Pharm Hesi Study Guide 2025
Questions and Answers
Which action should the PN take after administering zolpidem (Ambien) to an
older client at bedtime?
offer a bedtime snack
administer oral care
assess for sundowning
decrease external stimuli - --CORRECT ANSWER--decrease external stimuli
Four hours after administering promethazine to a male client, the PN measures his
temperature. When the client questions the PN about the purpose for taking his
temperature, how should the PN respond?
encourage the pt to share his concerns about
the plan of care
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,describe how the medication works to lower
body temperature.
explain the need to assess for side effects of
the medicine.
offer assurance that vital signs are routinely
taken every 4 hours. - --CORRECT ANSWER--explain the need to assess for side
effects of this medicine
After administering the 0730 ac dose of sliding scale regular insulin to a client with
DM, what action by the PN has the highest priority?
instruct the uap to take the client a breakfast tray.
measure the clients vital signs and oxygen
saturation.
notify the charge nurse of the dose of insulin
administered.
observe the client for pallor, diaphoresis, or
fatigue - --CORRECT ANSWER--instruct the uap to take the client a breakfast
tray
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,Morphine sulfate via intravenous patient-controlled analgesia (PCA) pump is
prescribed for a client with severe chronic back pain. Thirty minutes after initiating
the pea pump, the PN notes that the client becomes lethargic. What action should
the PN take?
determine the clients pain scale rating
measure the clients vital signs
check the iv insertion site for swelling
reinforce pca pump teaching - --CORRECT ANSWER--measure the clients vital
signs
The PN applies a preparation with keratolytic properties to both legs of a pt with
psoriasis. What findings indicate that the desired effect has been achieved.
affected areas are free of localized redness and
swelling.
scaley areas of the skin appear softer with less
peeling.
full range of motion without pain of lower
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, extremity joints.
no prudent drainage present from lesions on
the legs. - --CORRECT ANSWER--scaley areas of the skin appear softer with less
peeling
The PN is administering lonidine (catapres) to a client with hypertension. What
instruction should the PN give the client?
"Do not abruptly stop the medication"
"Avoid milk products when taking this medication"
"Take your pulse before pressure taking the medication"
"Check your blood pressure monthly" - --CORRECT ANSWER--"Do not
abruptly stop the medication"
A 15 year old with asthma is to begin long-term therapy with both inhaled and oral
corticosteroids. The RN and PN collaborate on the plan of care. Which nursing
diagnosis should receive the highest priority when setting goals and planning
interventions?
altered nutrition: more than body requirements
related to steroid use.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
Questions and Answers
Which action should the PN take after administering zolpidem (Ambien) to an
older client at bedtime?
offer a bedtime snack
administer oral care
assess for sundowning
decrease external stimuli - --CORRECT ANSWER--decrease external stimuli
Four hours after administering promethazine to a male client, the PN measures his
temperature. When the client questions the PN about the purpose for taking his
temperature, how should the PN respond?
encourage the pt to share his concerns about
the plan of care
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,describe how the medication works to lower
body temperature.
explain the need to assess for side effects of
the medicine.
offer assurance that vital signs are routinely
taken every 4 hours. - --CORRECT ANSWER--explain the need to assess for side
effects of this medicine
After administering the 0730 ac dose of sliding scale regular insulin to a client with
DM, what action by the PN has the highest priority?
instruct the uap to take the client a breakfast tray.
measure the clients vital signs and oxygen
saturation.
notify the charge nurse of the dose of insulin
administered.
observe the client for pallor, diaphoresis, or
fatigue - --CORRECT ANSWER--instruct the uap to take the client a breakfast
tray
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,Morphine sulfate via intravenous patient-controlled analgesia (PCA) pump is
prescribed for a client with severe chronic back pain. Thirty minutes after initiating
the pea pump, the PN notes that the client becomes lethargic. What action should
the PN take?
determine the clients pain scale rating
measure the clients vital signs
check the iv insertion site for swelling
reinforce pca pump teaching - --CORRECT ANSWER--measure the clients vital
signs
The PN applies a preparation with keratolytic properties to both legs of a pt with
psoriasis. What findings indicate that the desired effect has been achieved.
affected areas are free of localized redness and
swelling.
scaley areas of the skin appear softer with less
peeling.
full range of motion without pain of lower
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, extremity joints.
no prudent drainage present from lesions on
the legs. - --CORRECT ANSWER--scaley areas of the skin appear softer with less
peeling
The PN is administering lonidine (catapres) to a client with hypertension. What
instruction should the PN give the client?
"Do not abruptly stop the medication"
"Avoid milk products when taking this medication"
"Take your pulse before pressure taking the medication"
"Check your blood pressure monthly" - --CORRECT ANSWER--"Do not
abruptly stop the medication"
A 15 year old with asthma is to begin long-term therapy with both inhaled and oral
corticosteroids. The RN and PN collaborate on the plan of care. Which nursing
diagnosis should receive the highest priority when setting goals and planning
interventions?
altered nutrition: more than body requirements
related to steroid use.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
