1
HESI Phar
macol
ogyEx
am Pract
ice2025/
2026
(NCLEXPN)2VERSIONSACTUALEXAM
COMPLETE300QUESTIONSWI THDETAILED
VERIFIEDANSWERSANDRATI ONALES(100%
CORRECTANSWERS)/ ALREADYGRADEDA+
Anurs ei
scar i
ngf oracl
ientwi
th
hyperparathyr
oidismandnotesthatthecl
i
ent
's
serum calci
um leveli
s13mg/ dL.Which
medicati
ons houldthenurseprepareto
administ
eraspr escri
bedtothecli
ent?
1.
Cal
ci
umchl
ori
de
2.
Cal
ci
umgl
uconat
e
3.
Cal
ci
toni
n(Mi
acal
ci
n)
4.
Lar
gedos
esofv
it
ami
nD
-ANSWER••3.
Cal
ci
toni
n(Mi
acal
ci
n)
,2
Rat
i
onal
e:
Thenor mal serumcal ciuml evel i
s8. 6to10. 0
mg/ dL.Thiscl i
enti sex periencinghy percalcemi a.
Calciumgl uconat eandcal ciumchl or i
dear e
medi cat
ionsus edf ort hetreatmentoft etany ,
whichoccur sasar esultofacut ehy pocal cemi a.
I
nhy per
calcemi a,largedos esofv itaminDneed
tobeav oided. Cal citonin,at hy
roidhor mone,
decreasest hepl asmacal ciuml evel byinhibit
ing
boner esorptionandl oweringthes erumcal ci
um
concentration.
2.)Orali
ronsuppl ementsareprescr
ibedfora6-
year-ol
dchildwithirondefi
ciencyanemia.The
nurseinst
ructsthemot hert
oadmi ni
stert
heiron
withwhichbes tfoodit
em?
1.
Mil
k
2.
Wat
er
3.
Appl
ejui
ce
,3
4.
Orangej
ui
ce-ANSWER••4.
Orangej
ui
ce
Rat
i
onal
e:
Vi
taminCi ncr
eas estheabsorpt
ionofir
onbyt he
body.Themot hershouldbeinstr
uctedto
administ
erthemedi cati
onwit
haci t
rusfr
uitora
j
uicethatishi
ghinv it
aminC.Milkmayaf f
ect
absorpt
ionoftheiron.Waterwil
lnotassi
stin
absorpt
ion.Orangejuicecont
ainsagreater
amountofv
it
ami
nCt
hanappl
ejui
ce.
3.)Sali
cyli
cacidisprescr
ibedforacli
entwitha
diagnosisofpsori
asi
s .
Thenur s
emoni t
or st
he
cli
ent,knowingthatwhichofthefol
lowingwould
i
ndi cat
ethepresenceofs yst
emictoxi
cityfr
om
thismedicati
on?
1.
Tinni
t
us
2.
Diar
rhea
3.
Cons
ti
pat
i
on
, 4
4.Decreas
edr
espi
rat
i
ons-ANSWER••1.
Ti
nni
tus
Rat
i
onal
e:
Sal
icy
licacidisabs orbedr eadil
ythroughthes ki
n,
andsys t
emictox i
ci
ty( sali
cyli
sm)canr esult
.
Symptomsi ncludetinnitus,di
zziness,hyperpnea,
andps ychol
ogicaldisturbances. Consti
pati
on
anddiarrheaarenotas sociat
edwi thsal
icyl
ism.
4.)Thecampnur seas kst
hechi l
drenprepar
ing
toswimi nt
helakeiftheyhaveappl i
ed
sunscreen.Thenurseremindsthechildr
enthat
chemicalsunscr
eensar emos teff
ecti
vewhen
appli
ed:
1.
Immedi
atel
ybef
ores
wimmi
ng
2.
15mi
nut
esbef
oreex
pos
uret
othes
un
3.
Immedi
atel
ybef
oreex
pos
uret
othes
un
4.
Atl
eas
t30mi
nut
esbef
oreex
pos
uret
othe
HESI Phar
macol
ogyEx
am Pract
ice2025/
2026
(NCLEXPN)2VERSIONSACTUALEXAM
COMPLETE300QUESTIONSWI THDETAILED
VERIFIEDANSWERSANDRATI ONALES(100%
CORRECTANSWERS)/ ALREADYGRADEDA+
Anurs ei
scar i
ngf oracl
ientwi
th
hyperparathyr
oidismandnotesthatthecl
i
ent
's
serum calci
um leveli
s13mg/ dL.Which
medicati
ons houldthenurseprepareto
administ
eraspr escri
bedtothecli
ent?
1.
Cal
ci
umchl
ori
de
2.
Cal
ci
umgl
uconat
e
3.
Cal
ci
toni
n(Mi
acal
ci
n)
4.
Lar
gedos
esofv
it
ami
nD
-ANSWER••3.
Cal
ci
toni
n(Mi
acal
ci
n)
,2
Rat
i
onal
e:
Thenor mal serumcal ciuml evel i
s8. 6to10. 0
mg/ dL.Thiscl i
enti sex periencinghy percalcemi a.
Calciumgl uconat eandcal ciumchl or i
dear e
medi cat
ionsus edf ort hetreatmentoft etany ,
whichoccur sasar esultofacut ehy pocal cemi a.
I
nhy per
calcemi a,largedos esofv itaminDneed
tobeav oided. Cal citonin,at hy
roidhor mone,
decreasest hepl asmacal ciuml evel byinhibit
ing
boner esorptionandl oweringthes erumcal ci
um
concentration.
2.)Orali
ronsuppl ementsareprescr
ibedfora6-
year-ol
dchildwithirondefi
ciencyanemia.The
nurseinst
ructsthemot hert
oadmi ni
stert
heiron
withwhichbes tfoodit
em?
1.
Mil
k
2.
Wat
er
3.
Appl
ejui
ce
,3
4.
Orangej
ui
ce-ANSWER••4.
Orangej
ui
ce
Rat
i
onal
e:
Vi
taminCi ncr
eas estheabsorpt
ionofir
onbyt he
body.Themot hershouldbeinstr
uctedto
administ
erthemedi cati
onwit
haci t
rusfr
uitora
j
uicethatishi
ghinv it
aminC.Milkmayaf f
ect
absorpt
ionoftheiron.Waterwil
lnotassi
stin
absorpt
ion.Orangejuicecont
ainsagreater
amountofv
it
ami
nCt
hanappl
ejui
ce.
3.)Sali
cyli
cacidisprescr
ibedforacli
entwitha
diagnosisofpsori
asi
s .
Thenur s
emoni t
or st
he
cli
ent,knowingthatwhichofthefol
lowingwould
i
ndi cat
ethepresenceofs yst
emictoxi
cityfr
om
thismedicati
on?
1.
Tinni
t
us
2.
Diar
rhea
3.
Cons
ti
pat
i
on
, 4
4.Decreas
edr
espi
rat
i
ons-ANSWER••1.
Ti
nni
tus
Rat
i
onal
e:
Sal
icy
licacidisabs orbedr eadil
ythroughthes ki
n,
andsys t
emictox i
ci
ty( sali
cyli
sm)canr esult
.
Symptomsi ncludetinnitus,di
zziness,hyperpnea,
andps ychol
ogicaldisturbances. Consti
pati
on
anddiarrheaarenotas sociat
edwi thsal
icyl
ism.
4.)Thecampnur seas kst
hechi l
drenprepar
ing
toswimi nt
helakeiftheyhaveappl i
ed
sunscreen.Thenurseremindsthechildr
enthat
chemicalsunscr
eensar emos teff
ecti
vewhen
appli
ed:
1.
Immedi
atel
ybef
ores
wimmi
ng
2.
15mi
nut
esbef
oreex
pos
uret
othes
un
3.
Immedi
atel
ybef
oreex
pos
uret
othes
un
4.
Atl
eas
t30mi
nut
esbef
oreex
pos
uret
othe
