct Answer-A. Cross-allergies exist between penicillins and
cephalosporines, such as keflex. so checking for penicillin allergy is a wise
precaution
Which medications should the nurse caution the client about taking while
receiving an opioid analgesic?
1|Page
, HESI Pharmacology Practice Exam
A. Antacids.
B. Benzodiasepines
C. Antihypertensives
D. Oral antidiabetics - Correct Answer-B. respiratory depression increases with the
concurrent use of opioid analgesics and other cns depressant agents, such as
alcohol, barbiturates, and benzodiasepines
Which nursing diagnosis is important to include in the plan of care for a client
recieving the angiotensin II receptor antagonist irbesartan (avapro)?
A. Fluid volume deficit
B.Risk for infection
C. Risk for injury
D. Impaired sleep patterns - Correct Answer-C. Avapro is an antihypertensive
agent, which acts by blocking vasoconstrictor effects at various receptor sites. This
can cause hypotension and dizziness, placing the client at high risk for injury
A postoperative client has been recieving a continuous IV infusion of meperidine
(demerol) 35mg/hr for four days. The client has a PRN prescription for Demorol
100mg PO Q3H. The nurse notes that the client has become increasingly restless,
irritable and confused, stating that there are bugs all over the walls. What action
should the nurse take FIRST?
A. Administer a PRN dose of the PO meperidine (demorol)
B. Administer naloxone (narcan) IV per PRN protocol
C. Decrease the IV infusion rate of the demerol per protocol
D. notify the healthcare provider of the clients confusion and hallucinations -
Correct Answer-C. The client is exhibiting symptoms of demerol toxicity, which is
2|Page
, HESI Pharmacology Practice Exam
consistent with the large dose of demerol recieved over four days. C. is the most
effective action to immediately decrease the amount of serum demerol.
The client with a dysrhythmia is to receive procainamide (pronestyl) in 4 divided
doses over the next 24 hours. What dosing schedule is best for the nurse to
implement?
A. q6h
B. QID
C. AC and bedtime
D. PC and bedtime - Correct Answer-A. q6h
After abdominal surgery, a male client is prescribed low molecular weight heparin.
during administration of the medication, the client asks the nurse why he is
receiving this medication. Which is the best response for the nurse to provide.
A. This medication is a blood thinner given to prevent blood clot formation
B. this medication enhances antibiotics to prevent infection
C. This medication dissolves any glots that develop int he legs
D. This abdominal injection assists in the healing of the abdominal wound -
Correct Answer-A
Following heparin treatment for a PE, a client is being discharged with a
prescription for warfarin. In conducting discharge teaching, the nurse advises the
client to have which diagnostic test monitored regularly?
A. Perfusion scan
B. Prothrombin time (PT/INR)
3|Page
, HESI Pharmacology Practice Exam
C. Activated Partial thromboplastin (APTT)
D. Serum Coumadin Level (SCL) - Correct Answer-B. When used for a client with
PE, the therapeutic goal for wafarin therapy is a PT 1/5 to 2/5 times greater than
the control or an INR of 2-3. A perfusion might be preformed to monitor lung
function but not monthly. APTT is monitored for Heparin.
A client who has been taking levodopa PO TID to control the symptoms of
Parkinsons disease has a new prescription for sustained release
levodopa/carbidopa (sinemet 25/100 PO BID. The client took his levodopa at
0800. Which instruction should the nurse include in the teaching plan for this
client?
A. take the first dose of sinemet today, as soon as your prescription is filld
B. Since you already took your levodopa, wait until tomorrow to take the sinemet
C. Take both drugs for the 1st week, then switch to taking only the sinemet.
D. You can begin taking the sinemet this evening, but do not take anymore
levodopa - Correct Answer-D
While taking a nursing history, the client states, "I am allergice to penicillin." what
related allergy to another type of anti-infective agent should the nurse ask the
client about when taking nursing history.
A. aminoglycosides
B. Cephalosporins
C. Sulfonamides
D. Tetracyclines - Correct Answer-B. Cross allergies exist between penicillins and
cephalosporins
4|Page
