HESI PN PHARMACOLOGY EXAM
2026 FINAL PAPER PRACTICE
QUESTIONS ANSWERS ACCURATE
A+
◉ 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
◉ A nurse is providing medication education for a client prescribed a
beta-blocking agent for treatment of glaucoma. Which statement by the
client demonstrates an understanding of the mechanism of the
medication?
A. It inhibits the aqueous humor production
B. It enhances the aqueous humor outflow
C. It increases the intraocular pressure
2026 FINAL PAPER PRACTICE
QUESTIONS ANSWERS ACCURATE
A+
◉ 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
◉ A nurse is providing medication education for a client prescribed a
beta-blocking agent for treatment of glaucoma. Which statement by the
client demonstrates an understanding of the mechanism of the
medication?
A. It inhibits the aqueous humor production
B. It enhances the aqueous humor outflow
C. It increases the intraocular pressure
