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HESI PHARMACOLOGY EVOLVE / EVOLVE PHARMACOLOGY HESI
NEWEST 2026 COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Dopamine is administered to a client who is hypotensive. Which finding
should the nurse identify as a therapeutic response?
A. Gain in weight
B. Increase in urine output
C. Improved gastric motility
D. Decrease in blood pressure - ANSWER-B. Increase in urine output
Intropin activates dopamine receptors in the kidney and dilates blood
vessels to improve renal perfusion, so an increase in urine output
indicates an increase in glomerular filtration caused by increased
arterial blood pressure. Option A is related to fluid retention but is not
an indicator of a therapeutic response to dopamine therapy. Option C
is not related to the vasopressor effect of dopamine therapy. Dopamine
increases cardiac output, which increases a client's blood pressure,
not option D.
A client receives pancuronium, a long-acting, nondepolarizing
neuromuscular blocker, during surgical anesthesia. Which client situation
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should alert the nurse to evaluate the client for a prolonged muscle relaxation
response to this medication?
A. Hepatitis
B. Heart failure
C. Renal insufficiency
D. History of emphysema - ANSWER-C. Renal insufficiency
Pancuronium is eliminated via the kidneys, so a client with renal failure
is at risk for prolonged muscle relaxation. Although hepatitis can
interfere with this drug's metabolism, it does not place a client at
increased risk for prolonged muscle relaxation. Options B and D do not
cause prolonged muscle relaxation in a client who receives
pancuronium.
The health care provider prescribes the anticonvulsant carbamazepine for
an adolescent client with a seizure disorder. The nurse should instruct the
client to notify the health care provider if which condition occurs?
A. Experiences dry mouth.
B. Experiences dizziness.
C. Develops a sore throat.
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D. Develops gingival hyperplasia. - ANSWER-C. Develops a sore throat.
Blood dyscrasias (aplastic anemia, leukopenia, anemia, and
thrombocytopenia) can be an adverse effect of carbamazepine. Flulike
symptoms, such as pallor, fatigue, sore throat, and fever, are
indications of such dyscrasias. Options A and B are expected
reactions. Option D is a side effect of phenytoin, not carbamazepine.
A psychiatric client is discharged from the hospital with a prescription for
haloperidol. Which instruction should the nurse include in the discharge
teaching plan for this client?
A. Take with antacids to reduce gastrointestinal irritation.
B. Use sunglasses and sunscreen when outdoors.
C. Eat foods low in fiber and salt.
D. Count the pulse before each dose. - ANSWER-B. Use sunglasses and
sunscreen when outdoors.
Photosensitivity is a common adverse effect of haloperidol (Haldol);
therefore, the use of sunglasses and sunscreen should be included in
the discharge teaching for this client. Options A, C, and D are not
pertinent to client teaching regarding the use of haloperidol (Haldol).
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The nurse is reviewing prescribed medications with a female client who is
preparing for discharge. The client asks the nurse why the oral dose of an
opioid analgesic is higher than the IV dose that she received during
hospitalization. Which response is best for the nurse to provide?
A. A higher dose of analgesic medication may be needed after discharge.
B. An error in the dose calculation may have occurred when the prescribed
dose was converted.
C. The doses should be the same unless the pain is not well controlled.
D. Oral forms of drugs must pass through the liver first, where more of the
dose is metabolized. - ANSWER-D. Oral forms of drugs must pass through
the liver first, where more of the dose is metabolized.
Oral doses of medication are usually larger than parenteral doses to
compensate for the first-pass effect in the liver after oral
administration, which metabolizes more of the drug's dose before
affecting its therapeutic response. Although recommended dose
ranges for adults should be individualized, a client's pain should be
controlled at discharge, not option A or C. Option B is inaccurate
information to convey to the client.
The nurse is scheduling a client's antibiotic peak and trough levels with the
laboratory personnel. What is the best schedule for drawing the trough level?
HESI PHARMACOLOGY EVOLVE / EVOLVE PHARMACOLOGY HESI
NEWEST 2026 COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
Dopamine is administered to a client who is hypotensive. Which finding
should the nurse identify as a therapeutic response?
A. Gain in weight
B. Increase in urine output
C. Improved gastric motility
D. Decrease in blood pressure - ANSWER-B. Increase in urine output
Intropin activates dopamine receptors in the kidney and dilates blood
vessels to improve renal perfusion, so an increase in urine output
indicates an increase in glomerular filtration caused by increased
arterial blood pressure. Option A is related to fluid retention but is not
an indicator of a therapeutic response to dopamine therapy. Option C
is not related to the vasopressor effect of dopamine therapy. Dopamine
increases cardiac output, which increases a client's blood pressure,
not option D.
A client receives pancuronium, a long-acting, nondepolarizing
neuromuscular blocker, during surgical anesthesia. Which client situation
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should alert the nurse to evaluate the client for a prolonged muscle relaxation
response to this medication?
A. Hepatitis
B. Heart failure
C. Renal insufficiency
D. History of emphysema - ANSWER-C. Renal insufficiency
Pancuronium is eliminated via the kidneys, so a client with renal failure
is at risk for prolonged muscle relaxation. Although hepatitis can
interfere with this drug's metabolism, it does not place a client at
increased risk for prolonged muscle relaxation. Options B and D do not
cause prolonged muscle relaxation in a client who receives
pancuronium.
The health care provider prescribes the anticonvulsant carbamazepine for
an adolescent client with a seizure disorder. The nurse should instruct the
client to notify the health care provider if which condition occurs?
A. Experiences dry mouth.
B. Experiences dizziness.
C. Develops a sore throat.
,3|Page
D. Develops gingival hyperplasia. - ANSWER-C. Develops a sore throat.
Blood dyscrasias (aplastic anemia, leukopenia, anemia, and
thrombocytopenia) can be an adverse effect of carbamazepine. Flulike
symptoms, such as pallor, fatigue, sore throat, and fever, are
indications of such dyscrasias. Options A and B are expected
reactions. Option D is a side effect of phenytoin, not carbamazepine.
A psychiatric client is discharged from the hospital with a prescription for
haloperidol. Which instruction should the nurse include in the discharge
teaching plan for this client?
A. Take with antacids to reduce gastrointestinal irritation.
B. Use sunglasses and sunscreen when outdoors.
C. Eat foods low in fiber and salt.
D. Count the pulse before each dose. - ANSWER-B. Use sunglasses and
sunscreen when outdoors.
Photosensitivity is a common adverse effect of haloperidol (Haldol);
therefore, the use of sunglasses and sunscreen should be included in
the discharge teaching for this client. Options A, C, and D are not
pertinent to client teaching regarding the use of haloperidol (Haldol).
, 4|Page
The nurse is reviewing prescribed medications with a female client who is
preparing for discharge. The client asks the nurse why the oral dose of an
opioid analgesic is higher than the IV dose that she received during
hospitalization. Which response is best for the nurse to provide?
A. A higher dose of analgesic medication may be needed after discharge.
B. An error in the dose calculation may have occurred when the prescribed
dose was converted.
C. The doses should be the same unless the pain is not well controlled.
D. Oral forms of drugs must pass through the liver first, where more of the
dose is metabolized. - ANSWER-D. Oral forms of drugs must pass through
the liver first, where more of the dose is metabolized.
Oral doses of medication are usually larger than parenteral doses to
compensate for the first-pass effect in the liver after oral
administration, which metabolizes more of the drug's dose before
affecting its therapeutic response. Although recommended dose
ranges for adults should be individualized, a client's pain should be
controlled at discharge, not option A or C. Option B is inaccurate
information to convey to the client.
The nurse is scheduling a client's antibiotic peak and trough levels with the
laboratory personnel. What is the best schedule for drawing the trough level?
