HESI PHARM RN EXIT Exam Study Guide 2026 - Study Answer Collection

HESI PHARM RN EXIT Exam Study Guide 2026 - Study Answer Collection A nurse is assessing the therapeutic action of drugs classified as tumor necrosis factor (TNF) inhibitors. What client response indicates to the nurse that a drug with this classification is effective? A. Continued remission in a client with ovarian cancer B. Increased insulin production in a client with diabetes mellitus C. Reduction of inflammatory joint pain in a client with rheumatoid arthritis D. Vasodilation of coronary arteries in a client with ischemic heart disease - answer - C The nurse suspects serotonin syndrome in a client prescribed second-generation antidepressants for depression. Which assessment findings observed by the nurse would be beneficial in diagnosing the severity of the syndrome? SATA A. Delirium B. Hyperreflexia C. Hyperthermia D. Rhabdomyolysis - answer - C,D A healthcare provider prescribes enoxaparin 30 mg subcutaneously daily. Which measure would the nurse take when administering this medication? A. Push over 2 minutes. B.Administer in the abdomen. C.Rub site after administration. D. Remove air pocket from prepackaged syringe before administration. - answer - B A client with cirrhosis of the liver and ascites has been taking chlorothiazide, a thiazide diuretic. Why did the provider add spironolactone to the client's medication regimen? A.To stimulate sodium excretion B. To help prevent potassium loss C. To increase urine specific gravity D. To reduce arterial blood pressure - answer - B A client with myasthenia gravis improves and is discharged from the hospital. The discharge medications include pyridostigmine bromide 10 mg every 6 hours. The nurse evaluates that the drug regimen is understood when the client makes which statement? A. "I will take the medication on an empty stomach." B. "I need to set an alarm so I take the medication on time." C. "It will be important to check my heart rate before taking the medication." D. "I should monitor for an increase in blood pressure after taking the medication." - answer - B A client has been taking 3 mg of risperidone twice a day for the past 8 days. At the follow-up appointment, the client reports tremors, shortness of breath, a fever, and sweating. What will the nurse do? A. Call 911 and have the client transported to the nearest psychiatric unit. B. Check the number of risperidone tablets left in the prescription bottle to see whether there was an overdose. C. Request a prescription for 2 mg of intramuscular benztropine stat and assess the client in 10 to 15 minutes for symptom relief. D. Take the client's vital signs and arrange for immediate transfer to a hospital - answer - D The health care provider prescribes an oral hypoglycemic for the patient with type 2 diabetes. What will the nurse need to consider when developing the teaching plan? A. Oral hypoglycemics work by decreasing absorption of carbohydrates. B. Oral hypoglycemics work by stimulating the pancreas to produce insulin. C. Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control. D. Clients with type 2 diabetes do not need to be concerned about serious adverse effects from oral hypoglycemics. - answer - C A pregnant client states to the nurse, "I have been advised to take an over-the-counter medication for the flu. The drug label says it is a category B drug." How should the nurse respond to these statements? A. "Because this drug causes fetal abnormalities, you should not take this drug." B. "This drug causes fetal risks when administered and should not be used in pregnancy." C. "This drug has been reported to have adverse effects in animal fetuses so this drug should be avoided." D. "This drug does not show risks to an animal fetus so you can safely take it while pregnant." - answer - D A client who has an adenocarcinoma of the descending colon with a partial obstruction is receiving doxorubicin intravenously (IV) to reduce the tumor mass. The nurse monitors the cl