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EVOLVE HESI PHARM RN EXAM LATEST VERSION 3 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
In evaluating the effects of lactulose (Cephulac), which outcome
should indicate that the drug is performing as intended?
A) An increase in urine output.
B) Two or three soft stools per day.
C) Watery, diarrhea stools.
D) Increased serum bilirubin. - ANSWER-B.
Lactulose is administered to reduce blood ammonia by
excretion of ammonia through the stool. Two to three stools
a day indicate that lactulose is performing as intended (B).
(A) would be expected if the patient received a diuretic. (C)
would indicate an overdose of lactulose and is not expected.
Lactulose does not affect (D).
A client is admitted to the hospital for diagnostic testing for
possible myasthenia gravis. The nurse prepares for intravenous
administration of edrophonium chloride (Tensilon). What is the
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expected outcome for this client following administration of this
pharmacologic agent?
A) Progressive difficulty with swallowing.
B) Decreased respiratory effort.
C) Improvement in generalized fatigue.
D) Decreased muscle weakness. - ANSWER-D.
Administration of edrophonium chloride (Tensilon), a
cholinergic agent, will temporarily reduce muscle weakness
(D), the most common complaint of newly-diagnosed clients
with myasthenia gravis. This medication is used to diagnose
myasthenia gravis due to its short duration of action. This
drug would temporarily reverse (A and B), not increase these
symptoms. (C) is not a typical complaint of clients with
myasthenia gravis, but weakness of specific muscles,
especially after prolonged use, is a common symptom.
Dobutamine (Dobutrex) is an emergency drug most commonly
prescribed for a client with which condition?
A) Shock.
B) Asthma.
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C) Hypotension.
D) Heart failure - ANSWER-D.
Dobutamine is a beta-1 adrenergic agonist that is indicated
for short term use in cardiac decompensation or heart failure
(D) related to reduced cardiac contractility due to organic
heart disease or cardiac surgical procedures. Alpha and beta
adrenergic agonists, such as epinephrine and dopamine, are
sympathomimetics used in the treatment of shock (A). Other
selective beta-2 adrenergic agonists, such as terbutaline and
isoproterenol, are indicated in the treatment of asthma (B).
Although dobutamine improves cardiac output, it is not used
to treat hypotension (C).
A client who was prescribed atorvastatin (Lipitor) one month ago
calls the triage nurse at the clinic complaining of muscle pain and
weakness in his legs. Which statement reflects the correct drug-
specific teaching the nurse should provide to this client?
A) Increase consumption of potassium-rich foods since low
potassium levels can cause muscle spasms.
B) Have serum electrolytes checked at the next scheduled
appointment to assess hyponatremia, a cause of cramping.
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C) Make an appointment to see the healthcare provider, because
muscle pain may be an indication of a serious side effect.
D) Be sure to consume a low-cholesterol diet while taking the
drug to enhance the effectiveness of the drug. - ANSWER-C.
Myopathy, suggested by the leg pain and weakness, is a
serious, and potentially life-threatening, complication of
Lipitor, and should be evaluated immediately by the
healthcare provider (C). Although electrolyte imbalances
such as (A or B) can cause muscle spasms in some cases,
this is not the likely cause of leg pain in the client receiving
Lipitor, and evaluation by the healthcare provider should not
be delayed for any reason. A low-cholesterol diet is
recommended for those taking Lipitor since the drug is used
to lower total cholesterol (D), but diet is not related to the leg
pain symptom.
A peak and trough level must be drawn for a client receiving
antibiotic therapy. What is the optimum time for the nurse to
obtain the trough level?
A) Sixty minutes after the antibiotic dose is administered.
B) Immediately before the next antibiotic dose is given.
EVOLVE HESI PHARM RN EXAM LATEST VERSION 3 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
In evaluating the effects of lactulose (Cephulac), which outcome
should indicate that the drug is performing as intended?
A) An increase in urine output.
B) Two or three soft stools per day.
C) Watery, diarrhea stools.
D) Increased serum bilirubin. - ANSWER-B.
Lactulose is administered to reduce blood ammonia by
excretion of ammonia through the stool. Two to three stools
a day indicate that lactulose is performing as intended (B).
(A) would be expected if the patient received a diuretic. (C)
would indicate an overdose of lactulose and is not expected.
Lactulose does not affect (D).
A client is admitted to the hospital for diagnostic testing for
possible myasthenia gravis. The nurse prepares for intravenous
administration of edrophonium chloride (Tensilon). What is the
,2|Page
expected outcome for this client following administration of this
pharmacologic agent?
A) Progressive difficulty with swallowing.
B) Decreased respiratory effort.
C) Improvement in generalized fatigue.
D) Decreased muscle weakness. - ANSWER-D.
Administration of edrophonium chloride (Tensilon), a
cholinergic agent, will temporarily reduce muscle weakness
(D), the most common complaint of newly-diagnosed clients
with myasthenia gravis. This medication is used to diagnose
myasthenia gravis due to its short duration of action. This
drug would temporarily reverse (A and B), not increase these
symptoms. (C) is not a typical complaint of clients with
myasthenia gravis, but weakness of specific muscles,
especially after prolonged use, is a common symptom.
Dobutamine (Dobutrex) is an emergency drug most commonly
prescribed for a client with which condition?
A) Shock.
B) Asthma.
,3|Page
C) Hypotension.
D) Heart failure - ANSWER-D.
Dobutamine is a beta-1 adrenergic agonist that is indicated
for short term use in cardiac decompensation or heart failure
(D) related to reduced cardiac contractility due to organic
heart disease or cardiac surgical procedures. Alpha and beta
adrenergic agonists, such as epinephrine and dopamine, are
sympathomimetics used in the treatment of shock (A). Other
selective beta-2 adrenergic agonists, such as terbutaline and
isoproterenol, are indicated in the treatment of asthma (B).
Although dobutamine improves cardiac output, it is not used
to treat hypotension (C).
A client who was prescribed atorvastatin (Lipitor) one month ago
calls the triage nurse at the clinic complaining of muscle pain and
weakness in his legs. Which statement reflects the correct drug-
specific teaching the nurse should provide to this client?
A) Increase consumption of potassium-rich foods since low
potassium levels can cause muscle spasms.
B) Have serum electrolytes checked at the next scheduled
appointment to assess hyponatremia, a cause of cramping.
, 4|Page
C) Make an appointment to see the healthcare provider, because
muscle pain may be an indication of a serious side effect.
D) Be sure to consume a low-cholesterol diet while taking the
drug to enhance the effectiveness of the drug. - ANSWER-C.
Myopathy, suggested by the leg pain and weakness, is a
serious, and potentially life-threatening, complication of
Lipitor, and should be evaluated immediately by the
healthcare provider (C). Although electrolyte imbalances
such as (A or B) can cause muscle spasms in some cases,
this is not the likely cause of leg pain in the client receiving
Lipitor, and evaluation by the healthcare provider should not
be delayed for any reason. A low-cholesterol diet is
recommended for those taking Lipitor since the drug is used
to lower total cholesterol (D), but diet is not related to the leg
pain symptom.
A peak and trough level must be drawn for a client receiving
antibiotic therapy. What is the optimum time for the nurse to
obtain the trough level?
A) Sixty minutes after the antibiotic dose is administered.
B) Immediately before the next antibiotic dose is given.
