PRACTICE EXAM: PHARM HESI,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
The nurse is caring for a client who has taken atenolol for 2 years.
The healthcare provider recently changed the medication to
enalapril to manage the client's blood pressure. Which instruction
should the nurse provide the client regarding the new
medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair. - CORRECT
ANSWERS- D. Rise slowly when getting out of bed or chair.
A postoperative client receiving a continuous IV infusion of
meperidine 35 mg/hr for the past four days has become
increasingly restless and irritable, and begins to hallucinate.
Which action should the nurse take first?
A. Administer a PRN dose of the PO lithium.
B. Administer naloxone IV push.
C. Decrease the IV infusion rate of the meperidine.
,D. Increase the IV infusion rate of the meperidine. - CORRECT
ANSWERS- C. Decrease the IV infusion rate of the meperidine.
A client being discharged is prescribed warfarin for the treatment
following a pulmonary embolism. Which diagnostic test should the
nurse instruct the client to receive once a month?
A. Perfusion scan.
B. Prothrombin Time (PT).
C. Activated partial thromboplastin (aPTT).
D. Serum Coumadin level (SCL). - CORRECT ANSWERS- B.
Prothrombin Time (PT).
A client with Parkinson's disease is taking carbidopa-levodopa
(Sinemet). Which observation by the nurse would indicate that the
desired outcome of the medication is being achieved?
A. Decreased blood pressure.
B. Lessening of tremors.
C. Increased salivation.
D. Increased attention span. - CORRECT ANSWERS- B. Lessening
of tremors.
A client being treated for hyperthyroidism with propylthiouracil
(PTU) asks the nurse how the medication works. Which is the best
response to give the client?
,A. It decreases the amount of thyroid-stimulating hormone
circulating in the blood.
B. It increases the amount of thyroid-stimulating hormone
circulating in the blood.
C. It enhances the amount of T4 and diminishes the amount of T3
produced by the thyroid.
D. It inhibits the synthesis of T3 and T4 by the thyroid gland. -
CORRECT ANSWERS- D. It inhibits the synthesis of T3 and T4 by
the thyroid gland.
A client with heart failure is being discharged with a new
prescription for the angiotensin-converting enzyme (ACE) inhibitor
captopril (Capoten). The nurse's discharge instructions should
include reporting which problem to the healthcare provider?
A. Weight loss.
B. Dizziness.
C. Muscle cramps.
D. Dry mucous membranes. - CORRECT ANSWERS- B. Dizziness.
Following the administration of sublingual nitroglycerin to a client
experiencing an acute anginal attack, which assessment finding
indicates to the nurse that the desired effect has been achieved?
A. Client states chest pain is relieved.
, B. Client's pulse decreases from 120 to 90.
C. Client's systolic blood pressure decreases from 180 to 90.
D. Client's SaO2 level increases from 92% to 96%. - CORRECT
ANSWERS- A. Client states chest pain is relieved.
The healthcare provider prescribes digitalis (Digoxin) for a client
diagnosed with heart failure. Which intervention should the nurse
implement prior to administering the digoxin?
A. Observe respiratory rate and depth.
B. Assess the serum potassium level.
C. Obtain the client's blood pressure.
D. Monitor the serum glucose level. - CORRECT ANSWERS- B.
Assess the serum potassium level.
In evaluating the effects of lactulose (Cephulac), which outcome
would indicate that the drug is performing as intended?
A. An increase in urine output.
B. Two or three soft stools per day.
C. Watery, diarrhea stools.
D. Increased serum bilirubin. - CORRECT ANSWERS- B. Two or
three soft stools per day.
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
The nurse is caring for a client who has taken atenolol for 2 years.
The healthcare provider recently changed the medication to
enalapril to manage the client's blood pressure. Which instruction
should the nurse provide the client regarding the new
medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair. - CORRECT
ANSWERS- D. Rise slowly when getting out of bed or chair.
A postoperative client receiving a continuous IV infusion of
meperidine 35 mg/hr for the past four days has become
increasingly restless and irritable, and begins to hallucinate.
Which action should the nurse take first?
A. Administer a PRN dose of the PO lithium.
B. Administer naloxone IV push.
C. Decrease the IV infusion rate of the meperidine.
,D. Increase the IV infusion rate of the meperidine. - CORRECT
ANSWERS- C. Decrease the IV infusion rate of the meperidine.
A client being discharged is prescribed warfarin for the treatment
following a pulmonary embolism. Which diagnostic test should the
nurse instruct the client to receive once a month?
A. Perfusion scan.
B. Prothrombin Time (PT).
C. Activated partial thromboplastin (aPTT).
D. Serum Coumadin level (SCL). - CORRECT ANSWERS- B.
Prothrombin Time (PT).
A client with Parkinson's disease is taking carbidopa-levodopa
(Sinemet). Which observation by the nurse would indicate that the
desired outcome of the medication is being achieved?
A. Decreased blood pressure.
B. Lessening of tremors.
C. Increased salivation.
D. Increased attention span. - CORRECT ANSWERS- B. Lessening
of tremors.
A client being treated for hyperthyroidism with propylthiouracil
(PTU) asks the nurse how the medication works. Which is the best
response to give the client?
,A. It decreases the amount of thyroid-stimulating hormone
circulating in the blood.
B. It increases the amount of thyroid-stimulating hormone
circulating in the blood.
C. It enhances the amount of T4 and diminishes the amount of T3
produced by the thyroid.
D. It inhibits the synthesis of T3 and T4 by the thyroid gland. -
CORRECT ANSWERS- D. It inhibits the synthesis of T3 and T4 by
the thyroid gland.
A client with heart failure is being discharged with a new
prescription for the angiotensin-converting enzyme (ACE) inhibitor
captopril (Capoten). The nurse's discharge instructions should
include reporting which problem to the healthcare provider?
A. Weight loss.
B. Dizziness.
C. Muscle cramps.
D. Dry mucous membranes. - CORRECT ANSWERS- B. Dizziness.
Following the administration of sublingual nitroglycerin to a client
experiencing an acute anginal attack, which assessment finding
indicates to the nurse that the desired effect has been achieved?
A. Client states chest pain is relieved.
, B. Client's pulse decreases from 120 to 90.
C. Client's systolic blood pressure decreases from 180 to 90.
D. Client's SaO2 level increases from 92% to 96%. - CORRECT
ANSWERS- A. Client states chest pain is relieved.
The healthcare provider prescribes digitalis (Digoxin) for a client
diagnosed with heart failure. Which intervention should the nurse
implement prior to administering the digoxin?
A. Observe respiratory rate and depth.
B. Assess the serum potassium level.
C. Obtain the client's blood pressure.
D. Monitor the serum glucose level. - CORRECT ANSWERS- B.
Assess the serum potassium level.
In evaluating the effects of lactulose (Cephulac), which outcome
would indicate that the drug is performing as intended?
A. An increase in urine output.
B. Two or three soft stools per day.
C. Watery, diarrhea stools.
D. Increased serum bilirubin. - CORRECT ANSWERS- B. Two or
three soft stools per day.
