Evolve Pharmacology hesi practice EXAM LATEST EXAM 2025 | QUESTIONS AND CORRECT ANSWERS | VERIFIED ANSWERS | ALREADY GRADED A+

Evolve Pharmacology hesi practice
EXAM LATEST EXAM 2025 |
QUESTIONS AND CORRECT ANSWERS
| VERIFIED ANSWERS | ALREADY GRADED A+




1. Whichprescriptionshouldthepracticalnurse (PN) administerfora client who is
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experiencing an anaphylactic reaction to an antibiotic?
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A) Ephedra (ma-huang). so




B) Epinephrine (Adrenalin). so




C) Phenylephrin(Neo-Synephrine). so




D) Fexofenadinewithpseudoephedrine(AllegraD). o
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Ans:B)Epinephrine(Adrenalin). Feedback:
o
s so so so




Rationale Epinephrine (Adrenalin), a potent sympathomimetic, is the drug of choice fo
so so so so so so so so so so so




so the treatmentofanaphylaxis(B).(A,C,andD)arenotusedforanacuteimmunololgical
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so dysfunction that causes cardiovascular effects.
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2. Anolderadultclientreceivesa prescriptionforhydrochlorothiazide(Hy-
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droDIURIL), a thiazide diuretic for the treatment of heart failure.Which side
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mailto:https://www.stuvia.com/user/Wisdoms 1/42 so so

, so effect(s) should the practical nurse reinforce with the client? (Select all that
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so apply.)

A) Constipation.

B) Fatigue.

C) Edema.

D) Nausea.

E) Dehydration.

F) Blurred vision. so




Ans:B) Fatigue. o
s so




E) Dehydration.
so




Feedback:

Rationale Hydrochlorothiazide(HydroDIURIL),athiazidediuretic,reducesblood so so so so so so so




pressure by reducing blood volume and reducing arterial resistance.Adverse effects
so so so so so so so so so so so




of thiazidesincludehypokalemia,fatigue(B),dehydration(E),hyperglycemia,and
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hyperuricemia.Although (A, C, D and F) may be associated with aging or other
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pathology, they are not side effects commonly associated with HydroDIURIL.
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3. A client who has been taking phenazopyridine (Pyridium) for symptoms of
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urethritis and cystitis comes to the clinic because her urine is reddish-orange.
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Which question should the practical nurse ask to determine if the medication has
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been effective?
so so




A) How much water have you been drinking each day?
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B) Does the urine color stain your toilet bowl or undergarments?
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C) Haveyou had any relief from urinary pain,burning,or urgency?
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D) Didyoururineappearcloudyorhave afoulodoronvoiding?
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mailto:https://www.stuvia.com/user/Wisdoms 2/42
so so

, Ans :C)Haveyou had any relief from urinary pain, burning, or urgency?
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Feedback:

Rationale Phenazopyridine,anover-the-counterurinaryanalgesic,actsonthe so so so so so so so so




mucosaofthe urinary tract to relieve urinary pain, burning, itching, or urgency (C)
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associated with urethritis and cystitis.Although determining if the client is forcing fluids
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(A), experiencing staining from Pyridium's side effect (B), or having signs of a urinary
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infection (D) are worthwhile assessments, the therapeutic response of Pyridium is
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related to urinary discomforts only.
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4. A male client who has been receiving an antineoplastic drug has devel-
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opedthrombocytopenia.Whatinstructionsshouldthepracticalnurse(PN)
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reinforce?
so




A) Use suppository form of drugs. so so so so




B) Avoidlargepublic gatherings. o
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C) Rise slowly when standing up. so so so so




D) Shavewithanelectricrazor. o
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s so o
s




Ans:D)Shavewithanelectricrazor. Feedback:
o
s so so so so so so




Rationale Thrombocytopenia is a common side effect of bone marrow depression so so so so so so so so so so




so caused by several antineoplastic agents.The client is experiencing a low platelet count
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so and shoulduse an electricrazor (D) to reduce his risk ofbleeding.(A, B, and C) are not
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so indicated for a client who needs to implement thrombocytopenia precautions.
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5. The practical nurse (PN) is caring for a client who has been taking pred- nisone
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(Deltasone)dailyforayear.WhichadverseeffectshouldthePNdocu- ment in the
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client's record?
so so




A) Photosensitvity.

B) Weightgain. o
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C) Loss of hair. so so




mailto:https://www.stuvia.com/user/Wisdoms 3/42 so so

, D) Paleskincolor. o
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Ans:B)Weightgain. Feedback:
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s so so so




Rationale Long term use of prednisone causes fluid retention and redistribution of fat
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deposi- tion.Weightgain(B)andmoonfacereflectadverseeffectsoflong-termprednison
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mailto:https://www.stuvia.com/user/Wisdoms 4/42 so so