Pharm HESI Exam Study Guide
– Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
Question:
The client with hyperparathyroidism is taking alendronate. Which statements
by the client indicate an understanding of the proper way to take this
medication?
1.
"I should take this medication with food."
2.
"I should take this medication at bedtime."
3.
"I should sit up for at least 30 minutes after taking this medication."
4.
"I should take this medication first thing in the morning on an empty stomach."
5.
"I can pick a time to take this medication that best fits my lifestyle as long as I
take it at the same time each day."
3, 4
,Question:
A client with diabetes mellitus visits a health care clinic. The client's diabetes
mellitus previously had been well controlled with glyburide daily, but recently
the fasting blood glucose level has been 180 to 200 mg/dL (10 to 11.1 mmol/L).
Which medication, if added to the client's regimen, may have contributed to
the hyperglycemia?
Prednisone
Question:
A client with Crohn's disease is scheduled to receive an infusion of infliximab.
What intervention by the nurse will determine the effectiveness of treatment?
Checking the frequency and consistency of bowel movements
Question:
A client has an as needed prescription for loperamide hydrochloride. For which
condition should the nurse administer this medication?
An episode of diarrhea
Question:
A client has an as-needed prescription for ondansetron. For which condition(s)
should the nurse administer this medication?
Nausea and vomiting
Question:
A client has begun medication therapy with pancrelipase. The nurse evaluates
that the medication is having the optimal intended benefit if which effect is
observed?
Reduction of steatorrhea
Question:
An older client recently has been taking cimetidine. The nurse monitors the
client for which most frequent central nervous system side effect of this
medication?
,Confusion
Question:
A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4
times daily. The nurse should schedule the medication for which times?
One hour before meals and at bedtime
Question:
A client receiving albuterol tablets complains of nausea every evening with her
9:00 p.m. dose. Which action can the nurse take to alleviate this side effect?
Administer the dose with a snack
Question:
Which dosing schedule should the nurse teach the client to observe for a
controlled-release oxycodone prescription?
Every 12 hrs
Question:
A client is taking hydromorphone PO every 4 hours at home. Following surgery,
hydromorphone IV every 4 hours PRN and butorphanol tartrate IV every 4
hours PRN are prescribed for pain. The client received a dose of the
hydromorphone IV four hours ago and is again requesting pain medication.
What intervention should the nurse implement?
Administer only the hydromorphone every 4 hrs PRN for pain
Question:
Which symptoms are serious adverse effects of beta-adrenergic blockers such
as propranolol?
Wheezing, HOTN, and AV block
Question:
A client has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. Which medication would be contraindicated for this client?
Phenobarbital sodium for sleep
, Question:
The nurse is caring for a client who has taken atenolol for 2 years. The
healthcare provider recently changed the medication to enalapril to manage
the client's blood pressure. Which instruction should the nurse provide the
client regarding the new medication?
Rise slowly when getting out of bed or chair
Question:
A client who has been taking levodopa PO TID to control the symptoms of
Parkinson's disease has a new prescription for sustained-release
levodopa/carbidopa PO BID. The client took his levodopa at 0800. Which
instruction should the nurse include in the teaching plan for this client?
"You can begin taking the levodopa-carbidopa this evening, but do not take
more levodopa."
Question:
A category X drug is prescribed for a young adult female client. Which
instruction is most important for the nurse to teach this client?
Use a reliable form of birth control
Question:
A medication that is classified as a beta-1 agonist is most commonly prescribed
for a client with which condition?
Heart failure
Question:
A client has a continuous IV infusion of dopamine and an IV of sodium chloride
at 50 mL/hour. The nurse notes that the client's urinary output has been 20
mL/hour for the last two hours. Which intervention should the nurse initiate?
Notify the HCP of the urine output
Question:
– Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
Question:
The client with hyperparathyroidism is taking alendronate. Which statements
by the client indicate an understanding of the proper way to take this
medication?
1.
"I should take this medication with food."
2.
"I should take this medication at bedtime."
3.
"I should sit up for at least 30 minutes after taking this medication."
4.
"I should take this medication first thing in the morning on an empty stomach."
5.
"I can pick a time to take this medication that best fits my lifestyle as long as I
take it at the same time each day."
3, 4
,Question:
A client with diabetes mellitus visits a health care clinic. The client's diabetes
mellitus previously had been well controlled with glyburide daily, but recently
the fasting blood glucose level has been 180 to 200 mg/dL (10 to 11.1 mmol/L).
Which medication, if added to the client's regimen, may have contributed to
the hyperglycemia?
Prednisone
Question:
A client with Crohn's disease is scheduled to receive an infusion of infliximab.
What intervention by the nurse will determine the effectiveness of treatment?
Checking the frequency and consistency of bowel movements
Question:
A client has an as needed prescription for loperamide hydrochloride. For which
condition should the nurse administer this medication?
An episode of diarrhea
Question:
A client has an as-needed prescription for ondansetron. For which condition(s)
should the nurse administer this medication?
Nausea and vomiting
Question:
A client has begun medication therapy with pancrelipase. The nurse evaluates
that the medication is having the optimal intended benefit if which effect is
observed?
Reduction of steatorrhea
Question:
An older client recently has been taking cimetidine. The nurse monitors the
client for which most frequent central nervous system side effect of this
medication?
,Confusion
Question:
A client with a gastric ulcer has a prescription for sucralfate 1 gram by mouth 4
times daily. The nurse should schedule the medication for which times?
One hour before meals and at bedtime
Question:
A client receiving albuterol tablets complains of nausea every evening with her
9:00 p.m. dose. Which action can the nurse take to alleviate this side effect?
Administer the dose with a snack
Question:
Which dosing schedule should the nurse teach the client to observe for a
controlled-release oxycodone prescription?
Every 12 hrs
Question:
A client is taking hydromorphone PO every 4 hours at home. Following surgery,
hydromorphone IV every 4 hours PRN and butorphanol tartrate IV every 4
hours PRN are prescribed for pain. The client received a dose of the
hydromorphone IV four hours ago and is again requesting pain medication.
What intervention should the nurse implement?
Administer only the hydromorphone every 4 hrs PRN for pain
Question:
Which symptoms are serious adverse effects of beta-adrenergic blockers such
as propranolol?
Wheezing, HOTN, and AV block
Question:
A client has myxedema, which results from a deficiency of thyroid hormone
synthesis in adults. Which medication would be contraindicated for this client?
Phenobarbital sodium for sleep
, Question:
The nurse is caring for a client who has taken atenolol for 2 years. The
healthcare provider recently changed the medication to enalapril to manage
the client's blood pressure. Which instruction should the nurse provide the
client regarding the new medication?
Rise slowly when getting out of bed or chair
Question:
A client who has been taking levodopa PO TID to control the symptoms of
Parkinson's disease has a new prescription for sustained-release
levodopa/carbidopa PO BID. The client took his levodopa at 0800. Which
instruction should the nurse include in the teaching plan for this client?
"You can begin taking the levodopa-carbidopa this evening, but do not take
more levodopa."
Question:
A category X drug is prescribed for a young adult female client. Which
instruction is most important for the nurse to teach this client?
Use a reliable form of birth control
Question:
A medication that is classified as a beta-1 agonist is most commonly prescribed
for a client with which condition?
Heart failure
Question:
A client has a continuous IV infusion of dopamine and an IV of sodium chloride
at 50 mL/hour. The nurse notes that the client's urinary output has been 20
mL/hour for the last two hours. Which intervention should the nurse initiate?
Notify the HCP of the urine output
Question:
