HESI Pharmacology Practice Exam

27 Questions | By Iothman | Updated: Mar 22, 2022 | Attempts: 14204

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We've designed here an interesting and fun 'HESI pharmacology practice exam' to check your knowledge about pharmacology and its related concepts. If you think you have got a good understanding of this topic, then you must take this quiz as a challenge and prove your skills to us. So, are you ready to get started with this test? Let's begin then. Wishing you good luck with this quiz. Let's see how well you can score.

Questions and Answers

1.

The nurse is administering 0900 medications to the following clients. To which clients would the nurse question administering the medication?
- A.
  
  The client receiving a calcium channel blocker who drank a full glass of water.
- B.
  
  The client receiving a beta blocker who has a blood pressure of 96/70.
- C.
  
  The client receiving a nitro glycerin patch who is complaining of a headache.
- D.
  
  The client receiving an antiplatelet medication who has a platelet count of 33,000.
2.

The client with a head injury is ordered a CT scan of the head with contrast dye. Which invention should the nurse include when discussing the procedure?
- A.
  
  Instruct the client to not take any of the routine medications.
- B.
  
  Inform the client an intravenous line will be started prior to the procedure.
- C.
  
  Ask about any allergies to nonsteroidal anti-inflammatory medication.
- D.
  
  Explain that the client will be given sedatives prior to the procedure.
3.

The obstetric clinic nurse is discussing folic acid, a vitamin, with a client who is trying to conceive. Which information should the nurse discuss with the client when taking this medication?
- A.
  
  Do not use any laxatives containing mineral oil when taking folic acid.
- B.
  
  The client should drink one glass of red wine daily to potentiate the medication.
- C.
  
  This medication will help prevent spina bifida in the unborn child.
- D.
  
  Notify the health-care provider if the client’s vision becomes blurry.
4.

The client is experiencing ventricular tachycardia and has a weak, thread apical pulse. Which medication should the nurse prepare to administer to the client?
- A.
  
  Epinephrine, an adrenergic agonist, intravenous push.
- B.
  
  Lidocaine, an antidysrhythmic, intravenous push.
- C.
  
  Atropine, an antdysrhythmic, intravenous push.
- D.
  
  Digoxin, a cardiac glycoside, intravenous push.
5.

The client who has had abdominal surgery has an IV of Ringer lactate infusing at a100 mL/hour. The nurse is hanging a new bag of fluid at which rate should the nurse set the pump to infuse the Ringer’s lactate?
- A.
  
  100 ML
- B.
  
  10ML
- C.
  
  1000ML
- D.
  
  101ML
6.

The client admitted for an acute exacerbation of reactive airway disease is receiving intravenous aminophylline. The client’s serum theophylline level is 18 ug/mL. Which action should the nurse implement first?
- A.
  
  Continue to monitor the aminophylline drip.
- B.
  
  Assess the client for nausea and restlessness.
- C.
  
  Discontinue the aminophylline drip.
- D.
  
  Notify the health-care provider immediately.
7.

The nurse is administering 0800 medications. Which medication would the nurse question?
- A.
  
  Misoprostol (Cytotec), a prostaglandin analog, to a 29-year-old male with an NSAID-produced ulcer.
- B.
  
  Omeprazole (Prilosec), a proton-pump inhibitor, to a 68-year-old male with a duodenal ulcer.
- C.
  
  Furosemide (Lasix), a loop diuretic, to a 56-year-old male with a potassium level of 3.0mEq/L.
- D.
  
  Acetaminophen (Tylenol), a nonnarcotic analgesic to an 84 year old with a frontal headache.
8.

The nurse is administering morning medication on a medical floor. Which medication should the nurse administer first?
- A.
  
  Regular insulin sliding scale to an elderly client diagnosed with Type 1 diabetes mellitus.
- B.
  
  Methylprednisolone, a glucocorticoid, to a client diagnosed with lupus erythematous.
- C.
  
  Morphine, a narcotic analgesic, to a client diagnosed with Guillain-Barré syndrome.
- D.
  
  Etanercept, a biologic response modifier, to a client diagnosed with rheumatoid arthritis.
9.

Which intervention should the nurse implement when administering the biologic response modifier filgrastim (Neupogen) subcutaneously?
- A.
  
  Shake the vial well prior to preparing the injection.
- B.
  
  Apply a warm washcloth after administering the medication.
- C.
  
  Discard any unused portion of the vial after withdrawing the correct dose.
- D.
  
  Keep the medication vials in the freezer until preparing to administer.
10.

The client experienced a full-thickness burn to 45% of the body including the chest area. The HCP ordered fluid resuscitation. Which data indicates the fluid resuscitation has been effective?
- A.
  
  The client’s urine output is less than 30mL/hour.
- B.
  
  The client’s has productive cough and clear lungs.
- C.
  
  The client’s blood pressure is 110/70.
- D.
  
  The client’s urine contains sediment.
11.

The charge nurse on an orthopedic unit is transcribing orders for a client diagnosed with back pain. Which HCP order should the charge nurse question?
- A.
  
  Morphine sulfate, a narcotic analgesic, Q 4 hours ATC.
- B.
  
  CBC and CMP (complete metabolic panel).
- C.
  
  Hydrocodone (Vicodin), an opioid analgesic, Q 4 hours PRN.
- D.
  
  Carisoprodol (Soma), a muscle relaxant, po, B.I.D.
12.

The nurse is administering medications to clients on an orthopedic unit. Which medication should the nurse question?
- A.
  
  Ibuprofen (Motrin), an NSAID, to a client diagnosed with back pain.
- B.
  
  Morphine, an opioid analgesic, to a client with a “2” back pain on the pain scale.
- C.
  
  Methocarbamo (Robaxin), a muscle relaxant, to a client with chronic back pain.
- D.
  
  Propoxyphene (Darvon N), a narcotic, to a client with mild back pain.
13.

Which is the scientific rationale for prescribing decongestants for a client with a cold?
- A.
  
  Decongestants vasoconstrict the blood vessels, reducing nasal inflammation.
- B.
  
  Decongestants decrease the immune system’s response to a virus.
- C.
  
  Decongestants activate viral receptors in the body’s immune system.
- D.
  
  Decongestants block the virus from binding to the epithelial cells of the nose.
14.

Then the nurse is caring for clients on the telemetry unit. Which medication should the nurse administer first?
- A.
  
  The cardiotonic digoxin to the client diagnosed with CHF whose digoxin level is 1.9 mg/dL
- B.
  
  The marcotice morphine IVP to the client who has pleurtice chest pain that is a “7” on a 1-10 pain scale.
- C.
  
  The sodium channel blocker lidocaine to the client exhibiting two unifocal PVCs per minute.
- D.
  
  The ACE inhibitor lisinopril (Vasotec) to the client diagnosed with HTN who has a B/P of 130/68.
15.

The nurse is administering digoxin (Lanoxin) 0.25 mg intravenous push medication to the client. Which intervention should the nurse implement?
- A.
  
  Administer the medication undiluted in a 1-mL syringe.
- B.
  
  Check the client’s potassium level.
- C.
  
  Pinch off the intravenous tubing below the port
- D.
  
  Inject the medication quickly and at a steady rate.
16.

To which client would the nurse expect the health-care provider to prescribe chlordiazepoxide (Librium), a benzodiazepine?
- A.
  
  A client addicted to cocaine.
- B.
  
  A client addicted heroin.
- C.
  
  A client addicted to amphetamines.
- D.
  
  A client addicted to alcohol.
17.

The client is discussing wanting to quit smoking cigarettes with the clinic nurse. Which intervention is most successful in helping the client to quit smoking cigarettes?
- A.
  
  Encourage the client to attend a smoking cessation support group.
- B.
  
  Discuss tapering the number of cigarettes smoked daily.
- C.
  
  Instruct the client to use varenicline (Chantix), a smoking cessation medication.
- D.
  
  Explain that clonidine can be taken daily to help decrease withdrawal symptoms.
18.

Each of the following clients has ahead injury. To which client would the nurse question administer the osmotic diuretic mannitol (Osmitrol)?
- A.
  
  The 34-year-old client who is HIV positive.
- B.
  
  The 84 year old client who has glaucoma
- C.
  
  The 68-year-old client who has congestive heart failure.
- D.
  
  The 16-year-old client who has cystic fibrosis.
19.

The client receiving telemetry is exhibiting supraventricular tachycardia. Which antidysrhythmic medication should the nurse administer?
- A.
  
  Lidocaine
- B.
  
  Atropine
- C.
  
  Adenosine
- D.
  
  Epinephrine
20.

Walter, a teenage patient is admitted to the hospital because of an acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
- A.
  
  Lungs
- B.
  
  Liver
- C.
  
  Kidney
- D.
  
  Adrenal Glands
21.

A contraindication for topical corticosteroid usage in a male patient with atopic dermatitis (eczema) is:
- A.
  
  Parasite infection.
- B.
  
  Viral infection.
- C.
  
  Bacterial infection
- D.
  
  Spirochete infection.
22.

Mandy, a patient calls the clinic today because he is taking atorvastatin Lipitor to treat his high cholesterol and is having pain in both of his legs. You instruct him to:
- A.
  
  Stop taking the drug and make an appointment to be seen next week.
- B.
  
  Continue taking the drug and make an appointment to be seen next week.
- C.
  
  Stop taking the drug and come to the clinic to be seen today.
- D.
  
  Walk for at least 30 minutes and call if symptoms continue.
23.

Which of the following adverse effects is associated with levothyroxine (Synthroid) therapy?
- A.
  
  Tachycardia
- B.
  
  Bradycardia
- C.
  
  Hypotension
- D.
  
  Constipation
24.

Which of the following adverse effects is specific to the biguanide diabetic drug metformin (Glucophage) therapy?
- A.
  
  Hypoglycemia
- B.
  
  GI distress
- C.
  
  Lactic acidosis
- D.
  
  Somulence
25.

Mr. Robin, a newly admitted patient, has a seizure disorder which is being treated with medication. Which of the following drugs would the nurse question if ordered for him?
- A.
  
  Phenobarbitol, 150 mg hs
- B.
  
  Amitriptylene (Elavil), 10 mg QID.
- C.
  
  Aspirins
- D.
  
  Phenytoin (Dilantin), 100 mg TID