Evolve Pharmacology Hesi /Hesi
Pharmacology Evolve Exam Newest
2025/2026 Complete 200 Questions And
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A 19-year-old male client who has sustained a severe head
injury is intubated and placed on assisted mechanical
ventilation. To facilitate optimal ventilation and prevent
the client from "fighting" the ventilator, the health care
provider administers pancuronium bromide IV, with
adjunctive opioid analgesia. What medication should be
immediately accessible for a potential complication with
this drug?
A. Dantrolene sodium
B. Neostigmine bromide
C. Succinylcholine bromide
D. Epinephrine - . . ANSWER ✔ ✔B. Neostigmine
bromide
Neostigmine bromide and atropine sulfate, both
anticholinergic drugs, reverse the respiratory muscle
paralysis caused by pancuronium bromide. Options A, C,
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and D are not antagonists to pancuronium bromide and
would not be helpful in reversing the effects of the drug
compared with the use of anticholinergics.
A client with viral influenza is receiving vitamin C, 1000
mg PO daily, and acetaminophen elixir, 650 mg PO every 4
hours PRN. The nurse calls the health care provider to
report that the client has developed diarrhea. Which
change in prescriptions should the nurse anticipate?
A. Change the acetaminophen to ibuprofen.
B. Change the elixir to an injectable route.
C. Decrease the dose of vitamin C.
D. Begin treatment with an antibiotic. - . . ANSWER ✔
✔C. Decrease the dose of vitamin C.
When providing nursing care for a client receiving
pyridostigmine bromide for myasthenia gravis, which
nursing intervention has the highest priority?
A. Monitor the client frequently for urinary retention.
B. Assess respiratory status and breath sounds often.
C. Monitor blood pressure each shift to screen for
hypertension.
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D. Administer most medications after meals to decrease
gastrointestinal irritation. - . . ANSWER ✔ ✔B. Assess
respiratory status and breath sounds often.
A client with a dislocated shoulder is being prepared for a
closed manual reduction using conscious sedation. Which
medication should the nurse explain as a sedative used
during the procedure?
A.Inhaled nitrous oxide
B.Midazolam IV
C.Ketamine IM
D.Fentanyl and droperidol IM - . . ANSWER ✔ ✔B.
Midazolam IV
A client is being discharged with a prescription for
sulfasalazine to treat ulcerative colitis. Which instruction
should the nurse provide to this client prior to discharge?
A. Maintain good oral hygiene.
B. Take the medication 30 minutes before a meal.
C. Discontinue use of the drug gradually.
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D. Drink at least eight glasses of fluid a day. - . . ANSWER
✔ ✔D. Drink at least eight glasses of fluid a day.
The health care provider prescribes carbamazepine for a
child whose tonic-clonic seizures have been poorly
controlled. The nurse informs the mother that the child
must have blood tests every week. The mother asks why so
many blood tests are necessary. Which complication is
assessed through frequent laboratory testing that the
nurse should explain to this mother?
A. Nephrotoxicity
B. Ototoxicity
C. Myelosuppression
D.Hepatotoxicity - . . ANSWER ✔ ✔C.
Myelosuppression
Myelosuppression is the highest priority complication that
can potentially affect clients managed with carbamazepine
therapy. The client requires close monitoring for this
condition by weekly laboratory testing. Hepatic function
may be altered, but this complication does not have as
great a potential for occurrence as option C. Options A and
B are not typical complications of carbamazepine therapy.