EVOLVE HESI PHARM COMPREHENSIVE TEST
PAPER Question and Answer 2026 | Complete
Assessment Review Package | A+ Verified
• a client is receiving fentanyl via an epidural infusion. which side effect
should the nurse anticipate in the first 24 hours of epidural analgesia?
- headache
- agitation
- urinary retention
- abdominal cramping and diarrhea -✓✓urinary retention
• a client who takes a statin and gemfibrozil for hyperlipidemia reports
onset of muscle pain and weakness. what additional assessment is most
important for the nurse to obtain?
- serum liver enzymes
- T3 and T4 blood levels
- bowel function
- peripheral sensation -✓✓serum liver enzymes
• a client is taking danazol for endometriosis and calls the clinic nurse to
complain of a dark, swollen and painful leg. what instructions should the
nurse provide the client?
,- wear support stockings
- elevate both legs and apply heat
- proceed to closest ER
- walk for 20 to 30 mins to reduce muscle cramps -✓✓proceed to the
closest emergency room
• a client receives a new prescription for pentazocine, a mixed opioid
agonist antagonist, after an opioid agonist is discontinued. what is the
advantage for the client when the new prescription is implemented?
- tolerance does not occur
- less agitation is experienced
- the analgesic ceiling is higher
- respiratory depression is less -✓✓respiratory depression is less
• a client beginning therapy with montelukast PO 10 mg once per day in
the evening. the client asks the nurse 'when should i begin to feel better?'
how should the nurse respond?
- immediately
- within 24 hours
- in about 12 hours
- 30 minutes to 1 hour -✓✓within 24 hours
,• a client is taking sulfisoxazole for a urinary tract infection and
complains of nausea and gastric upset since starting the med. which
additional adverse reaction should the nurse instruct the client to report?
- rash
- diarrhea
- hematuria
- muscle cramping -✓✓rash
• when prescribed for a client with hepatic encephalopathy, what is the
therapeutic action of lactulose?
- lowers pH of the colon
- softens the stool
- increase glucose absorption
- stimulates peristalsis -✓✓lowers pH of the colon
• which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication?
- tinnitus and hearing loss
- photosensitivity and nervousness
- acute gi bleeding and anorexia
- hyperventilation and CNS effects -✓✓tinnitus and hearing loss
, • a client with paget's disease is started on calcitonin 500 mch sub-q
daily. during the initial treatment, what is the priority nursing action?
- assess injection site for inflammation
- evaluate the client's level of pain
- monitor the client's alkaline phosphate levels
- observe client for signs of hypersensitivity -✓✓observe the client for
signs of hypersensitivity
• 38 year old gravida 2 para 2 is diagnosed with bacterial vaginosis 9
months postpartum. a prescription is written for metronidazole. which
info is most important for the nurse to obtain from the client before
initiating treatment?
- sexual history
- use of oral contraceptive
- method of infant feeding
- possibility of pregnancy -✓✓method of infant feeding
• the nurse receives a unit of blood from the blood bank for a
postoperative client who is currently in the x ray department. which
action should the nurse implement?
- return blood to blood bank for refrigeration within 30 mins
PAPER Question and Answer 2026 | Complete
Assessment Review Package | A+ Verified
• a client is receiving fentanyl via an epidural infusion. which side effect
should the nurse anticipate in the first 24 hours of epidural analgesia?
- headache
- agitation
- urinary retention
- abdominal cramping and diarrhea -✓✓urinary retention
• a client who takes a statin and gemfibrozil for hyperlipidemia reports
onset of muscle pain and weakness. what additional assessment is most
important for the nurse to obtain?
- serum liver enzymes
- T3 and T4 blood levels
- bowel function
- peripheral sensation -✓✓serum liver enzymes
• a client is taking danazol for endometriosis and calls the clinic nurse to
complain of a dark, swollen and painful leg. what instructions should the
nurse provide the client?
,- wear support stockings
- elevate both legs and apply heat
- proceed to closest ER
- walk for 20 to 30 mins to reduce muscle cramps -✓✓proceed to the
closest emergency room
• a client receives a new prescription for pentazocine, a mixed opioid
agonist antagonist, after an opioid agonist is discontinued. what is the
advantage for the client when the new prescription is implemented?
- tolerance does not occur
- less agitation is experienced
- the analgesic ceiling is higher
- respiratory depression is less -✓✓respiratory depression is less
• a client beginning therapy with montelukast PO 10 mg once per day in
the evening. the client asks the nurse 'when should i begin to feel better?'
how should the nurse respond?
- immediately
- within 24 hours
- in about 12 hours
- 30 minutes to 1 hour -✓✓within 24 hours
,• a client is taking sulfisoxazole for a urinary tract infection and
complains of nausea and gastric upset since starting the med. which
additional adverse reaction should the nurse instruct the client to report?
- rash
- diarrhea
- hematuria
- muscle cramping -✓✓rash
• when prescribed for a client with hepatic encephalopathy, what is the
therapeutic action of lactulose?
- lowers pH of the colon
- softens the stool
- increase glucose absorption
- stimulates peristalsis -✓✓lowers pH of the colon
• which findings should the nurse identify in an adult client with possible
chronic salicylate intoxication?
- tinnitus and hearing loss
- photosensitivity and nervousness
- acute gi bleeding and anorexia
- hyperventilation and CNS effects -✓✓tinnitus and hearing loss
, • a client with paget's disease is started on calcitonin 500 mch sub-q
daily. during the initial treatment, what is the priority nursing action?
- assess injection site for inflammation
- evaluate the client's level of pain
- monitor the client's alkaline phosphate levels
- observe client for signs of hypersensitivity -✓✓observe the client for
signs of hypersensitivity
• 38 year old gravida 2 para 2 is diagnosed with bacterial vaginosis 9
months postpartum. a prescription is written for metronidazole. which
info is most important for the nurse to obtain from the client before
initiating treatment?
- sexual history
- use of oral contraceptive
- method of infant feeding
- possibility of pregnancy -✓✓method of infant feeding
• the nurse receives a unit of blood from the blood bank for a
postoperative client who is currently in the x ray department. which
action should the nurse implement?
- return blood to blood bank for refrigeration within 30 mins
