HESI PHARMACOLOGY EVOLVE
EXAM 2025 LATEST NEWEST
UPDATE WITH ACTUAL
QUESTIONS AND DETAILED
VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT)
//BRAND NEW!! /ALREADY
GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
A client receives a prescription for an oral opioid analgesic for post-operative pain. Which
adverse effect should the practical nurse (PN) monitor for with the client?
A) Constipation.
B) Photosensitivity.
, C) Decreased heart rate.
D) Frequent urination.
A) Constipation.
Feedback:
Opioid analgesics slow peristalsis, which leads to constipation (A), a common side effect of
opiates. (B, C, and D) are not associated with opioid analgesics.
Which action should the practical nurse implement when administering a buccal medication?
A) Encourage the client to swallow.
B) Administer water with medication.
C) Ensure the medication is positioned under the tongue.
D) Place the medication between the upper molar teeth and cheek.
D) Place the medication between the upper molar teeth and cheek.
Feedback:
Buccal medications are placed between the upper molar teeth and the cheek (D) for
absorption by the capillaries of the oral mucosa. The client should be cautioned against
swallowing, not (A). Buccal medications are not administered with water (B). (C) describes
sublingual administration.
What assessment is most important for the practical nurse (PN) to obtain prior to initiating
medication therapy with phenelzine (Nardil) for a client with depression?
A) Activity level.
B) Mood and affect.
C) Understanding of diet modification.
D) The client's support system.
C) Understanding of diet modification.
Feedback:
To prevent a potentially lethal hypertensive crisis, a tyramine-free diet should be maintained
during antidepressant therapy with Nardil, a monoamine oxidase inhibitor (MAOI). It is most
important to determine if the client understands diet modification (C) before Nardil is
initiated to prevent consumption of foods that interact with Nardil. Although a client's
activity level (A) and mood and affect (B) should be monitored during antidepressant
therapy, it is most important that the client understand diet modifications. The client's support
, system (D) and network of family and friends is important, but the client should understand
the responsibility of dietary compliance with the medication regimen.
The practical nurse (PN) is unable to arouse a client who is receiving meperidine (Demerol)
for postoperative pain. The client is stuporous, has constricted pupils, and a respiratory rate of
8 breaths/minute. Which PRN prescription should the PN give the client?
A) Naloxone (Narcan).
B) Promethazine (Phenergan).
C) Metoclopramide (Reglan).
D) Bethanechol (Urecholine).
A) Naloxone (Narcan).
Feedback:
Narcan (A) is an opioid antagonist and should be administered to reverse the effects of a
Demerol, an opioid, overdose. (B, C, and D) are common postoperative PRN prescriptions
but are not indicated for narcotic overdose.
On which therapeutic action should the practical nurse (PN) base an explanation to a client
who is receiving a cardiac glycoside?
A) Decreased cardiac output.
B) Increased renal perfusion.
C) Decreased rate of contraction.
D) Increased blood volume.
C) Decreased rate of contraction.
Feedback:
Cardiac glycosides increase the force of cardiac contraction (inotropy) and decrease the heart
rate (chronotropy) (C) by decreasing the speed of conduction through the heart (dromotropy).
(A, B, and D) are incorrect.
A client with type 1 diabetes mellitus received an early AM dose of regular insulin per sliding
scale. At 10:00 AM, the practical nurse (PN) should report which signs indicative of
hypoglycemia?
A) Urticaria and rash.
B) Nausea and diarrhea.
C) Irritability and confusion.
D) Fruity, acetone odor to the breath.
, C) Irritability and confusion.
Feedback:
Irritability and confusion (C) are early signs of hypoglycemia. (A, B, and D) are not signs of
hypoglycemia.
Which prescription should the practical nurse (PN) administer for a client who is
experiencing an anaphylactic reaction to an antibiotic?
A) Ephedra (ma-huang).
B) Epinephrine (Adrenalin).
C) Phenylephrin (Neo-Synephrine).
D) Fexofenadine with pseudoephedrine (Allegra D).
B) Epinephrine (Adrenalin).
Feedback:
Epinephrine (Adrenalin), a potent sympathomimetic, is the drug of choice for the treatment of
anaphylaxis (B). (A, C, and D) are not used for an acute immunololgical dysfunction that
causes cardiovascular effects.
An older adult client receives a prescription for hydrochlorothiazide (HydroDIURIL), a
thiazide diuretic for the treatment of heart failure. Which side effect(s) should the practical
nurse reinforce with the client? (Select all that apply.)
A) Constipation.
B) Fatigue.
C) Edema.
D) Nausea.
E) Dehydration.
F) Blurred vision.
B) Fatigue.
E) Dehydration.
Feedback:
Hydrochlorothiazide (HydroDIURIL), a thiazide diuretic, reduces blood pressure by reducing
blood volume and reducing arterial resistance. Adverse effects of thiazides include
hypokalemia, fatigue (B), dehydration (E), hyperglycemia, and hyperuricemia. Although (A,
C, D and F) may be associated with aging or other pathology, they are not side effects
commonly associated with HydroDIURIL.
EXAM 2025 LATEST NEWEST
UPDATE WITH ACTUAL
QUESTIONS AND DETAILED
VERIFIED ANSWERS WITH
RATIONALES (100% CORRECT)
//BRAND NEW!! /ALREADY
GRADED A+ WITH
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO
PASS YOUR EXAMS
A client receives a prescription for an oral opioid analgesic for post-operative pain. Which
adverse effect should the practical nurse (PN) monitor for with the client?
A) Constipation.
B) Photosensitivity.
, C) Decreased heart rate.
D) Frequent urination.
A) Constipation.
Feedback:
Opioid analgesics slow peristalsis, which leads to constipation (A), a common side effect of
opiates. (B, C, and D) are not associated with opioid analgesics.
Which action should the practical nurse implement when administering a buccal medication?
A) Encourage the client to swallow.
B) Administer water with medication.
C) Ensure the medication is positioned under the tongue.
D) Place the medication between the upper molar teeth and cheek.
D) Place the medication between the upper molar teeth and cheek.
Feedback:
Buccal medications are placed between the upper molar teeth and the cheek (D) for
absorption by the capillaries of the oral mucosa. The client should be cautioned against
swallowing, not (A). Buccal medications are not administered with water (B). (C) describes
sublingual administration.
What assessment is most important for the practical nurse (PN) to obtain prior to initiating
medication therapy with phenelzine (Nardil) for a client with depression?
A) Activity level.
B) Mood and affect.
C) Understanding of diet modification.
D) The client's support system.
C) Understanding of diet modification.
Feedback:
To prevent a potentially lethal hypertensive crisis, a tyramine-free diet should be maintained
during antidepressant therapy with Nardil, a monoamine oxidase inhibitor (MAOI). It is most
important to determine if the client understands diet modification (C) before Nardil is
initiated to prevent consumption of foods that interact with Nardil. Although a client's
activity level (A) and mood and affect (B) should be monitored during antidepressant
therapy, it is most important that the client understand diet modifications. The client's support
, system (D) and network of family and friends is important, but the client should understand
the responsibility of dietary compliance with the medication regimen.
The practical nurse (PN) is unable to arouse a client who is receiving meperidine (Demerol)
for postoperative pain. The client is stuporous, has constricted pupils, and a respiratory rate of
8 breaths/minute. Which PRN prescription should the PN give the client?
A) Naloxone (Narcan).
B) Promethazine (Phenergan).
C) Metoclopramide (Reglan).
D) Bethanechol (Urecholine).
A) Naloxone (Narcan).
Feedback:
Narcan (A) is an opioid antagonist and should be administered to reverse the effects of a
Demerol, an opioid, overdose. (B, C, and D) are common postoperative PRN prescriptions
but are not indicated for narcotic overdose.
On which therapeutic action should the practical nurse (PN) base an explanation to a client
who is receiving a cardiac glycoside?
A) Decreased cardiac output.
B) Increased renal perfusion.
C) Decreased rate of contraction.
D) Increased blood volume.
C) Decreased rate of contraction.
Feedback:
Cardiac glycosides increase the force of cardiac contraction (inotropy) and decrease the heart
rate (chronotropy) (C) by decreasing the speed of conduction through the heart (dromotropy).
(A, B, and D) are incorrect.
A client with type 1 diabetes mellitus received an early AM dose of regular insulin per sliding
scale. At 10:00 AM, the practical nurse (PN) should report which signs indicative of
hypoglycemia?
A) Urticaria and rash.
B) Nausea and diarrhea.
C) Irritability and confusion.
D) Fruity, acetone odor to the breath.
, C) Irritability and confusion.
Feedback:
Irritability and confusion (C) are early signs of hypoglycemia. (A, B, and D) are not signs of
hypoglycemia.
Which prescription should the practical nurse (PN) administer for a client who is
experiencing an anaphylactic reaction to an antibiotic?
A) Ephedra (ma-huang).
B) Epinephrine (Adrenalin).
C) Phenylephrin (Neo-Synephrine).
D) Fexofenadine with pseudoephedrine (Allegra D).
B) Epinephrine (Adrenalin).
Feedback:
Epinephrine (Adrenalin), a potent sympathomimetic, is the drug of choice for the treatment of
anaphylaxis (B). (A, C, and D) are not used for an acute immunololgical dysfunction that
causes cardiovascular effects.
An older adult client receives a prescription for hydrochlorothiazide (HydroDIURIL), a
thiazide diuretic for the treatment of heart failure. Which side effect(s) should the practical
nurse reinforce with the client? (Select all that apply.)
A) Constipation.
B) Fatigue.
C) Edema.
D) Nausea.
E) Dehydration.
F) Blurred vision.
B) Fatigue.
E) Dehydration.
Feedback:
Hydrochlorothiazide (HydroDIURIL), a thiazide diuretic, reduces blood pressure by reducing
blood volume and reducing arterial resistance. Adverse effects of thiazides include
hypokalemia, fatigue (B), dehydration (E), hyperglycemia, and hyperuricemia. Although (A,
C, D and F) may be associated with aging or other pathology, they are not side effects
commonly associated with HydroDIURIL.
