HESI PHARMACOLOGY ASSESSMENT TEST NURSING PROGRAM
EVALUATION – 2026
FACULTY OF HEALTH SCIENCES | FINAL SPRING EXAMINATION
QUESTIONS AND ANSWERS WITH CORRECT RATIONALES |
HIGHER TIER EXAM
PASS GUARANTEED | GRADE A+
A nurse is providing medication education for a client prescribed a beta-blocking agent for
treatment of glaucoma. Which statement by the client demonstrates an understanding of the
mechanism of the medication?
A. It inhibits the aqueous humor production
B. It enhances the aqueous humor outflow
C. It increases the intraocular pressure
D. It prevents extraocular infection
A
A nurse is planning a teaching session for a client newly prescribed a miotic drug for the
treatment of glaucoma. Which information should the nurse include in the teaching session?
A. The medication enhances the aqueous humor outflow
B. The medication inhibits the aqueous humor production
,C. The medication dilates the pupils
D. The medication prevents extraocular infection
A
The healthcare provider (HCP) prescribes a medication for an older adult client who is reporting
insomnia, and the HCP instructs the client to return in two weeks. The nurse should question
which prescription?
A Zolpidem (Ambien) 10 milligrams orally at bedtime
B. Eszopiclone (Lunesta) 10 milligrams orally at bedtime
C. Temazepam (Restoril) 7.5 milligrams orally at bedtime
D. Ramelteon (Rozerem) 8 milligrams orally at bedtime
B
A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole
(Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse
should include which instruction?
A. Drink fluids between meals to relieve gastric distress
B. Monitor for an increase in blood pressure during therapy
C. Dissolve capsule contents in fruit juice for easier ingestion
D. Take at same time each day one hour before eating a meal
D
, A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone. When
teaching about this drug, which information in the client history requires special emphasis by
the nurse?
A. Snacks on dairy products such as yogurt or ice cream
B. Previously had a mild allergic reaction to a cephalosporin
C. Consumes alcoholic drinks occasionally on the weekends
D. works twenty hours a week as a lifeguard at the local pool
D
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a client.
Which assessment finding should the nurse use to evaluate the effectiveness of the medication?
A. The absence of seizures
B. The increase in lactation
C. The presence of bowel sounds
D. The number on the numeric pain scale
D
Based on the blood culture and sensitivity results, the healthcare provider prescribes an IV
aminoglycoside antibiotic and discontinues the current prescription for another broad spectrum
antibiotic. The medication administration record indicates that the client received the broad
spectrum antibiotic two hours ago. Which action should the nurse implement?
A. Obtain peak and trough serum levels so the aminoglycoside antibiotic can be initiated
B. Administer the initial dose of the aminoglycoside antibiotic as soon as possible
EVALUATION – 2026
FACULTY OF HEALTH SCIENCES | FINAL SPRING EXAMINATION
QUESTIONS AND ANSWERS WITH CORRECT RATIONALES |
HIGHER TIER EXAM
PASS GUARANTEED | GRADE A+
A nurse is providing medication education for a client prescribed a beta-blocking agent for
treatment of glaucoma. Which statement by the client demonstrates an understanding of the
mechanism of the medication?
A. It inhibits the aqueous humor production
B. It enhances the aqueous humor outflow
C. It increases the intraocular pressure
D. It prevents extraocular infection
A
A nurse is planning a teaching session for a client newly prescribed a miotic drug for the
treatment of glaucoma. Which information should the nurse include in the teaching session?
A. The medication enhances the aqueous humor outflow
B. The medication inhibits the aqueous humor production
,C. The medication dilates the pupils
D. The medication prevents extraocular infection
A
The healthcare provider (HCP) prescribes a medication for an older adult client who is reporting
insomnia, and the HCP instructs the client to return in two weeks. The nurse should question
which prescription?
A Zolpidem (Ambien) 10 milligrams orally at bedtime
B. Eszopiclone (Lunesta) 10 milligrams orally at bedtime
C. Temazepam (Restoril) 7.5 milligrams orally at bedtime
D. Ramelteon (Rozerem) 8 milligrams orally at bedtime
B
A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole
(Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse
should include which instruction?
A. Drink fluids between meals to relieve gastric distress
B. Monitor for an increase in blood pressure during therapy
C. Dissolve capsule contents in fruit juice for easier ingestion
D. Take at same time each day one hour before eating a meal
D
, A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone. When
teaching about this drug, which information in the client history requires special emphasis by
the nurse?
A. Snacks on dairy products such as yogurt or ice cream
B. Previously had a mild allergic reaction to a cephalosporin
C. Consumes alcoholic drinks occasionally on the weekends
D. works twenty hours a week as a lifeguard at the local pool
D
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a client.
Which assessment finding should the nurse use to evaluate the effectiveness of the medication?
A. The absence of seizures
B. The increase in lactation
C. The presence of bowel sounds
D. The number on the numeric pain scale
D
Based on the blood culture and sensitivity results, the healthcare provider prescribes an IV
aminoglycoside antibiotic and discontinues the current prescription for another broad spectrum
antibiotic. The medication administration record indicates that the client received the broad
spectrum antibiotic two hours ago. Which action should the nurse implement?
A. Obtain peak and trough serum levels so the aminoglycoside antibiotic can be initiated
B. Administer the initial dose of the aminoglycoside antibiotic as soon as possible
