HESI PN PHARMACOLOGY EXAM 4 CONCEPT
REVIEW GUIDE 2026 CLINICAL DECISION
MAKING IN MEDICATION MANAGEMENT
◉ The nurse is administering haloperidol 0.5 mg IM PRN to a client
for the first time. What side effects should the nurse assess thr client
during the initial dose?
A. Bradykinesia
B. Dystonia
C. Somatization
D. Akathisia.
Answer: B
◉ While reviewing the client's electronic medical record (EMR), the
nurse assesses a client who is at risk for a possible interaction with
an over-the-counter (OTC) decongestant. Which client health history
should the nurse report to the health care provider concerning the
OTC medication? (Select all that apply)
A. Type 1 diabetes mellitus (DM)
B. Closed angle glaucome
C. Chronic hypertension
,D. Rheumatoid arthritis
E. Crohn's disease.
Answer: B,C
◉ A client prescribed ipratropium reports nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action
should the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to
the healthcare provider
B. Give PRN medication for nausea and vomiting and evaluate client
in 30 minutes
C. reassure client that the ipratropium given will alleviate the
symptoms
D. Delay administration of ipratropium until the next maintenance
medication is scheduled.
Answer: A
◉ A client diagnosed with multiple sclerosis is experiencing
profound weakness, blurry vision, and shooting pains in both legs.
Which medication is considered the best course of treatment for the
nurse to administer?
A. High dose methylprednisolone intravenously
,B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
D. Immunomodulatory drug therapy periodically.
Answer: A
◉ The nurse administers 30 mL of lactulose for a client with stage 2
hepatic encephalopathy. Which assessment finding would indicate
the medication is being therapeutic?
A. A decrease in blood ammonia levels
B. A softening in the stools
C. An increase in glucose absorption
D. A suppression of gut acidification.
Answer: A
◉ The nurse is teaching a client who is newly diagnosed with type 1
diabetes about neutral protamine Hagedor (NPH) insulin. Which
statement by the client indicates an understanding of how the
medication works?
A. It facilitates the transport of glucose into the cells
B. It stimulates the function of beta cells in the pancreas
C. It increases the intracellular receptor site sensitivity
, D. It delays the carbohydrate digestion and absorption.
Answer: A
◉ The nurse should withhold which medication if a client reports
nausea, vomiting, and diarrhea?
A. Colchicine (Mitigare, Colcrys)
B. Erythromycin (E-mycin)
C. Naproxen (Aleve, Naprosyn)
D. Labetolol (Normodyne).
Answer: A
◉ A client newly prescribed esomeprazole for gastroesophageal
reflux disease (GERD) asks the nurse how the medication will help.
Which is the best explanation to provide the client?
A. It will promote rapid tissue healing
B. It will increase gastric emptying
C. It will improve esophageal peristalsis
D. It will neutralize gastric secretions.
Answer: A
REVIEW GUIDE 2026 CLINICAL DECISION
MAKING IN MEDICATION MANAGEMENT
◉ The nurse is administering haloperidol 0.5 mg IM PRN to a client
for the first time. What side effects should the nurse assess thr client
during the initial dose?
A. Bradykinesia
B. Dystonia
C. Somatization
D. Akathisia.
Answer: B
◉ While reviewing the client's electronic medical record (EMR), the
nurse assesses a client who is at risk for a possible interaction with
an over-the-counter (OTC) decongestant. Which client health history
should the nurse report to the health care provider concerning the
OTC medication? (Select all that apply)
A. Type 1 diabetes mellitus (DM)
B. Closed angle glaucome
C. Chronic hypertension
,D. Rheumatoid arthritis
E. Crohn's disease.
Answer: B,C
◉ A client prescribed ipratropium reports nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action
should the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to
the healthcare provider
B. Give PRN medication for nausea and vomiting and evaluate client
in 30 minutes
C. reassure client that the ipratropium given will alleviate the
symptoms
D. Delay administration of ipratropium until the next maintenance
medication is scheduled.
Answer: A
◉ A client diagnosed with multiple sclerosis is experiencing
profound weakness, blurry vision, and shooting pains in both legs.
Which medication is considered the best course of treatment for the
nurse to administer?
A. High dose methylprednisolone intravenously
,B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
D. Immunomodulatory drug therapy periodically.
Answer: A
◉ The nurse administers 30 mL of lactulose for a client with stage 2
hepatic encephalopathy. Which assessment finding would indicate
the medication is being therapeutic?
A. A decrease in blood ammonia levels
B. A softening in the stools
C. An increase in glucose absorption
D. A suppression of gut acidification.
Answer: A
◉ The nurse is teaching a client who is newly diagnosed with type 1
diabetes about neutral protamine Hagedor (NPH) insulin. Which
statement by the client indicates an understanding of how the
medication works?
A. It facilitates the transport of glucose into the cells
B. It stimulates the function of beta cells in the pancreas
C. It increases the intracellular receptor site sensitivity
, D. It delays the carbohydrate digestion and absorption.
Answer: A
◉ The nurse should withhold which medication if a client reports
nausea, vomiting, and diarrhea?
A. Colchicine (Mitigare, Colcrys)
B. Erythromycin (E-mycin)
C. Naproxen (Aleve, Naprosyn)
D. Labetolol (Normodyne).
Answer: A
◉ A client newly prescribed esomeprazole for gastroesophageal
reflux disease (GERD) asks the nurse how the medication will help.
Which is the best explanation to provide the client?
A. It will promote rapid tissue healing
B. It will increase gastric emptying
C. It will improve esophageal peristalsis
D. It will neutralize gastric secretions.
Answer: A
