1 | Page
Evolve Hesi Pharm Actual Exam Version
1,2,3 And 4 Newest /2026-2027 Evolve
Hesi Pharm Actual Real Exam Practice
Exam Preparation With Expert
Approved Questions And Correct
Answers (Expertly Verified) With
Rationales| Already Graded A+| Brand
New
A male client who has been taking a high dose of a nonsteroidal anti-
inflammatory drug (NSAID) comes to the clinic complaining of gastric
pain and blood in his stool. The healthcare provider discontinues the
NSAIDs and prescribes esomeprazole. Which information should the
client include in the nurse's teaching plan?
A. Once pain subsides, NSAID therapy can be continued
B. Resume a diet that consists of milk, cream, and bland foods
C. Notify the healthcare provider of the passage of black stool
D. Call the clinic if diarrhea or headache occur when taking
esomeprazole
----Solution----C. Notify the healthcare provider of the passage of black
stool
When administering zolpidem to an older client, which computer
documentation indicates that the desired outcome has
,2 | Page
been achieved?
A. Sleeps soundly through the night
B. Decreased episodes of incontinence
C. Exhibits fewer emotional outburst
D. Improved ability to concentrate
----Solution----A. Sleeps soundly through the night
A male client with a fungal infection of the toenail reports to the nurse
that he has been applying an over-the-counter triple antibiotic ointment
to the infection daily for two weeks without any improvement. Which
action should the nurse take?
A. Instruct the client to obtain a prescription for oral terbinafine
B. Suggest that the client use the ointment twice a day to be more
effective
C. Reassure that the treatment of fungus-infected toenails often takes
several months
D. Advise the client to obtain a prescription-strength formulation of the
ointment
----Solution----A. Instruct the client to obtain a prescription for oral
terbinafine
A client with a nasogastric tube (NGT) has a prescription for sucralfate.
The liquid form of the medication is not currently available in the
pharmacy and tablets have been delivered to the medication dispensing
system. Which action should the nurse include when administering the
medication?
,3 | Page
A. Crush the tablet and mix it with water separately from other
medications
B. Crush the tablet and mix it with other crushed tablets diluted in water
C. Withhold the medication until a liquid form is available on the
nursing unit
D. Crush the tablet and mix it with other liquid medications for
administration
----Solution----A. Crush the tablet and mix it with water separately from
other medications
A client with chronic asthma receives a prescription for montelukast, a
leukotriene modifier. Which statement by the client indicates to the
nurse that medication teaching was effective?
A. I should take this medication only when I am having an asthma attack
B. I will take the tablet every evening to control my asthma
C. This medication will stop an asthma attack immediately
D. I will not need to use my inhalers twice a day when I start this
medication
----Solution----B. I will take the tablet every evening to control my
asthma
The nurse is planning to administer the antiulcer GI agent sucralfate to a
client with peptic ulcer disease. Which action should the nurse include in
this client's plan of care?
A. Assess for secondary Candida infection
B. Administer sucralfate once a day, preferably at bedtime
, 4 | Page
C. Give sucralfate on an empty stomach
D. Monitor for electrolyte imbalance
----Solution----C. Give sucralfate once a day, preferably at bedtime
A client with anemia secondary to chronic kidney disease (CKD) started
a prescription for epoetin alfa two months ago. Which client finding best
indicates that the medication is effective?
A. Reports of increased energy levels and decreased fatigue
B. Takes concurrent iron therapy without adverse effects
C. Food diary shows increased consumption of iron-rich foods
D. Hemoglobin level increased to 12 grams/dL (120 mmol/L)
----Solution----D. Hemoglobin level increased to 12 grams/dL (120
mmol/L)
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's
solution, a strong iodine solution, for a client with hyperthyroidism.
How should the nurse schedule the administration of these medications?
A. Administer iodine one hour before PTU
B. Offer both drugs together with a meal
C. Schedule both medications at bedtime
D. Give parental dose once every 24 hours
----Solution----B. Offer both drugs together with a meal
Twenty minutes after the nurse starts a secondary IV infusion of
cefepime 2 grams using an infusion pump to deliver the dose in one
Evolve Hesi Pharm Actual Exam Version
1,2,3 And 4 Newest /2026-2027 Evolve
Hesi Pharm Actual Real Exam Practice
Exam Preparation With Expert
Approved Questions And Correct
Answers (Expertly Verified) With
Rationales| Already Graded A+| Brand
New
A male client who has been taking a high dose of a nonsteroidal anti-
inflammatory drug (NSAID) comes to the clinic complaining of gastric
pain and blood in his stool. The healthcare provider discontinues the
NSAIDs and prescribes esomeprazole. Which information should the
client include in the nurse's teaching plan?
A. Once pain subsides, NSAID therapy can be continued
B. Resume a diet that consists of milk, cream, and bland foods
C. Notify the healthcare provider of the passage of black stool
D. Call the clinic if diarrhea or headache occur when taking
esomeprazole
----Solution----C. Notify the healthcare provider of the passage of black
stool
When administering zolpidem to an older client, which computer
documentation indicates that the desired outcome has
,2 | Page
been achieved?
A. Sleeps soundly through the night
B. Decreased episodes of incontinence
C. Exhibits fewer emotional outburst
D. Improved ability to concentrate
----Solution----A. Sleeps soundly through the night
A male client with a fungal infection of the toenail reports to the nurse
that he has been applying an over-the-counter triple antibiotic ointment
to the infection daily for two weeks without any improvement. Which
action should the nurse take?
A. Instruct the client to obtain a prescription for oral terbinafine
B. Suggest that the client use the ointment twice a day to be more
effective
C. Reassure that the treatment of fungus-infected toenails often takes
several months
D. Advise the client to obtain a prescription-strength formulation of the
ointment
----Solution----A. Instruct the client to obtain a prescription for oral
terbinafine
A client with a nasogastric tube (NGT) has a prescription for sucralfate.
The liquid form of the medication is not currently available in the
pharmacy and tablets have been delivered to the medication dispensing
system. Which action should the nurse include when administering the
medication?
,3 | Page
A. Crush the tablet and mix it with water separately from other
medications
B. Crush the tablet and mix it with other crushed tablets diluted in water
C. Withhold the medication until a liquid form is available on the
nursing unit
D. Crush the tablet and mix it with other liquid medications for
administration
----Solution----A. Crush the tablet and mix it with water separately from
other medications
A client with chronic asthma receives a prescription for montelukast, a
leukotriene modifier. Which statement by the client indicates to the
nurse that medication teaching was effective?
A. I should take this medication only when I am having an asthma attack
B. I will take the tablet every evening to control my asthma
C. This medication will stop an asthma attack immediately
D. I will not need to use my inhalers twice a day when I start this
medication
----Solution----B. I will take the tablet every evening to control my
asthma
The nurse is planning to administer the antiulcer GI agent sucralfate to a
client with peptic ulcer disease. Which action should the nurse include in
this client's plan of care?
A. Assess for secondary Candida infection
B. Administer sucralfate once a day, preferably at bedtime
, 4 | Page
C. Give sucralfate on an empty stomach
D. Monitor for electrolyte imbalance
----Solution----C. Give sucralfate once a day, preferably at bedtime
A client with anemia secondary to chronic kidney disease (CKD) started
a prescription for epoetin alfa two months ago. Which client finding best
indicates that the medication is effective?
A. Reports of increased energy levels and decreased fatigue
B. Takes concurrent iron therapy without adverse effects
C. Food diary shows increased consumption of iron-rich foods
D. Hemoglobin level increased to 12 grams/dL (120 mmol/L)
----Solution----D. Hemoglobin level increased to 12 grams/dL (120
mmol/L)
The healthcare provider prescribes propylthiouracil (PTU) and Lugol's
solution, a strong iodine solution, for a client with hyperthyroidism.
How should the nurse schedule the administration of these medications?
A. Administer iodine one hour before PTU
B. Offer both drugs together with a meal
C. Schedule both medications at bedtime
D. Give parental dose once every 24 hours
----Solution----B. Offer both drugs together with a meal
Twenty minutes after the nurse starts a secondary IV infusion of
cefepime 2 grams using an infusion pump to deliver the dose in one
