1
HESI PHARMACOLOGY EVOLVE EXAM/ PHARMACOLOGY
EVOLVE HESI EXAM 2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {125 Q & A} ALREADY GRADED A+ / EVOLVE HESI
PHARMACOLOGY BANK | GUARANTEED PASS
The nurse is reviewing a client's laboratory results before a procedure in
which a neuromuscular blocking agent is prescribed. Which finding
should the nurse report to the health care provider?
A. Hypokalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypomagnesemia
A. Hypokalemia
Low potassium levels enhance the effects of neuromuscular blocking
agents, so the health care provider should be informed of the client's
hypokalemia. Options B, C, and D are of concern but do not enhance
the effects of neuromuscular blocking agents.
,2
The nurse is preparing a teaching plan for a client who has received a
new prescription for levothyroxine sodium. Which instruction should be
included?
A. "Take this medication with a high-protein snack at bedtime."
B. "You may change at any time to a less expensive generic brand."
C. "Take your pulse daily, and if it exceeds 100 beats/min, contact the
health care provider."
D. "Return to the clinic weekly for serum blood glucose testing."
C. "Take your pulse daily, and if it exceeds 100 beats/min, contact the
health care provider."
Levothyroxine sodium should be withheld if the pulse is over 100
beats/min. To prevent insomnia, the daily dose should be taken early
in the morning before breakfast, not at bedtime. Product brands
should not be changed without consulting the health care provider
because the intended effects and side effects of different formulations
of the medication can vary. The serum glucose level is not affected by
thyroid preparations, so option D is not required.
,3
The nurse is evaluating a client's understanding of the prescribed
antilipemic drug lovastatin. Which client statement indicates that
further teaching is needed?
A. "My bowel habits should not be affected by this drug."
B. "This medication should be taken once a day only."
C. "I will still need to follow a low-cholesterol diet."
D. "I will take the medication every day before breakfast."
D. "I will take the medication every day before breakfast."
The enzyme that helps metabolize cholesterol is activated at night, so
this medication should be taken with the evening meal. Options A, B,
and C reflect correct information about lovastatin.
Dopamine is administered to a client who is hypotensive. Which finding
should the nurse identify as a therapeutic response?
A. Gain in weight
B. Increase in urine output
C. Improved gastric motility
, 4
D. Decrease in blood pressure
B. Increase in urine output
Intropin activates dopamine receptors in the kidney and dilates blood
vessels to improve renal perfusion, so an increase in urine output
indicates an increase in glomerular filtration caused by increased
arterial blood pressure. Option A is related to fluid retention but is not
an indicator of a therapeutic response to dopamine therapy. Option C
is not related to the vasopressor effect of dopamine therapy.
Dopamine increases cardiac output, which increases a client's blood
pressure, not option D.
A client receives pancuronium, a long-acting, nondepolarizing
neuromuscular blocker, during surgical anesthesia. Which client
situation should alert the nurse to evaluate the client for a prolonged
muscle relaxation response to this medication?
A. Hepatitis
B. Heart failure
C. Renal insufficiency
D. History of emphysema
C. Renal insufficiency
HESI PHARMACOLOGY EVOLVE EXAM/ PHARMACOLOGY
EVOLVE HESI EXAM 2025 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {125 Q & A} ALREADY GRADED A+ / EVOLVE HESI
PHARMACOLOGY BANK | GUARANTEED PASS
The nurse is reviewing a client's laboratory results before a procedure in
which a neuromuscular blocking agent is prescribed. Which finding
should the nurse report to the health care provider?
A. Hypokalemia
B. Hyponatremia
C. Hypercalcemia
D. Hypomagnesemia
A. Hypokalemia
Low potassium levels enhance the effects of neuromuscular blocking
agents, so the health care provider should be informed of the client's
hypokalemia. Options B, C, and D are of concern but do not enhance
the effects of neuromuscular blocking agents.
,2
The nurse is preparing a teaching plan for a client who has received a
new prescription for levothyroxine sodium. Which instruction should be
included?
A. "Take this medication with a high-protein snack at bedtime."
B. "You may change at any time to a less expensive generic brand."
C. "Take your pulse daily, and if it exceeds 100 beats/min, contact the
health care provider."
D. "Return to the clinic weekly for serum blood glucose testing."
C. "Take your pulse daily, and if it exceeds 100 beats/min, contact the
health care provider."
Levothyroxine sodium should be withheld if the pulse is over 100
beats/min. To prevent insomnia, the daily dose should be taken early
in the morning before breakfast, not at bedtime. Product brands
should not be changed without consulting the health care provider
because the intended effects and side effects of different formulations
of the medication can vary. The serum glucose level is not affected by
thyroid preparations, so option D is not required.
,3
The nurse is evaluating a client's understanding of the prescribed
antilipemic drug lovastatin. Which client statement indicates that
further teaching is needed?
A. "My bowel habits should not be affected by this drug."
B. "This medication should be taken once a day only."
C. "I will still need to follow a low-cholesterol diet."
D. "I will take the medication every day before breakfast."
D. "I will take the medication every day before breakfast."
The enzyme that helps metabolize cholesterol is activated at night, so
this medication should be taken with the evening meal. Options A, B,
and C reflect correct information about lovastatin.
Dopamine is administered to a client who is hypotensive. Which finding
should the nurse identify as a therapeutic response?
A. Gain in weight
B. Increase in urine output
C. Improved gastric motility
, 4
D. Decrease in blood pressure
B. Increase in urine output
Intropin activates dopamine receptors in the kidney and dilates blood
vessels to improve renal perfusion, so an increase in urine output
indicates an increase in glomerular filtration caused by increased
arterial blood pressure. Option A is related to fluid retention but is not
an indicator of a therapeutic response to dopamine therapy. Option C
is not related to the vasopressor effect of dopamine therapy.
Dopamine increases cardiac output, which increases a client's blood
pressure, not option D.
A client receives pancuronium, a long-acting, nondepolarizing
neuromuscular blocker, during surgical anesthesia. Which client
situation should alert the nurse to evaluate the client for a prolonged
muscle relaxation response to this medication?
A. Hepatitis
B. Heart failure
C. Renal insufficiency
D. History of emphysema
C. Renal insufficiency
