8/15/25, 12:54 PM Evolve Pharmacology PN hesi practice
Evolve Pharmacology PN Hesi practice EXAM
2025-2026 \NEWEST VERSION WITH COMPLETE
QUESTIONS AND ACCURATE DETAILED ANSWERS
\VERIFIED ANSWERS \ALREADY GRADED A+
A female client with B) Hepatic enzymes.
recurring headaches tells Feedback:
the practical nurse (PN) Liver toxicity can occur when doses of
that she has been taking at acetaminophen exceed 4 grams a day, resulting in an
least 4 grams of elevation in hepatic enzyme values (B). (A, C, and D)
acetaminophen a day. do not reveal findings related to acetaminophen
Which laboratory studies toxicity.
should the PN review for
this client?
A) Creatinine clearance.
B) Hepatic enzymes.
C) Coagulation values.
D) Arterial blood gases.
A client receives a A) Constipation.
prescription for an oral Feedback:
opioid analgesic for post- Opioid analgesics slow peristalsis, which leads to
operative pain. Which constipation (A), a common side effect of opiates. (B,
adverse effect should the C, and D) are not associated with opioid analgesics.
practical nurse (PN)
monitor for with the
client?
A) Constipation.
B) Photosensitivity.
C) Decreased heart rate.
D) Frequent urination.
1/37
,8/15/25, 12:54 PM Evolve Pharmacology PN hesi practice
The practical nurse (PN) D) Brush your teeth and tongue, floss, gargle, and
observes a thick white notify the healthcare provider.
coating on the tongue of a Feedback:
client who takes Fluphenazine (Prolixin), an antipsychotic with
fluphenazine (Prolixin). anticholinergic effects, causes dry mouth, which
What instructions should contributes to a thick white coating on the tongue that
the PN reinforce with the alters the normal flora in the mouth. Regular brushing
client about this of the tongue and teeth is a good preventive
medication? measure, and the healthcare provider should be
A) No treatment is needed notified (D) because treatment may be indicated if an
as the coating should oral infection develops. (A) is inaccurate. (B and C) do
subside in a couple of not convey the importance of calling the healthcare
weeks. provider.
B) Attempt to stop
smoking if the white
coating on your tongue
persists.
C) If you are taking any
inhalants, wash the
mouthpiece after each
use.
D) Brush your teeth and
tongue, floss, gargle, and
notify the healthcare
provider.
2/37
,8/15/25, 12:54 PM Evolve Pharmacology PN hesi practice
A client who has been C) Have you had any relief from urinary pain, burning,
taking phenazopyridine or urgency?
(Pyridium) for symptoms Feedback:
of urethritis and cystitis Phenazopyridine, an over-the-counter urinary
comes to the clinic analgesic, acts on the mucosa of the urinary tract to
because her urine is relieve urinary pain, burning, itching, or urgency (C)
reddish-orange. Which associated with urethritis and cystitis. Although
question should the determining if the client is forcing fluids (A),
practical nurse ask to experiencing staining from Pyridium's side effect (B),
determine if the or having signs of a urinary infection (D) are
medication has been worthwhile assessments, the therapeutic response of
effective? Pyridium is related to urinary discomforts only.
A) How much water have
you been drinking each
day?
B) Does the urine color
stain your toilet bowl or
undergarments?
C) Have you had any relief
from urinary pain, burning,
or urgency?
D) Did your urine appear
cloudy or have a foul odor
on voiding?
3/37
, 8/15/25, 12:54 PM Evolve Pharmacology PN hesi practice
A male client who has D) Shave with an electric razor.
been receiving an Feedback:
antineoplastic drug has Thrombocytopenia is a common side effect of bone
developed marrow depression caused by several antineoplastic
thrombocytopenia. What agents. The client is experiencing a low platelet count
instructions should the and should use an electric razor (D) to reduce his risk
practical nurse (PN) of bleeding. (A, B, and C) are not indicated for a client
reinforce? who needs to implement thrombocytopenia
A) Use suppository form precautions.
of drugs.
B) Avoid large public
gatherings.
C) Rise slowly when
standing up.
D) Shave with an electric
razor.
The practical nurse (PN) is B) Weight gain.
caring for a client who has Feedback:
been taking prednisone Long term use of prednisone causes fluid retention
(Deltasone) daily for a and redistribution of fat deposition. Weight gain (B)
year. Which adverse effect and moon face reflect adverse effects of long-term
should the PN document prednisone use and should be documented. (A, C,
in the client's record? and D) do not occur with treatment using prednisone.
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color.
4/37
Evolve Pharmacology PN Hesi practice EXAM
2025-2026 \NEWEST VERSION WITH COMPLETE
QUESTIONS AND ACCURATE DETAILED ANSWERS
\VERIFIED ANSWERS \ALREADY GRADED A+
A female client with B) Hepatic enzymes.
recurring headaches tells Feedback:
the practical nurse (PN) Liver toxicity can occur when doses of
that she has been taking at acetaminophen exceed 4 grams a day, resulting in an
least 4 grams of elevation in hepatic enzyme values (B). (A, C, and D)
acetaminophen a day. do not reveal findings related to acetaminophen
Which laboratory studies toxicity.
should the PN review for
this client?
A) Creatinine clearance.
B) Hepatic enzymes.
C) Coagulation values.
D) Arterial blood gases.
A client receives a A) Constipation.
prescription for an oral Feedback:
opioid analgesic for post- Opioid analgesics slow peristalsis, which leads to
operative pain. Which constipation (A), a common side effect of opiates. (B,
adverse effect should the C, and D) are not associated with opioid analgesics.
practical nurse (PN)
monitor for with the
client?
A) Constipation.
B) Photosensitivity.
C) Decreased heart rate.
D) Frequent urination.
1/37
,8/15/25, 12:54 PM Evolve Pharmacology PN hesi practice
The practical nurse (PN) D) Brush your teeth and tongue, floss, gargle, and
observes a thick white notify the healthcare provider.
coating on the tongue of a Feedback:
client who takes Fluphenazine (Prolixin), an antipsychotic with
fluphenazine (Prolixin). anticholinergic effects, causes dry mouth, which
What instructions should contributes to a thick white coating on the tongue that
the PN reinforce with the alters the normal flora in the mouth. Regular brushing
client about this of the tongue and teeth is a good preventive
medication? measure, and the healthcare provider should be
A) No treatment is needed notified (D) because treatment may be indicated if an
as the coating should oral infection develops. (A) is inaccurate. (B and C) do
subside in a couple of not convey the importance of calling the healthcare
weeks. provider.
B) Attempt to stop
smoking if the white
coating on your tongue
persists.
C) If you are taking any
inhalants, wash the
mouthpiece after each
use.
D) Brush your teeth and
tongue, floss, gargle, and
notify the healthcare
provider.
2/37
,8/15/25, 12:54 PM Evolve Pharmacology PN hesi practice
A client who has been C) Have you had any relief from urinary pain, burning,
taking phenazopyridine or urgency?
(Pyridium) for symptoms Feedback:
of urethritis and cystitis Phenazopyridine, an over-the-counter urinary
comes to the clinic analgesic, acts on the mucosa of the urinary tract to
because her urine is relieve urinary pain, burning, itching, or urgency (C)
reddish-orange. Which associated with urethritis and cystitis. Although
question should the determining if the client is forcing fluids (A),
practical nurse ask to experiencing staining from Pyridium's side effect (B),
determine if the or having signs of a urinary infection (D) are
medication has been worthwhile assessments, the therapeutic response of
effective? Pyridium is related to urinary discomforts only.
A) How much water have
you been drinking each
day?
B) Does the urine color
stain your toilet bowl or
undergarments?
C) Have you had any relief
from urinary pain, burning,
or urgency?
D) Did your urine appear
cloudy or have a foul odor
on voiding?
3/37
, 8/15/25, 12:54 PM Evolve Pharmacology PN hesi practice
A male client who has D) Shave with an electric razor.
been receiving an Feedback:
antineoplastic drug has Thrombocytopenia is a common side effect of bone
developed marrow depression caused by several antineoplastic
thrombocytopenia. What agents. The client is experiencing a low platelet count
instructions should the and should use an electric razor (D) to reduce his risk
practical nurse (PN) of bleeding. (A, B, and C) are not indicated for a client
reinforce? who needs to implement thrombocytopenia
A) Use suppository form precautions.
of drugs.
B) Avoid large public
gatherings.
C) Rise slowly when
standing up.
D) Shave with an electric
razor.
The practical nurse (PN) is B) Weight gain.
caring for a client who has Feedback:
been taking prednisone Long term use of prednisone causes fluid retention
(Deltasone) daily for a and redistribution of fat deposition. Weight gain (B)
year. Which adverse effect and moon face reflect adverse effects of long-term
should the PN document prednisone use and should be documented. (A, C,
in the client's record? and D) do not occur with treatment using prednisone.
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color.
4/37
