HESI Pharmacology Exam Test Bank - Latest 2025/2026 Edition with Verified Questions and Answers for a Grade A Pass

HESI Pharmacology Exam Test Bank - Latest 2025/2026 Edition with Verified Questions and Answers for a Grade A Pass A client is diagnosed with peptic ulcer disease and receives a prescription for esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge teaching, the nurse should include which instruction? A. Drink fluids between meals to relieve gastric distress B. Monitor for an increase in blood pressure during therapy C. Dissolve capsule contents in fruit juice for easier ingestion D. Take at same time each day one hour before eating a meal - answer-D A client receives a new prescription for ciprofloxacin (Cipro), a synthetic quinolone. When teaching about this drug, which information in the client history requires special emphasis by the nurse? A. Snacks on dairy products such as yogurt or ice cream B. Previously had a mild allergic reaction to a cephalosporin C. Consumes alcoholic drinks occasionally on the weekends D. works twenty hours a week as a lifeguard at the local pool - answer-D The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a client. Which assessment finding should the nurse use to evaluate the effectiveness of the medication? A. The absence of seizures B. The increase in lactation C. The presence of bowel sounds D. The number on the numeric pain scale - answer-D Based on the blood culture and sensitivity results, the healthcare provider prescribes an IV aminoglycoside antibiotic and discontinues the current prescription for another broad spectrum antibiotic. The medication administration record indicates that the client received the broad spectrum antibiotic two hours ago. Which action should the nurse implement? A. Obtain peak and trough serum levels so the aminoglycoside antibiotic can be initiated B. Administer the initial dose of the aminoglycoside antibiotic as soon as possible C. Withhold antibiotic administration until the healthcare provider clarifies the prescriptions D. Schedule the initial dose of the aminoglycoside antibiotic for the following day - answer-B The nurse is providing medication teaching for a client who recently received a prescription for clozapine (Clozaril). Which instruction should be included in this client's teaching plan? A. Avoid prolonged sun exposure B. Rise slowly from a lying position C. Do not eat any aged cheese D. Take as needed for anxiety - answer-B A client receives a new prescription for nitroglycerin (Nitrostat) tablets. Which instruction should the nurse include in this client's teaching? A. Take the medication at least an hour before every meal B. Monitor your pulse for 60 seconds before administration C. Place under the tongue as needed every 5 minutes up to 3 times D. REsume normal activities after chest pain relief is obtained - answer-C Which side effects should the nurse monitor for a client who is receiving dexamethasone (Decadron) following neurosurgery? (select all that apply) A. Mood swings B. Decreased appetite C. Increased weight gain D. Serum glucose level of 65 mg/dl E. Delayed incisional wound healing F. Serum hemoglobin level of 9 mg/dl - answer-A,C,E,F A client prescribed sulfisoxazole for a urinary tract infection (UTI) reports nausea and gastric upset since starting the medication. Which additional assessment finding should the nurse report to the healthcare provider immediately? A. Rash B. Diarrhea C. Hematuria D. Muscle cramping - answer-A What teaching should the nurse provide a client who has received a new prescription for sildenafil (Viagra)? (select all that apply) A. Frequent use can lead to the development of hypertension B. Most effective if taken after at least 6 hours of REM sleep C. Take within 30 to 60 minutes of sexual stimulation D. Report rebound priapism that occurs for 4 hours or more E. Can cause facial flushing and headache - answer-C,D,E A client is administered an injection of medroxyprogesterone acetate (deop-provera). Which physical finding should the nurse instruct the client is an expected side effect of the medication? A. leg or calf pain B headaches or visual changes C. Vaginal bleeding or spotting D. Jaundice or angioedema - answer-C A client who is receiving chemotherapy is prescribed ondnsetron (zofran). Which side effect should the nurse include in the teaching plan? A. headache B. dry mouth C. impaired taste D. blurred vision - answer-A The nurse reviews the new prescription, phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI), for a client with depression on the psychiatric unit. Which information is most important for the nurse to assess? A. Consumption of any alcohol or tyramine rich foods B. Reports of nausea or vomiting C. Therapeutic serum drug levels D. Blood pressure and pulse prior to taking each dose - answer-A The nurse is administering haloperidol 0.5 mg IM PRN to a client for the first time. What side effects should the nurse assess thr client during the initial dose? A. Bradykinesia B. Dystonia C. Somatization D. Akathisia - answer-B While reviewing the client's electronic medical record (EMR), the nurse assesses a client who is at risk for a possible interaction with an over-the-counter (OTC) decongestant. Which client health history should the nurse report to the health care provider concerning the OTC medication? (Select all that apply) A. Type 1 diabetes mellitus (DM) B. Closed angle glaucome C. Chronic hypertension D. Rheumatoid arthritis E. Crohn's disease - answer-B,C A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia after using the inhaler. Which action should the nurse implement first?