HESI PHARMACOLOGY PRACTICE EXAM 2025-2026
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A client with giardiasis is taking D. Take the medication with food.
metronidazole (Flagyl) 2
grams PO. Which
information should the nurse
include in the client's
instruction?
A. Notify the clinic of any
changes in the color of
urine.
B. Avoid overexposure to the
sun.
C. Stop the medication after
the diarrhea resolves.
D. Take the medication with
food.
A female client with A. Use contraception during intercourse.
rheumatoid arthritis takes
ibuprofen (Motrin) 600
mg PO 4 times a day. To
prevent gastrointestinal
bleeding, misoprostol
(Cytotec) 100 mcg PO is
prescribed. Which
information is most
important for the nurse to
include in client teaching?
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A. Use contraception during
intercourse.
B. Ensure the Cytotec is
taken on an empty
stomach.
C. Encourage oral fluid
intake to prevent
constipation.
D. Take Cytotec 30 minutes
prior to Motrin.
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A client with osteoarthritis B. Notify the healthcare provider.
receives a new prescription
for celecoxib (Celebrex)
orally for symptom
management. The nurse
notes the client is allergic to
sulfa. Which action is most
important for the nurse to
implement prior to
administering the first
dose?
A. Review the client's
hemoglobin results.
B. Notify the healthcare
provider.
C. Inquire about the reaction to
sulfa.
D. Record the client's vital
signs.
A client is admitted to the A. Potassium level of 3.1 mEq/L.
hospital for a new onset of
supraventricular tachycardia
(SVT) and is prescribed
digoxin. For which
laboratory finding should
the nurse notify the
healthcare provider
immediately?
A. Potassium level of 3.1 mEq/L.
B. Sodium level of 132 mEq/L.
C. Calcium level of 8.6 mg/dL.
D. Magnesium level of 1.2
mEq/L.
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The nurse is transcribing a A. Verify both prescriptions with the healthcare provider.
new prescription for
spironolactone (Aldactone)
for a client who receives
an angiotensin-converting
enzyme (ACE) inhibitor.
Which action
should the nurse implement?
A. Verify both
prescriptions with the
healthcare provider.
B. Report the medication
interactions to the nurse
manager.
C. Hold the ACE inhibitor and
give the new prescription.
D. Transcribe and send the
prescription to the
pharmacy.
The nurse admits a client with D. Dexamethasone.
tumor-
induced spinal cord
compression. Which
medication should the nurse
anticipate to be prescribed
to offer the best palliative
treatment for this client?
A. Morphine sulfate.
B. Ibuprofen.
C. Amitriptyline.
D. Dexamethasone.
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