HESI Pharmacology Exam Questions with
100% Correct Answers
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the
nurse include in the client's instruction?
Take the medication with food.
A client is receiving metoprolol (Lopressor SR). What assessment is most important for the nurse to
obtain?
Blood pressure.
A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the next 24
hours. What dosing schedule is best for the nurse to implement?
q6h.
Which instruction(s) should the nurse give to a female client who just received a prescription for oral
metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.)
Increase fluid intake, especially cranberry juice.
Avoid drinking alcohol while taking this medication.
Use condoms until treatment is completed. Ensure that all sexual partners are treated at the same
time.
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?
Apply the patch at least 4 hours prior to departure.
We have an expert-written solution to this problem!
Which client should the nurse identify as being at highest risk for complications during the use of an
opioid analgesic?
A young adult with inflammatory bowel disease.
A client who has been prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the
clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-
specific teaching the nurse should provide to this client?
Make an appointment to see the healthcare provider because muscle pain may be an indication of a
serious side effect
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the
action of this drug is to
inhibit synthesis of T3 and T4 by the thyroid gland.
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor
antagonist valsartan (Diovan) has been achieved?
Blood pressure reduced from 160/90 to 130/80.
A client has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at 50 ml/hour.
The nurse notes that the client's urinary output has been 20 ml/hour for the last two hours. Which
intervention should the nurse initiate?
, Notify the healthcare provider of the urinary output.
A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy.
What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to
report promptly to the healthcare provider?
Tachycardia and chest pain.
Following heparin treatment for a pulmonary embolism, a client is being discharged with a
prescription for warfarin (Coumadin). In conducting discharge teaching, the nurse advises the client to
have which diagnostic test monitored regularly after discharge?
Prothrombin Time (PT/INR).
An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse knows that the
purpose of this medication is to
maintain a gastric pH of 3.5 or above.
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.)
1) Prednisone (Deltasone) orally.
2) Gentamicin (Garamycin) IM.
3) Albuterol (Proventil) puffs.
4) Salmeterol (Serevent Diskus).
Albuterol (Proventil) puffs.
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally.
Gentamicin (Garamycin) IM.
The nitrate isosorbide dinitrate (Isordil) is prescribed for a client with angina. Which instruction should
the nurse include in this client's discharge teaching plan?
Do not get up quickly. Always rise slowly.
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with
arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing.
What action should the nurse implement?
Notify the healthcare provider of this finding immediately.
A client with congestive heart failure (CHF) is being discharged with a new prescription for the
angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's discharge instruction
should include reporting which problem to the healthcare provider?
Dizziness.
A client receiving Doxorubicin (Adriamycin) intravenously (IV) complains of pain at the insertion site,
and the nurse notes edema at the site. Which intervention is most important for the nurse to
implement?
Discontinue the IV fluids.
100% Correct Answers
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the
nurse include in the client's instruction?
Take the medication with food.
A client is receiving metoprolol (Lopressor SR). What assessment is most important for the nurse to
obtain?
Blood pressure.
A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the next 24
hours. What dosing schedule is best for the nurse to implement?
q6h.
Which instruction(s) should the nurse give to a female client who just received a prescription for oral
metronidazole (Flagyl) for treatment of trichomonas vaginalis? (Select all that apply.)
Increase fluid intake, especially cranberry juice.
Avoid drinking alcohol while taking this medication.
Use condoms until treatment is completed. Ensure that all sexual partners are treated at the same
time.
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?
Apply the patch at least 4 hours prior to departure.
We have an expert-written solution to this problem!
Which client should the nurse identify as being at highest risk for complications during the use of an
opioid analgesic?
A young adult with inflammatory bowel disease.
A client who has been prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the
clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-
specific teaching the nurse should provide to this client?
Make an appointment to see the healthcare provider because muscle pain may be an indication of a
serious side effect
A client is being treated for hyperthyroidism with propylthiouracil (PTU). The nurse knows that the
action of this drug is to
inhibit synthesis of T3 and T4 by the thyroid gland.
Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor
antagonist valsartan (Diovan) has been achieved?
Blood pressure reduced from 160/90 to 130/80.
A client has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at 50 ml/hour.
The nurse notes that the client's urinary output has been 20 ml/hour for the last two hours. Which
intervention should the nurse initiate?
, Notify the healthcare provider of the urinary output.
A 43-year-old female client is receiving thyroid replacement hormone following a thyroidectomy.
What adverse effects associated with thyroid hormone toxicity should the nurse instruct the client to
report promptly to the healthcare provider?
Tachycardia and chest pain.
Following heparin treatment for a pulmonary embolism, a client is being discharged with a
prescription for warfarin (Coumadin). In conducting discharge teaching, the nurse advises the client to
have which diagnostic test monitored regularly after discharge?
Prothrombin Time (PT/INR).
An antacid (Maalox) is prescribed for a client with peptic ulcer disease. The nurse knows that the
purpose of this medication is to
maintain a gastric pH of 3.5 or above.
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.)
1) Prednisone (Deltasone) orally.
2) Gentamicin (Garamycin) IM.
3) Albuterol (Proventil) puffs.
4) Salmeterol (Serevent Diskus).
Albuterol (Proventil) puffs.
Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally.
Gentamicin (Garamycin) IM.
The nitrate isosorbide dinitrate (Isordil) is prescribed for a client with angina. Which instruction should
the nurse include in this client's discharge teaching plan?
Do not get up quickly. Always rise slowly.
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with
arthritis. The client reports that she can't hear the nurse's questions because her ears are ringing.
What action should the nurse implement?
Notify the healthcare provider of this finding immediately.
A client with congestive heart failure (CHF) is being discharged with a new prescription for the
angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's discharge instruction
should include reporting which problem to the healthcare provider?
Dizziness.
A client receiving Doxorubicin (Adriamycin) intravenously (IV) complains of pain at the insertion site,
and the nurse notes edema at the site. Which intervention is most important for the nurse to
implement?
Discontinue the IV fluids.
