Pharm HESI (60 correct Questions and Answers)|2026
Which intervention is most important for the nurse A) Provide meals at the same time this insulin is given
to implement for a client with type 2 diabetes mellitus
3 multiple choice options
(DM) who is receiving Insulin Lispro?
The nurse administers naloxone to a client with A) Administer a second dose of naloxone
opioid- induced respiratory depression. One hour
3 multiple choice options
later, the nursing assessment reveals that the client has
a respiratory rate of 4 breaths/minute, oxygen saturation
of 75%, and is unable to be aroused. Which action
should the nurse implement?
A client starts a new prescription of oxybutynin for C) Take measures to avoid dehydration and overheating
symptoms of an overactive bladder. The client reports to
3 multiple choice options
the nurse details of training for a half marathon.
Which instruction should the nurse emphasize?
A client with generalized anxiety disorder (GAD) receives D) "I should stop taking the medication if the intended effect is not immediate."
a new prescription for lorazepam. Which statement
3 multiple choice options
provided by the client requires additional instruction
by the nurse?
The nurse is providing discharge instructions to a client A) Rapid weight gain
who has been prescribed gabapentin 300 mg by mouth
3 multiple choice options
three times a day for post-herpetic neuralgia. Which
symptom should the nurse tell the client to report to
the healthcare provider?
The nurse is administering sodium polystyrene to a client A) Serum potassium level of 3.8 mEq/L (3.8 mmol/L)
in acute kidney injury (AKI). Which laboratory finding 3 multiple choice options
indicates that the medication has been effective?
The nurse is teaching a client who has been diagnosed C) "Antiretroviral medication prevents the transmission of the virus."
with HIV about the antiretroviral medication regimen. 3 multiple choice options
Which statement provided by the client requires
additional instruction by the nurse?
The nurse is caring for an adult client who is taking A) Potassium level of 3.2 mEq/L (3.2 mmol/L)
digoxin. Which laboratory value should be reported to 3 multiple choice options
the healthcare provider immediately?
A client who is taking an oral contraceptive receives a D) Use an additional form of contraception.
new prescription for erythromycin. Which instruction 3 multiple choice options
should the nurse provide to the client?
The home health nurse observes that a female client is D) Echinacea seems to be useful in the treatment of some infections such as
, using a topical preparation that contains echinacea to canker sores.
treat a canker sore. Her husband expresses concern 3 multiple choice options
regarding the effectiveness and safety of using herbs.
How should the nurse respond?
A client who received a renal transplant three months ago A) St. John's Wort can decrease plasma concentrations of cyclosporine.
is readmitted to the acute care unit with signs of graft 3 multiple choice options
rejection. While taking the client's history, the nurse
determines that the client has been self-administering St.
John's Wort, an herbal preparation, on the advice of a
friend. Which information is most significant about this
finding?
A client with chemotherapy-induced nausea receives a B) Involuntary movements
prescription for metoclopramide. Which adverse effect is 3 multiple choice options
most important for the nurse to report?
A client with anemia secondary to chronic kidney disease D) Hemoglobin level increased to 12 grams/dL (120 mmol/L).
(CKD) started a prescription for epoetin alfa two months 3 multiple choice options
ago. Which client finding best indicates that the
medication is effective?
A client who is newly diagnosed with diabetes insipidus is C) Worsening headache
receiving a synthetic vasopressin intravenously. Which 3 multiple choice options
side effect of vasopressin reported by the client should
the nurse report to the healthcare provider?
The nurse is caring for a client who takes methotrexate for D) Avoid crowds and people who are sick.
rheumatoid arthritis and is now prescribed adalimumab. 3 multiple choice options
Which instructions should the nurse provide the client?
A client is receiving a prescription for penicillin 1.2 million 4 mL
units IM. The available vial is labeled "600,000 units/2 mL".
How many mL should the nurse administer?
The healthcare provider prescribes propylthiouracil (PTU) B) Administer iodine one hour before PTU.
and Lugol's solution, a strong iodine solution, for a client 3 multiple choice options
with hyperthyroidism. How should the nurse schedule the
administration of these medications?
The nurse is preparing medications for a client with D) Benztropine (Cogentin)
bipolar disorder and notices that the antipsychotic 3 multiple choice options
medication was discontinued several days ago. Which
medication should be discontinued?
To control asthma, a client in a residential treatment D) Explain that the client should not use the discus more than twice daily.
facility uses a fluticasone propionate and salmeterol 3 multiple choice options
discus inhalation system which provides an inhaled
powdered form of these combined medications. Which
instruction should the nurse provide to this client's
caregivers?
The nurse is assessing the eyes of a client who just C) Pupillary constriction
received mydriatic eye drops. Which physiological 3 multiple choice options
Which intervention is most important for the nurse A) Provide meals at the same time this insulin is given
to implement for a client with type 2 diabetes mellitus
3 multiple choice options
(DM) who is receiving Insulin Lispro?
The nurse administers naloxone to a client with A) Administer a second dose of naloxone
opioid- induced respiratory depression. One hour
3 multiple choice options
later, the nursing assessment reveals that the client has
a respiratory rate of 4 breaths/minute, oxygen saturation
of 75%, and is unable to be aroused. Which action
should the nurse implement?
A client starts a new prescription of oxybutynin for C) Take measures to avoid dehydration and overheating
symptoms of an overactive bladder. The client reports to
3 multiple choice options
the nurse details of training for a half marathon.
Which instruction should the nurse emphasize?
A client with generalized anxiety disorder (GAD) receives D) "I should stop taking the medication if the intended effect is not immediate."
a new prescription for lorazepam. Which statement
3 multiple choice options
provided by the client requires additional instruction
by the nurse?
The nurse is providing discharge instructions to a client A) Rapid weight gain
who has been prescribed gabapentin 300 mg by mouth
3 multiple choice options
three times a day for post-herpetic neuralgia. Which
symptom should the nurse tell the client to report to
the healthcare provider?
The nurse is administering sodium polystyrene to a client A) Serum potassium level of 3.8 mEq/L (3.8 mmol/L)
in acute kidney injury (AKI). Which laboratory finding 3 multiple choice options
indicates that the medication has been effective?
The nurse is teaching a client who has been diagnosed C) "Antiretroviral medication prevents the transmission of the virus."
with HIV about the antiretroviral medication regimen. 3 multiple choice options
Which statement provided by the client requires
additional instruction by the nurse?
The nurse is caring for an adult client who is taking A) Potassium level of 3.2 mEq/L (3.2 mmol/L)
digoxin. Which laboratory value should be reported to 3 multiple choice options
the healthcare provider immediately?
A client who is taking an oral contraceptive receives a D) Use an additional form of contraception.
new prescription for erythromycin. Which instruction 3 multiple choice options
should the nurse provide to the client?
The home health nurse observes that a female client is D) Echinacea seems to be useful in the treatment of some infections such as
, using a topical preparation that contains echinacea to canker sores.
treat a canker sore. Her husband expresses concern 3 multiple choice options
regarding the effectiveness and safety of using herbs.
How should the nurse respond?
A client who received a renal transplant three months ago A) St. John's Wort can decrease plasma concentrations of cyclosporine.
is readmitted to the acute care unit with signs of graft 3 multiple choice options
rejection. While taking the client's history, the nurse
determines that the client has been self-administering St.
John's Wort, an herbal preparation, on the advice of a
friend. Which information is most significant about this
finding?
A client with chemotherapy-induced nausea receives a B) Involuntary movements
prescription for metoclopramide. Which adverse effect is 3 multiple choice options
most important for the nurse to report?
A client with anemia secondary to chronic kidney disease D) Hemoglobin level increased to 12 grams/dL (120 mmol/L).
(CKD) started a prescription for epoetin alfa two months 3 multiple choice options
ago. Which client finding best indicates that the
medication is effective?
A client who is newly diagnosed with diabetes insipidus is C) Worsening headache
receiving a synthetic vasopressin intravenously. Which 3 multiple choice options
side effect of vasopressin reported by the client should
the nurse report to the healthcare provider?
The nurse is caring for a client who takes methotrexate for D) Avoid crowds and people who are sick.
rheumatoid arthritis and is now prescribed adalimumab. 3 multiple choice options
Which instructions should the nurse provide the client?
A client is receiving a prescription for penicillin 1.2 million 4 mL
units IM. The available vial is labeled "600,000 units/2 mL".
How many mL should the nurse administer?
The healthcare provider prescribes propylthiouracil (PTU) B) Administer iodine one hour before PTU.
and Lugol's solution, a strong iodine solution, for a client 3 multiple choice options
with hyperthyroidism. How should the nurse schedule the
administration of these medications?
The nurse is preparing medications for a client with D) Benztropine (Cogentin)
bipolar disorder and notices that the antipsychotic 3 multiple choice options
medication was discontinued several days ago. Which
medication should be discontinued?
To control asthma, a client in a residential treatment D) Explain that the client should not use the discus more than twice daily.
facility uses a fluticasone propionate and salmeterol 3 multiple choice options
discus inhalation system which provides an inhaled
powdered form of these combined medications. Which
instruction should the nurse provide to this client's
caregivers?
The nurse is assessing the eyes of a client who just C) Pupillary constriction
received mydriatic eye drops. Which physiological 3 multiple choice options
