HESI PHARM II – 315: EXAM, 2025/2026
WITH CORRECT/ACCURATE ANSWERS
A peak and trough level is prescribed for a client receiving
antibiotic therapy. When should the nurse obtain the trough level?
A) Sixty minutes after the antibiotic dose is administered.
B) Immediately before the next antibiotic dose is given.
C) Upon completion of the prescribed antibiotic regime.
42.
D) An hour before the next antibiotic dose is given. - CORRECT
ANSWERS- B) Immediately before the next antibiotic dose is
given.
A client is prescribed ampicillin sodium (Omnipen) for a sinus
infection. The nurse should instruct the client to notify the
healthcare provider immediately if which symptom occurs?
A) Rash.
B) Nausea.
C) Headache.
D) Dizziness. - CORRECT ANSWERS- A) Rash.
,While taking a medical history, the client states, "I am allergic to
penicillin." What related allergy to another type of antiinfective
agent should the nurse ask the client about when taking the
nursing history?
A) Aminoglycosides.
B) Cephalosporins.
C) Sulfonamides.
D) Tetracyclines. - CORRECT ANSWERS- B) Cephalosporins.
A client receives a new prescription for sustained release
levodopa/carbidopa PO BID for the treatment of Parkinson's
disease. The client's previous prescription was levodopa PO TID.
The client's last dose of levodopa was at 0800 hr. Which set of
instructions should the nurse give to the client?
A) "Take the first dose of levodopa/carbidopa today, as soon as
your prescription is filled."
B) "Since you already took your levodopa, wait until tomorrow to
take the levodopa/carbidopa."
C) "Take both drugs for the first week, then switch to taking only
the levodopa/carbidopa."
D) "You can begin taking the levodopa/carbidopa this evening, but
do not take any more levodopa." - CORRECT ANSWERS- D) "You
can begin taking the levodopa/carbidopa this evening, but do not
take any more levodopa."
,A client is admitted to the hospital for diagnostic testing for
possible myasthenia gravis. The nurse prepares for intravenous
administration of edrophonium chloride (Tensilon). What is the
expected outcome for this client following administration of this
pharmacologic agent?
A) Progressive difficulty with swallowing.
B) Decreased respiratory effort.
C) Improvement in generalized fatigue.
D) Decreased muscle weakness. - CORRECT ANSWERS- D)
Decreased muscle weakness.
The healthcare provider prescribes naloxone (Narcan) for a client
in the emergency room. Which assessment data would indicate
that the naloxone has been effective?
A) A client's statement that the chest pain is better.
B) Respiratory rate is 16 breaths/minute.
C) Seizure activity has stopped temporarily.
D) Pupils are constricted bilaterally. - CORRECT ANSWERS- B)
Respiratory rate is 16 breaths/minute.
A client is prescribed morphine 1 mg IV per hour basal rate with 1
mg IV every 15 minutes per patient-controlled analgesia (PCA)
pump for a total of 5 mg IV maximally per hour. Which nursing
action has the highest priority before initiating the PCA pump?
, A) Assessment of the expiration date on the morphine syringe in
the pump.
B) Assessment of the rate and depth of the client's respirations.
C) Assessment of the type of anesthesia used during the surgical
procedure.
D) Assessment of the client's subjective and objective signs of
pain. - CORRECT ANSWERS- B) Assessment of the rate and depth
of the client's respirations.
The nurse is assessing the effectiveness of high dose aspirin
therapy for an 88-year-old client with arthritis. The client reports
hearing non-stop ringing in the ears. Which action should the
nurse implement?
A) Refer the client to an audiologist for evaluation of her hearing.
B) Advise the client that this is a common side effect.
C) Notify the healthcare provider of the finding immediately.
D) Face the client directly and speak in a low, monotone voice. -
CORRECT ANSWERS- C) Notify the healthcare provider of the
finding immediately.
Which antidiarrheal agent should be used with caution in clients
taking high dosages of aspirin for arthritis?
A) Loperamide (Imodium).
WITH CORRECT/ACCURATE ANSWERS
A peak and trough level is prescribed for a client receiving
antibiotic therapy. When should the nurse obtain the trough level?
A) Sixty minutes after the antibiotic dose is administered.
B) Immediately before the next antibiotic dose is given.
C) Upon completion of the prescribed antibiotic regime.
42.
D) An hour before the next antibiotic dose is given. - CORRECT
ANSWERS- B) Immediately before the next antibiotic dose is
given.
A client is prescribed ampicillin sodium (Omnipen) for a sinus
infection. The nurse should instruct the client to notify the
healthcare provider immediately if which symptom occurs?
A) Rash.
B) Nausea.
C) Headache.
D) Dizziness. - CORRECT ANSWERS- A) Rash.
,While taking a medical history, the client states, "I am allergic to
penicillin." What related allergy to another type of antiinfective
agent should the nurse ask the client about when taking the
nursing history?
A) Aminoglycosides.
B) Cephalosporins.
C) Sulfonamides.
D) Tetracyclines. - CORRECT ANSWERS- B) Cephalosporins.
A client receives a new prescription for sustained release
levodopa/carbidopa PO BID for the treatment of Parkinson's
disease. The client's previous prescription was levodopa PO TID.
The client's last dose of levodopa was at 0800 hr. Which set of
instructions should the nurse give to the client?
A) "Take the first dose of levodopa/carbidopa today, as soon as
your prescription is filled."
B) "Since you already took your levodopa, wait until tomorrow to
take the levodopa/carbidopa."
C) "Take both drugs for the first week, then switch to taking only
the levodopa/carbidopa."
D) "You can begin taking the levodopa/carbidopa this evening, but
do not take any more levodopa." - CORRECT ANSWERS- D) "You
can begin taking the levodopa/carbidopa this evening, but do not
take any more levodopa."
,A client is admitted to the hospital for diagnostic testing for
possible myasthenia gravis. The nurse prepares for intravenous
administration of edrophonium chloride (Tensilon). What is the
expected outcome for this client following administration of this
pharmacologic agent?
A) Progressive difficulty with swallowing.
B) Decreased respiratory effort.
C) Improvement in generalized fatigue.
D) Decreased muscle weakness. - CORRECT ANSWERS- D)
Decreased muscle weakness.
The healthcare provider prescribes naloxone (Narcan) for a client
in the emergency room. Which assessment data would indicate
that the naloxone has been effective?
A) A client's statement that the chest pain is better.
B) Respiratory rate is 16 breaths/minute.
C) Seizure activity has stopped temporarily.
D) Pupils are constricted bilaterally. - CORRECT ANSWERS- B)
Respiratory rate is 16 breaths/minute.
A client is prescribed morphine 1 mg IV per hour basal rate with 1
mg IV every 15 minutes per patient-controlled analgesia (PCA)
pump for a total of 5 mg IV maximally per hour. Which nursing
action has the highest priority before initiating the PCA pump?
, A) Assessment of the expiration date on the morphine syringe in
the pump.
B) Assessment of the rate and depth of the client's respirations.
C) Assessment of the type of anesthesia used during the surgical
procedure.
D) Assessment of the client's subjective and objective signs of
pain. - CORRECT ANSWERS- B) Assessment of the rate and depth
of the client's respirations.
The nurse is assessing the effectiveness of high dose aspirin
therapy for an 88-year-old client with arthritis. The client reports
hearing non-stop ringing in the ears. Which action should the
nurse implement?
A) Refer the client to an audiologist for evaluation of her hearing.
B) Advise the client that this is a common side effect.
C) Notify the healthcare provider of the finding immediately.
D) Face the client directly and speak in a low, monotone voice. -
CORRECT ANSWERS- C) Notify the healthcare provider of the
finding immediately.
Which antidiarrheal agent should be used with caution in clients
taking high dosages of aspirin for arthritis?
A) Loperamide (Imodium).
