HESI PHARMACOLOGY ACTUAL EXAM
QUESTIONS AND ANSWERS LATEST
(SPRING-SUMMER)
• A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug
(NSAID) comes to the cliniccomplaining of gastric pain and blood in his stool. The
healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which
information should the client include in the nurse’s teaching plan?
• Once pain subsides, NSAID therapy can be continued
• Resume a diet that consists of milk, cream, and bland foods
• Notify the healthcare provider of the passage of black stool
• Call the clinic if diarrhea or headache occur when taking esomeprazole
Answer: C. Notify the healthcare provider of the passage of black stool
• When administering zolpidem to an older client, which computer documentation indicates
that the desired outcome has been achieved?
• Sleeps soundly through the night
• Decreased episodes of incontinence
• Exhibits fewer emotional outburst
• Improved ability to concentrate
Answer: A. Sleeps soundly through the night
3.A male client with a fungal infection of the toenail reports to the nurse that he has been
applying an over-the-counter triple antibiotic ointment to the infection daily for two weeks
without any improvement. Which action should the nurse take?
• Instruct the client to obtain a prescription for oral terbinafine
• Suggest that the client use the ointment twice a day to be more effective
• Reassure that the treatment of fungus-infected toenails often takes several months
• Advise the client to obtain a prescription-strength formulation of the ointment
Answer: A. Instruct the client to obtain a prescription for oral terbinafine
• A client with a nasogastric tube (NGT) has a prescription for sucralfate. The liquid form
of the medication is not currently available in the pharmacy and tablets have been delivered
to the medication dispensing system. Which actionshould the nurse include when
administering the medication?
• Crush the tablet and mix it with water separately from other medications
• Crush the tablet and mix it with other crushed tablets diluted in water
• Withhold the medication until a liquid form is available on the nursing unit
• Crush the tablet and mix it with other liquid medications for administration
Answer: A. Crush the tablet and mix it with water separately from other medications
, • A client with chronic asthma receives a prescription for montelukast, a leukotriene
modifier. Which statement by theclient indicates to the nurse that medication teaching was
effective?
• I should take this medication only when I am having an asthma attack
• I will take the tablet every evening to control my asthma
• This medication will stop an asthma attack immediately
• I will not need to use my inhalers twice a day when I start this medication
Answer: B. I will take the tablet every evening to control my asthma
• The nurse is planning to administer the antiulcer GI agent sucralfate to a client with peptic
ulcer disease. Which actionshould the nurse include in this client’s plan of care?
• Assess for secondary Candida infection
• Administer sucralfate once a day, preferably at bedtime
• Give sucralfate on an empty stomach
• Monitor for electrolyte imbalance
Answer: B. Give sucralfate once a day, preferably at bedtime
• A client with anemia secondary to chronic kidney disease (CKD) started a prescription for
epoetin alfa two months ago.Which client finding best indicates that the medication is
effective?
• Reports of increased energy levels and decreased fatigue
• Takes concurrent iron therapy without adverse effects
• Food diary shows increased consumption of iron-rich foods
• Hemoglobin level increased to 12 grams/dL (120 mmol/L)
Answer: D. Hemoglobin level increased to 12 grams/dL (120 mmol/L)
• The healthcare provider prescribes propylthiouracil (PTU) and Lugol’s solution, a strong
idoine solution, for a client withhyperthyroidism. How should the nurse schedule the
administration of these medications?
• Administer iodine one hour before PTU
• Offer both drugs together with a meal
• Schedule both medications at bedtime
• Give parental dose once every 24 hours
Answer: B. Offer both drugs together with a meal
• Twenty minutes after the nurse starts a secondary IV infusion of cefepime 2 grams using
an infusion pump to deliverthe dose in one hour, the client reports feeling nauseated. Which
action should the nurse implement?
• Continue the infusion and administer a PRN antiemetic prescription
• Stop the medication infusion and notify the healthcare provider of the adverse effect
• Reassure the client that the nausea us not related to the IV infusion
• Increase the rate of the infusion to complete the dose of the medication more rapidly
QUESTIONS AND ANSWERS LATEST
(SPRING-SUMMER)
• A male client who has been taking a high dose of a nonsteroidal anti-inflammatory drug
(NSAID) comes to the cliniccomplaining of gastric pain and blood in his stool. The
healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which
information should the client include in the nurse’s teaching plan?
• Once pain subsides, NSAID therapy can be continued
• Resume a diet that consists of milk, cream, and bland foods
• Notify the healthcare provider of the passage of black stool
• Call the clinic if diarrhea or headache occur when taking esomeprazole
Answer: C. Notify the healthcare provider of the passage of black stool
• When administering zolpidem to an older client, which computer documentation indicates
that the desired outcome has been achieved?
• Sleeps soundly through the night
• Decreased episodes of incontinence
• Exhibits fewer emotional outburst
• Improved ability to concentrate
Answer: A. Sleeps soundly through the night
3.A male client with a fungal infection of the toenail reports to the nurse that he has been
applying an over-the-counter triple antibiotic ointment to the infection daily for two weeks
without any improvement. Which action should the nurse take?
• Instruct the client to obtain a prescription for oral terbinafine
• Suggest that the client use the ointment twice a day to be more effective
• Reassure that the treatment of fungus-infected toenails often takes several months
• Advise the client to obtain a prescription-strength formulation of the ointment
Answer: A. Instruct the client to obtain a prescription for oral terbinafine
• A client with a nasogastric tube (NGT) has a prescription for sucralfate. The liquid form
of the medication is not currently available in the pharmacy and tablets have been delivered
to the medication dispensing system. Which actionshould the nurse include when
administering the medication?
• Crush the tablet and mix it with water separately from other medications
• Crush the tablet and mix it with other crushed tablets diluted in water
• Withhold the medication until a liquid form is available on the nursing unit
• Crush the tablet and mix it with other liquid medications for administration
Answer: A. Crush the tablet and mix it with water separately from other medications
, • A client with chronic asthma receives a prescription for montelukast, a leukotriene
modifier. Which statement by theclient indicates to the nurse that medication teaching was
effective?
• I should take this medication only when I am having an asthma attack
• I will take the tablet every evening to control my asthma
• This medication will stop an asthma attack immediately
• I will not need to use my inhalers twice a day when I start this medication
Answer: B. I will take the tablet every evening to control my asthma
• The nurse is planning to administer the antiulcer GI agent sucralfate to a client with peptic
ulcer disease. Which actionshould the nurse include in this client’s plan of care?
• Assess for secondary Candida infection
• Administer sucralfate once a day, preferably at bedtime
• Give sucralfate on an empty stomach
• Monitor for electrolyte imbalance
Answer: B. Give sucralfate once a day, preferably at bedtime
• A client with anemia secondary to chronic kidney disease (CKD) started a prescription for
epoetin alfa two months ago.Which client finding best indicates that the medication is
effective?
• Reports of increased energy levels and decreased fatigue
• Takes concurrent iron therapy without adverse effects
• Food diary shows increased consumption of iron-rich foods
• Hemoglobin level increased to 12 grams/dL (120 mmol/L)
Answer: D. Hemoglobin level increased to 12 grams/dL (120 mmol/L)
• The healthcare provider prescribes propylthiouracil (PTU) and Lugol’s solution, a strong
idoine solution, for a client withhyperthyroidism. How should the nurse schedule the
administration of these medications?
• Administer iodine one hour before PTU
• Offer both drugs together with a meal
• Schedule both medications at bedtime
• Give parental dose once every 24 hours
Answer: B. Offer both drugs together with a meal
• Twenty minutes after the nurse starts a secondary IV infusion of cefepime 2 grams using
an infusion pump to deliverthe dose in one hour, the client reports feeling nauseated. Which
action should the nurse implement?
• Continue the infusion and administer a PRN antiemetic prescription
• Stop the medication infusion and notify the healthcare provider of the adverse effect
• Reassure the client that the nausea us not related to the IV infusion
• Increase the rate of the infusion to complete the dose of the medication more rapidly
