Page 1 of 15
Pharmacology HESI Practice Exam 4 2025Review Questions PRACTICE GRADED A+
QUESTIONS WITH CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
EXIT HESI: Pharmacology
Assess the 6 rights of medication administration:
• Right medication
• Right dose
• Right client
• Right route
• Right time
• Right documentation
Medication Administration: techniques of administration:
1. Assess the medication prescription
2. Compare the client's medication prescription with all medications that the client
was previously taking (medication reconciliation)
3. Ask the client about a history of allergies
4. Assess the client's current condition and the purpose for the medication or
intravenous solution
5. Determine the client's understanding of the purpose of the prescribed medication
and about self administration at home
6. Identify and address concerns (social, cultural, religious) that the client may have
about taking the medication
7. Assess the need for conversion when preparing a dose of medication for
administration to the client
8. Assess the 6 rights of medication administration
Magnesium Sulfate: Antidote
Calcium Gluconate
Cholinergic Medications (Myesthenic Bradycardia): Antidote
•Atropine
Methotrexate: Antidote
Leucorvorin
Generic Name: Acetaminophen (Tylenol): Medication category, purpose, side
effects, and nursing considerations
Generic Name: Acetaminophen (Tylenol):
Medication Category: Analgesics, Nonopioid Analgesics
Purpose:
• Treatment of mild pain or fever
Side Effects:
• Anemia
• Liver and kidney failure
• Dyspnea
• Angioedema
• Hives, itching
Nursing Considerations:
, Page 2 of 15
• PO: onset less than 1 hour, peak 30 minutes to 2 hours, duration 4-6 hours
• Rectal: onset slow, peak 1-2 hours, duration 3-4 hours
• Take crushed or whole with full glass of water
• Can give with foods or milk to decrease GI upset
• Signs of chronic poisoning: rapid, weak pulse; dyspnea, cold, clammy extremeties
• Signs of chronic overdose: bleeding, bruising, malaise, fever, sore throat, anorexia,
jaundice
• OTC
Generic Name: Codeine: Medication category, purpose, side effects, and
nursing considerations
Generic Name: Codeine
Medication Category: Analgesics, Opioid Analgesics
Purpose: Treatment of moderate to severe pain, nonproductive cough
Side Effects:
• Drowsiness, sedation
• Nausea, vomiting, anorexia
• Respiratory depression
• Constipation
• Orthostatic hypotension
• Dysuria
• Hives
• Dyspnea
• Syncope
• Angiodema
• Seizures
Nursing Considerations:
• PO: onset 30-45 minutes, peak 60-120 minutes, duration 4-6 hours
• IM/SubQ: onset 10-30 minutesm, peak 30-60 minutes, duration 4-6 hours
• Do not give if respirations are less than 12 per minute
• Avoid use with alcohol, CNS depressants
• Withdrawal symptoms may occur: nausea, vomiting, cramps, fever, faintness,
anorexia
• Physical dependency may result from long-term use
• Rx-C II, III, IV, V (depends on route)
Generic Name: Diclofenac (Voltaren): Medication category, purpose, side
effects, and nursing considerations
Generic Name: Diclofenac (Voltaren)
Medication Category: Musculoskeletal Medications, Nonsalicylate NSAIDS,
Antirheumatics
Purpose: Used in arthritic conditions, dysmenorrhea
Side Effects:
• Dizziness
• Blood dycrasias
• Headache
Pharmacology HESI Practice Exam 4 2025Review Questions PRACTICE GRADED A+
QUESTIONS WITH CORRECT ANSWERS GRADED A+ 2025-2026 VERIFIED
EXIT HESI: Pharmacology
Assess the 6 rights of medication administration:
• Right medication
• Right dose
• Right client
• Right route
• Right time
• Right documentation
Medication Administration: techniques of administration:
1. Assess the medication prescription
2. Compare the client's medication prescription with all medications that the client
was previously taking (medication reconciliation)
3. Ask the client about a history of allergies
4. Assess the client's current condition and the purpose for the medication or
intravenous solution
5. Determine the client's understanding of the purpose of the prescribed medication
and about self administration at home
6. Identify and address concerns (social, cultural, religious) that the client may have
about taking the medication
7. Assess the need for conversion when preparing a dose of medication for
administration to the client
8. Assess the 6 rights of medication administration
Magnesium Sulfate: Antidote
Calcium Gluconate
Cholinergic Medications (Myesthenic Bradycardia): Antidote
•Atropine
Methotrexate: Antidote
Leucorvorin
Generic Name: Acetaminophen (Tylenol): Medication category, purpose, side
effects, and nursing considerations
Generic Name: Acetaminophen (Tylenol):
Medication Category: Analgesics, Nonopioid Analgesics
Purpose:
• Treatment of mild pain or fever
Side Effects:
• Anemia
• Liver and kidney failure
• Dyspnea
• Angioedema
• Hives, itching
Nursing Considerations:
, Page 2 of 15
• PO: onset less than 1 hour, peak 30 minutes to 2 hours, duration 4-6 hours
• Rectal: onset slow, peak 1-2 hours, duration 3-4 hours
• Take crushed or whole with full glass of water
• Can give with foods or milk to decrease GI upset
• Signs of chronic poisoning: rapid, weak pulse; dyspnea, cold, clammy extremeties
• Signs of chronic overdose: bleeding, bruising, malaise, fever, sore throat, anorexia,
jaundice
• OTC
Generic Name: Codeine: Medication category, purpose, side effects, and
nursing considerations
Generic Name: Codeine
Medication Category: Analgesics, Opioid Analgesics
Purpose: Treatment of moderate to severe pain, nonproductive cough
Side Effects:
• Drowsiness, sedation
• Nausea, vomiting, anorexia
• Respiratory depression
• Constipation
• Orthostatic hypotension
• Dysuria
• Hives
• Dyspnea
• Syncope
• Angiodema
• Seizures
Nursing Considerations:
• PO: onset 30-45 minutes, peak 60-120 minutes, duration 4-6 hours
• IM/SubQ: onset 10-30 minutesm, peak 30-60 minutes, duration 4-6 hours
• Do not give if respirations are less than 12 per minute
• Avoid use with alcohol, CNS depressants
• Withdrawal symptoms may occur: nausea, vomiting, cramps, fever, faintness,
anorexia
• Physical dependency may result from long-term use
• Rx-C II, III, IV, V (depends on route)
Generic Name: Diclofenac (Voltaren): Medication category, purpose, side
effects, and nursing considerations
Generic Name: Diclofenac (Voltaren)
Medication Category: Musculoskeletal Medications, Nonsalicylate NSAIDS,
Antirheumatics
Purpose: Used in arthritic conditions, dysmenorrhea
Side Effects:
• Dizziness
• Blood dycrasias
• Headache
