HESI Pharmacology Exam Practice
180 QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY
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A client taking fexofenadine (Allegra) is scheduled for allergy skin
testing and tells the nurse in the health care provider's office that
a dose was taken this morning. The nurse determines that:
1. The client should reschedule the appointment.
2. A lower dose of allergen will need to be injected.
3. A higher dose of allergen will need to be injected.
4. The client should have the skin test read a day later than
usual. - CORRECT ANSWER 1. The client should reschedule
the appointment.
Rationale:
Fexofenadine is an antihistamine, which provides relief of
symptoms caused by allergy. Antihistamines should be
discontinued for at least 3 days (72 hours) before allergy skin
testing to avoid false-negative readings. This client should have
the appointment rescheduled for 3 days after discontinuing the
medication.
150.) A client complaining of not feeling well is seen in a clinic.
The client is taking several medications for the control of heart
disease and hypertension. These medications include a βblocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of
digoxin toxicity is made. Which of the following assessment data
would support this diagnosis?
1. Dyspnea, edema, and palpitations
2. Chest pain, hypotension, and paresthesia
3. Double vision, loss of appetite, and nausea
4. Constipation, dry mouth, and sleep disorder - CORRECT
ANSWER 3. Double vision, loss of appetite, and nausea
Rationale:
Double vision, loss of appetite, and nausea are signs of digoxin
toxicity. Additional signs of digoxin toxicity include bradycardia,
difficulty reading, visual alterations such as green and yellow
vision or seeing spots or halos, confusion, vomiting, diarrhea,
decreased libido, and impotence.
237.) A client who is on lithium carbonate (Lithobid) will be
discharged at the end of the week. In formulating a discharge
teaching plan, the nurse will instruct the client that it is most
important to:
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