HESI PHARMACOLOGY PRACTICE EXAM QUESTIONS AND ANSWERS (2025)UPDATED

HESI PHARMACOLOGY PRACTICE EXAM

QUESTIONS AND ANSWERS (2025)



THIS EXAM CONTAINS:
 Hesi Pharmacology


 Practice Exam


 Questions And Answers




1|Pag

,1. Following the administration of sublingual nitroglycerin to a client experi- encing an acute anginal attack,
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i which assessment finding indicates to the nurse that the desired effect has been achieved?
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A. Client states chest pain is relieved
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B. Client's pulse decreases from 120 to 90 i i i i i i




C. Client's systolic blood pressure decreases from 180 to 90
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D. Clients SaO2 level increases from 92% to 96% i i i i i i i




..ANS>> A. nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia and reduces
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chest pain
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2. A client with hyperlipidemia recieves a prescription for niacin (niaspan). which client teaching is most
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i important for the nurse to provide i i i i i




a. expected duration of flushing i i i




b. symptoms of hyperglycemia i i




c. diets that minimize gi irritation
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d. comfort measure for pruritis i i i




..ANS>> A.flushing of the face and neck, lasting up to an hour, is a frequent reason for discontinuing niacin.
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inclusion of this effect in clietn teaching may promote compliance in taking the med.
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3. When assessing an adolescent who recently overdosed on acetaminophen (tylonel), it is most important for
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the nurse to assess for pain in which area of the body
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a. flank
b. abdomen
c. chest
d. head
..ANS>>B.acetaminophen toxicisty an result in liver damage;therefore, it is espe- cially important for the nurse to
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assess for pain in the right upper quadrant of the abdomen (which might indicated liver damage)
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2|Pag

,4. A client is admitted to the coronary care unit with a medical diagnosis of acute myocardial
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infarction.which medication prescription decreases both preload and afterload
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a. nitroglycerin
b. propranolol
c. propranolol
d. captopril
..ANS>> A.nitroglycerin is a nitrate that causes peripheral vasodilation and decreases contractility, thereby
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decreasing both preload and afterload
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5. Aclientisbeingtreatedforhyperthyroidismwithpropylthiouracil(PTU).The nurse knows that the action of
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i this drug is to
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A. decrease the amount of the thyroid-stimulating hormone circulating in the blood
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B. increase the amount of thyroid-stimulating hormone circulating in the
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3|Pag

, blood

C. increase the amount ofT4 and decrease the amount ofT3 produced by the thyroid
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D. inhibit synthesis ofT3 andT4 by the thyroid gland
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..ANS>> D. PTU is an adjunct therapyusedtocontrolhyperthyroidismbyinhibitingproductionofthyroidhormones.
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iIt is often prescribed in prep for thyroidectomy or radioactive iodine therapy
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6. Which change in data indicates to the nurse the desired effect of the angiotensin II receptor
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i antagonist has been achieved i i i




A. Dependent edema reduced form +3 to +1 i i i i i i




B. Serum HDL increased from 35 to 55mg/dl
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C. PUlse rate reduced from 150 to 90 beats/min
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D. Blood pressure reducedf rom 160/90 to 130.80
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..ANS>>D.angiotensin II receptor antagonist (blocker), prescribed from treatment of HTN.The desired
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ieffect is a decrease in blood pressure.
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7. Which instructions should the nurse give to a female client who just recieved a prescription for oral
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imetronidazole (flagyl) for treatment of tri- chomonas vaginalis (select all that apply)
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A. increase fluid intake, especially cranberry juice i i i i i




B. Do not abruptly discontinue the medication; taper use
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C. Check blood pressure daily to detect hypertension
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D. Avoid drinking alcohol while taking this medication
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E. Use condoms until treatment is completed
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F. Ensure that all sexual partners are treated at the same time
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i..ANS>> ADEF i




4|Pag