HESI Pharmacology Evolve Exam
Questions and Answers
(2025/2026) (Verified Answers)
THIS EXAM CONTAINS:
HESI Pharmacology Evolve Exam
Questions and Answers
Verified Guide
Guaranteed Pass
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,A 19-year-old male client who has sustained a severe head injury is intubated and
placed on assisted mechanical ventilation. To facilitate optimal ventilation and
prevent the client from "fighting" the ventilator, the health care provider
administers pancuronium bromide IV, with adjunctive opioid analgesia. What
medication should be immediately accessible for a potential complication with
this drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine ......answer. ... B. Neostigmine bromide
Neostigmine bromide and atropine sulfate, both anticholinergic drugs, reverse
the respiratory muscle paralysis caused by pancuronium bromide. Options A, C,
and D are not antagonists to pancuronium bromide and would not be helpful in
reversing the effects of the drug compared with the use of anticholinergics.
A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and
acetaminophen elixir, 650 mg PO every 4 hours PRN. The nurse calls the health
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,care provider to report that the client has developed diarrhea. Which change in
prescriptions should the nurse anticipate?
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic. ......answer..... C. Decrease the dose of
vitamin C.
When providing nursing care for a client receiving pyridostigmine bromide for
myasthenia gravis, which nursing intervention has the highest priority?
A. Monitor the client frequently for urinary retention.
B. Assess respiratory status and breath sounds often.
C. Monitor blood pressure each shift to screen for hypertension.
D. Administer most medications after meals to decrease gastrointestinal
irritation. ......answer ..... B. Assess respiratory status and breath sounds often.
A client with a dislocated shoulder is being prepared for a closed manual
reduction using conscious sedation. Which medication should the nurse explain
as a sedative used during the procedure?
A. Inhaled nitrous oxide
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, B. Midazolam IV
C. Ketamine IM
D. Fentanyl and droperidol IM ......answer. ... B. Midazolam IV
A client is being discharged with a prescription for sulfasalazine to treat
ulcerative colitis. Which instruction should the nurse provide to this client prior
to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day. ......answer. .... D. Drink at least eight
glasses of fluid a day.
The health care provider prescribes carbamazepine for a child whose tonic-clonic
seizures have been poorly controlled. The nurse informs the mother that the child
must have blood tests every week. The mother asks why so many blood tests are
necessary. Which complication is assessed through frequent laboratory testing
that the nurse should explain to this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
mailto:https://www.stuvia.com/user/Wisdoms
Questions and Answers
(2025/2026) (Verified Answers)
THIS EXAM CONTAINS:
HESI Pharmacology Evolve Exam
Questions and Answers
Verified Guide
Guaranteed Pass
mailto:https://www.stuvia.com/user/Wisdoms
,A 19-year-old male client who has sustained a severe head injury is intubated and
placed on assisted mechanical ventilation. To facilitate optimal ventilation and
prevent the client from "fighting" the ventilator, the health care provider
administers pancuronium bromide IV, with adjunctive opioid analgesia. What
medication should be immediately accessible for a potential complication with
this drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine ......answer. ... B. Neostigmine bromide
Neostigmine bromide and atropine sulfate, both anticholinergic drugs, reverse
the respiratory muscle paralysis caused by pancuronium bromide. Options A, C,
and D are not antagonists to pancuronium bromide and would not be helpful in
reversing the effects of the drug compared with the use of anticholinergics.
A client with viral influenza is receiving vitamin C, 1000 mg PO daily, and
acetaminophen elixir, 650 mg PO every 4 hours PRN. The nurse calls the health
mailto:https://www.stuvia.com/user/Wisdoms
,care provider to report that the client has developed diarrhea. Which change in
prescriptions should the nurse anticipate?
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic. ......answer..... C. Decrease the dose of
vitamin C.
When providing nursing care for a client receiving pyridostigmine bromide for
myasthenia gravis, which nursing intervention has the highest priority?
A. Monitor the client frequently for urinary retention.
B. Assess respiratory status and breath sounds often.
C. Monitor blood pressure each shift to screen for hypertension.
D. Administer most medications after meals to decrease gastrointestinal
irritation. ......answer ..... B. Assess respiratory status and breath sounds often.
A client with a dislocated shoulder is being prepared for a closed manual
reduction using conscious sedation. Which medication should the nurse explain
as a sedative used during the procedure?
A. Inhaled nitrous oxide
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, B. Midazolam IV
C. Ketamine IM
D. Fentanyl and droperidol IM ......answer. ... B. Midazolam IV
A client is being discharged with a prescription for sulfasalazine to treat
ulcerative colitis. Which instruction should the nurse provide to this client prior
to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
D. Drink at least eight glasses of fluid a day. ......answer. .... D. Drink at least eight
glasses of fluid a day.
The health care provider prescribes carbamazepine for a child whose tonic-clonic
seizures have been poorly controlled. The nurse informs the mother that the child
must have blood tests every week. The mother asks why so many blood tests are
necessary. Which complication is assessed through frequent laboratory testing
that the nurse should explain to this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
mailto:https://www.stuvia.com/user/Wisdoms
