HESI Pharmacology Evolve Exam Elsevier Evolve –
Comprehensive Pharmacotherapeutics, Drug Therapy
& Clinical Judgment Practice Exam!!!2026/2027
A client who has been taking phenazopyridine (Pyridium)
for symptoms of urethritis and cystitis comes to the clinic
because her urine is reddish-orange. Which question
should the practical nurse ask to determine if the
medication has been effective? - ANSWER-C) Have you
had any relief from urinary pain, burning, or urgency?
Feedback:
Phenazopyridine, an over-the-counter urinary analgesic,
acts on the mucosa of the urinary tract to relieve urinary
pain, burning, itching, or urgency (C) associated with
,urethritis and cystitis. Although determining if the client is
forcing fluids (A), experiencing staining from Pyridium's
side effect (B), or having signs of a urinary infection (D)
are worthwhile assessments, the therapeutic response of
Pyridium is related to urinary discomforts only.
A male client who has been receiving an antineoplastic
drug has developed thrombocytopenia. What instructions
should the practical nurse (PN) reinforce? - ANSWER-D)
Shave with an electric razor.
Feedback:
Thrombocytopenia is a common side effect of bone
marrow depression caused by several antineoplastic
agents. The client is experiencing a low platelet count and
should use an electric razor (D) to reduce his risk of
,bleeding. (A, B, and C) are not indicated for a client who
needs to implement thrombocytopenia precautions.
The practical nurse (PN) is caring for a client who has
been taking prednisone (Deltasone) daily for a year. Which
adverse effect should the PN document in the client's
record? - ANSWER-B) Weight gain.
Feedback:
Long term use of prednisone causes fluid retention and
redistribution of fat deposition. Weight gain (B) and moon
face reflect adverse effects of long-term prednisone use
and should be documented. (A, C, and D) do not occur
with treatment using prednisone.
, A female client with recurring headaches tells the practical
nurse (PN) that she has been taking at least 4 grams of
acetaminophen a day. Which laboratory studies should the
PN review for this client? - ANSWER-B) Hepatic enzymes.
Feedback:
Liver toxicity can occur when doses of acetaminophen
exceed 4 grams a day, resulting in an elevation in hepatic
enzyme values (B). (A, C, and D) do not reveal findings
related to acetaminophen toxicity.
A client receives a prescription for an oral opioid analgesic
for post-operative pain. Which adverse effect should the
practical nurse (PN) monitor for with the client? -
ANSWER-A) Constipation.
Feedback:
Comprehensive Pharmacotherapeutics, Drug Therapy
& Clinical Judgment Practice Exam!!!2026/2027
A client who has been taking phenazopyridine (Pyridium)
for symptoms of urethritis and cystitis comes to the clinic
because her urine is reddish-orange. Which question
should the practical nurse ask to determine if the
medication has been effective? - ANSWER-C) Have you
had any relief from urinary pain, burning, or urgency?
Feedback:
Phenazopyridine, an over-the-counter urinary analgesic,
acts on the mucosa of the urinary tract to relieve urinary
pain, burning, itching, or urgency (C) associated with
,urethritis and cystitis. Although determining if the client is
forcing fluids (A), experiencing staining from Pyridium's
side effect (B), or having signs of a urinary infection (D)
are worthwhile assessments, the therapeutic response of
Pyridium is related to urinary discomforts only.
A male client who has been receiving an antineoplastic
drug has developed thrombocytopenia. What instructions
should the practical nurse (PN) reinforce? - ANSWER-D)
Shave with an electric razor.
Feedback:
Thrombocytopenia is a common side effect of bone
marrow depression caused by several antineoplastic
agents. The client is experiencing a low platelet count and
should use an electric razor (D) to reduce his risk of
,bleeding. (A, B, and C) are not indicated for a client who
needs to implement thrombocytopenia precautions.
The practical nurse (PN) is caring for a client who has
been taking prednisone (Deltasone) daily for a year. Which
adverse effect should the PN document in the client's
record? - ANSWER-B) Weight gain.
Feedback:
Long term use of prednisone causes fluid retention and
redistribution of fat deposition. Weight gain (B) and moon
face reflect adverse effects of long-term prednisone use
and should be documented. (A, C, and D) do not occur
with treatment using prednisone.
, A female client with recurring headaches tells the practical
nurse (PN) that she has been taking at least 4 grams of
acetaminophen a day. Which laboratory studies should the
PN review for this client? - ANSWER-B) Hepatic enzymes.
Feedback:
Liver toxicity can occur when doses of acetaminophen
exceed 4 grams a day, resulting in an elevation in hepatic
enzyme values (B). (A, C, and D) do not reveal findings
related to acetaminophen toxicity.
A client receives a prescription for an oral opioid analgesic
for post-operative pain. Which adverse effect should the
practical nurse (PN) monitor for with the client? -
ANSWER-A) Constipation.
Feedback:
