1|Page
PHARMACOLOGY HESI RN EXIT 2026 TEST BANK
LATEST ACTUAL VERIFIED EXAM 500 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST EXAM!!
The nitrate isosorbide dinitrate (Isordil) is prescribed for a
client with angina. Which instruction should the nurse
include in this client's discharge teaching plan?
A) Quit taking the medication if dizziness occurs.
B) Do not get up quickly. Always rise slowly.
C) Take the medication with food only.
D) Increase your intake of potassium-rich foods. -
ANSWER-B.
An expected side effect of nitrates is orthostatic
hypotension and the nurse should address how to prevent
it--by rising slowly (B). Dizziness is expected, and the
client should not quit taking the medication without
notifying the healthcare provider (A). (C and D) are not
indicated when taking this medication.
The nurse is reviewing medical record notes of a client
with bladder cancer who is prescribed concentrations of
methotrexate followed by leucovorin (citrovorum factor,
folic acid). The nurse should include in the client's
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education which information about the anticipated
therapeutic effect of leucovorin?
1.
"It promotes medication excretion."
2.
"It will promote protein synthesis."
3.
"It will help to preserve normal cells."
4.
"It speeds up the effect of the methotrexate." - ANSWER-
3. It will help preserve normal cells
The administration of leucovorin with methotrexate is
known as leucovorin rescue. High concentrations of
methotrexate cause harm and damage to normal cells.
Leucovorin bypasses the metabolic block caused by
methotrexate, thereby permitting normal cells to
synthesize. Leucovorin rescue is potentially hazardous
because failure to administer leucovorin in the right dose
at the right time can be fatal.
,3|Page
A topical corticosteroid is prescribed for an infant with
dermatitis in the gluteal area. The nurse provides
instructions to the mother regarding the use of the
medication. Which statement by the mother indicates an
understanding of the use of the medication?
1."I should not rub the medication into the skin."
2."The medication will help relieve the inflammation."
3."I need to apply the medication in a thick layer to protect
the skin." 4."I should protect the area by covering it with a
diaper and plastic pants." - ANSWER-2. The medication
will help relieve the inflammation
A topical corticosteroid will relieve inflammation. The
mother should be advised not to apply a tight-fitting diaper
or plastic pants after applying the medication because
these items will act as an occlusive dressing. The use of
occlusive dressings (bandages or plastic wraps) over the
affected site is avoided after application of the topical
corticosteroid unless the health care provider specifically
prescribes this wound coverage. The medication is gently
rubbed into the skin after a thin layer is applied.
, 4|Page
A client is seen in the clinic for complaints of thirst,
frequent urination, and headaches. After diagnostic
studies, diabetes insipidus is diagnosed. Desmopressin is
prescribed. The client asks why this medication was
prescribed. Which is a correct statement by the nurse?
1."It relieves the headaches."
2."It increases water reabsorption."
3."It stimulates the production of aldosterone."
4."It decreases the production of the antidiuretic
hormone." - ANSWER-2. It increases water reabsorption
Desmopressin is an antidiuretic hormone (ADH) used in
the treatment of diabetes insipidus. It promotes renal
conservation of water by acting on the collecting ducts of
the kidney to increase the permeability to water, which
results in increased water reabsorption. Desmopressin
does not relieve headaches, stimulate aldosterone, or
decrease production of ADH.
A client's medication sheet contains a prescription for
sertraline. To ensure safe administration of the medication,
how should the nurse administer the dose?
PHARMACOLOGY HESI RN EXIT 2026 TEST BANK
LATEST ACTUAL VERIFIED EXAM 500 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST EXAM!!
The nitrate isosorbide dinitrate (Isordil) is prescribed for a
client with angina. Which instruction should the nurse
include in this client's discharge teaching plan?
A) Quit taking the medication if dizziness occurs.
B) Do not get up quickly. Always rise slowly.
C) Take the medication with food only.
D) Increase your intake of potassium-rich foods. -
ANSWER-B.
An expected side effect of nitrates is orthostatic
hypotension and the nurse should address how to prevent
it--by rising slowly (B). Dizziness is expected, and the
client should not quit taking the medication without
notifying the healthcare provider (A). (C and D) are not
indicated when taking this medication.
The nurse is reviewing medical record notes of a client
with bladder cancer who is prescribed concentrations of
methotrexate followed by leucovorin (citrovorum factor,
folic acid). The nurse should include in the client's
,2|Page
education which information about the anticipated
therapeutic effect of leucovorin?
1.
"It promotes medication excretion."
2.
"It will promote protein synthesis."
3.
"It will help to preserve normal cells."
4.
"It speeds up the effect of the methotrexate." - ANSWER-
3. It will help preserve normal cells
The administration of leucovorin with methotrexate is
known as leucovorin rescue. High concentrations of
methotrexate cause harm and damage to normal cells.
Leucovorin bypasses the metabolic block caused by
methotrexate, thereby permitting normal cells to
synthesize. Leucovorin rescue is potentially hazardous
because failure to administer leucovorin in the right dose
at the right time can be fatal.
,3|Page
A topical corticosteroid is prescribed for an infant with
dermatitis in the gluteal area. The nurse provides
instructions to the mother regarding the use of the
medication. Which statement by the mother indicates an
understanding of the use of the medication?
1."I should not rub the medication into the skin."
2."The medication will help relieve the inflammation."
3."I need to apply the medication in a thick layer to protect
the skin." 4."I should protect the area by covering it with a
diaper and plastic pants." - ANSWER-2. The medication
will help relieve the inflammation
A topical corticosteroid will relieve inflammation. The
mother should be advised not to apply a tight-fitting diaper
or plastic pants after applying the medication because
these items will act as an occlusive dressing. The use of
occlusive dressings (bandages or plastic wraps) over the
affected site is avoided after application of the topical
corticosteroid unless the health care provider specifically
prescribes this wound coverage. The medication is gently
rubbed into the skin after a thin layer is applied.
, 4|Page
A client is seen in the clinic for complaints of thirst,
frequent urination, and headaches. After diagnostic
studies, diabetes insipidus is diagnosed. Desmopressin is
prescribed. The client asks why this medication was
prescribed. Which is a correct statement by the nurse?
1."It relieves the headaches."
2."It increases water reabsorption."
3."It stimulates the production of aldosterone."
4."It decreases the production of the antidiuretic
hormone." - ANSWER-2. It increases water reabsorption
Desmopressin is an antidiuretic hormone (ADH) used in
the treatment of diabetes insipidus. It promotes renal
conservation of water by acting on the collecting ducts of
the kidney to increase the permeability to water, which
results in increased water reabsorption. Desmopressin
does not relieve headaches, stimulate aldosterone, or
decrease production of ADH.
A client's medication sheet contains a prescription for
sertraline. To ensure safe administration of the medication,
how should the nurse administer the dose?
