2026 HESI PHARMACOLOGY EVALUATION TEST
QUESTIONS AND ANSWERS SURE A+
✔✔A client is beginning therapy with montelukast (Singulair) PO 10 mg once a day in
the evening. The client asks the nurse, "When should I begin to feel better?" How
should the nurse respond?
Immediately.
Within 24 hours.
In about 12 hours.
30 minutes to 1 hour. - ✔✔Within 24 hours.
✔✔What is the expected outcome of esomeprazole (Nexium) when prescribed for a
client with gastroesophageal reflux disease (GERD)?
Promotion of rapid tissue healing.
Increased gastric emptying.
Improved esophageal peristalsis.
Neutralization of gastric secretions. - ✔✔Promotion of rapid tissue healing.
✔✔A client at 30-weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone (Celestone) intramuscularly every 12
hours. The client asks the nurse why she is receiving the Celestone. What information
should the nurse use to explain the action of the medication?
Suppresses uterine contractions.
Stimulates fetal surfactant production.
Reduces maternal and fetal tachycardia associated with terbutaline (Brethine)
administration.
Maintains adequate maternal respiratory effort and ventilation with magnesium
administration. - ✔✔Stimulates fetal surfactant production.
, ✔✔Which drug of choice is indicated for acute ventricular dysrhythmias associated with
myocardial infarction?
Diltiazem.VT dys
Bretylium.
Amiodarone.
Adenosine. - ✔✔Amiodarone.
✔✔A school-aged child is taking methylphenidate hydrochloride (Ritalin, Biphentin) for
the treatment of attention-deficit hyperactivity disorder (ADHD). The mother tells the
nurse that she gives the medication at bedtime so it is "working" during school the next
morning. What modification to the administration plan should the nurse recommend to
this mother?
Continue administering the medication dose at bedtime.
Give the medication when the child arrives at school.
Take the medication with meals.
Administer at least six hours before bedtime. - ✔✔Administer at least six hours before
bedtime.
✔✔A client is taking sulfisoxazole (Gantrisin) for a urinary tract infection (UTI) and
complains of nausea and gastric upset since starting the medication. Which additional
adverse reaction should the nurse instruct the client to report?
Rash.
Diarrhea.
Hematuria.
Muscle cramping. - ✔✔Rash.
✔✔What is the effect of beta-blocking agents when used for treatment of glaucoma?
Inhibiting aqueous humor production.
Enhancing aqueous humor outflow.
Increasing intraocular pressure.
Preventing extraocular infection. - ✔✔Inhibiting aqueous humor production.
✔✔A client with depression receives a prescription for amitriptyline (Elavil). Which
instruction should the nurse include in the client's teaching?
Do not ingest foods with tyramine.
Avoid the consumption of alcohol.
Obtain daily blood pressure readings.
Take with a glass of orange juice. - ✔✔Avoid the consumption of alcohol.
QUESTIONS AND ANSWERS SURE A+
✔✔A client is beginning therapy with montelukast (Singulair) PO 10 mg once a day in
the evening. The client asks the nurse, "When should I begin to feel better?" How
should the nurse respond?
Immediately.
Within 24 hours.
In about 12 hours.
30 minutes to 1 hour. - ✔✔Within 24 hours.
✔✔What is the expected outcome of esomeprazole (Nexium) when prescribed for a
client with gastroesophageal reflux disease (GERD)?
Promotion of rapid tissue healing.
Increased gastric emptying.
Improved esophageal peristalsis.
Neutralization of gastric secretions. - ✔✔Promotion of rapid tissue healing.
✔✔A client at 30-weeks gestation is in preterm labor. The healthcare provider
prescribes two 12-mg doses of betamethasone (Celestone) intramuscularly every 12
hours. The client asks the nurse why she is receiving the Celestone. What information
should the nurse use to explain the action of the medication?
Suppresses uterine contractions.
Stimulates fetal surfactant production.
Reduces maternal and fetal tachycardia associated with terbutaline (Brethine)
administration.
Maintains adequate maternal respiratory effort and ventilation with magnesium
administration. - ✔✔Stimulates fetal surfactant production.
, ✔✔Which drug of choice is indicated for acute ventricular dysrhythmias associated with
myocardial infarction?
Diltiazem.VT dys
Bretylium.
Amiodarone.
Adenosine. - ✔✔Amiodarone.
✔✔A school-aged child is taking methylphenidate hydrochloride (Ritalin, Biphentin) for
the treatment of attention-deficit hyperactivity disorder (ADHD). The mother tells the
nurse that she gives the medication at bedtime so it is "working" during school the next
morning. What modification to the administration plan should the nurse recommend to
this mother?
Continue administering the medication dose at bedtime.
Give the medication when the child arrives at school.
Take the medication with meals.
Administer at least six hours before bedtime. - ✔✔Administer at least six hours before
bedtime.
✔✔A client is taking sulfisoxazole (Gantrisin) for a urinary tract infection (UTI) and
complains of nausea and gastric upset since starting the medication. Which additional
adverse reaction should the nurse instruct the client to report?
Rash.
Diarrhea.
Hematuria.
Muscle cramping. - ✔✔Rash.
✔✔What is the effect of beta-blocking agents when used for treatment of glaucoma?
Inhibiting aqueous humor production.
Enhancing aqueous humor outflow.
Increasing intraocular pressure.
Preventing extraocular infection. - ✔✔Inhibiting aqueous humor production.
✔✔A client with depression receives a prescription for amitriptyline (Elavil). Which
instruction should the nurse include in the client's teaching?
Do not ingest foods with tyramine.
Avoid the consumption of alcohol.
Obtain daily blood pressure readings.
Take with a glass of orange juice. - ✔✔Avoid the consumption of alcohol.
