PHARMACOLOGY HESI COMPREHENSIVE REVIEW
EXAM 2025: 100+ QUESTIONS & 100% VERIFIED
ANSWERS / GRADED A+ / GUARANTEED PASS!!
A 19-year-old male client who has sustained a severe head injury is intubated and
placed on assisted mechanical ventilation. To facilitate optimal ventilation and
prevent the client from "fighting" the ventilator, the health care provider
administers pancuronium bromide (Pavulon) IV, with adjunctive opioid analgesia.
What medication should the nurse maintain at the client's bedside?
- answer-Neostigmine bromide (Prostigmin)
A 2-month-old infant is scheduled to receive the first DPT immunization. What is
the preferred injection site to administer this immunization?
- answer-Vastus lateralis
A 26-year-old primigravida client is experiencing increasing discomfort and
anxiety during the active phase of labor. She requests something for pain. Which
analgesic should the nurse anticipate administering?
- answer-Butorphanol (Stadol)
A 3-year-old boy is admitted to the emergency department after ingesting an
unknown amount of phenobarbital (Luminal) elixir prescribed for his brother's
seizure disorder. Which nursing intervention should the nurse implement first?
- answer-Take the child's vital signs.
A 4-year-old child is receiving chemotherapy for acute lymphocytic leukemia.
Which laboratory result should the nurse examine to assess the child's risk for
infection?
- answer-Neutrophil count
A 42-year-old client is admitted to the emergency department after taking an
overdose of amitriptyline (Elavil) in a suicide attempt. Which drug should the
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,nurse plan to administer to reverse the cardiac and central nervous system effects
of amitriptyline (Elavil)?
- answer-Sodium bicarbonate
A 45-year-old female client is receiving alprazolam (Xanax) for anxiety. Which
client behaviors would indicate that the drug is effective?
- answer-The staff observes the client sitting in the day room reading a book.
A 55-year-old client was diagnosed with schizophrenia 5 years earlier. Numerous
hospitalizations have occurred since the diagnosis because of noncompliance with
the prescribed medication regimen. Which drug might work best for this particular
client?
- answer-Fluphenazine decanoate (Prolixin decanoate)
A 6-year-old child is admitted to the emergency department with status epilepticus.
His parents report that his seizure disorder has been managed with phenytoin
(Dilantin), 50 mg PO bid, for the past year. Which drug should the nurse plan to
administer in the emergency department?
- answer-Diazepam (Valium)
A 67-year-old client is discharged from the hospital with a prescription for digoxin
(Lanoxin), 0.25 mg daily. Which instruction should the nurse include in this
client's discharge teaching plan?
- answer-Take and record radial pulse rate daily.
A chemotherapeutic regimen with doxorubicin HCl (Adriamycin) is being planned
for a client recently diagnosed with cancer. What diagnostic test results should the
nurse review prior to initiating this treatment?
- answer-Electrocardiogram (ECG)
A child is being treated with mebendazole (Vermox) for pinworms. Which type of
diet should the mother be instructed to feed the child while the child is receiving
this medication?
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, - answer-High-fat diet
A child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for
Pseudomonas pneumonia. For which adverse effect should the nurse assess and
report promptly to the health care provider?
- answer-Petechiae
A client being treated for an acute myocardial infarction is to receive the tissue
plasminogen activator alteplase (Activase). The nurse would be correct in
providing which explanation to the client regarding the purpose of this drug?
- answer-This drug is a clot buster that dissolves clots within a coronary artery.
A client experiencing dysrhythmias is given quinidine (Quinidex), 300 mg PO
every 6 hours. The nurse plans to observe this client for which common side effect
associated with the use of this medication?
- answer-Diarrhea
A client has a positive skin test for tuberculosis. Which prophylactic drug should
the nurse expect to administer to this client?
- answer-Isoniazid (INH)
A client is being discharged with a prescription for sulfasalazine (Azulfidine) to
treat ulcerative colitis. Which instruction should the nurse provide to this client
prior to discharge?
- answer-Drink eight glasses of fluid a day.
A client is experiencing an adverse effect of the gastrointestinal stimulant
metoclopramide HCl (Reglan). Which assessment finding would require
immediate intervention by the nurse?
- answer-Demonstrates Parkinson's-like symptoms, such as cogwheel rigidity
A client is ordered 22 mg of gentamicin by IM injection. The drug is available in
20 mg/2 mL. How many mL should be administered?
3|Page
EXAM 2025: 100+ QUESTIONS & 100% VERIFIED
ANSWERS / GRADED A+ / GUARANTEED PASS!!
A 19-year-old male client who has sustained a severe head injury is intubated and
placed on assisted mechanical ventilation. To facilitate optimal ventilation and
prevent the client from "fighting" the ventilator, the health care provider
administers pancuronium bromide (Pavulon) IV, with adjunctive opioid analgesia.
What medication should the nurse maintain at the client's bedside?
- answer-Neostigmine bromide (Prostigmin)
A 2-month-old infant is scheduled to receive the first DPT immunization. What is
the preferred injection site to administer this immunization?
- answer-Vastus lateralis
A 26-year-old primigravida client is experiencing increasing discomfort and
anxiety during the active phase of labor. She requests something for pain. Which
analgesic should the nurse anticipate administering?
- answer-Butorphanol (Stadol)
A 3-year-old boy is admitted to the emergency department after ingesting an
unknown amount of phenobarbital (Luminal) elixir prescribed for his brother's
seizure disorder. Which nursing intervention should the nurse implement first?
- answer-Take the child's vital signs.
A 4-year-old child is receiving chemotherapy for acute lymphocytic leukemia.
Which laboratory result should the nurse examine to assess the child's risk for
infection?
- answer-Neutrophil count
A 42-year-old client is admitted to the emergency department after taking an
overdose of amitriptyline (Elavil) in a suicide attempt. Which drug should the
1|Page
,nurse plan to administer to reverse the cardiac and central nervous system effects
of amitriptyline (Elavil)?
- answer-Sodium bicarbonate
A 45-year-old female client is receiving alprazolam (Xanax) for anxiety. Which
client behaviors would indicate that the drug is effective?
- answer-The staff observes the client sitting in the day room reading a book.
A 55-year-old client was diagnosed with schizophrenia 5 years earlier. Numerous
hospitalizations have occurred since the diagnosis because of noncompliance with
the prescribed medication regimen. Which drug might work best for this particular
client?
- answer-Fluphenazine decanoate (Prolixin decanoate)
A 6-year-old child is admitted to the emergency department with status epilepticus.
His parents report that his seizure disorder has been managed with phenytoin
(Dilantin), 50 mg PO bid, for the past year. Which drug should the nurse plan to
administer in the emergency department?
- answer-Diazepam (Valium)
A 67-year-old client is discharged from the hospital with a prescription for digoxin
(Lanoxin), 0.25 mg daily. Which instruction should the nurse include in this
client's discharge teaching plan?
- answer-Take and record radial pulse rate daily.
A chemotherapeutic regimen with doxorubicin HCl (Adriamycin) is being planned
for a client recently diagnosed with cancer. What diagnostic test results should the
nurse review prior to initiating this treatment?
- answer-Electrocardiogram (ECG)
A child is being treated with mebendazole (Vermox) for pinworms. Which type of
diet should the mother be instructed to feed the child while the child is receiving
this medication?
2|Page
, - answer-High-fat diet
A child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for
Pseudomonas pneumonia. For which adverse effect should the nurse assess and
report promptly to the health care provider?
- answer-Petechiae
A client being treated for an acute myocardial infarction is to receive the tissue
plasminogen activator alteplase (Activase). The nurse would be correct in
providing which explanation to the client regarding the purpose of this drug?
- answer-This drug is a clot buster that dissolves clots within a coronary artery.
A client experiencing dysrhythmias is given quinidine (Quinidex), 300 mg PO
every 6 hours. The nurse plans to observe this client for which common side effect
associated with the use of this medication?
- answer-Diarrhea
A client has a positive skin test for tuberculosis. Which prophylactic drug should
the nurse expect to administer to this client?
- answer-Isoniazid (INH)
A client is being discharged with a prescription for sulfasalazine (Azulfidine) to
treat ulcerative colitis. Which instruction should the nurse provide to this client
prior to discharge?
- answer-Drink eight glasses of fluid a day.
A client is experiencing an adverse effect of the gastrointestinal stimulant
metoclopramide HCl (Reglan). Which assessment finding would require
immediate intervention by the nurse?
- answer-Demonstrates Parkinson's-like symptoms, such as cogwheel rigidity
A client is ordered 22 mg of gentamicin by IM injection. The drug is available in
20 mg/2 mL. How many mL should be administered?
3|Page
