2024 HESI PHARMACOLOGY EXAM NEW LATEST 2 VERSION WITH ALL
QUESTIONS FROM ACTUAL PAST EXAM AND 100% CORRECT
ANSWERS WITH RATIONALES GRADED A
A client diagnosed with myasthenia gravis receives a prescription for the
anticholinesterase medication, pyridostigmine (Mestinon). Which intervention
should the nurse implement when preparing to administer this medication?
a. administer the medication thirty minutes prior to meals
b. schedule the medication to be given just before bedtime
c. instruct the client to avoid dairy products for 30 minutes
d. break the medication into small pieces and sprinkle onto food - CORRECT
ANSWER✔✔a. administer the med 30 minutes prior to meals
this medication should be administered before meals because it increases muscle
strength to help enhance chewing and swallowing
b. this would not help improve strength during the day
c. it can be taken with dairy to minimize side effects
d. do not sprinkle on food
,2025/2026 HESI PHARMACOLOGY EXAM NEW
LATEST 2 VERSION WITH ALL
QUESTIONS FROM ACTUAL PAST EXAM QUESTIONS
AND ANSWERS WITH RATIONALES GRADED A
d. assess the client's pain on a 10 point scale - CORRECT ANSWER✔✔c
evaluate the client's vital signs
an opioid containing codeine and acetaminophen can cause CNS depression and
the nurse's highest priority is to assess the client's vital signs and LOC
a. high doses of acetaminophen can cause liver toxicity, but it is
not the highest priority b/d. also important but not as important
The nurse retrieves hydromorphone (Dilaudid) 4mg/ ml from the Pyxis
Medstation, an automated dispensing system, for a client who is receiving
Dilaudid 3 mg IM q6 hours PRN severe pain. How many ml should the nurse
administer to the client. (Enter the numerical value only. If rounding is required
round to the nearest tenth.
- CORRECT ANSWER✔✔*not multiple choice
,2024 HESI PHARMACOLOGY EXAM NEW LATEST 2 VERSION WITH ALL
QUESTIONS FROM ACTUAL PAST EXAM AND 100% CORRECT
ANSWERS WITH RATIONALES GRADED A
0.8
d/h x
v=
3mg/ 4mg x 1 ml = 0.75
= 0.8 ml
A client with emphysema is complaining of difficulty breathing and is exhibiting
audible wheezing. The nurse administers albuterol (Proventil) as prescribed for
the third time within the last 12 hours. Which assessment finding warrants
immediate intervention by the nurse?
a. throat
irritation
b. increased
anxiety
c. irregular
rapid heart
beat
d. ✔✔c.
uncontrollableirregular
shaking -rapid
CORRECT heart
ANSWER beat
, 2025/2026 HESI PHARMACOLOGY EXAM NEW
LATEST 2 VERSION WITH ALL
QUESTIONS FROM ACTUAL PAST EXAM QUESTIONS
AND ANSWERS WITH RATIONALES GRADED A
A critical side effect of Proventil is an irregular rapid heart beat that requires
immediate intervention for a
potential life-threatening
dysrhythmia
a/b/d. these are common side effects thathout
should resolve wit intervention
A client is receiving tamsulosin (Flomax), an alpha adrenergic blocking agent,
for the management of urinary
retention due to BPH. Which instruction is most important for
the nurse to provide.
a. take the medication early in the day
b. stand and sit up slowly
c. use a twice-a-week dosing schedule
d. reduce daily fluid intake - CORRECT ANSWER✔✔b. stand and sit up slowly
Perpheral vasodilation is the therapeutic outcome of alpha adrenergic blocking
agents such as tamsulosin, which relay veins, arteries, and in the client with BPH
also relaxes the muscle in the prostate and bladder neck to ease initiating a
urinary stream. Orthostatic hypotension due to rapid mobilization is a common
side effect.
QUESTIONS FROM ACTUAL PAST EXAM AND 100% CORRECT
ANSWERS WITH RATIONALES GRADED A
A client diagnosed with myasthenia gravis receives a prescription for the
anticholinesterase medication, pyridostigmine (Mestinon). Which intervention
should the nurse implement when preparing to administer this medication?
a. administer the medication thirty minutes prior to meals
b. schedule the medication to be given just before bedtime
c. instruct the client to avoid dairy products for 30 minutes
d. break the medication into small pieces and sprinkle onto food - CORRECT
ANSWER✔✔a. administer the med 30 minutes prior to meals
this medication should be administered before meals because it increases muscle
strength to help enhance chewing and swallowing
b. this would not help improve strength during the day
c. it can be taken with dairy to minimize side effects
d. do not sprinkle on food
,2025/2026 HESI PHARMACOLOGY EXAM NEW
LATEST 2 VERSION WITH ALL
QUESTIONS FROM ACTUAL PAST EXAM QUESTIONS
AND ANSWERS WITH RATIONALES GRADED A
d. assess the client's pain on a 10 point scale - CORRECT ANSWER✔✔c
evaluate the client's vital signs
an opioid containing codeine and acetaminophen can cause CNS depression and
the nurse's highest priority is to assess the client's vital signs and LOC
a. high doses of acetaminophen can cause liver toxicity, but it is
not the highest priority b/d. also important but not as important
The nurse retrieves hydromorphone (Dilaudid) 4mg/ ml from the Pyxis
Medstation, an automated dispensing system, for a client who is receiving
Dilaudid 3 mg IM q6 hours PRN severe pain. How many ml should the nurse
administer to the client. (Enter the numerical value only. If rounding is required
round to the nearest tenth.
- CORRECT ANSWER✔✔*not multiple choice
,2024 HESI PHARMACOLOGY EXAM NEW LATEST 2 VERSION WITH ALL
QUESTIONS FROM ACTUAL PAST EXAM AND 100% CORRECT
ANSWERS WITH RATIONALES GRADED A
0.8
d/h x
v=
3mg/ 4mg x 1 ml = 0.75
= 0.8 ml
A client with emphysema is complaining of difficulty breathing and is exhibiting
audible wheezing. The nurse administers albuterol (Proventil) as prescribed for
the third time within the last 12 hours. Which assessment finding warrants
immediate intervention by the nurse?
a. throat
irritation
b. increased
anxiety
c. irregular
rapid heart
beat
d. ✔✔c.
uncontrollableirregular
shaking -rapid
CORRECT heart
ANSWER beat
, 2025/2026 HESI PHARMACOLOGY EXAM NEW
LATEST 2 VERSION WITH ALL
QUESTIONS FROM ACTUAL PAST EXAM QUESTIONS
AND ANSWERS WITH RATIONALES GRADED A
A critical side effect of Proventil is an irregular rapid heart beat that requires
immediate intervention for a
potential life-threatening
dysrhythmia
a/b/d. these are common side effects thathout
should resolve wit intervention
A client is receiving tamsulosin (Flomax), an alpha adrenergic blocking agent,
for the management of urinary
retention due to BPH. Which instruction is most important for
the nurse to provide.
a. take the medication early in the day
b. stand and sit up slowly
c. use a twice-a-week dosing schedule
d. reduce daily fluid intake - CORRECT ANSWER✔✔b. stand and sit up slowly
Perpheral vasodilation is the therapeutic outcome of alpha adrenergic blocking
agents such as tamsulosin, which relay veins, arteries, and in the client with BPH
also relaxes the muscle in the prostate and bladder neck to ease initiating a
urinary stream. Orthostatic hypotension due to rapid mobilization is a common
side effect.
