Pharm HESI Exam Study Guide
– Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
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? - Answer✔✔-Rise slowly when getting
out of bed or chair.
A female client calls the clinic and talks with the nurse to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having vaginal
discomfort, itching, and a white discharge. The nurse should discuss which
action with the client? - Answer✔✔-Consult with healthcare provider about
another treatment for this effect.
The nurse is making early morning rounds on a group of clients when a client
begins exhibiting symptoms of an acute asthma attack. The nurse administers a
PRN prescription for a Beta 2 receptor agonist agent. Which client response
should the nurse expect? - Answer✔✔-- Rapid resolution of wheezing.
- Improved pulse oximetry values.
,A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a
sinus bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24.
Which action should the nurse take? - Answer✔✔-Give the medication as
prescribed and continue to monitor the client.
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II
receptor blocker (ARB), for a client with hypertension and heart failure. The
nurse reviews the client's laboratory results and notes that the client's serum
potassium level is 5.9 mEq/L. Which action should the nurse take first? -
Answer✔✔-Withold the scheduled dose.
Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should the
nurse administer the prescribed medications? (Arrange from first to last.) -
Answer✔✔-1. Albuterol
2. Salmeterol
3. Prednisone
4. Gentamicin
An adult client is given a prescription for a scopolamine patch (Transderm Scop)
to prevent motion sickness while on a cruise. Which information should the
nurse provide to the client? - Answer✔✔-Apply the patch at least 4 hours prior
to departure.
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which
information should the nurse include in the client's instruction? - Answer✔✔-
Take the medication with food.
,A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4
times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100
mcg PO is prescribed. Which information is most important for the nurse to
include in client teaching? - Answer✔✔-Use contraception during intercourse.
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex)
orally for symptom management. The nurse notes the client is allergic to sulfa.
Which action is most important for the nurse to implement prior to
administering the first dose? - Answer✔✔-Notify the healthcare provider.
A client is admitted to the hospital for a new onset of supraventricular
tachycardia (SVT) and is prescribed digoxin. For which laboratory finding should
the nurse notify the healthcare provider immediately? - Answer✔✔-Potassium
level of 3.1 mEq/L. C
The nurse is transcribing a new prescription for spironolactone (Aldactone) for
a client who receives an angiotensin-converting enzyme (ACE) inhibitor. Which
action should the nurse implement? - Answer✔✔-Verify both prescriptions
with the healthcare provider.
The nurse admits a client with tumor-induced spinal cord compression. Which
medication should the nurse anticipate to be prescribed to offer the best
palliative treatment for this client? - Answer✔✔-Dexamethasone
The nurse is preparing an education session for a client prescribed opioids for
intractable cancer pain. The nurse should include strategies to help prevent
which common side effect associated with long-term use of opioids? -
Answer✔✔-Constipation
, A client is prescribed controlled-release oxycodone. Which dosing schedule is
best for the nurse to teach the client? - Answer✔✔-Every 12 hours.
Which client should the nurse identify as being at highest risk for complications
during the use of an opioid analgesic? - Answer✔✔-A young adult with
inflammatory bowel disease.
Which medications should the nurse caution the client about taking while
receiving an opioid analgesic? - Answer✔✔-Benzodiazepines.
A client is prescribed 1 mcg/kg/min of dobutamine hydrochloride via IV
infusion. Which client's condition would benefit the most from an
administration of dobutamine hydrochloride? - Answer✔✔-Heart failure.
A client is experiencing anaphylaxis from an insect sting. Which medication
should the nurse administer? - Answer✔✔-Epinephrine.
The healthcare provider prescribes a beta-1 agonist medication to be
administered. The nurse should anticipate the medication to be prescribed for
a client diagnosed with which condition? - Answer✔✔-Heart failure.
An older client with a decreased percentage of lean body mass is admitted to
the hospital. Which pharmacokinetic process is affected and should be
considered in the client's dosing of medication? - Answer✔✔-Distribution.
A Category X drug is prescribed for a young adult female client. Which
instruction is most important for the nurse to teach this client? - Answer✔✔-
Use a reliable form of birth control.
– Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update
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? - Answer✔✔-Rise slowly when getting
out of bed or chair.
A female client calls the clinic and talks with the nurse to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having vaginal
discomfort, itching, and a white discharge. The nurse should discuss which
action with the client? - Answer✔✔-Consult with healthcare provider about
another treatment for this effect.
The nurse is making early morning rounds on a group of clients when a client
begins exhibiting symptoms of an acute asthma attack. The nurse administers a
PRN prescription for a Beta 2 receptor agonist agent. Which client response
should the nurse expect? - Answer✔✔-- Rapid resolution of wheezing.
- Improved pulse oximetry values.
,A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a
sinus bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24.
Which action should the nurse take? - Answer✔✔-Give the medication as
prescribed and continue to monitor the client.
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II
receptor blocker (ARB), for a client with hypertension and heart failure. The
nurse reviews the client's laboratory results and notes that the client's serum
potassium level is 5.9 mEq/L. Which action should the nurse take first? -
Answer✔✔-Withold the scheduled dose.
Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should the
nurse administer the prescribed medications? (Arrange from first to last.) -
Answer✔✔-1. Albuterol
2. Salmeterol
3. Prednisone
4. Gentamicin
An adult client is given a prescription for a scopolamine patch (Transderm Scop)
to prevent motion sickness while on a cruise. Which information should the
nurse provide to the client? - Answer✔✔-Apply the patch at least 4 hours prior
to departure.
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which
information should the nurse include in the client's instruction? - Answer✔✔-
Take the medication with food.
,A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4
times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100
mcg PO is prescribed. Which information is most important for the nurse to
include in client teaching? - Answer✔✔-Use contraception during intercourse.
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex)
orally for symptom management. The nurse notes the client is allergic to sulfa.
Which action is most important for the nurse to implement prior to
administering the first dose? - Answer✔✔-Notify the healthcare provider.
A client is admitted to the hospital for a new onset of supraventricular
tachycardia (SVT) and is prescribed digoxin. For which laboratory finding should
the nurse notify the healthcare provider immediately? - Answer✔✔-Potassium
level of 3.1 mEq/L. C
The nurse is transcribing a new prescription for spironolactone (Aldactone) for
a client who receives an angiotensin-converting enzyme (ACE) inhibitor. Which
action should the nurse implement? - Answer✔✔-Verify both prescriptions
with the healthcare provider.
The nurse admits a client with tumor-induced spinal cord compression. Which
medication should the nurse anticipate to be prescribed to offer the best
palliative treatment for this client? - Answer✔✔-Dexamethasone
The nurse is preparing an education session for a client prescribed opioids for
intractable cancer pain. The nurse should include strategies to help prevent
which common side effect associated with long-term use of opioids? -
Answer✔✔-Constipation
, A client is prescribed controlled-release oxycodone. Which dosing schedule is
best for the nurse to teach the client? - Answer✔✔-Every 12 hours.
Which client should the nurse identify as being at highest risk for complications
during the use of an opioid analgesic? - Answer✔✔-A young adult with
inflammatory bowel disease.
Which medications should the nurse caution the client about taking while
receiving an opioid analgesic? - Answer✔✔-Benzodiazepines.
A client is prescribed 1 mcg/kg/min of dobutamine hydrochloride via IV
infusion. Which client's condition would benefit the most from an
administration of dobutamine hydrochloride? - Answer✔✔-Heart failure.
A client is experiencing anaphylaxis from an insect sting. Which medication
should the nurse administer? - Answer✔✔-Epinephrine.
The healthcare provider prescribes a beta-1 agonist medication to be
administered. The nurse should anticipate the medication to be prescribed for
a client diagnosed with which condition? - Answer✔✔-Heart failure.
An older client with a decreased percentage of lean body mass is admitted to
the hospital. Which pharmacokinetic process is affected and should be
considered in the client's dosing of medication? - Answer✔✔-Distribution.
A Category X drug is prescribed for a young adult female client. Which
instruction is most important for the nurse to teach this client? - Answer✔✔-
Use a reliable form of birth control.
