HESI PHARM 315 - 2025
HESI PHARM 315 - 2025
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse
should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema. - ANSWER A. Muscle tenderness.
An increase in which serum laboratory value indicates to the nurse that a prescription for atorvastatin is
having the desired effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein) - ANSWER C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol
250 mcg/50 mcg 1 inhalation twice daily and albuterol 90 mcg/inhalation 2 inhalations every 4-6 hours
as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in the past week. Her
forced expiratory volume has been 60-65% even with multiple doses of albuterol for several days in a
row. She came to the hospital feeling dizzy, lightheaded, and complaining of "heart palpitations". Upon
assessment, no wheezes were found. Her oxygen saturation is 99%.
,HESI PHARM 315 - 2025
Review H and P, and nurse's note. Identify from the choices below which condition the client is most
likely experiencing, two actions the nurse should take to address that condition, and two parameters the
nurse should monitor to assess the client's progress. - ANSWER Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
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?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity - ANSWER B. Gastric irritation
A client with chronic lower back pain has been taking non steroidal anti-inflammatory (NSAID) drug
ibuprofen by mouth twice a day for several months. Which assessment is most important for the nurse
to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns - ANSWER C. Determine presence of abdominal pain
,HESI PHARM 315 - 2025
The nurse administers risedrineate to a client with osteoporosis at 0700. The client asks for a glass of
milk to drink with the medication. Which action should the nurse take?
A. Instruct the client that it is necessary to take nothing but water with the medication.
B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.
C. Withhold the medication until the client's breakfast tray is available on the unit.
D. Consult with a pharmacist about scheduling the dose one hour after the client eats. - ANSWER A.
Instruct the client that it is necessary to take nothing but water with the medication.
Which action should the nurse implement to assess the effectiveness of calcium channel blocker
amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure - ANSWER D. Measure the clients blood pressure
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?
A. Use a twice a week dosing schedule
B. Stand and sit up slowly
C. Take the medication early in the day
D. Reduce daily fluid intake - ANSWER B. 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?
A. Nausea
B. Involuntary movements
, HESI PHARM 315 - 2025
C. Diarrhea
D. Unusual irritability - ANSWER B. 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?
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels - ANSWER A. Body mass index
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is
most important to determine if the client's history includes which problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
C. Irritable bowel syndrome
D. Coronary artery disease - ANSWER D. Coronary artery disease
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours which is to be
infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200 mL.
How many mL/hr should the nurse program the infusion pump to deliver? - ANSWER 200 mL/hr
Rationale:
xmL/hr =
200 mL x 400 mg = 80,000 = 200 mL/hr
400 mg 1 hr 400
HESI PHARM 315 - 2025
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The nurse
should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema. - ANSWER A. Muscle tenderness.
An increase in which serum laboratory value indicates to the nurse that a prescription for atorvastatin is
having the desired effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein) - ANSWER C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes fluticasone/salmeterol
250 mcg/50 mcg 1 inhalation twice daily and albuterol 90 mcg/inhalation 2 inhalations every 4-6 hours
as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in the past week. Her
forced expiratory volume has been 60-65% even with multiple doses of albuterol for several days in a
row. She came to the hospital feeling dizzy, lightheaded, and complaining of "heart palpitations". Upon
assessment, no wheezes were found. Her oxygen saturation is 99%.
,HESI PHARM 315 - 2025
Review H and P, and nurse's note. Identify from the choices below which condition the client is most
likely experiencing, two actions the nurse should take to address that condition, and two parameters the
nurse should monitor to assess the client's progress. - ANSWER Potential Condition:
Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
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?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity - ANSWER B. Gastric irritation
A client with chronic lower back pain has been taking non steroidal anti-inflammatory (NSAID) drug
ibuprofen by mouth twice a day for several months. Which assessment is most important for the nurse
to complete?
A. Assess back pain using numeric scale
B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns - ANSWER C. Determine presence of abdominal pain
,HESI PHARM 315 - 2025
The nurse administers risedrineate to a client with osteoporosis at 0700. The client asks for a glass of
milk to drink with the medication. Which action should the nurse take?
A. Instruct the client that it is necessary to take nothing but water with the medication.
B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.
C. Withhold the medication until the client's breakfast tray is available on the unit.
D. Consult with a pharmacist about scheduling the dose one hour after the client eats. - ANSWER A.
Instruct the client that it is necessary to take nothing but water with the medication.
Which action should the nurse implement to assess the effectiveness of calcium channel blocker
amlodipine?
A. Note the clients serum calcium levels
B. Monitor the clients serum electrolytes
C. Review the clients intake and output
D. Measure the clients blood pressure - ANSWER D. Measure the clients blood pressure
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?
A. Use a twice a week dosing schedule
B. Stand and sit up slowly
C. Take the medication early in the day
D. Reduce daily fluid intake - ANSWER B. 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?
A. Nausea
B. Involuntary movements
, HESI PHARM 315 - 2025
C. Diarrhea
D. Unusual irritability - ANSWER B. 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?
A. Body mass index
B. Depression screening
C. Daily calorie count
D. Serum protein levels - ANSWER A. Body mass index
Before administering the initial dose of sumatriptan succinate to a client with a migraine headache, it is
most important to determine if the client's history includes which problem?
A. Type 2 diabetes mellitus
B. Seasonal allergic rhinitis
C. Irritable bowel syndrome
D. Coronary artery disease - ANSWER D. Coronary artery disease
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours which is to be
infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200 mL.
How many mL/hr should the nurse program the infusion pump to deliver? - ANSWER 200 mL/hr
Rationale:
xmL/hr =
200 mL x 400 mg = 80,000 = 200 mL/hr
400 mg 1 hr 400
