HESI PHARMACOLOGY EVOLVE EXAM 2026/2027 ||
MOST RECENT EXAM ACTUAL COMPLETE REAL
VERIFIED EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
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A client is receiving oral griseofulvin for a persistent tinea
corporis infection. Which response by the client indicates
an accurate understanding of the drug teaching conducted
by the nurse?
A. "I'll wear sunscreen whenever I mow the lawn."
B. "This is the worse bacterial infection I've ever had."
C. "I will need to take the medication for 7 days."
D. "My urine will probably turn brown due to this drug." -
Answer-A. "I'll wear sunscreen whenever I mow the lawn."
Photosensitivity is a side effect of griseofulvin, so clients
should be cautioned to wear protective sunscreen during
sun exposure. Options B, C, and D are not accurate
statements about side effects of this medication.
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A 6-year-old child is admitted to the emergency
department with status epilepticus. His parents report that
his seizure disorder has been managed with phenytoin, 50
mg PO bid, for the past year. Which drug should the nurse
plan to administer in the emergency department?
A. Phenytoin
B. Diazepam
C. Phenobarbital
D. Carbamazepine - Answer-B. Diazepam
Diazepam is the drug of choice for treatment of status
epilepticus. Options A, C, and D are used for the long-term
management of seizure disorders but are not as useful in
the emergency management of status epilepticus.
A client who has trouble swallowing pills intermittently has
been prescribed venlafaxine (XR) for depression. The
medication comes in capsule form. What should the nurse
include in the discharge teaching plan for this client?
A. Capsule contents can be sprinkled on pudding or
applesauce.
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B. Chew the medication thoroughly to enhance absorption.
C. Take the medication with a large glass of water or juice.
D. Contact the health care provider for another form of
medication. - Answer-D. Contact the health care provider
for another form of medication.
Venlafaxine is administered PO in capsule form. Capsules
that are extended-release (XR) or continuous-release
(CR) contain delayed-release, enteric-coated granules to
prevent decomposition of the drug in the acidic pH of the
stomach. The client should notify the health care provider
about the inability to swallow the capsule. This medication
should not be chewed or opened so that the delayed-
release, enteric-coated granules can remain intact. Water
or juice will not affect the medication.
The nurse is preparing to apply a surface anesthetic agent
for a client. Which action should the nurse implement to
reduce the risk of systemic absorption?
A. Apply the anesthetic to mucous membranes.
B. Limit the area of application to inflamed areas.
C. Avoid abraded skin areas when applying the anesthetic.
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D. Spread the topical agent over a large surface area. -
Answer-C. Avoid abraded skin areas when applying the
anesthetic.
To minimize systemic absorption of topical anesthetics, the
anesthetic agent should be applied to the smallest surface
area of intact skin. Application to the mucous membranes
poses the greatest risk of systemic absorption because
absorption occurs more readily through mucous
membranes than through the skin. Inflamed areas
generally have an increased blood supply, which increases
the risk of systemic absorption, so option B should be
avoided. A large surface area increases the amount of
topical drug that is available for transdermal absorption, so
the smallest area should be covered, not option D.
A 19-year-old male client who has sustained a severe
head injury is intubated and placed on assisted
mechanical ventilation. To facilitate optimal ventilation and
prevent the client from "fighting" the ventilator, the health
care provider administers pancuronium bromide IV, with
adjunctive opioid analgesia. What medication should be
immediately accessible for a potential complication with
this drug?
A. Dantrolene sodium