PHARM II HESI EXAM WITH
CORRECT ANSWERS 2025 GRADED
A+
Which of the following is a rapid acting insulin and should be administered
immediately before a meal?
A. Glargine
B. Aspart (Lispro)
C. NPH
D. Regular ( correct answers ) B. Aspart
rationale: onset is 5 minutes
Glargine=Lantus (long lasting)
A PT has an anaphylactic allergy to sulfa drugs. She receives
sulfamethoxazole. She becomes flushed and SOB. Her HR is normal but her
BP is dropping. You first administer
A. Epinephrine
B. Diphenhydramine
C. Albuterol
D. Atropine ( correct answers ) A. Epi
rationale: raises BP
Which of the following would be an adverse effect of methimazole (Tapazole)
A. Tachycardia
B. Bradycardia
GRADED A+
,C. SOB
D. Arrhythmias ( correct answers ) This is an anti-thyroid medication
B. Bradycardia
One of your PTs is started on verapamil (Calan). Before administering the
dose you check
A. HR
B. urine output
C. weight
D. temp ( correct answers ) this is a calcium channel blocker--worried
about HR
A. HR
One of your PTs is to be started on iron sulfate therapy. You instruct him to:
A. take with meals
B. take on empty stomach
C. remain upright for at least 60 min following administration
D. take with vitamin A to increase absorption ( correct answers ) B. take
on empty stomach
rationale: taking with food lessens absorption, but it can cause upset
stomach so most like to take with food
take iron with vitamin C to increase absorption
liquid iron-drink through straw bc it can stain teeth black
which of the following should be considered when administering IV
potassium?
A. Max rate infused through central line is 20 meq/h
B. Max rate infused through peripheral line is 10 meq/h
C. Max concentration through a central line is 20 meq/50ml
D. Max concentration through peripheral line is 10 meq/100ml
GRADED A+
, E. all of the above ( correct answers ) E. all of the above
will usually be infused peripherally
which is the following agents is used to treat MG
A. Atropine (anticholinergic)
B. Pyridostigmine (Mestinon-acetylcholinesterase inhibitor)
C. Metoprolol (Lopressor-beta blocker)
D. Albuterol (Proventil-beta 2 agonist) ( correct answers ) B.
Pyridostigmine
rationale: Atropine is emergency drug for bradycardia
which of the following would you monitor for patients started on a narcotic
like morphine?
A. HR
B. respiratory rate
C. liver function tests
D. creatine phosphokinase (CPK) ( correct answers ) A. HR
PT is receiving baclofen (Lioresal). This medication can cause
A. sedation
B. seizures
C. none of the above
D. all of the above ( correct answers ) this is a skeletal muscle relaxer
A. sedation
rationale: seizures can happen if you discontinue this med
PT is started on orlistat (Xenical, Alli). You identify that this medication
A. is a lipase inhibitor used to treat diabetes
B. is a lipase inhibitor used to treat obesity
GRADED A+
CORRECT ANSWERS 2025 GRADED
A+
Which of the following is a rapid acting insulin and should be administered
immediately before a meal?
A. Glargine
B. Aspart (Lispro)
C. NPH
D. Regular ( correct answers ) B. Aspart
rationale: onset is 5 minutes
Glargine=Lantus (long lasting)
A PT has an anaphylactic allergy to sulfa drugs. She receives
sulfamethoxazole. She becomes flushed and SOB. Her HR is normal but her
BP is dropping. You first administer
A. Epinephrine
B. Diphenhydramine
C. Albuterol
D. Atropine ( correct answers ) A. Epi
rationale: raises BP
Which of the following would be an adverse effect of methimazole (Tapazole)
A. Tachycardia
B. Bradycardia
GRADED A+
,C. SOB
D. Arrhythmias ( correct answers ) This is an anti-thyroid medication
B. Bradycardia
One of your PTs is started on verapamil (Calan). Before administering the
dose you check
A. HR
B. urine output
C. weight
D. temp ( correct answers ) this is a calcium channel blocker--worried
about HR
A. HR
One of your PTs is to be started on iron sulfate therapy. You instruct him to:
A. take with meals
B. take on empty stomach
C. remain upright for at least 60 min following administration
D. take with vitamin A to increase absorption ( correct answers ) B. take
on empty stomach
rationale: taking with food lessens absorption, but it can cause upset
stomach so most like to take with food
take iron with vitamin C to increase absorption
liquid iron-drink through straw bc it can stain teeth black
which of the following should be considered when administering IV
potassium?
A. Max rate infused through central line is 20 meq/h
B. Max rate infused through peripheral line is 10 meq/h
C. Max concentration through a central line is 20 meq/50ml
D. Max concentration through peripheral line is 10 meq/100ml
GRADED A+
, E. all of the above ( correct answers ) E. all of the above
will usually be infused peripherally
which is the following agents is used to treat MG
A. Atropine (anticholinergic)
B. Pyridostigmine (Mestinon-acetylcholinesterase inhibitor)
C. Metoprolol (Lopressor-beta blocker)
D. Albuterol (Proventil-beta 2 agonist) ( correct answers ) B.
Pyridostigmine
rationale: Atropine is emergency drug for bradycardia
which of the following would you monitor for patients started on a narcotic
like morphine?
A. HR
B. respiratory rate
C. liver function tests
D. creatine phosphokinase (CPK) ( correct answers ) A. HR
PT is receiving baclofen (Lioresal). This medication can cause
A. sedation
B. seizures
C. none of the above
D. all of the above ( correct answers ) this is a skeletal muscle relaxer
A. sedation
rationale: seizures can happen if you discontinue this med
PT is started on orlistat (Xenical, Alli). You identify that this medication
A. is a lipase inhibitor used to treat diabetes
B. is a lipase inhibitor used to treat obesity
GRADED A+
