PHARMACOLOGY HESI 2024-2025 ACTUAL EXAM
QUESTIONS AND ANSWERS GUARANTEED PASS
which symptoms are serious adverse effects of beta-adrenergic blockers such as
propranolol (inderal)?
A. Headache, hypertension, and blurred vision.
B. Wheezing, hypotension, and AV block.
C. Vomiting, dilated pupils, and papilledema.
D. Tinnitus, muscle weakness, and tachypnea. - -answer-B. Wheezing, hypotension,
and AV block.
(B) represents the most serious adverse effects of beta-blocking agents. AV block is
generally associated with bradycardia and results in potentially life-threatening
decreases in cardiac output. Additionally, wheezing secondary to bronchospasm and
hypotension represent life-threatening respiratory and cardiac disorders. (A, C, and D)
are not associated with beta-blockers.
The healthcare provider prescribes naloxone (Narcan) for a client in the emergency
room. Which assessment data would indicate that the naloxone has been effective? The
client's...
A. Statement that the chest pain is better
B) respiratory rate is 16 breaths/minute.
C) seizure activity has stopped temporarily.
D) pupils are constricted bilaterally. - -answer-B.
Naloxone (Narcan) is a narcotic antagonist that reverses the respiratory depression
effects of opiate overdose, so assessment of a normal respiratory rate (B) would
indicate that the respiratory depression has been halted. (A, C, and D) are not related
to naloxone (Narcan) administration.
Which antidiarrheal agent should be used with caution in clients taking high dosages of
aspirin for arthritis?
A) Loperamide (Imodium).
B) Probanthine (Propantheline).
C) Bismuth subsalicylate (Pepto Bismol).
D) Diphenoxylate hydrochloride with atropine (Lomotil). - -answer-C. Bismuth
subsalicylate (Pepto Bismol).
Bismuth subsalicylate (Pepto Bismol) contains a subsalicylate that increases the
potential for salicylate toxicity when used concurrently with aspirin (acetylsalicylic
acid, another salicylate preparation). (A, B, and D) do not pose the degree of risk of
drug interaction with aspirin as Pepto Bismol would.
A client receiving albuterol (Proventil) tablets complains of nausea every evening with
her 9 p.m. dose. What action should the nurse take to alleviate this side effect?
A) Change the time of the dose.
B) Hold the 9 p.m. dose.
C) Administer the dose with a snack.
D) Administer an antiemetic with the dose. - -answer-C. Administer the dose with a
snack.
Administering oral doses with food (C) helps minimize GI discomfort. (A) would be
appropriate only if changing the time of the dose corresponds to meal times while at
the same time maintaining an appropriate time interval between doses. (B) would
disrupt the dosing schedule, and could result in a nontherapeutic serum level of the
medication. (D) should not be attempted before other interventions, such as (C), have
been proven ineffective in relieving the nausea
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