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HESI Pharmacology Exam Practice 2025 (NCLEX
PN) 2 VERSIONS ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES (100% CORRECT
ANSWERS) /ALREADY GRADED A+
Save
Terms in this set (245)
3. Calcitonin (Miacalcin) 1) A nurse is caring for a client with
Rationale: hyperparathyroidism and notes that the client's
The normal serum serum calcium level is 13 mg/dL. Which medication
calcium level is 8.6 to 10.0 should the nurse prepare to administer as
mg/dL. This client is prescribed to the client?
experiencing 1. Calcium chloride
hypercalcemia. Calcium 2. Calcium gluconate
gluconate and calcium 3. Calcitonin (Miacalcin)
chloride are medications 4. Large doses of vitamin D
used for the treatment of
tetany, which occurs as a
result of acute
hypocalcemia. In
hypercalcemia, large
doses of vitamin D need
to be avoided. Calcitonin,
a thyroid hormone,
decreases the plasma
calcium level by inhibiting
bone resorption and
lowering the serum
calcium concentration.
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4. Orange juice 2.) Oral iron supplements are prescribed for a 6-
Rationale: year-old child with iron deficiency anemia. The nurse
Vitamin C increases the instructs the mother to administer the iron with
absorption of iron by the which best food item?
body. The mother should 1. Milk
be instructed to 2. Water
administer the 3. Apple juice
medication with a citrus 4. Orange juice
fruit or a juice that is high
in vitamin C. Milk may
affect absorption of the
iron. Water will not assist
in absorption. Orange
juice contains a greater
amount of vitamin C than
apple juice.
1. Tinnitus 3.) Salicylic acid is prescribed for a client with a
Rationale: diagnosis of psoriasis. The nurse monitors the client,
Salicylic acid is absorbed knowing that which of the following would indicate
readily through the skin, the presence of systemic toxicity from this
and systemic toxicity medication?
(salicylism) can result. 1. Tinnitus
Symptoms include 2. Diarrhea
tinnitus, dizziness, 3. Constipation
hyperpnea, and 4. Decreased respirations
psychological
disturbances.
Constipation and
diarrhea are not
associated with
salicylism.
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4. At least 30 minutes 4.) The camp nurse asks the children preparing to
before exposure to the swim in the lake if they have applied sunscreen. The
sun nurse reminds the children that chemical sunscreens
Rationale: are most effective when applied:
Sunscreens are most 1. Immediately before swimming
effective when applied at 2. 15 minutes before exposure to the sun
least 30 minutes before 3. Immediately before exposure to the sun
exposure to the sun so 4. At least 30 minutes before exposure to the sun
that they can penetrate
the skin. All sunscreens
should be reapplied after
swimming or sweating.
3. Informing the client 5.) Mafenide acetate (Sulfamylon) is prescribed for
that this is normal the client with a burn injury. When applying the
Rationale: medication, the client complains of local discomfort
Mafenide acetate is and burning. Which of the following is the most
bacteriostatic for gram- appropriate nursing action?
negative and gram- 1. Notifying the registered nurse
positive organisms and is 2. Discontinuing the medication
used to treat burns to 3. Informing the client that this is normal
reduce bacteria present 4. Applying a thinner film than prescribed to the
in avascular tissues. The burn site
client should be
informed that the
medication will cause
local discomfort and
burning and that this is a
normal reaction;
therefore options 1, 2,
and 4 are incorrect
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1.Hyperventilation 6.) The burn client is receiving treatments of topical
Rationale: mafenide acetate (Sulfamylon) to the site of injury.
Mafenide acetate is a The nurse monitors the client, knowing that which of
carbonic anhydrase the following indicates that a systemic effect has
inhibitor and can occurred?
suppress renal excretion 1.Hyperventilation
of acid, thereby causing 2.Elevated blood pressure
acidosis. Clients receiving 3.Local pain at the burn site
this treatment should be 4.Local rash at the burn site
monitored for signs of an
acid-base imbalance
(hyperventilation). If this
occurs, the medication
should be discontinued
for 1 to 2 days. Options 3
and 4 describe local
rather than systemic
effects. An elevated
blood pressure may be
expected from the pain
that occurs with a burn
injury.
2. Triglyceride level 7.) Isotretinoin is prescribed for a client with severe
Rationale: acne. Before the administration of this medication,
Isotretinoin can elevate the nurse anticipates that which laboratory test will
triglyceride levels. Blood be prescribed?
triglyceride levels should 1. Platelet count
be measured before 2. Triglyceride level
treatment and 3. Complete blood count
periodically thereafter 4. White blood cell count
until the effect on the
triglycerides has been
evaluated. Options 1, 3,
and 4 do not need to be
monitored specifically
during this treatment.
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HESI Pharmacology Exam Practice 2025 (NCLEX
PN) 2 VERSIONS ACTUAL EXAM COMPLETE 300
QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES (100% CORRECT
ANSWERS) /ALREADY GRADED A+
Save
Terms in this set (245)
3. Calcitonin (Miacalcin) 1) A nurse is caring for a client with
Rationale: hyperparathyroidism and notes that the client's
The normal serum serum calcium level is 13 mg/dL. Which medication
calcium level is 8.6 to 10.0 should the nurse prepare to administer as
mg/dL. This client is prescribed to the client?
experiencing 1. Calcium chloride
hypercalcemia. Calcium 2. Calcium gluconate
gluconate and calcium 3. Calcitonin (Miacalcin)
chloride are medications 4. Large doses of vitamin D
used for the treatment of
tetany, which occurs as a
result of acute
hypocalcemia. In
hypercalcemia, large
doses of vitamin D need
to be avoided. Calcitonin,
a thyroid hormone,
decreases the plasma
calcium level by inhibiting
bone resorption and
lowering the serum
calcium concentration.
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4. Orange juice 2.) Oral iron supplements are prescribed for a 6-
Rationale: year-old child with iron deficiency anemia. The nurse
Vitamin C increases the instructs the mother to administer the iron with
absorption of iron by the which best food item?
body. The mother should 1. Milk
be instructed to 2. Water
administer the 3. Apple juice
medication with a citrus 4. Orange juice
fruit or a juice that is high
in vitamin C. Milk may
affect absorption of the
iron. Water will not assist
in absorption. Orange
juice contains a greater
amount of vitamin C than
apple juice.
1. Tinnitus 3.) Salicylic acid is prescribed for a client with a
Rationale: diagnosis of psoriasis. The nurse monitors the client,
Salicylic acid is absorbed knowing that which of the following would indicate
readily through the skin, the presence of systemic toxicity from this
and systemic toxicity medication?
(salicylism) can result. 1. Tinnitus
Symptoms include 2. Diarrhea
tinnitus, dizziness, 3. Constipation
hyperpnea, and 4. Decreased respirations
psychological
disturbances.
Constipation and
diarrhea are not
associated with
salicylism.
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4. At least 30 minutes 4.) The camp nurse asks the children preparing to
before exposure to the swim in the lake if they have applied sunscreen. The
sun nurse reminds the children that chemical sunscreens
Rationale: are most effective when applied:
Sunscreens are most 1. Immediately before swimming
effective when applied at 2. 15 minutes before exposure to the sun
least 30 minutes before 3. Immediately before exposure to the sun
exposure to the sun so 4. At least 30 minutes before exposure to the sun
that they can penetrate
the skin. All sunscreens
should be reapplied after
swimming or sweating.
3. Informing the client 5.) Mafenide acetate (Sulfamylon) is prescribed for
that this is normal the client with a burn injury. When applying the
Rationale: medication, the client complains of local discomfort
Mafenide acetate is and burning. Which of the following is the most
bacteriostatic for gram- appropriate nursing action?
negative and gram- 1. Notifying the registered nurse
positive organisms and is 2. Discontinuing the medication
used to treat burns to 3. Informing the client that this is normal
reduce bacteria present 4. Applying a thinner film than prescribed to the
in avascular tissues. The burn site
client should be
informed that the
medication will cause
local discomfort and
burning and that this is a
normal reaction;
therefore options 1, 2,
and 4 are incorrect
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1.Hyperventilation 6.) The burn client is receiving treatments of topical
Rationale: mafenide acetate (Sulfamylon) to the site of injury.
Mafenide acetate is a The nurse monitors the client, knowing that which of
carbonic anhydrase the following indicates that a systemic effect has
inhibitor and can occurred?
suppress renal excretion 1.Hyperventilation
of acid, thereby causing 2.Elevated blood pressure
acidosis. Clients receiving 3.Local pain at the burn site
this treatment should be 4.Local rash at the burn site
monitored for signs of an
acid-base imbalance
(hyperventilation). If this
occurs, the medication
should be discontinued
for 1 to 2 days. Options 3
and 4 describe local
rather than systemic
effects. An elevated
blood pressure may be
expected from the pain
that occurs with a burn
injury.
2. Triglyceride level 7.) Isotretinoin is prescribed for a client with severe
Rationale: acne. Before the administration of this medication,
Isotretinoin can elevate the nurse anticipates that which laboratory test will
triglyceride levels. Blood be prescribed?
triglyceride levels should 1. Platelet count
be measured before 2. Triglyceride level
treatment and 3. Complete blood count
periodically thereafter 4. White blood cell count
until the effect on the
triglycerides has been
evaluated. Options 1, 3,
and 4 do not need to be
monitored specifically
during this treatment.
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