RN Exit HESI-PHARM Exam 2026 – Latest Updated with 103 Questions and Answers | Rated A+

RN EXIT HESI- PHARM 2026 Exam with 103questions
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and answers latest update 2026 RATED A+
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A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The
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nurse should assess the client for the onset of which problem?
eY eY eY eY eY eY eY eY eY eY eY




A. Muscle tenderness.
eY eY




B. Nausea and vomiting.
eY eY eY




C. Excessive bruising.
eY eY




D. Peripheral edema. - CORRECT ANSWERS
eY eY eY eY eY eY eY eY eY eY eY eY eY A. Muscle tenderness.
eY eY




An increase in which serum laboratory value indicates to the nurse that a prescription for
eY eY eY eY eY eY eY eY eY eY eY eY eY eY


atorvastatin is having the desired effect for a client at risk for coronary artery disease?
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY




A. LDL (Low-density lipoprotein)
eY eY eY




B. Triglycerides (Type of fat)
eY eY eY eY




C. HDL (High-density lipoprotein)
eY eY eY




D. VLDL (Very low-density lipoprotein) - CORRECT ANSWERS
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY C. HDL (High-density
eY eY


lipoprotein)
eY




NGN - Patient Data eY eY eY




History and Physical: eY eY




The client is a 36-year-old female with moderate persistent asthma. She takes
eY eY eY eY eY eY eY eY eY eY eY


fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90
eY eY eY eY eY eY eY eY eY eY eY


mcg/inhalation 2 inhalations every 4-6 hours as needed.
eY eY eY eY eY eY eY eY




Nurses notes: eY




The client states that she has had more severe asthma symptoms than usual in the past
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY


week. Her forced expiratory volume has been 60-65% even with multiple doses of albuterol
eY eY eY eY eY eY eY eY eY eY eY eY eY eY


for several days in a row. She came to the hospital feeling dizzy, lightheaded, and
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY


complaining of "heart palpitations". Upon assessment, no wheezes were found. Her oxygen
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saturation is 99%.
eY eY eY




Review H and P, and nurse's note. Identify from the choices below which condition the client
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is most likely experiencing, two actions the nurse should take to address that condition, and
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,RN EXIT HESI- PHARM 2026 Exam with 103questions
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and answers latest update 2026 RATED A+
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two parameters the nurse should monitor to assess the client's progress. - CORRECT
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ANSWERS
eY Potential Condition: eY eY eY eY eY eY eY eY eY eY




Methemoglobinemia



Actions to Take: eY eY




1. Draw blood for a complete blood count
eY eY eY eY eY eY eY




2. Administer methylene blue
eY eY eY




Parameters to Monitor: eY eY




1. Methemoglobin level
eY eY




2. Heart rate and rhythm
eY eY eY eY




The nurse provide discharge instructions to a client who has been prescribed gabapentin 300
eY eY eY eY eY eY eY eY eY eY eY eY eY


mg by mouth three times a day for post herpetic neuralgia. Which symptoms should the
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY


nurse tell the client to report to the healthcare provider?
eY eY eY eY eY eY eY eY eY eY




A. Sexual dysfunction
eY eY




B. Gastric irritation
eY eY




C. Rapid weight gain
eY eY eY




D. Photosensitivity - CORRECT ANSWERS
eY eY eY eY eY eY eY eY eY eY eY eY B. Gastric irritation
eY eY




A client with chronic lower back pain has been taking non steroidal anti-inflammatory (NSAID)
eY eY eY eY eY eY eY eY eY eY eY eY eY


drug ibuprofen by mouth twice a day for several months. Which assessment is most
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important for the nurse to complete?
eY eY eY eY eY eY




A. Assess back pain using numeric scale
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B. Palpate volume of pedal pulses
eY eY eY eY eY eY




C. Determine presence of abdominal pain
eY eY eY eY eY eY




D. Evaluate ongoing sleep patterns - CORRECT ANSWERS
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY C. Determine presence of
eY eY eY


abdominal pain
eY eY




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,RN EXIT HESI- PHARM 2026 Exam with 103questions
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and answers latest update 2026 RATED A+
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The nurse administers risedrineate to a client with osteoporosis at 0700. The client asks for a
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glass of milk to drink with the medication. Which action should the nurse take?
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A. Instruct the client that it is necessary to take nothing but water with the medication.
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B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.
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C. Withhold the medication until the client's breakfast tray is available on the unit.
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D. Consult with a pharmacist about scheduling the dose one hour after the client eats. -
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY


CORRECT ANSWERS
eY A. Instruct the client that it is necessary to take nothing but
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY


water with the medication.
eY eY eY eY




Which action should the nurse implement to assess the effectiveness of calcium channel
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blocker amlodipine?
eY eY




A. Note the clients serum calcium levels
eY eY eY eY eY eY




B. Monitor the clients serum electrolytes
eY eY eY eY eY




C. Review the clients intake and output
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D. Measure the clients blood pressure - CORRECT ANSWERS
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY D. Measure the clients
eY eY eY


blood pressure
eY eY




A client is receiving tamsulosin an alpha adrenergic - blocking agent for the management of
eY eY eY eY eY eY eY eY eY eY eY eY eY eY


urinary retention due to benign prostatic hyperplasia (BPH). Which instruction is most
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important for the nurse to provide?
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A. Use a twice a week dosing schedule
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B. Stand and sit up slowly
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C. Take the medication early in the day
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D. Reduce daily fluid intake - CORRECT ANSWERS
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY B. Stand and sit up slowly
eY eY eY eY eY




A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which
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adverse effect is most important for the nurse to report?
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Page 3 of 35

, RN EXIT HESI- PHARM 2026 Exam with 103questions
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and answers latest update 2026 RATED A+
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A. Nausea
eY




B. Involuntary movements
eY eY




C. Diarrhea
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D. Unusual irritability - CORRECT ANSWERS
eY eY eY eY eY eY eY eY eY eY eY eY eY B. Involuntary movements
eY eY




A client is receiving orlistat as part of a weight management program. Which ongoing
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assessment should be included in the plan of care to determine the effectiveness of the
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY


medication?
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A. Body mass index
eY eY eY




B. Depression screening
eY eY




C. Daily calorie count
eY eY eY




D. Serum protein levels - CORRECT ANSWERS
eY eY eY eY eY eY eY eY eY eY eY eY eY eY A. Body mass index
eY eY eY




Before administering the initial dose of sumatriptan succinate to a client with a migraine
eY eY eY eY eY eY eY eY eY eY eY eY eY


headache, it is most important to determine if the client's history includes which problem?
eY eY eY eY eY eY eY eY eY eY eY eY eY eY




A. Type 2 diabetes mellitus
eY eY eY eY




B. Seasonal allergic rhinitis
eY eY eY




C. Irritable bowel syndrome
eY eY eY




D. Coronary artery disease - CORRECT ANSWERS
eY eY eY eY eY eY eY eY eY eY eY eY eY eY D. Coronary artery disease
eY eY eY




A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours
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which is to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY


5%in water (D5W) 200 mL. How many mL/hr should the nurse program the infusion pump to
eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY eY


deliver? - CORRECT ANSWERS
eY eY eY 200 mL/hr eY eY eY eY eY eY eY eY eY eY




Rationale:

xmL/hr = eY eY




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