HESI PHARMACOLOGY VERSION 1 PRACTICE
TEST 2026 QUESTIONS AND ANSWERS 100%
CORRECT
◉ b. dystonia. Answer: The nurse is administering haloperidol 0.5 mg
IM PRN to a client for the first time. What side effects should the nurse
assess the client for during the initial dose?
a. Bradykinesia.
b. Dystonia.
c. Somatization.
d. Akathisia.
◉ b. closed angle glaucoma
c. chronic hypertension. Answer: 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 healthcare
provider concerning the OTC medication? (Select all that apply.)
a. Type I diabetes mellitus (DM).
,b. Closed angle glaucoma.
c. Chronic hypertension.
d. Rheumatoid arthritis.
e. Crohn's disease.
◉ a. withhold medication and report symptoms and vital signs to
healthcare provider. Answer: A client prescribed ipratropium reports
nausea, blurred vision, headaches, and insomnia after using the inhaler.
Which action should the nurse implement first?
a. Withhold medication and report symptoms and vital signs to
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 next maintenance
medication is scheduled.
◉ a. high dose methylprednisolone intravenously. Answer: 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.
◉ a. a decrease in blood ammonia levels
Colonic bacteria digest lactulose to create a drug-induced acidic and
hyperosmotic environment that draws water and blood ammonia into the
colon. The physiologic action of lactulose for the client with hepatic
encephalopathy is to lower the pH of the colon which inhibits diffusion
of ammonia into the bloodstream.. Answer: 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.
◉ a. it facilitates the transport of glucose to the cells. Answer: 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.
◉ a. Colchicine. Answer: 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).
◉ a. it will promote rapid tissue healing
Esomeprazole is a proton pump inhibitor that inhibits gastric acid
secretion and promotes the rapid healing of esophageal tissue.. Answer:
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?
TEST 2026 QUESTIONS AND ANSWERS 100%
CORRECT
◉ b. dystonia. Answer: The nurse is administering haloperidol 0.5 mg
IM PRN to a client for the first time. What side effects should the nurse
assess the client for during the initial dose?
a. Bradykinesia.
b. Dystonia.
c. Somatization.
d. Akathisia.
◉ b. closed angle glaucoma
c. chronic hypertension. Answer: 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 healthcare
provider concerning the OTC medication? (Select all that apply.)
a. Type I diabetes mellitus (DM).
,b. Closed angle glaucoma.
c. Chronic hypertension.
d. Rheumatoid arthritis.
e. Crohn's disease.
◉ a. withhold medication and report symptoms and vital signs to
healthcare provider. Answer: A client prescribed ipratropium reports
nausea, blurred vision, headaches, and insomnia after using the inhaler.
Which action should the nurse implement first?
a. Withhold medication and report symptoms and vital signs to
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 next maintenance
medication is scheduled.
◉ a. high dose methylprednisolone intravenously. Answer: 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.
◉ a. a decrease in blood ammonia levels
Colonic bacteria digest lactulose to create a drug-induced acidic and
hyperosmotic environment that draws water and blood ammonia into the
colon. The physiologic action of lactulose for the client with hepatic
encephalopathy is to lower the pH of the colon which inhibits diffusion
of ammonia into the bloodstream.. Answer: 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.
◉ a. it facilitates the transport of glucose to the cells. Answer: 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.
◉ a. Colchicine. Answer: 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).
◉ a. it will promote rapid tissue healing
Esomeprazole is a proton pump inhibitor that inhibits gastric acid
secretion and promotes the rapid healing of esophageal tissue.. Answer:
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?
