HESI PHARMACOLOGY ACTUAL EXAM
QUESTIONS & 100% VERIFIED ANSWERS
2025 / GRADED A+ / GUARANTEED PASS!!
A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months
postpartum. A prescription is written for metronidazole (Flagyl). Which
information is most important for the nurse to obtain from the client before
initiating treatment?
A. Sexual history
B. Use of oral ontraceptives
C. Method of infant feeding
D. Possibility of pregnancy
- answer-C
A 48-year-old client is experiencing a severe anaphylactic reaction to an injection
of contrast media. Which pharmacologic agent is of greatest use in this situation?
A. Dopamine (Intropin)
B. Loratadine (Claritin)
C. Nitroprusside (Nipride)
D. Epinephrine (Adrenalin)
- answer-D
A client at 30 weeks gestation in labor receives two 12 mg doses of betamethasone
intramuscularly 12 hours apart. The clients asks the nurse why she is receiving the
betamethasone. Which explanation should the nurse give the client?
A. The medication suppresses uterine contractions
B. the medication stimulates fetal surfactant production
C. The medication reduces maternal and fetal tachycardia
D. The medication maintains adequate maternal respiratory effort
- answer-B
A client calls the clinic and states that she forgot to take her oral contraceptives for
the past two days. Which instruction is best for the nurse to provide this client?
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,A. Take 2 pills a day for 2 days and use an alternate method of contraception for 7
days
B. Quit the pills for this cycle, use an alternate method of contraception, and
resume pills on the fifth day of menstruation
C. Take one extra pill per day for the rest of this cycle, then resume taking pills as
usual next cycle
D. Take 4 pills now and use an alternate method of contraception for the rest of
this cycle
- answer-A
A client diagnosed with multiple sclerosis is experiencing profound weakness,
blurry vision, and shooting pains in both legs. Which medication is considered the
best course of treatment for the nurse to administer?
A. High dose methylprednisolone intravenously
B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
D. Immunomodulatory drug therapy periodically
- answer-A
A client experiencing pain from metastatic cancer is prescribed morphine. Which
route of administration should the nurse clarify with the healthcare provider prior
to administering the medication?
A. Oral
B. Buccal
C. Sublingual
D. Intravenous
- answer-A
A client experiencing ventricular dysrhythmias is admitted to the intensive care
unit status post a myocardial infarction. The nurse should anticipate the healthcare
provider to prescribe which medication?
A. Diltiazem
B. Bretylium
C. Amiodarone
D. Adenosine
- answer-C
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, A client is administered an injection of medroxyprogesterone acetate (deop-
provera). Which physical finding should the nurse instruct the client is an expected
side effect of the medication?
A. leg or calf pain
B headaches or visual changes
C. Vaginal bleeding or spotting
D. Jaundice or angioedema
- answer-C
A client is admitted for atrial fibrillation, and the healthcare provider prescribes
disopyramide (Norpace). After explaining the action of the antidysrhythmic agent,
which complaint should the nurse instruct the client to report?
A. Joint pain
B. Dizziness of muscle weakness
C. Daily weight gain fo 2 pounds
D. dry mouth
- answer-C
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?
A. Immediately
B. Within 24 hours
C. in about 12 hours
D. 30 mins to 1 hr
- answer-B
A client is being treated with imipramine, an anti-depressant for chronic cancer
pain asks the nurse, "What is the reason for the antidepressant medication?" Which
explanation should the nurse provide the client?
A. Increases pain threshold by stimulating opiate receptors in the CNS to release of
endogeneous enkephalins
B. Decreases perception of pain by blocking opiate receptors in the brain and
descending inhibitory nerves
C. Decreases transmission of pain impulses by altering serotonin and
norepinephrine activity at nerve synapses
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QUESTIONS & 100% VERIFIED ANSWERS
2025 / GRADED A+ / GUARANTEED PASS!!
A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months
postpartum. A prescription is written for metronidazole (Flagyl). Which
information is most important for the nurse to obtain from the client before
initiating treatment?
A. Sexual history
B. Use of oral ontraceptives
C. Method of infant feeding
D. Possibility of pregnancy
- answer-C
A 48-year-old client is experiencing a severe anaphylactic reaction to an injection
of contrast media. Which pharmacologic agent is of greatest use in this situation?
A. Dopamine (Intropin)
B. Loratadine (Claritin)
C. Nitroprusside (Nipride)
D. Epinephrine (Adrenalin)
- answer-D
A client at 30 weeks gestation in labor receives two 12 mg doses of betamethasone
intramuscularly 12 hours apart. The clients asks the nurse why she is receiving the
betamethasone. Which explanation should the nurse give the client?
A. The medication suppresses uterine contractions
B. the medication stimulates fetal surfactant production
C. The medication reduces maternal and fetal tachycardia
D. The medication maintains adequate maternal respiratory effort
- answer-B
A client calls the clinic and states that she forgot to take her oral contraceptives for
the past two days. Which instruction is best for the nurse to provide this client?
1|Page
,A. Take 2 pills a day for 2 days and use an alternate method of contraception for 7
days
B. Quit the pills for this cycle, use an alternate method of contraception, and
resume pills on the fifth day of menstruation
C. Take one extra pill per day for the rest of this cycle, then resume taking pills as
usual next cycle
D. Take 4 pills now and use an alternate method of contraception for the rest of
this cycle
- answer-A
A client diagnosed with multiple sclerosis is experiencing profound weakness,
blurry vision, and shooting pains in both legs. Which medication is considered the
best course of treatment for the nurse to administer?
A. High dose methylprednisolone intravenously
B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
D. Immunomodulatory drug therapy periodically
- answer-A
A client experiencing pain from metastatic cancer is prescribed morphine. Which
route of administration should the nurse clarify with the healthcare provider prior
to administering the medication?
A. Oral
B. Buccal
C. Sublingual
D. Intravenous
- answer-A
A client experiencing ventricular dysrhythmias is admitted to the intensive care
unit status post a myocardial infarction. The nurse should anticipate the healthcare
provider to prescribe which medication?
A. Diltiazem
B. Bretylium
C. Amiodarone
D. Adenosine
- answer-C
2|Page
, A client is administered an injection of medroxyprogesterone acetate (deop-
provera). Which physical finding should the nurse instruct the client is an expected
side effect of the medication?
A. leg or calf pain
B headaches or visual changes
C. Vaginal bleeding or spotting
D. Jaundice or angioedema
- answer-C
A client is admitted for atrial fibrillation, and the healthcare provider prescribes
disopyramide (Norpace). After explaining the action of the antidysrhythmic agent,
which complaint should the nurse instruct the client to report?
A. Joint pain
B. Dizziness of muscle weakness
C. Daily weight gain fo 2 pounds
D. dry mouth
- answer-C
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?
A. Immediately
B. Within 24 hours
C. in about 12 hours
D. 30 mins to 1 hr
- answer-B
A client is being treated with imipramine, an anti-depressant for chronic cancer
pain asks the nurse, "What is the reason for the antidepressant medication?" Which
explanation should the nurse provide the client?
A. Increases pain threshold by stimulating opiate receptors in the CNS to release of
endogeneous enkephalins
B. Decreases perception of pain by blocking opiate receptors in the brain and
descending inhibitory nerves
C. Decreases transmission of pain impulses by altering serotonin and
norepinephrine activity at nerve synapses
3|Page
