2024 HESI PHARMACOLOGY ACTUAL EXAM / 70+ QUESTIONS AND CORRECT ANSWERS 2024/2025 GRADED A+. 2 / 19 1. Following the administration of sublingual
... [Show More] nitroglycerin to a client experi-encing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? A. Client states chest pain is relieved B. Client's pulse decreases from 120 to 90 C. Client's systolic blood pressure decreases from 180 to 90 D. Clients SaO2 level increases from 92% to 96%: A. nitroglycerin reduces mycocardial oxygen consumption which decreases ischemia and reduces chestpain 2. A client with hyperlipidemia recieves a prescription for niacin (niaspan).which client teaching is most important for the nurse to provide a. expected duration of flushing b. symptoms of hyperglycemia c. diets that minimize gi irritation d. comfort measure for pruritis: A. flushing of the face and neck, lasting up to anhour, is a frequent reason for discontinuing niacin. inclusion of this effect in clietn teaching may promote compliance in taking the med. 3. When assessing an adolescent who recently overdosed on acetaminophen (tylonel), it is most important for the nurse to assess for pain in which area ofthe body a. flank b. abdomen c. chest d. head: B. acetaminophen toxicisty an result in liver damage; therefore, it is espe-cially important for the nurse to assess for pain in the right upper quadrant of the abdomen (which might indicated liver damage) 4. A client is admitted to the coronary care unit with a medical diagnosis of acute myocardial infarction. which medication prescription decreases bothpreload and afterload a. nitroglycerin b. propranolol c. propranolol 3 / 19 d. captopril: A. nitroglycerin is a nitrate that causes peripheral vasodilation anddecreases contractility, thereby decreasing both preload and afterload 5. A clientis being treated for hyperthyroidism with propylthiouracil (PTU).Thenurse knows that the action of this drug is to A. decrease the amount of the thyroid-stimulating hormone circulating in theblood B. increase the amount of thyroid-stimulating hormone circulating in the blood C. increase the amount ofT4 and decrease the amount ofT3 produced by thethyroid D. inhibit synthesis of T3 and T4 by the thyroid gland: D. PTU is an adjunct therapy used to control hyperthyroidismby inhibiting production of thyroid hormones.It is often prescribed in prep for thyroidectomy or radioactive iodine therapy 6. Which change in data indicates to the nurse the desired effect of theangiotensin II receptor antagonist has been achieved A. Dependent edema reduced form +3 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: D. angiotensin II receptor antagonist (blocker), prescribed from treatment of HTN. The desired effect is adecrease in blood pressure. 7. Which instructions should the nurse give to a female client who just recieved a prescription for oral metronidazole (flagyl) for treatment of tri-chomonas vaginalis (select all that apply) 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: ADEF 8. The nurse is transcribing a new prescription for spironolactone (aldactone)for a client who receives an angiotensin-converting enzyme inhibitor. Which action should the nurse implement A. verify both prescriptions with the HCP 4 / 19 B. report the med interactions to the nurse manager C. hold the ACE inhibitor and give the new prescription D. Transcribe and send the prescription to the pharmacy: A. the concomitant use of an ACE inhibitor and a potassium-sparing diuretic sucha s spironolactone, should be given with caution b/c the two drugs may interact to cause an elevation inserum potassium levels. 9. A client has myxedema, which results from a deficiency of thyroid hormonesynthesis in adults. The nurse knows that which medication should be con- traindicated for this client? A. liothyronine (cytomel) to replace iodine B. Furosemide (Lasix) for relief of fluid retention C. Pentobarbital sodium for sleep D. nitroglycerin for angina pain: C. persons with myxedema are dangerously hypersensitive to narcotics, barbiturates, and anesthetics. They do not tolerate liothyronine and usually receive iodine replacement therapy. These clients are alsosuceptable to heart problems such as angina for which nitroglycerine would be indicated and and congestive heart failure for [Show Less]
