RN EXIT HESI- PHARM
2025 UPDATED EXAM
QUESTIONS AND
ANSWERS GRADED A+
Students also studied
Terms in this set (103)
A client taking atorvastatin develops an A. Muscle tenderness.
increased serum creatine phosphokinase (CK)
level. The nurse should assess the client for
the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
An increase in which serum laboratory value C. HDL (High-density lipoprotein)
indicates to the nurse that a prescription for
atorvastatin is having the desired effect for a
client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
https://quizlet.com/928655572/rn-exit-hesi-pharm-2024-flash-cards/ 1/33
, NGN - Patient Data Potential Condition:
History and Physical: Methemoglobinemia
The client is a 36-year-old female with moderate
persistent asthma. She takes Actions to Take:
fluticasone/salmeterol 250 mcg/50 mcg 1 1. Draw blood for a complete blood count
inhalation twice daily and albuterol 90 2. Administer methylene blue
mcg/inhalation 2 inhalations every 4-6 hours as
needed. Parameters to Monitor:
1. Methemoglobin level
Nurses notes: 2. Heart rate and rhythm
The client states that she has had more severe
asthma symptoms than usual in the past week.
Her forced expiratory volume has been 60-65%
even with multiple doses of albuterol for
several days in a row. She came to the hospital
feeling dizzy, lightheaded, and complaining of
“heart palpitations”. Upon assessment, no
wheezes were found. Her oxygen saturation is
99%.
Review H and P, and nurse’s note. Identify from
the choices below which condition the client is
most likely experiencing, two actions the nurse
should take to address that condition, and two
parameters the nurse should monitor to assess
the client’s progress.
The nurse provide discharge instructions to a B. Gastric irritation
client who has been prescribed gabapentin 300
mg by mouth three times a day for post herpetic
neuralgia. Which symptoms should the nurse
tell the client to report to the healthcare
provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
A client with chronic lower back pain has been C. Determine presence of abdominal pain
taking non steroidal anti-
inflammatory (NSAID) drug ibuprofen by mouth
twice a day for several months. Which
assessment is most important for the nurse to
complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
https://quizlet.com/928655572/rn-exit-hesi-pharm-2024-flash-cards/ 2/33
, The nurse administers risedrineate to a client A. Instruct the client that it is necessary to take nothing but water with the medication.
with osteoporosis at 0700. The client asks for a
glass of milk to drink with the medication.
Which action should the nurse take?
A. Instruct the client that it is necessary to take
nothing but water with the medication. B.
Assign an unlicensed assistive personnel (UAP)
to bring the client a glass of low fat milk.
C. Withhold the medication until the client's
breakfast tray is available on the unit. D.
Consult with a pharmacist about scheduling the
dose one hour after the client eats.
Which action should the nurse implement to D. Measure the clients blood pressure
assess the effectiveness of calcium
channel blocker amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure
A client is receiving tamsulosin an alpha B. Stand and sit up slowly
adrenergic - blocking agent for the
management of urinary retention due to benign
prostatic hyperplasia (BPH). Which instruction is
most important for the nurse to provide?
A. Use a twice a week dosing schedule
B. Stand and sit up slowly
C. Take the medication early in the day
D. Reduce daily fluid intake
A client with chemotherapy induced nausea B. Involuntary movements
receives a prescription for metoclopramide.
Which adverse effect is most important for the
nurse to report?
A. Nausea
B. Involuntary movements
C. Diarrhea
D. Unusual irritability
https://quizlet.com/928655572/rn-exit-hesi-pharm-2024-flash-cards/ 3/33
, A client is receiving orlistat as part of a weight A. Body mass index
management program. Which
ongoing assessment should be included in the
plan of care to determine the effectiveness of
the medication?
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels
Before administering the initial dose of D. Coronary artery disease
sumatriptan succinate to a client with a
migraine headache, it is most important to
determine if the client's history includes which
problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
C. Irritable bowel syndrome
D. Coronary artery disease
200 mL/hr
A client receives a prescription for ciprofloxacin
400 mg intravenously (IV) every 12 hours which
is to be infused over an hour. The IV bag Rationale: xmL/hr
contains ciprofloxacin 400 mg in dextrose 5%in =
water (D5W) 200 mL. How many mL/hr should
the nurse program the infusion pump to
deliver? 200 mL x 400 mg = 80,000 = 200 mL/hr
400 mg 1 hr 400
Before administering a laxative to a bed fast A. Determine the frequency and consistency of bowel movements
client, it is most important for the nurse to
perform which assessment?
A. Determine the frequency
andconsistency of bowel movements
B. Observe the skin integrity of the
clientsrectal and sacral areas
C. Assess the clients strength in
movingand turning the bed
D. Evaluate the clients ability to
recognizethe urge to defecate
The nurse is caring for a client who takes A. Have a chest x-ray prior to your first dose
methotrexate for rheumatoid arthritis and is
now prescribed adalimumab. Which
instructions should the nurse provide the
client?
A. Have a chest x-ray prior to your
firstdose
B. Avoid crowds and people who are
sickC. Obtain routine vaccinations as
scheduled
D. Undergo annual eye examinations
https://quizlet.com/928655572/rn-exit-hesi-pharm-2024-flash-cards/ 4/33
2025 UPDATED EXAM
QUESTIONS AND
ANSWERS GRADED A+
Students also studied
Terms in this set (103)
A client taking atorvastatin develops an A. Muscle tenderness.
increased serum creatine phosphokinase (CK)
level. The nurse should assess the client for
the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
An increase in which serum laboratory value C. HDL (High-density lipoprotein)
indicates to the nurse that a prescription for
atorvastatin is having the desired effect for a
client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
https://quizlet.com/928655572/rn-exit-hesi-pharm-2024-flash-cards/ 1/33
, NGN - Patient Data Potential Condition:
History and Physical: Methemoglobinemia
The client is a 36-year-old female with moderate
persistent asthma. She takes Actions to Take:
fluticasone/salmeterol 250 mcg/50 mcg 1 1. Draw blood for a complete blood count
inhalation twice daily and albuterol 90 2. Administer methylene blue
mcg/inhalation 2 inhalations every 4-6 hours as
needed. Parameters to Monitor:
1. Methemoglobin level
Nurses notes: 2. Heart rate and rhythm
The client states that she has had more severe
asthma symptoms than usual in the past week.
Her forced expiratory volume has been 60-65%
even with multiple doses of albuterol for
several days in a row. She came to the hospital
feeling dizzy, lightheaded, and complaining of
“heart palpitations”. Upon assessment, no
wheezes were found. Her oxygen saturation is
99%.
Review H and P, and nurse’s note. Identify from
the choices below which condition the client is
most likely experiencing, two actions the nurse
should take to address that condition, and two
parameters the nurse should monitor to assess
the client’s progress.
The nurse provide discharge instructions to a B. Gastric irritation
client who has been prescribed gabapentin 300
mg by mouth three times a day for post herpetic
neuralgia. Which symptoms should the nurse
tell the client to report to the healthcare
provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
A client with chronic lower back pain has been C. Determine presence of abdominal pain
taking non steroidal anti-
inflammatory (NSAID) drug ibuprofen by mouth
twice a day for several months. Which
assessment is most important for the nurse to
complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
https://quizlet.com/928655572/rn-exit-hesi-pharm-2024-flash-cards/ 2/33
, The nurse administers risedrineate to a client A. Instruct the client that it is necessary to take nothing but water with the medication.
with osteoporosis at 0700. The client asks for a
glass of milk to drink with the medication.
Which action should the nurse take?
A. Instruct the client that it is necessary to take
nothing but water with the medication. B.
Assign an unlicensed assistive personnel (UAP)
to bring the client a glass of low fat milk.
C. Withhold the medication until the client's
breakfast tray is available on the unit. D.
Consult with a pharmacist about scheduling the
dose one hour after the client eats.
Which action should the nurse implement to D. Measure the clients blood pressure
assess the effectiveness of calcium
channel blocker amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure
A client is receiving tamsulosin an alpha B. Stand and sit up slowly
adrenergic - blocking agent for the
management of urinary retention due to benign
prostatic hyperplasia (BPH). Which instruction is
most important for the nurse to provide?
A. Use a twice a week dosing schedule
B. Stand and sit up slowly
C. Take the medication early in the day
D. Reduce daily fluid intake
A client with chemotherapy induced nausea B. Involuntary movements
receives a prescription for metoclopramide.
Which adverse effect is most important for the
nurse to report?
A. Nausea
B. Involuntary movements
C. Diarrhea
D. Unusual irritability
https://quizlet.com/928655572/rn-exit-hesi-pharm-2024-flash-cards/ 3/33
, A client is receiving orlistat as part of a weight A. Body mass index
management program. Which
ongoing assessment should be included in the
plan of care to determine the effectiveness of
the medication?
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels
Before administering the initial dose of D. Coronary artery disease
sumatriptan succinate to a client with a
migraine headache, it is most important to
determine if the client's history includes which
problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
C. Irritable bowel syndrome
D. Coronary artery disease
200 mL/hr
A client receives a prescription for ciprofloxacin
400 mg intravenously (IV) every 12 hours which
is to be infused over an hour. The IV bag Rationale: xmL/hr
contains ciprofloxacin 400 mg in dextrose 5%in =
water (D5W) 200 mL. How many mL/hr should
the nurse program the infusion pump to
deliver? 200 mL x 400 mg = 80,000 = 200 mL/hr
400 mg 1 hr 400
Before administering a laxative to a bed fast A. Determine the frequency and consistency of bowel movements
client, it is most important for the nurse to
perform which assessment?
A. Determine the frequency
andconsistency of bowel movements
B. Observe the skin integrity of the
clientsrectal and sacral areas
C. Assess the clients strength in
movingand turning the bed
D. Evaluate the clients ability to
recognizethe urge to defecate
The nurse is caring for a client who takes A. Have a chest x-ray prior to your first dose
methotrexate for rheumatoid arthritis and is
now prescribed adalimumab. Which
instructions should the nurse provide the
client?
A. Have a chest x-ray prior to your
firstdose
B. Avoid crowds and people who are
sickC. Obtain routine vaccinations as
scheduled
D. Undergo annual eye examinations
https://quizlet.com/928655572/rn-exit-hesi-pharm-2024-flash-cards/ 4/33
