HESI PHARMACOLOGY NIGHTINGALE
COLLEGE: EXAM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
A client is scheduled for a spiral computed tomography (CT) scan
with contrast to evaluate for PE. Which information in the client's
history requires follow up by the nurse?
Takes metformin hydrochloride for type 2 DM.
The nurse is caring for a client who takes methotrexate for
rheumatoid arthritis and is now prescribed adalimumab. Which
instructions should the nurse provide the client?
Have a chest x ray prior to your first dose.
The nurse provide discharge instructions to a client who has been
prescribed gabapentin 300 mg by mouth three times a day for
post herpetic neuralgia. Which symptoms should the nurse tell
the client to report to the healthcare provider?
Gastric irritation
To evaluate the effectiveness of a client's prescription for
rosuvastatin which action should the nurse implement?
Obtain the client's HR, and BP.
A client receives a prescription for itraconazole. Which
information provided by the client requires additional instruction
by the nurse?
Take the medication with antacids.
, The nurse is preparing a client with COPD and chronic productive
cough for discharged home. Which prescribed medication should
the nurse review with the client to manage this symptom?
Guaifenesin
When caring for a client with diabetes insipidus who is receiving
an antidiuretic hormone intranasally which serum lab test is most
important for the nurse to monitor?
Osmolality
A client is receiving tamsulosin an alpha adrenergic - blocking
agent for the management of urinary retention due to benign
prostatic hyperplasia (BPH). Which instruction is most important
for the nurse to provide?
Stand and sit up slowly.
A client with chemotherapy induced nausea receives a
prescription for metoclopramide. Which adverse effect is most
important for the nurse to report?
Involuntary movements
A client is receiving orlistat as part of a weight management
program. Which ongoing assessment should be included in the
plan of care to determine the effectiveness of the medication?
Body mass index
A client who received a renal transplant three months ago is
readmitted to the acute care unit with signs of graft rejection.
While taking the client's history the nurse determines that the
client has been self-administering St. John's wort an herbal
preparation on the advice of a friend. Which information is most
significant about this finding?
COLLEGE: EXAM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
A client is scheduled for a spiral computed tomography (CT) scan
with contrast to evaluate for PE. Which information in the client's
history requires follow up by the nurse?
Takes metformin hydrochloride for type 2 DM.
The nurse is caring for a client who takes methotrexate for
rheumatoid arthritis and is now prescribed adalimumab. Which
instructions should the nurse provide the client?
Have a chest x ray prior to your first dose.
The nurse provide discharge instructions to a client who has been
prescribed gabapentin 300 mg by mouth three times a day for
post herpetic neuralgia. Which symptoms should the nurse tell
the client to report to the healthcare provider?
Gastric irritation
To evaluate the effectiveness of a client's prescription for
rosuvastatin which action should the nurse implement?
Obtain the client's HR, and BP.
A client receives a prescription for itraconazole. Which
information provided by the client requires additional instruction
by the nurse?
Take the medication with antacids.
, The nurse is preparing a client with COPD and chronic productive
cough for discharged home. Which prescribed medication should
the nurse review with the client to manage this symptom?
Guaifenesin
When caring for a client with diabetes insipidus who is receiving
an antidiuretic hormone intranasally which serum lab test is most
important for the nurse to monitor?
Osmolality
A client is receiving tamsulosin an alpha adrenergic - blocking
agent for the management of urinary retention due to benign
prostatic hyperplasia (BPH). Which instruction is most important
for the nurse to provide?
Stand and sit up slowly.
A client with chemotherapy induced nausea receives a
prescription for metoclopramide. Which adverse effect is most
important for the nurse to report?
Involuntary movements
A client is receiving orlistat as part of a weight management
program. Which ongoing assessment should be included in the
plan of care to determine the effectiveness of the medication?
Body mass index
A client who received a renal transplant three months ago is
readmitted to the acute care unit with signs of graft rejection.
While taking the client's history the nurse determines that the
client has been self-administering St. John's wort an herbal
preparation on the advice of a friend. Which information is most
significant about this finding?
