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Exam (elaborations)

HESI Pharmacology Practice 2 – Nursing Exam Questions and Review Guide

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This document contains HESI pharmacology practice questions designed to prepare nursing students for standardized exams. It focuses on drug knowledge, safety, and clinical application.

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Pharmacology Hesi Practice 2



A client receives a prescription for History of deep vein thrombosis.
esomeprazole (Nexium) for heartburn.
Which finding in the client's history should
the nurse report to the healthcare provider
before administering the prescription?


Eats spicy food three times a week.
History of deep vein thrombosis.
Drinks 2 alcoholic beverages on weekends.
Family history of diabetes mellitus.




4/16/2026, 12:59:57 PM

,Pharmacology Hesi Practice 2


A male client who is in the terminal stage of Titrate the morphine dose upward until the client has
cancer is cared for at home by his family adequate pain relief.
and receives a prescription for morphine at
a rate to control intractable pain. When the
hospice nurse visits, the client awakens,
moans in severe pain, and asks for an
increase in the morphine dosage. After
determining the client's respirations are 10
per minute, what is the best action for the
nurse to implement?


Titrate the morphine dose upward until the
client has adequate pain relief.
Suggest to the family that they can also give
the client ibuprofen, a non-narcotic
analgesic.
Hold additional morphine until the client's
respirations are at least 16 per minute.
Inform the client that an increased dose of
morphine increases side effects without
additional pain control.



4/16/2026, 12:59:57 PM

,Pharmacology Hesi Practice 2


A client with Paget's disease is started on Observe the client for signs of hypersensitivity.
calcitonin (Calcimar) 500 mcg
subcutaneously daily. During the initial
treatment, what is the priority nursing
action?


Assess the injection site for inflammation.
Evaluate the client's level of pain.
Monitor the client's alkaline phosphatase
levels.
Observe the client for signs of
hypersensitivity.




4/16/2026, 12:59:57 PM

, Pharmacology Hesi Practice 2


A client is taking cyclosporine for renal Creatinine 28 mg/dl.
allograft rejection prevention. After 9
months of drug therapy, the nurse reviews
laboratory data and notes that the blood
urea nitrogen level is 36 mg/dl. What
additional finding should the nurse identify?


Hypotension.
White blood cell count 10,000.
Creatinine 28 mg/dl.
Anaphylactic reaction.




4/16/2026, 12:59:57 PM

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