HESI PHARMACOLOGY EVOLVE EXAM TEST BANK
2026 | 1200 QUESTIONS AND CORRECT ANSWERS
WITH EXPLANATIONS | GRADED A+ | VERIFIED
ANSWERS | LATEST EXAM (JUST RELEASED) BEST
FOR EXAM PREPARATION 2026-2027
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.
B) Two or three soft stools per day.
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).
,The healthcare provider prescribes naproxen (Naproxen) twice daily for
a
client with osteoarthritis of the hands. The client tells the nurse that
the drug does not seem to be effective after three weeks. Which is
the best response for the nurse to provide?
A) The frequency of the dosing is necessary to increase the
effectiveness.
B) Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
D) Systemic corticosteroids are the next drugs of choice for pain relief.
C) Another type of nonsteroidal antiinflammatory drug may be
indicated.
Individual responses to nonsteroidal antiinflammatory drugs are
variable, so
(C) is the best response. Naproxen is usually prescribed every 8
hours, so (A) is not indicated. The peak for naproxen is one to two
hours, not (B). Corticosteroids are not indicated for osteoarthritis
(D).
,Which instruction(s) should the nurse give to a female client who just
received a prescription for oral metronidazole (Flagyl) for treatment
of trichomonas vaginalis? (Select all that apply.)
A) Increase fluid intake, especially cranberry juice.
B) Do not abruptly discontinue the medication; taper use.
C) Check blood pressure daily to detect hypertension.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
A) Increase fluid intake, especially cranberry juice.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
Correct selections are (A, D, E, and F). Increased fluid intake and
cranberry juice (A) are recommended for prevention and treatment
of urinary tract infections, which frequently accompany vaginal
infections. It is not necessary to taper use of this drug (B) or to check
the blood pressure daily (C), as this condition is not related to
hypertension. Flagyl can cause a disulfiram-like
reaction if taken in conjunction with ingestion of alcohol, so the
client should be instructed to avoid alcohol (D). All sexual partners
should be treated at the same time (E) and condoms should be used
until after treatment is completed to avoid reinfection (F).
, A client receiving albuterol (Proventil) tablets complains of nausea
every evening with her 9 p.m. dose. What action should the nurse take
to alleviate this side effect?
A) Change the time of the dose.
B) Hold the 9 p.m. dose.
C) Administer the dose with a snack.
D) Administer an antiemetic with the dose.
C) Administer the dose with a snack.
Administering oral doses with food (C) helps minimize GI discomfort.
(A) would be appropriate only if changing the time of the dose
corresponds to meal times while at the same time maintaining an
appropriate time interval between doses. (B) would disrupt the
dosing schedule, and could result in a nontherapeutic serum level of
the medication. (D) should not be attempted before other
interventions, such as (C), have been proven ineffective in
relieving the nausea.
2026 | 1200 QUESTIONS AND CORRECT ANSWERS
WITH EXPLANATIONS | GRADED A+ | VERIFIED
ANSWERS | LATEST EXAM (JUST RELEASED) BEST
FOR EXAM PREPARATION 2026-2027
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.
B) Two or three soft stools per day.
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).
,The healthcare provider prescribes naproxen (Naproxen) twice daily for
a
client with osteoarthritis of the hands. The client tells the nurse that
the drug does not seem to be effective after three weeks. Which is
the best response for the nurse to provide?
A) The frequency of the dosing is necessary to increase the
effectiveness.
B) Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C) Another type of nonsteroidal antiinflammatory drug may be indicated.
D) Systemic corticosteroids are the next drugs of choice for pain relief.
C) Another type of nonsteroidal antiinflammatory drug may be
indicated.
Individual responses to nonsteroidal antiinflammatory drugs are
variable, so
(C) is the best response. Naproxen is usually prescribed every 8
hours, so (A) is not indicated. The peak for naproxen is one to two
hours, not (B). Corticosteroids are not indicated for osteoarthritis
(D).
,Which instruction(s) should the nurse give to a female client who just
received a prescription for oral metronidazole (Flagyl) for treatment
of trichomonas vaginalis? (Select all that apply.)
A) Increase fluid intake, especially cranberry juice.
B) Do not abruptly discontinue the medication; taper use.
C) Check blood pressure daily to detect hypertension.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
A) Increase fluid intake, especially cranberry juice.
D) Avoid drinking alcohol while taking this medication.
E) Use condoms until treatment is completed.
F) Ensure that all sexual partners are treated at the same time.
Correct selections are (A, D, E, and F). Increased fluid intake and
cranberry juice (A) are recommended for prevention and treatment
of urinary tract infections, which frequently accompany vaginal
infections. It is not necessary to taper use of this drug (B) or to check
the blood pressure daily (C), as this condition is not related to
hypertension. Flagyl can cause a disulfiram-like
reaction if taken in conjunction with ingestion of alcohol, so the
client should be instructed to avoid alcohol (D). All sexual partners
should be treated at the same time (E) and condoms should be used
until after treatment is completed to avoid reinfection (F).
, A client receiving albuterol (Proventil) tablets complains of nausea
every evening with her 9 p.m. dose. What action should the nurse take
to alleviate this side effect?
A) Change the time of the dose.
B) Hold the 9 p.m. dose.
C) Administer the dose with a snack.
D) Administer an antiemetic with the dose.
C) Administer the dose with a snack.
Administering oral doses with food (C) helps minimize GI discomfort.
(A) would be appropriate only if changing the time of the dose
corresponds to meal times while at the same time maintaining an
appropriate time interval between doses. (B) would disrupt the
dosing schedule, and could result in a nontherapeutic serum level of
the medication. (D) should not be attempted before other
interventions, such as (C), have been proven ineffective in
relieving the nausea.
