1|Page
EVOLVE HESI PHARM PN EXAM NEWEST
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS(DETAILED ANSWERS)|ALREADY
GRADED A+
The healthcare provider prescribes digitalis (Digoxin) for
a client diagnosed with heart failure. Which intervention
should the nurse implement prior to administering the
digoxin?
A. observe the respiratory rate and depth
B. assess the serum potassium level
C. obtain the client blood pressure
D. monitor serum glucose level - .....ANSWER ...✔✔ B.
Assess the serum potassium level
Rationale:
Hypokalemia (decreased serum potassium) will
precipitate digitalis toxicity in persons receiving digoxin.
The nurse should monitor the client's serum potassium
levels. Blood pressure and respiratory rate will not
inform the nurse about potential safety issues with
digitalis.
,2|Page
Which medications should the nurse caution the client
about taking while receiving an opioid analgesic?
A. antiacids
B. benzodiazepines
C. antihypertensives
D. oral antidiabetics - .....ANSWER ...✔✔ B.
benzodiazepines
Rationale
Respiratory depression increases with the concurrent use
of opioid analgesics and other central nervous system
depressant agents, such as alcohol, barbiturates, and
benzodiazepines. Antacids and antidiabetic agents do
not interact with opiates to produce adverse effects.
Antihypertensives may cause morphine-induced
hypotension, but should not be withheld without notifying
the healthcare provider.
The nurse is assessing the effectiveness of high dose
aspirin therapy for an 88-year-old client with arthritis.
The client reports that she can't hear the nurse's questions
because her ears are ringing. What 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 of
aspirin therapy.
,3|Page
C. Notify the healthcare provider of this finding
immediately.
D. Ask the client to turn off her hearing aid during the
exam - .....ANSWER ...✔✔ C. notify the healthcare
provider of this finding immediately
Rationale
Tinnitus is an early sign of salicylate toxicity. The
healthcare provider should be notified immediately, and
the medication discontinued
A client asks the nurse if glipizide (Glucotrol) is an oral
insulin. Which response should the nurse provide?
A. "Yes, it is an oral insulin and has the same actions and
properties as intermediate insulin."
B. "Yes, it is an oral insulin and is distributed,
metabolized, and excreted in the same manner as
insulin."
C. "No, it is not an oral insulin and can be used only
when some beta cell function is present."
D. "No, it is not an oral insulin, but it is effective for those
who are resistant to injectable insulins." - .....ANSWER
...✔✔ C. "No, it is not an oral insulin and can be used
only when some beta cell function is present."
, 4|Page
Rationale
An effective oral form of insulin has not yet been
developed because when insulin is taken orally, it is
destroyed by digestive enzymes. Glipizide (Glucotrol) is
an oral hypoglycemic agent that enhances pancreatic
production of insulin
In evaluating the effects of lactulose (Cephulac), which
outcome would indicate that the drug is performing as
intended?
A. An increase in urine output.
B. Two or three soft stools per day.
C. Watery, diarrhea stools.
D. Increased serum bilirubin. - .....ANSWER ...✔✔ B.
Two or three soft stools per day
Rationale
The medication lactulose can be administered for either
chronic constipation or for portal-systemic
encephalopathy in clients with hepatic disease. Two to
three stools a day indicate that lactulose is performing
as intended for chronic constipation. This would also
indicate it should be effective for the clients with
encephalopathy because the lactulose's action prevents
absorption of ammonia in the colon as it increases water
absorption and softens the stool. The efficacy of the use
for ammonia absorption would have to be verified by a
EVOLVE HESI PHARM PN EXAM NEWEST
COMPLETE QUESTIONS AND CORRECT VERIFIED
ANSWERS(DETAILED ANSWERS)|ALREADY
GRADED A+
The healthcare provider prescribes digitalis (Digoxin) for
a client diagnosed with heart failure. Which intervention
should the nurse implement prior to administering the
digoxin?
A. observe the respiratory rate and depth
B. assess the serum potassium level
C. obtain the client blood pressure
D. monitor serum glucose level - .....ANSWER ...✔✔ B.
Assess the serum potassium level
Rationale:
Hypokalemia (decreased serum potassium) will
precipitate digitalis toxicity in persons receiving digoxin.
The nurse should monitor the client's serum potassium
levels. Blood pressure and respiratory rate will not
inform the nurse about potential safety issues with
digitalis.
,2|Page
Which medications should the nurse caution the client
about taking while receiving an opioid analgesic?
A. antiacids
B. benzodiazepines
C. antihypertensives
D. oral antidiabetics - .....ANSWER ...✔✔ B.
benzodiazepines
Rationale
Respiratory depression increases with the concurrent use
of opioid analgesics and other central nervous system
depressant agents, such as alcohol, barbiturates, and
benzodiazepines. Antacids and antidiabetic agents do
not interact with opiates to produce adverse effects.
Antihypertensives may cause morphine-induced
hypotension, but should not be withheld without notifying
the healthcare provider.
The nurse is assessing the effectiveness of high dose
aspirin therapy for an 88-year-old client with arthritis.
The client reports that she can't hear the nurse's questions
because her ears are ringing. What 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 of
aspirin therapy.
,3|Page
C. Notify the healthcare provider of this finding
immediately.
D. Ask the client to turn off her hearing aid during the
exam - .....ANSWER ...✔✔ C. notify the healthcare
provider of this finding immediately
Rationale
Tinnitus is an early sign of salicylate toxicity. The
healthcare provider should be notified immediately, and
the medication discontinued
A client asks the nurse if glipizide (Glucotrol) is an oral
insulin. Which response should the nurse provide?
A. "Yes, it is an oral insulin and has the same actions and
properties as intermediate insulin."
B. "Yes, it is an oral insulin and is distributed,
metabolized, and excreted in the same manner as
insulin."
C. "No, it is not an oral insulin and can be used only
when some beta cell function is present."
D. "No, it is not an oral insulin, but it is effective for those
who are resistant to injectable insulins." - .....ANSWER
...✔✔ C. "No, it is not an oral insulin and can be used
only when some beta cell function is present."
, 4|Page
Rationale
An effective oral form of insulin has not yet been
developed because when insulin is taken orally, it is
destroyed by digestive enzymes. Glipizide (Glucotrol) is
an oral hypoglycemic agent that enhances pancreatic
production of insulin
In evaluating the effects of lactulose (Cephulac), which
outcome would indicate that the drug is performing as
intended?
A. An increase in urine output.
B. Two or three soft stools per day.
C. Watery, diarrhea stools.
D. Increased serum bilirubin. - .....ANSWER ...✔✔ B.
Two or three soft stools per day
Rationale
The medication lactulose can be administered for either
chronic constipation or for portal-systemic
encephalopathy in clients with hepatic disease. Two to
three stools a day indicate that lactulose is performing
as intended for chronic constipation. This would also
indicate it should be effective for the clients with
encephalopathy because the lactulose's action prevents
absorption of ammonia in the colon as it increases water
absorption and softens the stool. The efficacy of the use
for ammonia absorption would have to be verified by a
