1|Page
EVOLVE HESI PHARM RN EXAM LATEST VERSION 3
2026 ACTUAL VERIFIED EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+||
NEWEST EXAM!!!||
A 6-year-old child is admitted to the emergency
department with status epilepticus. His parents report that
his seizure disorder has been managed with phenytoin, 50
mg PO bid, for the past year. Which drug should the nurse
plan to administer in the emergency department?
A. Phenytoin
B. Diazepam
C. Phenobarbital
D. Carbamazepine - Answer-B. Diazepam
Diazepam is the drug of choice for treatment of status
epilepticus. Options A, C, and D are used for the long-term
management of seizure disorders but are not as useful in
the emergency management of status epilepticus.
,2|Page
A client who has trouble swallowing pills intermittently has
been prescribed venlafaxine (XR) for depression. The
medication comes in capsule form. What should the nurse
include in the discharge teaching plan for this client?
A. Capsule contents can be sprinkled on pudding or
applesauce.
B. Chew the medication thoroughly to enhance absorption.
C. Take the medication with a large glass of water or juice.
D. Contact the health care provider for another form of
medication. - Answer-D. Contact the health care provider
for another form of medication.
Venlafaxine is administered PO in capsule form. Capsules
that are extended-release (XR) or continuous-release
(CR) contain delayed-release, enteric-coated granules to
prevent decomposition of the drug in the acidic pH of the
stomach. The client should notify the health care provider
about the inability to swallow the capsule. This medication
should not be chewed or opened so that the delayed-
release, enteric-coated granules can remain intact. Water
or juice will not affect the medication.
,3|Page
The nurse is preparing to apply a surface anesthetic agent
for a client. Which action should the nurse implement to
reduce the risk of systemic absorption?
A. Apply the anesthetic to mucous membranes.
B. Limit the area of application to inflamed areas.
C. Avoid abraded skin areas when applying the anesthetic.
D. Spread the topical agent over a large surface area. -
Answer-C. Avoid abraded skin areas when applying the
anesthetic.
To minimize systemic absorption of topical anesthetics, the
anesthetic agent should be applied to the smallest surface
area of intact skin. Application to the mucous membranes
poses the greatest risk of systemic absorption because
absorption occurs more readily through mucous
membranes than through the skin. Inflamed areas
generally have an increased blood supply, which increases
the risk of systemic absorption, so option B should be
avoided. A large surface area increases the amount of
topical drug that is available for transdermal absorption, so
the smallest area should be covered, not option D.
, 4|Page
A client experiencing dysrhythmias is given quinidine, 300
mg PO every 6 hours. The nurse plans to observe this
client for which common side effect associated with the
use of this medication?
A. Diarrhea
B. Hypothermia
C. Seizures
D. Dysphagia - Answer-A. Diarrhea
The most common side effects associated with quinidine
therapy are gastrointestinal complaints, such as diarrhea.
Options B, C, and D are not usually associated with
quinidine therapy.
The health care provider prescribes the H2 antagonist
famotidine, 20 mg PO in the morning and at bedtime.
Which statement regarding the action of H2 antagonists
offers the correct rationale for administering the
medication at bedtime?
A. Gastric acid secreted at night is buffered, preventing
pepsin formation.
EVOLVE HESI PHARM RN EXAM LATEST VERSION 3
2026 ACTUAL VERIFIED EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+||
NEWEST EXAM!!!||
A 6-year-old child is admitted to the emergency
department with status epilepticus. His parents report that
his seizure disorder has been managed with phenytoin, 50
mg PO bid, for the past year. Which drug should the nurse
plan to administer in the emergency department?
A. Phenytoin
B. Diazepam
C. Phenobarbital
D. Carbamazepine - Answer-B. Diazepam
Diazepam is the drug of choice for treatment of status
epilepticus. Options A, C, and D are used for the long-term
management of seizure disorders but are not as useful in
the emergency management of status epilepticus.
,2|Page
A client who has trouble swallowing pills intermittently has
been prescribed venlafaxine (XR) for depression. The
medication comes in capsule form. What should the nurse
include in the discharge teaching plan for this client?
A. Capsule contents can be sprinkled on pudding or
applesauce.
B. Chew the medication thoroughly to enhance absorption.
C. Take the medication with a large glass of water or juice.
D. Contact the health care provider for another form of
medication. - Answer-D. Contact the health care provider
for another form of medication.
Venlafaxine is administered PO in capsule form. Capsules
that are extended-release (XR) or continuous-release
(CR) contain delayed-release, enteric-coated granules to
prevent decomposition of the drug in the acidic pH of the
stomach. The client should notify the health care provider
about the inability to swallow the capsule. This medication
should not be chewed or opened so that the delayed-
release, enteric-coated granules can remain intact. Water
or juice will not affect the medication.
,3|Page
The nurse is preparing to apply a surface anesthetic agent
for a client. Which action should the nurse implement to
reduce the risk of systemic absorption?
A. Apply the anesthetic to mucous membranes.
B. Limit the area of application to inflamed areas.
C. Avoid abraded skin areas when applying the anesthetic.
D. Spread the topical agent over a large surface area. -
Answer-C. Avoid abraded skin areas when applying the
anesthetic.
To minimize systemic absorption of topical anesthetics, the
anesthetic agent should be applied to the smallest surface
area of intact skin. Application to the mucous membranes
poses the greatest risk of systemic absorption because
absorption occurs more readily through mucous
membranes than through the skin. Inflamed areas
generally have an increased blood supply, which increases
the risk of systemic absorption, so option B should be
avoided. A large surface area increases the amount of
topical drug that is available for transdermal absorption, so
the smallest area should be covered, not option D.
, 4|Page
A client experiencing dysrhythmias is given quinidine, 300
mg PO every 6 hours. The nurse plans to observe this
client for which common side effect associated with the
use of this medication?
A. Diarrhea
B. Hypothermia
C. Seizures
D. Dysphagia - Answer-A. Diarrhea
The most common side effects associated with quinidine
therapy are gastrointestinal complaints, such as diarrhea.
Options B, C, and D are not usually associated with
quinidine therapy.
The health care provider prescribes the H2 antagonist
famotidine, 20 mg PO in the morning and at bedtime.
Which statement regarding the action of H2 antagonists
offers the correct rationale for administering the
medication at bedtime?
A. Gastric acid secreted at night is buffered, preventing
pepsin formation.
