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Exam (elaborations)

Pharm HESI Practice Exam Questions & Answers 2026/2027 | Nursing Study Guide

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Prepare for the Pharm HESI Exam with this 2026/2027 practice guide. Includes verified questions, detailed answers, and step-by-step explanations to help nursing students master medications, dosage calculations, and patient care principles for HESI and NCLEX-PN success.

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Institution
Pharm HESI
Course
Pharm HESI

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Terms in this set (71)


The nurse is caring for a client who has taken
atenolol for 2 years. The healthcare provider
recently changed the medication to enalapril to
manage the client's blood pressure. Which
D. Rise slowly when instruction should the nurse provide the client
getting out of bed or regarding the new medication?
chair.
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair.

A female client calls the clinic and talks with the
nurse to inquire about a possible reaction after
taking amoxicillin for 5 days. She reports having
vaginal discomfort, itching, and a white discharge.
The nurse should discuss which action with the
client?
C. Consult with
healthcare provider
A. Discontinue the antibiotic because original
about another treatment
symptoms have subsided.
for this effect.
B. Continue taking medication until finished until the
symptoms subside.
C. Consult with healthcare provider about another
treatment for this effect.
D. Use an over-the-counter (OTC) vaginal wash to
flush out the secretions.




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A client with coronary artery disease who is taking digoxin (Lanoxin) receives a new
prescription for atorvastatin (Lipitor). Two weeks after initiation of the Lipitor
prescription, the nurse assesses the client. Which finding requires the most immediate
intervention?


A. Heartburn.
B. Headache.
C. Constipation.
D. Vomiting.


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D. Vomiting.




A client is taking hydromorphone (Dilaudid) PO every 4 hours at home. Following
surgery, Dilaudid IV every 4 hours PRN and butorphanol tartrate (Stadol) IV every 4
hours PRN are prescribed for pain. The client received a dose of the Dilaudid IV four
hours ago, and is again requesting pain medication. Which intervention should the
nurse implement?


A. Alternate the two medications every 4 hours PRN for pain.
B. Alternate the two medications every 2 hours PRN for pain.
C. Administer only the Dilaudid every 4 hours PRN for pain.
D. Administer only the Stadol every 4 hours PRN for pain.


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C. Administer only the Dilaudid every 4 hours PRN for pain.




The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with
osteoarthritis of the hands. The client tells the nurse that the drug does not seem to
be effective after three weeks. Which is the best response for the nurse to provide?


A. The frequency of the dosing is necessary to increase the effectiveness.
B. Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C. Another type of nonsteroidal antiinflammatory drug may be indicated.
D. Systemic corticosteroids are the next drugs of choice for pain relief.


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C. Another type of nonsteroidal antiinflammatory drug may be indicated.




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Answers
confidence
and Answers
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A client is prescribed ampicillin sodium (Omnipen) for a sinus infection. The nurse
should instruct the client to notify the healthcare provider immediately if which
symptom occurs?


A. Rash.
B. Nausea.
C. Headache.
D. Dizziness.


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A. Rash.




A client is receiving clonidine 0.1 mg/24 hr via transdermal patch. Which assessment
finding indicates the desired effect of the medication has been achieved?


A. Absence of nausea and vomiting.
B. Change in peripheral edema from +3 to +1.
C. Denial of anginal pain and shortness of breath.
D. Blood pressure from 180/120 mmHg to 140/70 mmHg.


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D. Blood pressure from 180/120 mmHg to 140/70 mmHg.




Which action is most important for the nurse to implement prior to the administration
of the antiarrhythmic drug adenosine (Adenocard)?


A. Assess pupillary response to light.
B. Instruct the client that facial flushing may occur.


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Institution
Pharm HESI
Course
Pharm HESI

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Uploaded on
January 23, 2026
Number of pages
33
Written in
2025/2026
Type
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Contains
Questions & answers

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