PHARM HESI PRACTICE EXAM QUESTIONS AND
ANSWERS 2025/2026
1156) A client with myasthenia gravis has been receiving neostigmine and asks
about its action. Which information would the nurse consider when formulating a
response?
Stimulates the cerebral cortex
Blocks the action of cholinesterase
Replaces deficient neurotransmitters
Accelerates transmission along neural sheaths
Replaces deficient neurotransmitters
A client is admitted to the hospital for diagnostic testing for possible myasthenia
gravis. The nurse prepares for intravenous administration of edrophonium
chloride (Tensilon). What is the expected outcome for this client following
administration of this pharmacologic agent?
A. Progressive difficulty with swallowing.
B. Decreased respiratory effort.
C. Improvement in generalized fatigue.
D. Decreased muscle weakness.
D. Decreased muscle weakness.
1150) A client is undergoing diagnostic testing for myasthenia gravis. Which test
would the nurse identify as the most specific for this diagnosis?
Electromyography
Pyridostigmine test
Edrophonium
chloride test History
of physical
deterioration
,Edrophonium chloride test
799) A client suspected of having myasthenia gravis is scheduled for an
edrophonium chloride test. To treat a common complication associated with the
test, the nurse will have which medication available?
Atropine
Phenytoin
Neostigmine
Diphenhydramine
Atropine
376) Which test would the nurse identify as specific for the diagnosis of
myasthenia gravis?
Electromyography
Pyridostigmine test
Edrophonium chloride test
History of physical deterioration
Edrophonium chloride test
A client is admitted to the hospital for diagnostic testing for possible myasthenia
gravis. The nurse prepares for intravenous administration of edrophonium
chloride (Tensilon). What is the expected outcome for this client following
administration of this pharmacologic agent?
A. Progressive difficulty with swallowing.
B. Decreased respiratory effort.
C. Improvement in generalized fatigue.
D. Decreased muscle weakness.
D. Decreased muscle weakness.
799) A client suspected of having myasthenia gravis is scheduled for an
edrophonium chloride test. To treat a common complication associated with the
test, the nurse will have which medication available?
, Atropine
Phenytoin
Neostigmine
Diphenhydramine
Atropine
Question 14
The nurse has administered fentanyl, atropine, cefazolin and benzocaine to a
client for an endoscopic procedure. The nurse is monitoring the client and notes
that the heart rate has increased from the preprocedure baseline. The nurse
knows that which of the following medications is most likely responsible for the
client's increased heart rate?
A) Fentanyl
B) Atropine
C) Cefazolin
D) Benzocaine
B) Atropine
Question 7
The nurse is caring for a client who has been prescribed atropine preoperatively.
The nurse understands the intended purpose for administering this
preoperatively is to induce which effect?
A) Reduce heart rate
B) Elevate blood pressure
C) Enhance sedation
D) Decrease secretions
C) Enhance sedation
1504) Pilocarpine is used as part of the diagnostic process of a toddler suspected
of cystic fibrosis. The nurse knows that the pilocarpine would stimulate which
process?
ANSWERS 2025/2026
1156) A client with myasthenia gravis has been receiving neostigmine and asks
about its action. Which information would the nurse consider when formulating a
response?
Stimulates the cerebral cortex
Blocks the action of cholinesterase
Replaces deficient neurotransmitters
Accelerates transmission along neural sheaths
Replaces deficient neurotransmitters
A client is admitted to the hospital for diagnostic testing for possible myasthenia
gravis. The nurse prepares for intravenous administration of edrophonium
chloride (Tensilon). What is the expected outcome for this client following
administration of this pharmacologic agent?
A. Progressive difficulty with swallowing.
B. Decreased respiratory effort.
C. Improvement in generalized fatigue.
D. Decreased muscle weakness.
D. Decreased muscle weakness.
1150) A client is undergoing diagnostic testing for myasthenia gravis. Which test
would the nurse identify as the most specific for this diagnosis?
Electromyography
Pyridostigmine test
Edrophonium
chloride test History
of physical
deterioration
,Edrophonium chloride test
799) A client suspected of having myasthenia gravis is scheduled for an
edrophonium chloride test. To treat a common complication associated with the
test, the nurse will have which medication available?
Atropine
Phenytoin
Neostigmine
Diphenhydramine
Atropine
376) Which test would the nurse identify as specific for the diagnosis of
myasthenia gravis?
Electromyography
Pyridostigmine test
Edrophonium chloride test
History of physical deterioration
Edrophonium chloride test
A client is admitted to the hospital for diagnostic testing for possible myasthenia
gravis. The nurse prepares for intravenous administration of edrophonium
chloride (Tensilon). What is the expected outcome for this client following
administration of this pharmacologic agent?
A. Progressive difficulty with swallowing.
B. Decreased respiratory effort.
C. Improvement in generalized fatigue.
D. Decreased muscle weakness.
D. Decreased muscle weakness.
799) A client suspected of having myasthenia gravis is scheduled for an
edrophonium chloride test. To treat a common complication associated with the
test, the nurse will have which medication available?
, Atropine
Phenytoin
Neostigmine
Diphenhydramine
Atropine
Question 14
The nurse has administered fentanyl, atropine, cefazolin and benzocaine to a
client for an endoscopic procedure. The nurse is monitoring the client and notes
that the heart rate has increased from the preprocedure baseline. The nurse
knows that which of the following medications is most likely responsible for the
client's increased heart rate?
A) Fentanyl
B) Atropine
C) Cefazolin
D) Benzocaine
B) Atropine
Question 7
The nurse is caring for a client who has been prescribed atropine preoperatively.
The nurse understands the intended purpose for administering this
preoperatively is to induce which effect?
A) Reduce heart rate
B) Elevate blood pressure
C) Enhance sedation
D) Decrease secretions
C) Enhance sedation
1504) Pilocarpine is used as part of the diagnostic process of a toddler suspected
of cystic fibrosis. The nurse knows that the pilocarpine would stimulate which
process?
