Pharmacology HESI Questions and
Answers A+ Graded (2025)
A .client .who .is .taking .an .oral .dose .of .tetracycline .reports .gastrointestinal .upset.
.Which .snack .should .the .nurse .instruct .the .client .to .take .with .the .tetracycline?
a. .Fruit-flavored .yogurt
b. .Toasted .wheat .bread .and .jelly
c. .Cold .cereal .with .skim .milk
d. .Cheese .and .crackers .- .CORRECT .ANSWER-B.
The .nurse .is .assessing .the .eyes .of .a .client .who .just .received .mydriatic .eye
.drops. .Which .physiological .function .of .the .eye .will .not .respond .during .the
.therapeutic .period .after .administration .of .eye .drops?
a. .Refraction
b. .Eye .convergence
c. .Pupillary .constriction
d. .Accommodation .- .CORRECT .ANSWER-C.
A .older .male .client .is .being .discharged .after .a .myocardial .infacrtion .(MI) .and
.receives .a .new .prescription .for .atenolol. .Which .instruction .is .most .important .for
.the .nurse .to .include .in .her .clients .teaching .plan?
a. .Avoid .intake .of .alcoholic .beverages.
b. .Avoid .driving .or .operating .machinery.
c. .Take .a .missed .dose .as .soon .as .possible.
d. .Standing .slowly .when .getting .up .from .bed .- .CORRECT .ANSWER-D.
The .healthcare .provider .prescribes .vancomycin .500 .mg .IV .every .12 .hours .for .a
.client .with .methicillin-resistant .staphylococcus .aureus .(MRSA). .Review .of .the
.client's .laboratory .values .shows .that .serum .peak .and .trough .levels .are .within
.the .desired .therapeutic .range .and .the .serum .creatinine .level .is .4.5 .mg/dL. .Which
.action .should .the .nurse .implement?
a. .Withhold .the .next .scheduled .dose .and .contact .the .healthcare .provider. .b.
.Monitor .the .laboratory .values . until .all .prescribed .doses .have .been .given. .c.
.Administer .the .next .dose .and .flag .the .results .for .the .healthcare .provider. .d.
.Insert .a .second .IV .catheter .for .the .administration .of .emergency .IV .fluids. .-
.CORRECT .ANSWER-A.
After .taking .orlistat .for .one .week, .a .female .client .tells .the .home .health .nurse .that
.she .is .experiencing .increasingly .frequent . oily .stools .and .flatus. .Which .action
, .should .the .nurse .take? .a. .Instruct .the .client .to .increase .her .intake .of .saturated
.fats .over .the .next .week. .b. .Obtain .a .stool .specimen .to .evaluate .for .occult .blood
.and .fat .content.
c. .Ask .the .client .to .describe .her .dietary .intake .history .for .the .last .several .days.
.d. .Advise .the .client .to .stop .taking .the .drug .and .contact .her .healthcare .provider.
.- .CORRECT .ANSWER-C.
6. .A .client .receiving .a .heparin .sodium .infusion .develops .hemoptysis. .The .nurse
.reviews .the .client's
laboratory .values .to .include .hemoglobin .8 .g/dL .and .platelet .count .of
.50,000/mm3. .Vital .signs .are: .oxygen .saturation .92% .on .50% . venturi . mask, .heart
.rate .130 .beats/minute, .respiration .32 .breaths/minute, .and .blood .pressure
.76/50mmHg. .Which .intervention .should .the .nurse .implement .first?
a. .Obtain .consent .for .a .blood .transfusion.
b. .Stop .the .heparin .sodium .infusion.
c. .Titrate .Venturi .mask .oxygen .to .60%.
d. .Administer .protamine .sulfate. .- .CORRECT .ANSWER-B.
The .nurse .is .teaching .a .client .with .coronary .artery .disease .about .a .newly
.prescribed .medication, .atorvastatin. .The .client .plans .to .take .the .medication .in
.the .morning .with .breakfast. .Which .food .choices .are .best .for .the .nurse .to
.recommend .that .the .client .should .include .with .the .meal? .(select .all .that .apply)
a. .Whole .milk.
b. .Low .fat .yogurt.
c. .Oatmeal.
d. .Sliced .grapefruit.
e. .Whole .banana. .- .CORRECT .ANSWER-C, .E
A .client .received .succinylcholine, .a .depolarizing .neuromuscular .blocking .agent
.during .surgery. .Which .assessment .finding .is .most .important .for .the .nurse .to
.report .to .the .surgeon? .a. .Observable .skin .flushing.
b. .Ventricular .tachycardia
c. .Neck .and .shoulder .pain
d. .Blood .pressure .114/72 .mm/Hg .- .CORRECT .ANSWER-B.
A .client, .who .has .a .myocardial .infarction .last .year, .has .a .daily .prescription .for
.aspirin .325 .mg .by .mouth. . Which .assessment .finding .should .alert .the .nurse .to
.withhold .the .medication? .
a. .Low .prothrombin .time.
b. .High .white .blood .cell .count.
c. .Oral .temperature .of .97.9 .F.
d. .Low .platelet .count. .- .CORRECT .ANSWER-D.
A .nurse .administered .a .second .dose .of .an .opioid .containing .codeine .and
.acetaminophen .to .a .client .fifteen .minutes .after .a .first .dose .was .administered .by
.another .nurse, .because .the .first .dose .was .not .documented .in .the .medication
.record. .Which .intervention .is . most .important .for .the .nurse .to .implement?
a. .Assess .the .client's .pain .on .a .10 .point .scale.
b. .Obtain .a .serum .liver .enzyme .panel.
Answers A+ Graded (2025)
A .client .who .is .taking .an .oral .dose .of .tetracycline .reports .gastrointestinal .upset.
.Which .snack .should .the .nurse .instruct .the .client .to .take .with .the .tetracycline?
a. .Fruit-flavored .yogurt
b. .Toasted .wheat .bread .and .jelly
c. .Cold .cereal .with .skim .milk
d. .Cheese .and .crackers .- .CORRECT .ANSWER-B.
The .nurse .is .assessing .the .eyes .of .a .client .who .just .received .mydriatic .eye
.drops. .Which .physiological .function .of .the .eye .will .not .respond .during .the
.therapeutic .period .after .administration .of .eye .drops?
a. .Refraction
b. .Eye .convergence
c. .Pupillary .constriction
d. .Accommodation .- .CORRECT .ANSWER-C.
A .older .male .client .is .being .discharged .after .a .myocardial .infacrtion .(MI) .and
.receives .a .new .prescription .for .atenolol. .Which .instruction .is .most .important .for
.the .nurse .to .include .in .her .clients .teaching .plan?
a. .Avoid .intake .of .alcoholic .beverages.
b. .Avoid .driving .or .operating .machinery.
c. .Take .a .missed .dose .as .soon .as .possible.
d. .Standing .slowly .when .getting .up .from .bed .- .CORRECT .ANSWER-D.
The .healthcare .provider .prescribes .vancomycin .500 .mg .IV .every .12 .hours .for .a
.client .with .methicillin-resistant .staphylococcus .aureus .(MRSA). .Review .of .the
.client's .laboratory .values .shows .that .serum .peak .and .trough .levels .are .within
.the .desired .therapeutic .range .and .the .serum .creatinine .level .is .4.5 .mg/dL. .Which
.action .should .the .nurse .implement?
a. .Withhold .the .next .scheduled .dose .and .contact .the .healthcare .provider. .b.
.Monitor .the .laboratory .values . until .all .prescribed .doses .have .been .given. .c.
.Administer .the .next .dose .and .flag .the .results .for .the .healthcare .provider. .d.
.Insert .a .second .IV .catheter .for .the .administration .of .emergency .IV .fluids. .-
.CORRECT .ANSWER-A.
After .taking .orlistat .for .one .week, .a .female .client .tells .the .home .health .nurse .that
.she .is .experiencing .increasingly .frequent . oily .stools .and .flatus. .Which .action
, .should .the .nurse .take? .a. .Instruct .the .client .to .increase .her .intake .of .saturated
.fats .over .the .next .week. .b. .Obtain .a .stool .specimen .to .evaluate .for .occult .blood
.and .fat .content.
c. .Ask .the .client .to .describe .her .dietary .intake .history .for .the .last .several .days.
.d. .Advise .the .client .to .stop .taking .the .drug .and .contact .her .healthcare .provider.
.- .CORRECT .ANSWER-C.
6. .A .client .receiving .a .heparin .sodium .infusion .develops .hemoptysis. .The .nurse
.reviews .the .client's
laboratory .values .to .include .hemoglobin .8 .g/dL .and .platelet .count .of
.50,000/mm3. .Vital .signs .are: .oxygen .saturation .92% .on .50% . venturi . mask, .heart
.rate .130 .beats/minute, .respiration .32 .breaths/minute, .and .blood .pressure
.76/50mmHg. .Which .intervention .should .the .nurse .implement .first?
a. .Obtain .consent .for .a .blood .transfusion.
b. .Stop .the .heparin .sodium .infusion.
c. .Titrate .Venturi .mask .oxygen .to .60%.
d. .Administer .protamine .sulfate. .- .CORRECT .ANSWER-B.
The .nurse .is .teaching .a .client .with .coronary .artery .disease .about .a .newly
.prescribed .medication, .atorvastatin. .The .client .plans .to .take .the .medication .in
.the .morning .with .breakfast. .Which .food .choices .are .best .for .the .nurse .to
.recommend .that .the .client .should .include .with .the .meal? .(select .all .that .apply)
a. .Whole .milk.
b. .Low .fat .yogurt.
c. .Oatmeal.
d. .Sliced .grapefruit.
e. .Whole .banana. .- .CORRECT .ANSWER-C, .E
A .client .received .succinylcholine, .a .depolarizing .neuromuscular .blocking .agent
.during .surgery. .Which .assessment .finding .is .most .important .for .the .nurse .to
.report .to .the .surgeon? .a. .Observable .skin .flushing.
b. .Ventricular .tachycardia
c. .Neck .and .shoulder .pain
d. .Blood .pressure .114/72 .mm/Hg .- .CORRECT .ANSWER-B.
A .client, .who .has .a .myocardial .infarction .last .year, .has .a .daily .prescription .for
.aspirin .325 .mg .by .mouth. . Which .assessment .finding .should .alert .the .nurse .to
.withhold .the .medication? .
a. .Low .prothrombin .time.
b. .High .white .blood .cell .count.
c. .Oral .temperature .of .97.9 .F.
d. .Low .platelet .count. .- .CORRECT .ANSWER-D.
A .nurse .administered .a .second .dose .of .an .opioid .containing .codeine .and
.acetaminophen .to .a .client .fifteen .minutes .after .a .first .dose .was .administered .by
.another .nurse, .because .the .first .dose .was .not .documented .in .the .medication
.record. .Which .intervention .is . most .important .for .the .nurse .to .implement?
a. .Assess .the .client's .pain .on .a .10 .point .scale.
b. .Obtain .a .serum .liver .enzyme .panel.
