HESI PHARM TEST 2025 CURRENTLY
TESTING COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS(100% CORRECT
ANSWERS)A+ STUDY MATERIAL
What other medications would the nurse expect the surgeon to prescribe along with
morphine? Select all that apply.
A. Ibuprofen
B. Propofol
C. Methadone
D. Senna
E. Docusate sodium
F. Naloxone
ADE
A postoperative male client asks the nurse to bring the largest possible dose of a
prescribed narcotic. Which action should the nurse implement first?
a. Review the history for past use of recreational drugs.
b. Ask the client to describe his current pain using a pain scale
.c. Encourage the client to use diversional thoughts to manage pain.
d. Determine when the last dose was administered.
b. Ask the client to describe his current pain using a pain scale
A client who is obtunded arrives in the ED with a suspected drug overdose. The client
becomes responsive after the administration of IV naloxone, but within a short period,
the client's LOC decreases again and the respiratory rate decreases to 6 breaths per
minute. Which action should the nurse take first?
administer an additional dose of naloxone
,The nurse administers naloxone to a client with opioid-induced respiratory depression.
One hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action
should the nurse implement?
a. Initiate cardiopulmonary resuscitation (CPR).
b. Prepare to assist with chest tube insertion
.c. Administer a second dose of naloxone.
d. Determine Glasgow coma scale.
C
The nurse notes that a client has been receiving hydromorphone every six hours for four
days. Which assessment is most important for the nurse to complete?
a- Observe for edema around the ankles
b- Count the apical and radial pulses simultaneously
c- Measure the client's capillary glucose level
d- Auscultate the client's bowel sounds
d- Auscultate the client's bowel sounds
When preparing to apply a fentanyl (Duragesic) transdermal patch the nurse notes that
the previously applied patch is intact on the client's upper back and the client denies
pain. What action should the nurse take?
a. Remove the patch and consult with the healthcare provider about the client pain
resolution
b. Place the patch on the clients shoulder and leave both patches in place for 12 hours
c. Administer an oral analgesic and evaluate its effectiveness before applying a new
patch
d. Apply a new patch in a different location after removing the original patch
d. Apply a new patch in a different location after removing the original patch
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a
client. Which assessment finding should the nurse use to evaluate the effectiveness of
the medication?
A. The absence of seizures
B. The increase in lactation
C. The presence of bowel sounds
D. The number on the numeric pain scale
D. The number on the numeric pain scale
A nurse administered a second dose of an opioid containing codeine and acetaminophen
to a client fifteen minutes after a first dose was administered by another nurse, because
the first dose was not documented in the medication record. Which intervention is most
important for the nurse to implement?
a- Obtain serum liver enzyme panel.
b- Complete a medication error form
c- Assess the client's pain on a 10 point scale
d- Evaluate the client's vital signs
,d- Evaluate the client's vital signs
A client who experiences migraine headaches reports having fewer headaches since
using the herbal remedy feverfew. Which information is most important for the nurse to
include in a teaching plan for this client?
A. Increased anxiety and nervousness have been reported by those taking feverfew
B. Those with allergies to chamomile, ragweed, or yarrow should not take feverfew
C. Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs
D. Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew
C. Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs
A client who received a renal transplant three months ago is readmitted to the acute unit
with signs of graft rejection. While taking the client's history, the nurse determines that
the client has been self-administering St. John's Wort, an herbal preparation, on the
advice of a friend. Which information is most significant about this finding?
A. The client probably used this herb to treat depression
B. Wort can decrease plasma concentrations of cyclosporine
C. Ingestion of Wort can reduce the client's intake of sodium
D. Adding the herb can decrease the need for corticosteroids
Wort can decrease plasma concentrations of cylosporine.
A female client with multiple sclerosis reports having less fatigue and improved memory
since she began using the herbal supplement, gingko biloba. Which information is most
important for the nurse to include in the teaching plan for this client?
a. Nausea and diarrhea can occur when using this supplement.
b. Gingko biloba use should be limited and not taken during pregnancy.
c. Aspirin and non-steroidal inflammatory drugs interact with ginkgo.
d. Anxiety and headaches increase with the use of gingko.
c. Aspirin and non-steroidal inflammatory drugs interact with ginkgo.
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which
instruction should the nurse provide this client about taking the liquid medication?
A.
Take with a glass of milk.
B.
Use a straw to ingest.
C.
Swallow undiluted.
D.
Mix with an antacid.
use a straw to ingest
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. Depression screening.
B. Serum protein levels.
C. Body mass index
D. Daily calorie count
C. BMI
After taking orlistat for one week, a female client tells the home health nurse that she is
experiencing increasingly frequent oily stools and flatus. Which action should the nurse
take?
a. Instruct the client to increase her intake of saturated fats over the next week.
b. Obtain a stool specimen to evaluate for occult blood and fat content.
c. Ask the client to describe her dietary intake history for the last several days.
d. Advise the client to stop taking the drug and contact her healthcare provider.
c. Ask the client to describe her dietary intake history for the last several days.
The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client
diagnosed with multiple sclerosis. Which intervention should the nurse implement?
A. Advise the client to move slowly and cautiously when rising and walking.
B. Monitor intake and output every 8 hours.
C. Ensure the client knows to stop baclofen before using other antispasmodics.
D. Evaluate muscle strength every 4 hours.
A. Advise the client to move slowly and cautiously when rising and walking.
A female client who is a vegetarian has a new prescription for warfarin. The client states
she eats leafy green vegetables every day. How should the nurse respond?
A Suggest that the client replace the leafy vegetables with a protein source such as nuts
or beans.
B Advise the client that the healthcare provider needs to be made aware of her current
diet.
C Commend the client for her healthy lifestyle and encourage her to continue her current
diet habits.
D Confirm that her diet choices will help the medication be more effective in preventing
blood clots.
B Advise the client that the healthcare provider needs to be made aware of her current diet.
The nurse is planning care for a client with major depression who is receiving a new
prescription for duloxetine. Which information is most important for the nurse to obtain?
A Family history of mental illness
B Weight change in the last month.
C Liver function laboratory results.
D Recent use of other antidepressants.
C Liver function laboratory results.
A client with chemotherapy induced nausea receives a prescription for metoclopramide.
Which adverse effect is most important for the nurse to report?
A. Nausea.
TESTING COMPLETE EXAM
QUESTIONS WITH DETAILED
VERIFIED ANSWERS(100% CORRECT
ANSWERS)A+ STUDY MATERIAL
What other medications would the nurse expect the surgeon to prescribe along with
morphine? Select all that apply.
A. Ibuprofen
B. Propofol
C. Methadone
D. Senna
E. Docusate sodium
F. Naloxone
ADE
A postoperative male client asks the nurse to bring the largest possible dose of a
prescribed narcotic. Which action should the nurse implement first?
a. Review the history for past use of recreational drugs.
b. Ask the client to describe his current pain using a pain scale
.c. Encourage the client to use diversional thoughts to manage pain.
d. Determine when the last dose was administered.
b. Ask the client to describe his current pain using a pain scale
A client who is obtunded arrives in the ED with a suspected drug overdose. The client
becomes responsive after the administration of IV naloxone, but within a short period,
the client's LOC decreases again and the respiratory rate decreases to 6 breaths per
minute. Which action should the nurse take first?
administer an additional dose of naloxone
,The nurse administers naloxone to a client with opioid-induced respiratory depression.
One hour later, nursing assessment reveals that the client has a respiratory rate of 4
breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action
should the nurse implement?
a. Initiate cardiopulmonary resuscitation (CPR).
b. Prepare to assist with chest tube insertion
.c. Administer a second dose of naloxone.
d. Determine Glasgow coma scale.
C
The nurse notes that a client has been receiving hydromorphone every six hours for four
days. Which assessment is most important for the nurse to complete?
a- Observe for edema around the ankles
b- Count the apical and radial pulses simultaneously
c- Measure the client's capillary glucose level
d- Auscultate the client's bowel sounds
d- Auscultate the client's bowel sounds
When preparing to apply a fentanyl (Duragesic) transdermal patch the nurse notes that
the previously applied patch is intact on the client's upper back and the client denies
pain. What action should the nurse take?
a. Remove the patch and consult with the healthcare provider about the client pain
resolution
b. Place the patch on the clients shoulder and leave both patches in place for 12 hours
c. Administer an oral analgesic and evaluate its effectiveness before applying a new
patch
d. Apply a new patch in a different location after removing the original patch
d. Apply a new patch in a different location after removing the original patch
The nurse administers the initial dose of a fentanyl (Duragesic) transdermal patch to a
client. Which assessment finding should the nurse use to evaluate the effectiveness of
the medication?
A. The absence of seizures
B. The increase in lactation
C. The presence of bowel sounds
D. The number on the numeric pain scale
D. The number on the numeric pain scale
A nurse administered a second dose of an opioid containing codeine and acetaminophen
to a client fifteen minutes after a first dose was administered by another nurse, because
the first dose was not documented in the medication record. Which intervention is most
important for the nurse to implement?
a- Obtain serum liver enzyme panel.
b- Complete a medication error form
c- Assess the client's pain on a 10 point scale
d- Evaluate the client's vital signs
,d- Evaluate the client's vital signs
A client who experiences migraine headaches reports having fewer headaches since
using the herbal remedy feverfew. Which information is most important for the nurse to
include in a teaching plan for this client?
A. Increased anxiety and nervousness have been reported by those taking feverfew
B. Those with allergies to chamomile, ragweed, or yarrow should not take feverfew
C. Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs
D. Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew
C. Feverfew may interact with aspirin or nonsteroidal anti-inflammatory drugs
A client who received a renal transplant three months ago is readmitted to the acute unit
with signs of graft rejection. While taking the client's history, the nurse determines that
the client has been self-administering St. John's Wort, an herbal preparation, on the
advice of a friend. Which information is most significant about this finding?
A. The client probably used this herb to treat depression
B. Wort can decrease plasma concentrations of cyclosporine
C. Ingestion of Wort can reduce the client's intake of sodium
D. Adding the herb can decrease the need for corticosteroids
Wort can decrease plasma concentrations of cylosporine.
A female client with multiple sclerosis reports having less fatigue and improved memory
since she began using the herbal supplement, gingko biloba. Which information is most
important for the nurse to include in the teaching plan for this client?
a. Nausea and diarrhea can occur when using this supplement.
b. Gingko biloba use should be limited and not taken during pregnancy.
c. Aspirin and non-steroidal inflammatory drugs interact with ginkgo.
d. Anxiety and headaches increase with the use of gingko.
c. Aspirin and non-steroidal inflammatory drugs interact with ginkgo.
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which
instruction should the nurse provide this client about taking the liquid medication?
A.
Take with a glass of milk.
B.
Use a straw to ingest.
C.
Swallow undiluted.
D.
Mix with an antacid.
use a straw to ingest
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. Depression screening.
B. Serum protein levels.
C. Body mass index
D. Daily calorie count
C. BMI
After taking orlistat for one week, a female client tells the home health nurse that she is
experiencing increasingly frequent oily stools and flatus. Which action should the nurse
take?
a. Instruct the client to increase her intake of saturated fats over the next week.
b. Obtain a stool specimen to evaluate for occult blood and fat content.
c. Ask the client to describe her dietary intake history for the last several days.
d. Advise the client to stop taking the drug and contact her healthcare provider.
c. Ask the client to describe her dietary intake history for the last several days.
The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client
diagnosed with multiple sclerosis. Which intervention should the nurse implement?
A. Advise the client to move slowly and cautiously when rising and walking.
B. Monitor intake and output every 8 hours.
C. Ensure the client knows to stop baclofen before using other antispasmodics.
D. Evaluate muscle strength every 4 hours.
A. Advise the client to move slowly and cautiously when rising and walking.
A female client who is a vegetarian has a new prescription for warfarin. The client states
she eats leafy green vegetables every day. How should the nurse respond?
A Suggest that the client replace the leafy vegetables with a protein source such as nuts
or beans.
B Advise the client that the healthcare provider needs to be made aware of her current
diet.
C Commend the client for her healthy lifestyle and encourage her to continue her current
diet habits.
D Confirm that her diet choices will help the medication be more effective in preventing
blood clots.
B Advise the client that the healthcare provider needs to be made aware of her current diet.
The nurse is planning care for a client with major depression who is receiving a new
prescription for duloxetine. Which information is most important for the nurse to obtain?
A Family history of mental illness
B Weight change in the last month.
C Liver function laboratory results.
D Recent use of other antidepressants.
C Liver function laboratory results.
A client with chemotherapy induced nausea receives a prescription for metoclopramide.
Which adverse effect is most important for the nurse to report?
A. Nausea.
