HESI Pharmacology Evolve Exam Bundle 2026/2027 ||
Elsevier Evolve – Comprehensive
Pharmacotherapeutics, Drug Therapy & Clinical
Judgment Practice Exam Collection (2026/2027)
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,
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.
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.
Elsevier Evolve – Comprehensive
Pharmacotherapeutics, Drug Therapy & Clinical
Judgment Practice Exam Collection (2026/2027)
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,
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.
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.
