A
HESI PHARMACOLOGY
TEST BANK
400+ Qs & Ans to Pass the
Exam
, This hesi test
contains:
passing score Guarantee
400+ Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case studies
questions
Expert-Verified Explanations &
Solutions
, HESI PHARMACOLOGY COMPREHENSIVE TESTBANK
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
1. NGN-Style Question:
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to
the healthcare provider immediately?
A. Sodium level: 140 mEq/L
B. Digoxin level: 1.0 ng/mL
C. Potassium level: 3.2 mEq/L
D. Creatinine level: 0.9 mg/dL
Answer: C. Potassium level: 3.2 mEq/L
Expert-Verified Explanation:
• Hypokalemia (K+ < 3.5 mEq/L) in a client who takes digoxin can precipitate digoxin toxicity and dangerous
cardiac dysrhythmias.
• Even if the digoxin level is within normal limits, a low potassium level increases the risk of toxicity.
• The normal potassium range is 3.5 to 5.0 mEq/L; 3.2 mEq/L is abnormally low and warrants immediate
notification of the healthcare provider.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
2. The healthcare provider prescribes the antibiotic tetracycline HCl for an adult client. Which instruction
should the nurse include in the teaching plan for this client?
A. “Take the medication with milk products to reduce GI upset.”
B. “Protect the skin from sunlight while taking the drug.”
C. “Discontinue the medication once symptoms subside.”
D. “Lie flat for 30 minutes after taking a dose.”
Answer: B. “Protect the skin from sunlight while taking the drug.”
Expert-Verified Explanation:
• Tetracyclines can cause photosensitivity, so advising the client to avoid direct sunlight or wear protective
clothing helps reduce sunburn risk.
, • They should also be taken on an empty stomach (except if GI upset is severe) and not with milk products
(which can reduce absorption).
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
3. The nurse is administering sodium polystyrene sulfonate to a client with acute kidney injury (AKI). Which
lab finding indicates that the medication has been effective?
A. Serum glucose: 92 mg/dL
B. Serum potassium: 3.8 mEq/L
C. Serum hemoglobin: 15 g/dL
D. Serum ammonia: 60 mcg/dL
Answer: B. Serum potassium: 3.8 mEq/L
Expert-Verified Explanation:
• Sodium polystyrene sulfonate (Kayexalate) helps eliminate potassium by exchanging sodium for
potassium in the GI tract.
• A potassium value of 3.8 mEq/L is within normal range (3.5–5.0 mEq/L), indicating the drug was effective
in lowering potassium.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
4. A client with a fungal infection of the toenail reports applying an over-the-counter triple antibiotic ointment
daily for two weeks without improvement. Which action should the nurse take?
A. Suggest the client apply the ointment twice a day.
B. Assess if the client has used any herbal remedies.
C. Instruct the client to obtain a prescription for oral terbinafine.
D. Encourage the client to soak the foot in warm water.
Answer: C. Instruct the client to obtain a prescription for oral terbinafine.
Expert-Verified Explanation:
• Fungal nail infections (onychomycosis) typically do not respond to antibacterial ointments.
• Oral antifungals such as terbinafine are often required for adequate penetration and extended therapy.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
5. A client with a history of long-term use of ibuprofen receives a prescription for misoprostol. Which finding
indicates that the medication was effective?
A. Decreased inflammation in joints
B. Relief of epigastric pain
C. Normalized bowel movements
D. Improved urinary output
HESI PHARMACOLOGY
TEST BANK
400+ Qs & Ans to Pass the
Exam
, This hesi test
contains:
passing score Guarantee
400+ Ques and Ans
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case studies
questions
Expert-Verified Explanations &
Solutions
, HESI PHARMACOLOGY COMPREHENSIVE TESTBANK
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
1. NGN-Style Question:
The nurse is caring for an adult client who is taking digoxin. Which laboratory value should be reported to
the healthcare provider immediately?
A. Sodium level: 140 mEq/L
B. Digoxin level: 1.0 ng/mL
C. Potassium level: 3.2 mEq/L
D. Creatinine level: 0.9 mg/dL
Answer: C. Potassium level: 3.2 mEq/L
Expert-Verified Explanation:
• Hypokalemia (K+ < 3.5 mEq/L) in a client who takes digoxin can precipitate digoxin toxicity and dangerous
cardiac dysrhythmias.
• Even if the digoxin level is within normal limits, a low potassium level increases the risk of toxicity.
• The normal potassium range is 3.5 to 5.0 mEq/L; 3.2 mEq/L is abnormally low and warrants immediate
notification of the healthcare provider.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
2. The healthcare provider prescribes the antibiotic tetracycline HCl for an adult client. Which instruction
should the nurse include in the teaching plan for this client?
A. “Take the medication with milk products to reduce GI upset.”
B. “Protect the skin from sunlight while taking the drug.”
C. “Discontinue the medication once symptoms subside.”
D. “Lie flat for 30 minutes after taking a dose.”
Answer: B. “Protect the skin from sunlight while taking the drug.”
Expert-Verified Explanation:
• Tetracyclines can cause photosensitivity, so advising the client to avoid direct sunlight or wear protective
clothing helps reduce sunburn risk.
, • They should also be taken on an empty stomach (except if GI upset is severe) and not with milk products
(which can reduce absorption).
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
3. The nurse is administering sodium polystyrene sulfonate to a client with acute kidney injury (AKI). Which
lab finding indicates that the medication has been effective?
A. Serum glucose: 92 mg/dL
B. Serum potassium: 3.8 mEq/L
C. Serum hemoglobin: 15 g/dL
D. Serum ammonia: 60 mcg/dL
Answer: B. Serum potassium: 3.8 mEq/L
Expert-Verified Explanation:
• Sodium polystyrene sulfonate (Kayexalate) helps eliminate potassium by exchanging sodium for
potassium in the GI tract.
• A potassium value of 3.8 mEq/L is within normal range (3.5–5.0 mEq/L), indicating the drug was effective
in lowering potassium.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
4. A client with a fungal infection of the toenail reports applying an over-the-counter triple antibiotic ointment
daily for two weeks without improvement. Which action should the nurse take?
A. Suggest the client apply the ointment twice a day.
B. Assess if the client has used any herbal remedies.
C. Instruct the client to obtain a prescription for oral terbinafine.
D. Encourage the client to soak the foot in warm water.
Answer: C. Instruct the client to obtain a prescription for oral terbinafine.
Expert-Verified Explanation:
• Fungal nail infections (onychomycosis) typically do not respond to antibacterial ointments.
• Oral antifungals such as terbinafine are often required for adequate penetration and extended therapy.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
5. A client with a history of long-term use of ibuprofen receives a prescription for misoprostol. Which finding
indicates that the medication was effective?
A. Decreased inflammation in joints
B. Relief of epigastric pain
C. Normalized bowel movements
D. Improved urinary output
