HESI PHARMACOLOGY ATI NEWEST EXAM 2024 -2025 ATI
PHARMACOLOGY HESI/ COMPLETE 200 ACTUAL
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+
A nurse is caring for a client who has thrombophlebitis and is receiving a
continuous heparin infusion. Which of the following medications should the
nurse have available to reverse heparin's effects?
a. Protamine sulfate
b. Captopril (Capote)
c. Vitamin K
d. Vasopressin - ANS - a.
A nurse is providing instruction to a new nurse about caring for clients who are
receiving diuretic therapy to treat heart failure. The nurse should explain that
which of the following medications outs clients at risk for both hyperkalemia and
hyponatremia?
a. metolazone
b. hydrochlorothiazide
c. spironolactone
d. furosemide - ANS - c.
A nurse is caring for a client who is taking captopril. Which of the following
outcomes indicates a therapeutic effect of the medication?
a. prevention of bipolar manic episodes
b. decreased blood pressure
c. increase of HDL cholesterol
d. improved sexual function - ANS - b.
pg. 1
,A nurse is caring for a client who receives furosemide to treat heart failure. Which
of the following lab values should the nurse monitor for this client due to this
medication?
a. bicarbonate
b. albumin
c. potassium
d. cortisol - ANS - c.
A nurse is caring for a client who has atrial fibrillation and receives digoxin daily.
Before administering this medication, which action should the nurse take?
a. measure the client's apical pulse
b. offer the client a light snack
c. measure the client's blood pressure
d. weigh the client - ANS - a.
Dixogin decrease the heart rate, so the nurse should count the apical pulse for at least 1
minute before administering
A nurse is assessing a client who has hypercholesterolemia and is receiving
atorvastatin. Which finding should the nurse recognize as a potential adverse
effect?
a. muscle weakness
b. blurred vision
c. orthostatic hypotension
d. urinary retention - ANS - a.
A nurse is teaching a client who has a new prescription for transdermal
nitroglycerin to treat angina pectoris. Which of the following instructions should
the nurse include in the teaching?
pg. 2
,a. apply the transdermal patch in the same location as the previous patch
b. apply the transdermal patch in the morning
c. apply a new transdermal patch when chest pain is experienced
d. apply a new transdermal patch once a week - ANS - b.
A nurse is providing teaching to a client who has hypertension and a new
prescription for captopril. Which of the following instructions should the nurse
provide?
a. do not use salt substitutes while taking this medication
b. count your pulse rate before taking the medication
c. take the medication with food
d. expect to gain weight while taking this medication - ANS - a.
A nurse is caring for a client who has hypertension and asks the nurse about a
prescription for propranolol. The nurse should inform the client that this
medication is contraindicated in clients who have a history of which of the
following conditions?
a. asthma
b. migraines
c. glaucoma
d. depression - ANS - a.
Beta 2 blockers are contraindicated in clients with asthma because they can cause
bronchospasms. Propranolol blocks sympathetic stimulation which prevents smooth
muscle relaxation
Why does diphenoxylate with atropine have anticholinergic effects?
a. inhibits ATP enzyme system
b. decreases peristalsis
c. blocks H2 receptors
pg. 3
, d. blocks the parasympathetic receptors - ANS - d.
A nurse is caring for a client who has deep vein thrombosis and has been on
heparin continuous infusion for 5 days. The provider prescribes warfarin PO
w/out discontinuing the heparin. The client asks the nurse why both
anticoagulants are necessary. Which of the following statements should the
nurse make?
a. Warfarin takes several days to work, so the IV heparin will be used until the warfarin
reaches therapeutic level.
b. Both heparin and warfarin work together to dissolve the clot
c. The IV heparin increases the effectiveness of the warfarin and will decrease your stay.
d. I will call the provider to get a prescription for discontinuing the heparin today. - ANS -
a.
A nurse is caring for a client who is prescribed warfarin therapy for an artificial
heart valve. Which of the following lab values should the nurse monitor for a
therapeutic effect of warfarin?
a. Prothrombin time
b. Bleeding time
c. Hemoglobin
d. Activated partial thromboplastin time - ANS - a.
A nurse is providing discharge teaching for a client who has a new prescription
for warfarin. Which of the following instructions should the nurse include in the
teaching?
a. Mild nosebleeds are common during initial treatment
b. Increase fiber intake to reduce the adverse effect of constipation
c. Use an electric razor while on this medication
d. If a dose of the medication is missed, double the dose at the next scheduled time. -
ANS - c.
pg. 4
PHARMACOLOGY HESI/ COMPLETE 200 ACTUAL
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+
A nurse is caring for a client who has thrombophlebitis and is receiving a
continuous heparin infusion. Which of the following medications should the
nurse have available to reverse heparin's effects?
a. Protamine sulfate
b. Captopril (Capote)
c. Vitamin K
d. Vasopressin - ANS - a.
A nurse is providing instruction to a new nurse about caring for clients who are
receiving diuretic therapy to treat heart failure. The nurse should explain that
which of the following medications outs clients at risk for both hyperkalemia and
hyponatremia?
a. metolazone
b. hydrochlorothiazide
c. spironolactone
d. furosemide - ANS - c.
A nurse is caring for a client who is taking captopril. Which of the following
outcomes indicates a therapeutic effect of the medication?
a. prevention of bipolar manic episodes
b. decreased blood pressure
c. increase of HDL cholesterol
d. improved sexual function - ANS - b.
pg. 1
,A nurse is caring for a client who receives furosemide to treat heart failure. Which
of the following lab values should the nurse monitor for this client due to this
medication?
a. bicarbonate
b. albumin
c. potassium
d. cortisol - ANS - c.
A nurse is caring for a client who has atrial fibrillation and receives digoxin daily.
Before administering this medication, which action should the nurse take?
a. measure the client's apical pulse
b. offer the client a light snack
c. measure the client's blood pressure
d. weigh the client - ANS - a.
Dixogin decrease the heart rate, so the nurse should count the apical pulse for at least 1
minute before administering
A nurse is assessing a client who has hypercholesterolemia and is receiving
atorvastatin. Which finding should the nurse recognize as a potential adverse
effect?
a. muscle weakness
b. blurred vision
c. orthostatic hypotension
d. urinary retention - ANS - a.
A nurse is teaching a client who has a new prescription for transdermal
nitroglycerin to treat angina pectoris. Which of the following instructions should
the nurse include in the teaching?
pg. 2
,a. apply the transdermal patch in the same location as the previous patch
b. apply the transdermal patch in the morning
c. apply a new transdermal patch when chest pain is experienced
d. apply a new transdermal patch once a week - ANS - b.
A nurse is providing teaching to a client who has hypertension and a new
prescription for captopril. Which of the following instructions should the nurse
provide?
a. do not use salt substitutes while taking this medication
b. count your pulse rate before taking the medication
c. take the medication with food
d. expect to gain weight while taking this medication - ANS - a.
A nurse is caring for a client who has hypertension and asks the nurse about a
prescription for propranolol. The nurse should inform the client that this
medication is contraindicated in clients who have a history of which of the
following conditions?
a. asthma
b. migraines
c. glaucoma
d. depression - ANS - a.
Beta 2 blockers are contraindicated in clients with asthma because they can cause
bronchospasms. Propranolol blocks sympathetic stimulation which prevents smooth
muscle relaxation
Why does diphenoxylate with atropine have anticholinergic effects?
a. inhibits ATP enzyme system
b. decreases peristalsis
c. blocks H2 receptors
pg. 3
, d. blocks the parasympathetic receptors - ANS - d.
A nurse is caring for a client who has deep vein thrombosis and has been on
heparin continuous infusion for 5 days. The provider prescribes warfarin PO
w/out discontinuing the heparin. The client asks the nurse why both
anticoagulants are necessary. Which of the following statements should the
nurse make?
a. Warfarin takes several days to work, so the IV heparin will be used until the warfarin
reaches therapeutic level.
b. Both heparin and warfarin work together to dissolve the clot
c. The IV heparin increases the effectiveness of the warfarin and will decrease your stay.
d. I will call the provider to get a prescription for discontinuing the heparin today. - ANS -
a.
A nurse is caring for a client who is prescribed warfarin therapy for an artificial
heart valve. Which of the following lab values should the nurse monitor for a
therapeutic effect of warfarin?
a. Prothrombin time
b. Bleeding time
c. Hemoglobin
d. Activated partial thromboplastin time - ANS - a.
A nurse is providing discharge teaching for a client who has a new prescription
for warfarin. Which of the following instructions should the nurse include in the
teaching?
a. Mild nosebleeds are common during initial treatment
b. Increase fiber intake to reduce the adverse effect of constipation
c. Use an electric razor while on this medication
d. If a dose of the medication is missed, double the dose at the next scheduled time. -
ANS - c.
pg. 4
