HESI PHARMACOLOGY ACTUAL EXAM QUESTIONS AND ANSWERS/PHARMACOLOGY HESI EXIT EXAM 2025-2026

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.
--ANS- 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.
--ANS- 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.
A client has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. The nurse knows that which medication should be
contraindicated 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
--ANS- 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 also suceptable to heart problems
such as angina for which nitroglycerine would be indicated and and congestive
heart failure for which furosemide would be indicated