HESI Pharmacology Practice Test: Structured for
Success in Every Examination with Questions and
Solutions from Top-Tier Universities and Expert
Rationales
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 - CORRECT ANS- -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 - CORRECT ANS- -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 - CORRECT ANS- -B,C
A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia
after using the inhaler. Which action should the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to the healthcare provider
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes
C. reassure client that the ipratropium given will alleviate the symptoms
D. Delay administration of ipratropium until the next maintenance medication is scheduled
- CORRECT ANS- -A
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry
vision, and shooting pains in both legs. Which medication is considered the best course of
treatment for the nurse to administer?
A. High dose methylprednisolone intravenously
B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
D. Immunomodulatory drug therapy periodically - CORRECT ANS- -A
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic encephalopathy.
Which assessment finding would indicate the medication is being therapeutic?
A. A decrease in blood ammonia levels
, B. A softening in the stools
C. An increase in glucose absorption
D. A suppression of gut acidification - CORRECT ANS- -A
The nurse is teaching a client who is newly diagnosed with type 1 diabetes about neutral
protamine Hagedor (NPH) insulin. Which statement by the client indicates an
understanding of how the medication works?
A. It facilitates the transport of glucose into the cells
B. It stimulates the function of beta cells in the pancreas
C. It increases the intracellular receptor site sensitivity
D. It delays the carbohydrate digestion and absorption - CORRECT ANS- -A
The nurse should withhold which medication if a client reports nausea, vomiting, and
diarrhea?
A. Colchicine (Mitigare, Colcrys)
B. Erythromycin (E-mycin)
C. Naproxen (Aleve, Naprosyn)
D. Labetolol (Normodyne) - CORRECT ANS- -A
A client newly prescribed esomeprazole for gastroesophageal reflux disease (GERD) asks
the nurse how the medication will help. Which is the best explanation to provide the client?
A. It will promote rapid tissue healing
B. It will increase gastric emptying
C. It will improve esophageal peristalsis
Success in Every Examination with Questions and
Solutions from Top-Tier Universities and Expert
Rationales
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 - CORRECT ANS- -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 - CORRECT ANS- -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 - CORRECT ANS- -B,C
A client prescribed ipratropium reports nausea, blurred vision, headaches, and insomnia
after using the inhaler. Which action should the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to the healthcare provider
B. Give PRN medication for nausea and vomiting and evaluate client in 30 minutes
C. reassure client that the ipratropium given will alleviate the symptoms
D. Delay administration of ipratropium until the next maintenance medication is scheduled
- CORRECT ANS- -A
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry
vision, and shooting pains in both legs. Which medication is considered the best course of
treatment for the nurse to administer?
A. High dose methylprednisolone intravenously
B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
D. Immunomodulatory drug therapy periodically - CORRECT ANS- -A
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic encephalopathy.
Which assessment finding would indicate the medication is being therapeutic?
A. A decrease in blood ammonia levels
, B. A softening in the stools
C. An increase in glucose absorption
D. A suppression of gut acidification - CORRECT ANS- -A
The nurse is teaching a client who is newly diagnosed with type 1 diabetes about neutral
protamine Hagedor (NPH) insulin. Which statement by the client indicates an
understanding of how the medication works?
A. It facilitates the transport of glucose into the cells
B. It stimulates the function of beta cells in the pancreas
C. It increases the intracellular receptor site sensitivity
D. It delays the carbohydrate digestion and absorption - CORRECT ANS- -A
The nurse should withhold which medication if a client reports nausea, vomiting, and
diarrhea?
A. Colchicine (Mitigare, Colcrys)
B. Erythromycin (E-mycin)
C. Naproxen (Aleve, Naprosyn)
D. Labetolol (Normodyne) - CORRECT ANS- -A
A client newly prescribed esomeprazole for gastroesophageal reflux disease (GERD) asks
the nurse how the medication will help. Which is the best explanation to provide the client?
A. It will promote rapid tissue healing
B. It will increase gastric emptying
C. It will improve esophageal peristalsis
