HESI PHARMACOLOGY EXIT EXAM V2
2025/2026 (ACTUAL EXAM) QUESTIONS
AND ANSWERS PASS GUARANTEED
100%
What is the indication for metoclopramide/reglan? - Answer ✅Prevention of chemotherapy-
induced emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan - Answer ✅Drowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan - Answer ✅Tremors
What is the indication xenical (orlistat, Alli) - Answer ✅For PTs with BMI of 30+; LT weight
control
SE of xenical (orlistat or alli) - Answer ✅Oily stool and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - Answer ✅Ask pt to describe dietary
intake since SE are increased if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or alli) - Answer ✅Fiber laxatives like
Metamucil help decrease SE by binding to the fat.
Which type of fluids need plenty of water? - Answer ✅Bulk forming laxatives
@2025 Exam Material 1
,Why do you need plenty of fluids when taking bulk forming laxatives - Answer ✅Because they
can produce esophageal and or intestinal obstruction
Laxative use assessment - Answer ✅Last BM and characteristics, abdominal pain, fever and
obstruction. Assess dietary and fluid intake.
With laxative use the nurse should - Answer ✅Encourage fluids, fiber and exercise as
tolerated/indicated
Laxative use and result in - Answer ✅Lack of bowel tone which can lead to dependency
what is ondansetron (zofran) - Answer ✅antiemetic
What is ondansetron (zofran)used for? - Answer ✅Prevention of N/V associated with
chemotherapy and radiation therapy.
Who should you use caution with when giving ondansetron/zofran? - Answer ✅PTs with liver
failure
Drugs for ulcerative colitis and crohns - Answer ✅5 aminosalicylates; mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? - Answer ✅They decrease GI
inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) - Answer ✅Nausea, rash,
arthralgia, hematological disorders
@2025 Exam Material 2
, Which drug can cause colitis/c.diff - Answer ✅Linezolid/zyvox
What kind of infection is c.diff - Answer ✅Suprainfection
What is azithromycin/zithromax? - Answer ✅An antibiotic
What does azithromycin/zithromax treat? - Answer ✅STDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - Answer ✅One dose of 1g or 2g.
If a female pt has trichomonas (any STI) and is asymptomatic does the male need to be tested? -
Answer ✅Yes!
azithromycin/zithromax can cause what? - Answer ✅Hepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? - Answer ✅An antibiotic for UTI
nitrofurantoin/cipro side effect - Answer ✅Hepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations - Answer ✅Give with milk or meals check LFTs.
Watch for numbness or tingling of extremities this can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? - Answer ✅Metronidazole/flagyl
When is metronidazole/flagyl to be taken? - Answer ✅With food and around the clock
@2025 Exam Material 3
2025/2026 (ACTUAL EXAM) QUESTIONS
AND ANSWERS PASS GUARANTEED
100%
What is the indication for metoclopramide/reglan? - Answer ✅Prevention of chemotherapy-
induced emesis and diabetic gastroparesis
Side effects of metoclopramide/reglan - Answer ✅Drowsiness, EPS such as tremors
Notify MD if what occurs when using metoclopramide/reglan - Answer ✅Tremors
What is the indication xenical (orlistat, Alli) - Answer ✅For PTs with BMI of 30+; LT weight
control
SE of xenical (orlistat or alli) - Answer ✅Oily stool and flatulence
Nursing implications for a pt on xenical (orlistat or alli) - Answer ✅Ask pt to describe dietary
intake since SE are increased if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or alli) - Answer ✅Fiber laxatives like
Metamucil help decrease SE by binding to the fat.
Which type of fluids need plenty of water? - Answer ✅Bulk forming laxatives
@2025 Exam Material 1
,Why do you need plenty of fluids when taking bulk forming laxatives - Answer ✅Because they
can produce esophageal and or intestinal obstruction
Laxative use assessment - Answer ✅Last BM and characteristics, abdominal pain, fever and
obstruction. Assess dietary and fluid intake.
With laxative use the nurse should - Answer ✅Encourage fluids, fiber and exercise as
tolerated/indicated
Laxative use and result in - Answer ✅Lack of bowel tone which can lead to dependency
what is ondansetron (zofran) - Answer ✅antiemetic
What is ondansetron (zofran)used for? - Answer ✅Prevention of N/V associated with
chemotherapy and radiation therapy.
Who should you use caution with when giving ondansetron/zofran? - Answer ✅PTs with liver
failure
Drugs for ulcerative colitis and crohns - Answer ✅5 aminosalicylates; mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? - Answer ✅They decrease GI
inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) - Answer ✅Nausea, rash,
arthralgia, hematological disorders
@2025 Exam Material 2
, Which drug can cause colitis/c.diff - Answer ✅Linezolid/zyvox
What kind of infection is c.diff - Answer ✅Suprainfection
What is azithromycin/zithromax? - Answer ✅An antibiotic
What does azithromycin/zithromax treat? - Answer ✅STDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - Answer ✅One dose of 1g or 2g.
If a female pt has trichomonas (any STI) and is asymptomatic does the male need to be tested? -
Answer ✅Yes!
azithromycin/zithromax can cause what? - Answer ✅Hepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? - Answer ✅An antibiotic for UTI
nitrofurantoin/cipro side effect - Answer ✅Hepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations - Answer ✅Give with milk or meals check LFTs.
Watch for numbness or tingling of extremities this can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? - Answer ✅Metronidazole/flagyl
When is metronidazole/flagyl to be taken? - Answer ✅With food and around the clock
@2025 Exam Material 3
