HESI 315 Pharmacology Exam V1 Test Bank
(Nightingale) - Latest 2025/2026 Edition with
Verified Questions and Answers for a Grade A
Pass
The nurse reviews the new prescription, phenelzine (Nardil), a
monoamine oxidase inhibitor (MAOI), for a client with depression on the
psychiatric unit. Which information is most important for the nurse to
assess?
A. Consumption of any alcohol or tyramine rich foods
B. Reports of nausea or vomiting
C. Therapeutic serum drug levels
D. Blood pressure and pulse prior to taking each dose - Answer-A
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the
first time. What side effects should the nurse assess thr client during the
initial dose?
A. Bradykinesia
B. Dystonia
C. Somatization
D. Akathisia - Answer-B
While reviewing the client's electronic medical record (EMR), the nurse
assesses a client who is at risk for a possible interaction with an over-
the-counter (OTC) decongestant. Which client health history should the
nurse report to the health care provider concerning the OTC medication?
(Select all that apply)
A. Type 1 diabetes mellitus (DM)
B. Closed angle glaucome
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease - Answer-B,C
,A client prescribed ipratropium reports nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should
the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to the
healthcare provider
B. Give PRN medication for nausea and vomiting and evaluate client in
30 minutes
C. reassure client that the ipratropium given will alleviate the symptoms
D. Delay administration of ipratropium until the next maintenance
medication is scheduled - 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
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic
encephalopathy. Which assessment finding would indicate the
medication is being therapeutic?
A. A decrease in blood ammonia levels
B. A softening in the stools
C. An increase in glucose absorption
D. A suppression of gut acidification - Answer-A
The nurse is teaching a client who is newly diagnosed with type 1
diabetes about neutral protamine Hagedor (NPH) insulin. Which
statement by the client indicates an understanding of how the
medication works?
A. It facilitates the transport of glucose into the cells
B. It stimulates the function of beta cells in the pancreas
C. It increases the intracellular receptor site sensitivity
, D. It delays the carbohydrate digestion and absorption - Answer-A
The nurse should withhold which medication if a client reports nausea,
vomiting, and diarrhea?
A. Colchicine (Mitigare, Colcrys)
B. Erythromycin (E-mycin)
C. Naproxen (Aleve, Naprosyn)
D. Labetolol (Normodyne) - Answer-A
A client newly prescribed esomeprazole for gastroesophageal reflux
disease (GERD) asks the nurse how the medication will help. Which is
the best explanation to provide the client?
A. It will promote rapid tissue healing
B. It will increase gastric emptying
C. It will improve esophageal peristalsis
D. It will neutralize gastric secretions - Answer-A
A nurse is providing medication education for a client prescribed a beta-
blocking agent for treatment of glaucoma. Which statement by the
client demonstrates an understanding of the mechanism of the
medication?
A. It inhibits the aqueous humor production
B. It enhances the aqueous humor outflow
C. It increases the intraocular pressure
D. It prevents extraocular infection - Answer-A
prescribes concurrent low-dose colchicine. Which information should
the nurse provide the client that best explains the action of the
colchicine?
A. It acts like aspirin to relieve pain
B. It facilitates the excretion of uric acid
C. It reduces the inflammation at the affected site
D. It prevents the formation of uric acid crystals - Answer-C
(Nightingale) - Latest 2025/2026 Edition with
Verified Questions and Answers for a Grade A
Pass
The nurse reviews the new prescription, phenelzine (Nardil), a
monoamine oxidase inhibitor (MAOI), for a client with depression on the
psychiatric unit. Which information is most important for the nurse to
assess?
A. Consumption of any alcohol or tyramine rich foods
B. Reports of nausea or vomiting
C. Therapeutic serum drug levels
D. Blood pressure and pulse prior to taking each dose - Answer-A
The nurse is administering haloperidol 0.5 mg IM PRN to a client for the
first time. What side effects should the nurse assess thr client during the
initial dose?
A. Bradykinesia
B. Dystonia
C. Somatization
D. Akathisia - Answer-B
While reviewing the client's electronic medical record (EMR), the nurse
assesses a client who is at risk for a possible interaction with an over-
the-counter (OTC) decongestant. Which client health history should the
nurse report to the health care provider concerning the OTC medication?
(Select all that apply)
A. Type 1 diabetes mellitus (DM)
B. Closed angle glaucome
C. Chronic hypertension
D. Rheumatoid arthritis
E. Crohn's disease - Answer-B,C
,A client prescribed ipratropium reports nausea, blurred vision,
headaches, and insomnia after using the inhaler. Which action should
the nurse implement first?
A. Withhold the medication and report symptoms and vital signs to the
healthcare provider
B. Give PRN medication for nausea and vomiting and evaluate client in
30 minutes
C. reassure client that the ipratropium given will alleviate the symptoms
D. Delay administration of ipratropium until the next maintenance
medication is scheduled - 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
The nurse administers 30 mL of lactulose for a client with stage 2 hepatic
encephalopathy. Which assessment finding would indicate the
medication is being therapeutic?
A. A decrease in blood ammonia levels
B. A softening in the stools
C. An increase in glucose absorption
D. A suppression of gut acidification - Answer-A
The nurse is teaching a client who is newly diagnosed with type 1
diabetes about neutral protamine Hagedor (NPH) insulin. Which
statement by the client indicates an understanding of how the
medication works?
A. It facilitates the transport of glucose into the cells
B. It stimulates the function of beta cells in the pancreas
C. It increases the intracellular receptor site sensitivity
, D. It delays the carbohydrate digestion and absorption - Answer-A
The nurse should withhold which medication if a client reports nausea,
vomiting, and diarrhea?
A. Colchicine (Mitigare, Colcrys)
B. Erythromycin (E-mycin)
C. Naproxen (Aleve, Naprosyn)
D. Labetolol (Normodyne) - Answer-A
A client newly prescribed esomeprazole for gastroesophageal reflux
disease (GERD) asks the nurse how the medication will help. Which is
the best explanation to provide the client?
A. It will promote rapid tissue healing
B. It will increase gastric emptying
C. It will improve esophageal peristalsis
D. It will neutralize gastric secretions - Answer-A
A nurse is providing medication education for a client prescribed a beta-
blocking agent for treatment of glaucoma. Which statement by the
client demonstrates an understanding of the mechanism of the
medication?
A. It inhibits the aqueous humor production
B. It enhances the aqueous humor outflow
C. It increases the intraocular pressure
D. It prevents extraocular infection - Answer-A
prescribes concurrent low-dose colchicine. Which information should
the nurse provide the client that best explains the action of the
colchicine?
A. It acts like aspirin to relieve pain
B. It facilitates the excretion of uric acid
C. It reduces the inflammation at the affected site
D. It prevents the formation of uric acid crystals - Answer-C
