2024 HESI Pharmacology Exam/ Pharmacology
HESI Exam New Latest Version with All
Questions, Answers and Rationale
A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which
observation by the nurse should indicate that the desired outcome of the medication is
being achieved?
A) Decreased blood pressure.
B) Lessening of tremors.
C) Increased salivation.
D) Increased attention span. ---------- Correct Answer --------- B. Lessening of tremors.
Sinemet increases the amount of levodopa to the CNS (dopamine to the brain).
Increased amounts of dopamine improve the symptoms of Parkinson's, such as
involuntary movements, resting tremors (B), shuffling gait, etc. (A) is a side effect of
Sinemet. Decreased drooling would be a desired effect, not (C). Sinemet does not affect
(D).
Loratadine, 10 mg by mouth once a day in the morning, is prescribed for a 15-year-old
girl with hay fever. The girl tells the school nurse that she is concerned that she will be
sleepy for a quiz the next day. How should the nurse respond?
1 By explaining that this medication rarely causes drowsiness
2 By advising her to take half a tablet in the morning before school
3 By suggesting that she skip the next day's dose if she can tolerate the hay fever
4 By recommending that she call the allergist for a prescription containing a stimulant ---
------- Correct Answer ---------- 1