EVOLVE PHARMACOLOGY HESI PRACTICE EXAM
EVOLVE PHARMACOLOGY HESI PRACTICE EXAM NEWEST ACTUAL EXAM
WITH COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
An older adult client receives a prescription for hydrochlorothiazide
(HydroDIURIL), a thiazide diuretic for the treatment of heart failure. Which side
effect(s) should the practical nurse reinforce with the client? (Select all that apply.)
A) Constipation.
B) Fatigue.
C) Edema.
D) Nausea.
E) Dehydration.
F) Blurred vision.
B) Fatigue.
E) Dehydration.
Feedback:
Hydrochlorothiazide (HydroDIURIL), a thiazide diuretic, reduces blood pressure by
reducing blood volume and reducing arterial resistance. Adverse effects of
thiazides include hypokalemia, fatigue (B), dehydration (E), hyperglycemia, and
hyperuricemia. Although (A, C, D and F) may be associated with aging or other
pathology, they are not side effects commonly associated with HydroDIURIL.
A client who returns from surgery for bowel resection complains of severe pain
around the incision. Which assessment is most important for the practical nurse
(PN) to obtain prior to the administration of morphine sulfate?
A) Rate of respirations.
B) Core temperature.
C) Appearance of the incision.
D) Presence of bowel sounds.
A) Rate of respirations.
Feedback:
1|Page
, EVOLVE PHARMACOLOGY HESI PRACTICE EXAM
Opioids cause respiratory depression, so the respiratory rate (A) should be
assessed prior to administration of morphine sulfate. (B, C, and D) do not address
the concept of medication safety.
A client is receiving the third course of 5-fluorouracil (5FU) therapy for a tumor of
the liver. Which action should the practical nurse implement to reduce the client's
risk for stomatitis?
A) Use commercial oral products to reduce the risk of oral infections.
B) Observe for black, tarry stools or bleeding ulcerations.
C) Increase intake of foods containing fiber and citric acid.
D) Examine mouth daily for bleeding, white spots, and ulcerations.
D) Examine mouth daily for bleeding, white spots, and ulcerations.
Feedback:
5-fluorouracil (5FU) is an antimetabolite, antineoplastic agent that causes
sloughing of the rapid proliferating epithelial cells of the oral mucosa causing
ulceration, bleeding, and oral candidiasis (thrush). Daily examination of the oral
mucosa (D) should be implemented to identify signs of stomatitis, such as white
spots, ulcerations, and bleeding of the mouth, so early intervention can be
implemented. Oral commercial products usually contain alcohol, which
contributes to inflammation of the oral mucosa, and should be avoided (A).
Although monitoring the stool for bleeding (B) should be implemented, stomatitis
occurs in 75% of clients who receive 5FU. Foods high in fiber and citric acid should
also be avoided (C) to reduce pain and trauma to the mouth.
Which instruction should the practical nurse (PN) reinforce with a client who is
taking disulfiram (Antabuse)?
A) Cigarette smoking cessation program should be started.
B) Avoid using any over-the-counter substances containing alcohol.
C) This drug is similar to alcohol but without euphoric effects.
D) Small amounts of mouthwash or cough medicine can be used.
B) Avoid using any over-the-counter substances containing alcohol.
Feedback:
2|Page
, EVOLVE PHARMACOLOGY HESI PRACTICE EXAM
The use of disulfiram (Antabuse) with over-the-counter (OTC) products that
contain alcohol causes severe adverse reactions, such as severe nausea, vomiting,
chest pain, hyperventilation, tachycardia, seizures, and cardiovascular collapse,
and should be avoided (B). Although a smoking cessation program is always a
good health recommendation (A), it is not a priority with Antabuse. (C) is
inaccurate. Small amounts, as little as 7 ml, of mouthwash or cough syrup that
contains alcohol can precipitate a disulfiram reaction and should not be used (D).
Which prescription should the practical nurse administer for a client who is
experiencing an acute episode of bronchial asthma?
A) Nedocromil (Tilade).
B) Albuterol (Proventil).
C) Zafirlukast (Accolate).
D) Triamcinolone (Azmacort).
B) Albuterol (Proventil).
Feedback:
Albuterol (Proventil) (B), an adrenergic agonist, is the first line of treatment for
acute episodes of bronchial asthma. (A, C, and D) are maintenance medications
used in the prevention of asthmatic episodes and are routinely taken every day,
not during an acute episode.
The practical nurse (PN) should recommend that oral contraceptives be avoided in
which group of women?
A) Women who smoke.
B) Multigravidous women.
C) Monogamous women.
D) Women with an intrauterine device.
A) Women who smoke.
Feedback:
Oral contraceptives pose an increased risk of thromboembolism for women who
smoke (A), and this risk is not increased in (B, C, and D).
3|Page
EVOLVE PHARMACOLOGY HESI PRACTICE EXAM NEWEST ACTUAL EXAM
WITH COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
An older adult client receives a prescription for hydrochlorothiazide
(HydroDIURIL), a thiazide diuretic for the treatment of heart failure. Which side
effect(s) should the practical nurse reinforce with the client? (Select all that apply.)
A) Constipation.
B) Fatigue.
C) Edema.
D) Nausea.
E) Dehydration.
F) Blurred vision.
B) Fatigue.
E) Dehydration.
Feedback:
Hydrochlorothiazide (HydroDIURIL), a thiazide diuretic, reduces blood pressure by
reducing blood volume and reducing arterial resistance. Adverse effects of
thiazides include hypokalemia, fatigue (B), dehydration (E), hyperglycemia, and
hyperuricemia. Although (A, C, D and F) may be associated with aging or other
pathology, they are not side effects commonly associated with HydroDIURIL.
A client who returns from surgery for bowel resection complains of severe pain
around the incision. Which assessment is most important for the practical nurse
(PN) to obtain prior to the administration of morphine sulfate?
A) Rate of respirations.
B) Core temperature.
C) Appearance of the incision.
D) Presence of bowel sounds.
A) Rate of respirations.
Feedback:
1|Page
, EVOLVE PHARMACOLOGY HESI PRACTICE EXAM
Opioids cause respiratory depression, so the respiratory rate (A) should be
assessed prior to administration of morphine sulfate. (B, C, and D) do not address
the concept of medication safety.
A client is receiving the third course of 5-fluorouracil (5FU) therapy for a tumor of
the liver. Which action should the practical nurse implement to reduce the client's
risk for stomatitis?
A) Use commercial oral products to reduce the risk of oral infections.
B) Observe for black, tarry stools or bleeding ulcerations.
C) Increase intake of foods containing fiber and citric acid.
D) Examine mouth daily for bleeding, white spots, and ulcerations.
D) Examine mouth daily for bleeding, white spots, and ulcerations.
Feedback:
5-fluorouracil (5FU) is an antimetabolite, antineoplastic agent that causes
sloughing of the rapid proliferating epithelial cells of the oral mucosa causing
ulceration, bleeding, and oral candidiasis (thrush). Daily examination of the oral
mucosa (D) should be implemented to identify signs of stomatitis, such as white
spots, ulcerations, and bleeding of the mouth, so early intervention can be
implemented. Oral commercial products usually contain alcohol, which
contributes to inflammation of the oral mucosa, and should be avoided (A).
Although monitoring the stool for bleeding (B) should be implemented, stomatitis
occurs in 75% of clients who receive 5FU. Foods high in fiber and citric acid should
also be avoided (C) to reduce pain and trauma to the mouth.
Which instruction should the practical nurse (PN) reinforce with a client who is
taking disulfiram (Antabuse)?
A) Cigarette smoking cessation program should be started.
B) Avoid using any over-the-counter substances containing alcohol.
C) This drug is similar to alcohol but without euphoric effects.
D) Small amounts of mouthwash or cough medicine can be used.
B) Avoid using any over-the-counter substances containing alcohol.
Feedback:
2|Page
, EVOLVE PHARMACOLOGY HESI PRACTICE EXAM
The use of disulfiram (Antabuse) with over-the-counter (OTC) products that
contain alcohol causes severe adverse reactions, such as severe nausea, vomiting,
chest pain, hyperventilation, tachycardia, seizures, and cardiovascular collapse,
and should be avoided (B). Although a smoking cessation program is always a
good health recommendation (A), it is not a priority with Antabuse. (C) is
inaccurate. Small amounts, as little as 7 ml, of mouthwash or cough syrup that
contains alcohol can precipitate a disulfiram reaction and should not be used (D).
Which prescription should the practical nurse administer for a client who is
experiencing an acute episode of bronchial asthma?
A) Nedocromil (Tilade).
B) Albuterol (Proventil).
C) Zafirlukast (Accolate).
D) Triamcinolone (Azmacort).
B) Albuterol (Proventil).
Feedback:
Albuterol (Proventil) (B), an adrenergic agonist, is the first line of treatment for
acute episodes of bronchial asthma. (A, C, and D) are maintenance medications
used in the prevention of asthmatic episodes and are routinely taken every day,
not during an acute episode.
The practical nurse (PN) should recommend that oral contraceptives be avoided in
which group of women?
A) Women who smoke.
B) Multigravidous women.
C) Monogamous women.
D) Women with an intrauterine device.
A) Women who smoke.
Feedback:
Oral contraceptives pose an increased risk of thromboembolism for women who
smoke (A), and this risk is not increased in (B, C, and D).
3|Page
