RN EXIT HESI- PHARM 2024 Test Exam with 103questions
and answers 100%Correctly verified answers latest update
2024/2025 RATED A+
A client taking atorvastatin develops an 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. - CORRECT ANSWERS A. Muscle tenderness.
An increase in which serum laboratory value 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) - CORRECT ANSWERS C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90 mcg/inhalation 2
inhalations every 4-6 hours as needed.
Nurses notes:
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
,RN EXIT HESI- PHARM 2024 Test Exam with 103questions
and answers 100%Correctly verified answers latest update
2024/2025 RATED A+
parameters the nurse should monitor to assess the client's progress. - CORRECT ANSWERS
Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
The nurse provide discharge instructions to a 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 - CORRECT ANSWERS B. Gastric irritation
A client with chronic lower back pain has been 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 - CORRECT ANSWERS C. Determine presence of abdominal
pain
,RN EXIT HESI- PHARM 2024 Test Exam with 103questions
and answers 100%Correctly verified answers latest update
2024/2025 RATED A+
The nurse administers risedrineate to a client 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. - CORRECT
ANSWERS A. Instruct the client that it is necessary to take nothing but water with the
medication.
Which action should the nurse implement to 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 - CORRECT ANSWERS D. Measure the clients blood
pressure
A client is receiving tamsulosin an alpha 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 - CORRECT ANSWERS B. Stand and sit up slowly
, RN EXIT HESI- PHARM 2024 Test Exam with 103questions
and answers 100%Correctly verified answers latest update
2024/2025 RATED A+
A client with chemotherapy induced nausea 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 - CORRECT ANSWERS B. Involuntary movements
A client is receiving orlistat as part of a weight 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 - CORRECT ANSWERS A. Body mass index
Before administering the initial dose of 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 - CORRECT ANSWERS D. Coronary artery disease
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 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? - CORRECT
ANSWERS 200 mL/hr
and answers 100%Correctly verified answers latest update
2024/2025 RATED A+
A client taking atorvastatin develops an 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. - CORRECT ANSWERS A. Muscle tenderness.
An increase in which serum laboratory value 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) - CORRECT ANSWERS C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90 mcg/inhalation 2
inhalations every 4-6 hours as needed.
Nurses notes:
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
,RN EXIT HESI- PHARM 2024 Test Exam with 103questions
and answers 100%Correctly verified answers latest update
2024/2025 RATED A+
parameters the nurse should monitor to assess the client's progress. - CORRECT ANSWERS
Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
The nurse provide discharge instructions to a 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 - CORRECT ANSWERS B. Gastric irritation
A client with chronic lower back pain has been 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 - CORRECT ANSWERS C. Determine presence of abdominal
pain
,RN EXIT HESI- PHARM 2024 Test Exam with 103questions
and answers 100%Correctly verified answers latest update
2024/2025 RATED A+
The nurse administers risedrineate to a client 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. - CORRECT
ANSWERS A. Instruct the client that it is necessary to take nothing but water with the
medication.
Which action should the nurse implement to 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 - CORRECT ANSWERS D. Measure the clients blood
pressure
A client is receiving tamsulosin an alpha 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 - CORRECT ANSWERS B. Stand and sit up slowly
, RN EXIT HESI- PHARM 2024 Test Exam with 103questions
and answers 100%Correctly verified answers latest update
2024/2025 RATED A+
A client with chemotherapy induced nausea 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 - CORRECT ANSWERS B. Involuntary movements
A client is receiving orlistat as part of a weight 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 - CORRECT ANSWERS A. Body mass index
Before administering the initial dose of 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 - CORRECT ANSWERS D. Coronary artery disease
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 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? - CORRECT
ANSWERS 200 mL/hr
