PHARM HESI PRACTICE EXAM LATEST UPDATE(QUESTIONS AND ANSWERS) 2025 | Exams Public Health

PHARM HESI PRACTICE EXAM LATEST

UPDATE(QUESTIONS AND ANSWERS) 2025

The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently

changed the medication to enalapril to manage the client's blood pressure. Which instruction should the

nurse provide the client regarding the new medication?

A. Take the medication at bedtime.

B. Report presence of increased bruising.

C. Check pulse before taking medication.

D. Rise slowly when getting out of bed or chair. - Accurate answers D. Rise slowly when getting out

of bed or chair.

A female client calls the clinic and talks with the nurse to inquire about a possible reaction after taking

amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white discharge. The nurse

should discuss which action with the client?

A. Discontinue the antibiotic because original symptoms have subsided.

B. Continue taking medication until finished until the symptoms subside.

C. Consult with healthcare provider about another treatment for this effect.

D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions. - Accurate answers C.

Consult with healthcare provider about another treatment for this effect.

The nurse is making early morning rounds on a group of clients when a client begins exhibiting

symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2 receptor

agonist agent. Which client response should the nurse expect?

A. Tachycardia.

B. Increased blood pressure.

C. Rapid resolution of wheezing.

D. Improved pulse oximetry values.

E. Reduce fever airway inflammation. - Accurate answers C, D

A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus bradycardia with a

rate of 58 beats/minute, and a P-R interval of 0.24. Which action should the nurse take?

A. Lower the head of the bed and assess the client for orthostatic vital sign changes.

B. Give the medication as prescribed and continue to monitor the client.

C. Prepare to administer atropine sulfate IV push.

D. Hold the prescribed dose and contact the healthcare provider. - Accurate answers B. Give the

medication as prescribed and continue to monitor the client.

The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a

client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes

that the client's serum potassium level is 5.9 mEq/L. Which action should the nurse take first?

Partial preview of the text

Download PHARM HESI PRACTICE EXAM LATEST UPDATE(QUESTIONS AND ANSWERS) 2025 and more Exams Public Health in PDF only on Docsity!

PHARM HESI PRACTICE EXAM LATEST

UPDATE(QUESTIONS AND ANSWERS) 2025

The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication? A. Take the medication at bedtime. B. Report presence of increased bruising. C. Check pulse before taking medication. D. Rise slowly when getting out of bed or chair. - Accurate answers D. Rise slowly when getting out of bed or chair. A female client calls the clinic and talks with the nurse to inquire about a possible reaction after taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white discharge. The nurse should discuss which action with the client? A. Discontinue the antibiotic because original symptoms have subsided. B. Continue taking medication until finished until the symptoms subside. C. Consult with healthcare provider about another treatment for this effect. D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions. - Accurate answers C. Consult with healthcare provider about another treatment for this effect. The nurse is making early morning rounds on a group of clients when a client begins exhibiting symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2 receptor agonist agent. Which client response should the nurse expect? A. Tachycardia. B. Increased blood pressure. C. Rapid resolution of wheezing. D. Improved pulse oximetry values. E. Reduce fever airway inflammation. - Accurate answers C, D A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action should the nurse take? A. Lower the head of the bed and assess the client for orthostatic vital sign changes. B. Give the medication as prescribed and continue to monitor the client. C. Prepare to administer atropine sulfate IV push. D. Hold the prescribed dose and contact the healthcare provider. - Accurate answers B. Give the medication as prescribed and continue to monitor the client. The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker (ARB), for a client with hypertension and heart failure. The nurse reviews the client's laboratory results and notes that the client's serum potassium level is 5.9 mEq/L. Which action should the nurse take first?

A. Withhold the scheduled dose. B. Check the client's apical pulse. C. Notify the healthcare provider. D. Repeat the serum potassium level. - Accurate answers A. Withhold the scheduled dose. Upon admission to the emergency center, an adult client with acute status asthmaticus is prescribed this series of medications. In which order should the nurse administer the prescribed medications? (Arrange from first to last.) - Accurate answers 1. Albuterol (Proventil) puffs.

Salmeterol (Serevent Diskus).
Prednisone (Deltasone) orally.
Gentamicin (Garamycin) IM. An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent motion sickness while on a cruise. Which information should the nurse provide to the client? A. Apply the patch at least 4 hours prior to departure. B. Change the patch every other day while on the cruise. C. Place the patch on a hairless area at the base of the skull. D. Drink no more than 2 alcoholic drinks during the cruise. - Accurate answers A. Apply the patch at least 4 hours prior to departure. A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the nurse include in the client's instruction? A. Notify the clinic of any changes in the color of urine. B. Avoid overexposure to the sun. C. Stop the medication after the diarrhea resolves. D. Take the medication with food. - Accurate answers D. Take the medication with food. A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? A. Use contraception during intercourse. B. Ensure the Cytotec is taken on an empty stomach. C. Encourage oral fluid intake to prevent constipation. D. Take Cytotec 30 minutes prior to Motrin. - Accurate answers A. Use contraception during intercourse. A client with osteoarthritis receives a new prescription for celecoxib (Celebrex) orally for symptom management. The nurse notes the client is allergic to sulfa. Which action is most important for the nurse to implement prior to administering the first dose? A. Review the client's hemoglobin results. B. Notify the healthcare provider. C. Inquire about the reaction to sulfa. D. Record the client's vital signs. - Accurate answers B. Notify the healthcare provider.

B. A client with chronic rheumatoid arthritis. C. A client with a open compound fracture. D. A young adult with inflammatory bowel disease. - Accurate answers D. A young adult with inflammatory bowel disease. Which medications should the nurse caution the client about taking while receiving an opioid analgesic? A. Antacids. B. Benzodiazepines. C. Antihypertensives. D. Oral antidiabetics. - Accurate answers B. Benzodiazepines. A client is prescribed 1 mcg/kg/min of dobutamine hydrochloride via IV infusion. Which client's condition would benefit the most from an administration of dobutamine hydrochloride? A. Shock. B. Asthma. C. Hypotension. D. Heart failure. - Accurate answers D. Heart failure. A client is experiencing anaphylaxis from an insect sting. Which medication should the nurse administer? A. Dopamine. B. Ephedrine. C. Epinephrine. D. Diphenhydramine. - Accurate answers C. Epinephrine. The healthcare provider prescribes a beta-1 agonist medication to be administered. The nurse should anticipate the medication to be prescribed for a client diagnosed with which condition? A. Glaucoma. B. Hypertension. C. Heart failure. D. Asthma. - Accurate answers C. Heart failure. An older client with a decreased percentage of lean body mass is admitted to the hospital. Which pharmacokinetic process is affected and should be considered in the client's dosing of medication? A. Absorption. B. Metabolism. C. Elimination. D. Distribution. - Accurate answers D. Distribution. A Category X drug is prescribed for a young adult female client. Which instruction is most important for the nurse to teach this client? A. Use a reliable form of birth control. B. Avoid exposure to ultra violet light.

C. Refuse this medication if planning pregnancy. D. Abstain from intercourse while on this drug. - Accurate answers A. Use a reliable form of birth control. A client being discharged home is prescribed an antibiotic with a dosage three times higher than it was administered when the client was in the hospital. Which route of administration should the nurse anticipate will be prescribed for the greatest first-pass effect? A. Oral. B. Sublingual. C. Intravenous. D. Subcutaneous. - Accurate answers A. Oral. The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide? A. The frequency of the dosing is necessary to increase the effectiveness. B. Therapeutic blood levels of this drug are reached in 4 to 6 weeks. C. Another type of nonsteroidal antiinflammatory drug may be indicated. D. Systemic corticosteroids are the next drugs of choice for pain relief. - Accurate answers C. Another type of nonsteroidal antiinflammatory drug may be indicated. After abdominal surgery, a client is prescribed low molecular weight heparin (LMWH). During administration of the medication, the client asks the nurse the reason for the medication. Which is the best response for the nurse to provide the client? A. This medication is given to prevent blood clot formation. B. This medication enhances antibiotics to prevent infection. C. This medication dissolves clots that develop in the legs. D. This medication enhances the healing of wounds. - Accurate answers A. This medication is given to prevent blood clot formation. A client with heart failure is prescribed spironolactone (Aldactone). Which information is most important for the nurse to provide to the client about diet modifications? A. Do not add salt to foods during preparation. B. Refrain for eating foods high in potassium. C. Restrict fluid intake to 1000 ml per day. D. Increase intake of milk and milk products. - Accurate answers B. Refrain for eating foods high in potassium. A client receiving doxorubicin (Adriamycin) intravenously (IV) complains of pain at the insertion site, and the nurse notes edema at the site. Which intervention is most important for the nurse to implement? A. Assess for erythema. B. Administer the antidote. C. Apply warm compresses.

Which change in data indicates to the nurse that the desired effect of the angiotensin II receptor antagonist valsartan has been achieved? A. Dependent edema reduced from +3 to +1. B. Serum HDL increased from 35 to 55 mg/dL. C. Pulse rate reduced from 150 to 90 beats/minute. D. Blood pressure reduced from 160/90 mmHg to 130/80 mmHg. - Accurate answers D. Blood pressure reduced from 160/90 mmHg to 130/80 mmHg. A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new prescription for atorvastatin (Lipitor). Two weeks after initiation of the Lipitor prescription, the nurse assesses the client. Which finding requires the most immediate intervention? A. Heartburn. B. Headache. C. Constipation. D. Vomiting. - Accurate answers D. Vomiting. The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction should the nurse include in this client's discharge teaching plan? A. Quit taking the medication if dizziness occurs. B. Do not get up quickly. Always rise slowly. C. Take the medication with food only. D. Increase your intake of potassium-rich foods. - Accurate answers B. Do not get up quickly. Always rise slowly. The nurse is reviewing admission prescriptions for a client with myxedema. The nurse should clarify with the healthcare provider which prescription for the client? A. Liothyronine to replace iodine. B. Furosemid for relief of fluid retention. C. Pentobarbital sodium for sleep. D. Nitroglycerin for angina pain. - Accurate answers C. Pentobarbital sodium for sleep. The nurse is providing care for a client prescribed propranolol. Which symptoms should the nurse report to the healthcare provider immediately? A. Headache, hypertension, and blurred vision. B. Wheezing, hypotension, and AV block. C. Vomiting, dilated pupils, and papilledema. D. Tinnitus, muscle weakness, and tachypnea. - Accurate answers B. Wheezing, hypotension, and AV block. 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." - Accurate answers C. "No, it is not an oral insulin and can be used only when some beta cell function is present." Which nursing intervention is most important when caring for a client receiving the antimetabolite cytosine arabinoside (Arc-C) for chemotherapy? A. Hydrate the client with IV fluids before and after infusion. B. Assess the client for numbness and tingling of extremities. C. Inspect the client's oral mucosa for ulcerations. D. Monitor the client's urine pH for increased acidity. - Accurate answers C. Inspect the client's oral mucosa for ulcerations. A 43-year-old female client is prescribed thyroid replacement hormone following a thyroidectomy. Which adverse effects should the nurse instruct the client to report immediately to the healthcare provider? A. Tinnitus and dizziness. B. Tachycardia and chest pain. C. Dry skin and intolerance to cold. D. Weight gain and increased appetite. - Accurate answers B. Tachycardia and chest pain. A client prescribed albuterol tablets reports nausea every evening with the 9:00 p.m. dose. Which action should the nurse perform to alleviate this side effect? A. Change the time of the dose. B. Hold the 9 p.m. dose. C. Administer the dose with a snack. D. Offer an antiemetic with the dose. - Accurate answers C. Administer the dose with a snack. A peak and trough level is prescribed for a client receiving antibiotic therapy. When should the nurse should obtain the trough level? A. Sixty minutes after the antibiotic dose is administered. B. Immediately before the next antibiotic dose is given. C. Upon completion of the prescribed antibiotic regime. D. An hour before the next antibiotic dose is given. - Accurate answers B. Immediately before the next antibiotic dose is given. A client is prescribed ampicillin sodium (Omnipen) for a sinus infection. The nurse should instruct the client to notify the healthcare provider immediately if which symptom occurs? A. Rash. B. Nausea. C. Headache. D. Dizziness. - Accurate answers A. Rash.

The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports hearing non-stop ringing in the ears. Which 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. C. Notify the healthcare provider of the finding immediately. D. Face the client directly and speak in a low, monotone voice. - Accurate answers C. Notify the healthcare provider of the finding immediately. Which antidiarrheal agent should be used with caution in clients taking high dosages of aspirin for arthritis? A. Loperamide (Imodium). B. Probanthine (Propantheline). C. Bismuth subsalicylate (Pepto Bismol). D. Diphenoxylate hydrochloride with atropine (Lomotil). - Accurate answers C. Bismuth subsalicylate (Pepto Bismol). When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important for the nurse to assess for pain in which area of the body? A. Flank. B. Abdomen. C. Chest. D. Head. - Accurate answers B. Abdomen. A client's dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When the client reports the onset of a headache prior to the next scheduled dose, which action should the nurse implement? A. Hold the next scheduled dose of Imdur 60 mg and administer a PRN dose of acetaminophen (Tylenol). B. Administer the 40 mg of Imdur and then contact the healthcare provider. C. Administer the 60 mg dose of Imdur and a PRN dose of acetaminophen (Tylenol). D. Do not administer the next dose of Imdur or any acetaminophen until notifying the healthcare provider. - Accurate answers C. Administer the 60 mg dose of Imdur and a PRN dose of acetaminophen (Tylenol). An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and ketorolac (Toradol) 30 mg IV every 6 hours. Which action should the nurse implement? A. Administer both medications according to the prescription. B. Hold the ketorolac to prevent an antagonistic effect. C. Hold the morphine to prevent an additive drug interaction. D. Contact the healthcare provider to clarify the prescription. - Accurate answers A. Administer both medications according to the prescription.

A client is receiving methylprednisolone 40 mg IV daily. The nurse should monitor which laboratory value closely? A. Serum glucose. B. Serum calcium. C. Red blood cells. D. Serum potassium. - Accurate answers A. Serum glucose. A client is receiving clonidine 0.1 mg/24 hr via transdermal patch. Which assessment finding indicates the desired effect of the medication has been achieved? A. Absence of nausea and vomiting. B. Change in peripheral edema from +3 to +1. C. Denial of anginal pain and shortness of breath. D. Blood pressure from 180/120 mmHg to 140/70 mmHg. - Accurate answers D. Blood pressure from 180/120 mmHg to 140/70 mmHg. A client who was prescribed atorvastatin (Lipitor) one month ago calls the triage nurse at the clinic complaining of muscle pain and weakness in his legs. Which statement reflects the correct drug-specific teaching the nurse should provide to this client? A. Increase consumption of potassium-rich foods since low potassium levels can cause muscle spasms. B. Have serum electrolytes checked at the next scheduled appointment to assess hyponatremia, a cause of cramping. C. Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect. D. Be sure to consume a low-cholesterol diet while taking the drug to enhance the effectiveness of the drug. - Accurate answers C. Make an appointment to see the healthcare provider, because muscle pain may be an indication of a serious side effect. Which nursing diagnosis is important to include in the plan of care for a client receiving the angiotensin- 2 receptor antagonist irbesartan (Avapro)? A. Fluid volume deficit. B. Risk for infection. C. Risk for injury. D. Impaired sleep patterns. - Accurate answers C. Risk for injury. A client has a continuous IV infusion of dopamine (Intropin) and an IV of normal saline at 50 mL/hour. The nurse notes that the client's urinary output has been 20 mL/hour for the last 2 hours. Which intervention should the nurse initiate? A. Stop the infusion of dopamine. B. Change the normal saline to a keep open rate. C. Replace the urinary catheter. D. Notify the healthcare provider of the urinary output. - Accurate answers D. Notify the healthcare provider of the urinary output.

A. Perfusion scan. B. Prothrombin Time (PT). C. Activated partial thromboplastin (aPTT). D. Serum Coumadin level (SCL). - Accurate answers B. Prothrombin Time (PT). A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which observation by the nurse would indicate that the desired outcome of the medication is being achieved? A. Decreased blood pressure. B. Lessening of tremors. C. Increased salivation. D. Increased attention span. - Accurate answers B. Lessening of tremors. A client being treated for hyperthyroidism with propylthiouracil (PTU) asks the nurse how the medication works. Which is the best response to give the client? A. It decreases the amount of thyroid-stimulating hormone circulating in the blood. B. It increases the amount of thyroid-stimulating hormone circulating in the blood. C. It enhances the amount of T4 and diminishes the amount of T3 produced by the thyroid. D. It inhibits the synthesis of T3 and T4 by the thyroid gland. - Accurate answers D. It inhibits the synthesis of T3 and T4 by the thyroid gland. A client with heart failure is being discharged with a new prescription for the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The nurse's discharge instructions should include reporting which problem to the healthcare provider? A. Weight loss. B. Dizziness. C. Muscle cramps. D. Dry mucous membranes. - Accurate answers B. Dizziness. Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? A. Client states chest pain is relieved. B. Client's pulse decreases from 120 to 90. C. Client's systolic blood pressure decreases from 180 to 90. D. Client's SaO2 level increases from 92% to 96%. - Accurate answers A. Client states chest pain is relieved. 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 respiratory rate and depth. B. Assess the serum potassium level. C. Obtain the client's blood pressure. D. Monitor the serum glucose level. - Accurate answers B. Assess the serum potassium level.

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. - Accurate answers B. Two or three soft stools per day. A client is prescribed aluminum hydroxide for peptic ulcer disease. Which statement by the client demonstrates an understanding of the action of the medication? A. It decreases the production of gastric secretions. B. It produces an adherent barrier over the ulcer. C. It helps maintain a gastric pH of 3.5 or above. D. It slows down the gastric motor activity. - Accurate answers C. It helps maintain a gastric pH of 3.5 or above.

PHARM HESI PRACTICE EXAM LATEST UPDATE(QUESTIONS AND ANSWERS) 2025, Exams of Public Health

Related documents

Partial preview of the text

Download PHARM HESI PRACTICE EXAM LATEST UPDATE(QUESTIONS AND ANSWERS) 2025 and more Exams Public Health in PDF only on Docsity!

PHARM HESI PRACTICE EXAM LATEST

UPDATE(QUESTIONS AND ANSWERS) 2025