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EVOLVE PHARMACOLOGY HESI EXAM NEWEST 2025
TEST BANK| COMPLETE 350 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
PHARMACOLOGY EVOLVE HESI EXAM REVIEW 2025
(BRAND NEW!!)
Which medication is useful in treating digoxin toxicity?
A. Atropine sulfate
B. Isoproterenol
C. Xylocaine
D. Digoxin immune Fab - Correct Answer - D. Digoxin immune Fab
Digibind is useful in treating this type of drug toxicity because it is an
antibody that binds antigenically to unbound serum digoxin or digitoxin,
resulting in renal excretion of the bound complex. Options A, B, and C
are not used to treat digitoxin toxicity.
The nurse knows that certain antipsychotic drugs cause extrapyramidal
symptoms. Which extrapyramidal symptom is a permanent and
irreversible adverse effect of long-term phenothiazine administration?
A. Dystonia
B. Akathisia
C. Pseudoparkinsonism
D. Tardive dyskinesia - Correct Answer - D. Tardive dyskinesia
pg. 1
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Tardive dyskinesia is a permanent effect of long-term phenothiazine
administration. Options A, B, and C are side effects of phenothiazines
but do not have the characteristics of being permanent and irreversible.
A client receives an antihypertensive agent daily. Which action is most
important for the nurse to implement prior to administering the
medication?
A. Verify the expiration date.
B. Obtain the client's blood pressure.
C. Determine the client's history of adverse reactions.
D. Review the client's medical record for a change in drug route. -
Correct Answer - B. Obtain the client's blood pressure.
To determine the most accurate response to antihypertensive therapy,
baseline blood pressures should be obtained before an antihypertensive
drug is administered and should be compared with orthostatic vital signs
to determine whether any side effects are occurring. Although options A,
C, and D are required nursing actions prior to giving any drug, the
therapeutic response should be determined before another dose is
administered.
The health care provider prescribes ipratropium for a client. An allergic
reaction to which other medication would cause the nurse to question the
prescription for?
A. Albuterol
B. Theophylline
C. Metaproterenol
D. Atropine sulfate - Correct Answer - D. Atropine sulfate
pg. 2
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Clients who have experienced allergic reactions to atropine sulfate and
belladonna alkaloids may also be allergic to ipratropium, so the
prescription for Atrovent should be questioned. Allergies to options A,
B, and C would not cause the nurse to question a prescription for
ipratropium.
The apical heart rate of an infant receiving digoxin for congestive heart
failure is 80 beats/min. Which intervention should the nurse implement
first?
A. Administer the next dose of digoxin as scheduled.
B. Obtain a serum digoxin level.
C. Administer a PRN dose of atropine sulfate.
D. Assess for S3 and S4 heart sounds. - Correct Answer - B. Obtain a
serum digoxin level.
Sinus bradycardia (rate <90 to 110 beats/min in an infant) is an
indication of digoxin toxicity, so assessment of the client's digoxin level
is the highest priority. Further doses of digoxin should be withheld until
the serum level is obtained. Option C is not indicated unless the client
exhibits symptoms of diminished cardiac output. Option D provides
information about cardiac function but is of less priority than option B.
The nurse performs a client assessment prior to the administration of a
prescribed dose of dipyridamole and aspirin PO. The nurse notes that the
client's carotid bruit is louder than previously assessed. Which action
should the nurse implement?
A. Administer the prescribed dose as scheduled.
B. Hold the dose until the health care provider is contacted.
pg. 3
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C. Advise the client to take nothing by mouth until further assessment is
completed.
D. Elevate the head of the bed and apply oxygen by nasal cannula -
Correct Answer - A. Administer the prescribed dose as scheduled.
A carotid bruit reflects the degree of blood vessel turbulence, which is
typically the result of atherosclerosis. Aspirin is prescribed to reduce
platelet aggregation and should be administered to this client, who is at
high risk for thrombus occlusion. Options B, C, and D are not necessary
interventions at this time.
A client who is HIV-positive is receiving epoetin alfa for the
management of anemia secondary to zidovudine (AZT) therapy. Which
laboratory finding is most important for the nurse to report to the health
care provider?
A. Hematocrit (HCT) of 58%
B. Hemoglobin of 10.8 g/dL
C. White blood cell count of 5000 mm3
D. Serum potassium level of 5 mEq/L - Correct Answer - A. Hematocrit
(HCT) of 58%
Option A should be reported to the health care provider immediately
because of the likelihood of a hypertensive crisis and because seizure
activity increases with an increase in HCT of more than 4 points, or an
HCT above 36%. Epoetin alfa stimulates erythropoiesis (production of
red blood cells), thereby decreasing the need for blood transfusions.
Uncontrolled hypertension can occur if erythropoietin levels are too
high. Option B is the reason why the client is receiving epoetin alpha.
Options C and D are within normal limits.
pg. 4
EVOLVE PHARMACOLOGY HESI EXAM NEWEST 2025
TEST BANK| COMPLETE 350 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
PHARMACOLOGY EVOLVE HESI EXAM REVIEW 2025
(BRAND NEW!!)
Which medication is useful in treating digoxin toxicity?
A. Atropine sulfate
B. Isoproterenol
C. Xylocaine
D. Digoxin immune Fab - Correct Answer - D. Digoxin immune Fab
Digibind is useful in treating this type of drug toxicity because it is an
antibody that binds antigenically to unbound serum digoxin or digitoxin,
resulting in renal excretion of the bound complex. Options A, B, and C
are not used to treat digitoxin toxicity.
The nurse knows that certain antipsychotic drugs cause extrapyramidal
symptoms. Which extrapyramidal symptom is a permanent and
irreversible adverse effect of long-term phenothiazine administration?
A. Dystonia
B. Akathisia
C. Pseudoparkinsonism
D. Tardive dyskinesia - Correct Answer - D. Tardive dyskinesia
pg. 1
,2|Page
Tardive dyskinesia is a permanent effect of long-term phenothiazine
administration. Options A, B, and C are side effects of phenothiazines
but do not have the characteristics of being permanent and irreversible.
A client receives an antihypertensive agent daily. Which action is most
important for the nurse to implement prior to administering the
medication?
A. Verify the expiration date.
B. Obtain the client's blood pressure.
C. Determine the client's history of adverse reactions.
D. Review the client's medical record for a change in drug route. -
Correct Answer - B. Obtain the client's blood pressure.
To determine the most accurate response to antihypertensive therapy,
baseline blood pressures should be obtained before an antihypertensive
drug is administered and should be compared with orthostatic vital signs
to determine whether any side effects are occurring. Although options A,
C, and D are required nursing actions prior to giving any drug, the
therapeutic response should be determined before another dose is
administered.
The health care provider prescribes ipratropium for a client. An allergic
reaction to which other medication would cause the nurse to question the
prescription for?
A. Albuterol
B. Theophylline
C. Metaproterenol
D. Atropine sulfate - Correct Answer - D. Atropine sulfate
pg. 2
,3|Page
Clients who have experienced allergic reactions to atropine sulfate and
belladonna alkaloids may also be allergic to ipratropium, so the
prescription for Atrovent should be questioned. Allergies to options A,
B, and C would not cause the nurse to question a prescription for
ipratropium.
The apical heart rate of an infant receiving digoxin for congestive heart
failure is 80 beats/min. Which intervention should the nurse implement
first?
A. Administer the next dose of digoxin as scheduled.
B. Obtain a serum digoxin level.
C. Administer a PRN dose of atropine sulfate.
D. Assess for S3 and S4 heart sounds. - Correct Answer - B. Obtain a
serum digoxin level.
Sinus bradycardia (rate <90 to 110 beats/min in an infant) is an
indication of digoxin toxicity, so assessment of the client's digoxin level
is the highest priority. Further doses of digoxin should be withheld until
the serum level is obtained. Option C is not indicated unless the client
exhibits symptoms of diminished cardiac output. Option D provides
information about cardiac function but is of less priority than option B.
The nurse performs a client assessment prior to the administration of a
prescribed dose of dipyridamole and aspirin PO. The nurse notes that the
client's carotid bruit is louder than previously assessed. Which action
should the nurse implement?
A. Administer the prescribed dose as scheduled.
B. Hold the dose until the health care provider is contacted.
pg. 3
, 4|Page
C. Advise the client to take nothing by mouth until further assessment is
completed.
D. Elevate the head of the bed and apply oxygen by nasal cannula -
Correct Answer - A. Administer the prescribed dose as scheduled.
A carotid bruit reflects the degree of blood vessel turbulence, which is
typically the result of atherosclerosis. Aspirin is prescribed to reduce
platelet aggregation and should be administered to this client, who is at
high risk for thrombus occlusion. Options B, C, and D are not necessary
interventions at this time.
A client who is HIV-positive is receiving epoetin alfa for the
management of anemia secondary to zidovudine (AZT) therapy. Which
laboratory finding is most important for the nurse to report to the health
care provider?
A. Hematocrit (HCT) of 58%
B. Hemoglobin of 10.8 g/dL
C. White blood cell count of 5000 mm3
D. Serum potassium level of 5 mEq/L - Correct Answer - A. Hematocrit
(HCT) of 58%
Option A should be reported to the health care provider immediately
because of the likelihood of a hypertensive crisis and because seizure
activity increases with an increase in HCT of more than 4 points, or an
HCT above 36%. Epoetin alfa stimulates erythropoiesis (production of
red blood cells), thereby decreasing the need for blood transfusions.
Uncontrolled hypertension can occur if erythropoietin levels are too
high. Option B is the reason why the client is receiving epoetin alpha.
Options C and D are within normal limits.
pg. 4
