EVOLVE HESI PHARMACOLOGY NEWEST EXAM
2025 WITH ACTUAL QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+ 100%
GUARANTEED PASS!
A client who has been taking phenazopyridine (Pyridium) for symptoms of
urethritis and cystitis comes to the clinic because her urine is reddish-orange.
Which question should the practical nurse ask to determine if the medication
has been effective?
A) How much water have you been drinking each day?
B) Does the urine color stain your toilet bowl or undergarments?
C) Have you had any relief from urinary pain, burning, or urgency?
D) Did your urine appear cloudy or have a foul odor on voiding? - CORRECT
ANSWER-C) Have you had any relief from urinary pain, burning, or urgency?
Feedback:
Phenazopyridine, an over-the-counter urinary analgesic, acts on the mucosa of
the urinary tract to relieve urinary pain, burning, itching, or urgency (C)
associated with urethritis and cystitis. Although determining if the client is
forcing fluids (A), experiencing staining from Pyridium's side effect (B), or
having signs of a urinary infection (D) are worthwhile assessments, the
therapeutic response of Pyridium is related to urinary discomforts only.
A male client who has been receiving an antineoplastic drug has developed
thrombocytopenia. What instructions should the practical nurse (PN)
reinforce?
,A) Use suppository form of drugs.
B) Avoid large public gatherings.
C) Rise slowly when standing up.
D) Shave with an electric razor. - CORRECT ANSWER-D) Shave with an electric
razor.
Feedback:
Thrombocytopenia is a common side effect of bone marrow depression caused
by several antineoplastic agents. The client is experiencing a low platelet count
and should use an electric razor (D) to reduce his risk of bleeding. (A, B, and C)
are not indicated for a client who needs to implement thrombocytopenia
precautions.
The practical nurse (PN) is caring for a client who has been taking prednisone
(Deltasone) daily for a year. Which adverse effect should the PN document in
the client's record?
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color. - CORRECT ANSWER-B) Weight gain.
Feedback:
Long term use of prednisone causes fluid retention and redistribution of fat
deposition. Weight gain (B) and moon face reflect adverse effects of long-term
prednisone use and should be documented. (A, C, and D) do not occur with
treatment using prednisone.
A female client with recurring headaches tells the practical nurse (PN) that she
has been taking at least 4 grams of acetaminophen a day. Which laboratory
studies should the PN review for this client?
A) Creatinine clearance.
B) Hepatic enzymes.
,C) Coagulation values.
D) Arterial blood gases. - CORRECT ANSWER-B) Hepatic enzymes.
Feedback:
Liver toxicity can occur when doses of acetaminophen exceed 4 grams a day,
resulting in an elevation in hepatic enzyme values (B). (A, C, and D) do not
reveal findings related to acetaminophen toxicity.
A client receives a prescription for an oral opioid analgesic for post-operative
pain. Which adverse effect should the practical nurse (PN) monitor for with the
client?
A) Constipation.
B) Photosensitivity.
C) Decreased heart rate.
D) Frequent urination. - CORRECT ANSWER-A) Constipation.
Feedback:
Opioid analgesics slow peristalsis, which leads to constipation (A), a common
side effect of opiates. (B, C, and D) are not associated with opioid analgesics.
Which action should the practical nurse implement when administering a
buccal medication?
A) Encourage the client to swallow.
B) Administer water with medication.
C) Ensure the medication is positioned under the tongue.
D) Place the medication between the upper molar teeth and cheek. -
CORRECT ANSWER-D) Place the medication between the upper molar teeth
and cheek.
Feedback:
Buccal medications are placed between the upper molar teeth and the cheek
(D) for absorption by the capillaries of the oral mucosa. The client should be
, cautioned against swallowing, not (A). Buccal medications are not administered
with water (B). (C) describes sublingual administration.
What assessment is most important for the practical nurse (PN) to obtain prior
to initiating medication therapy with phenelzine (Nardil) for a client with
depression?
A) Activity level.
B) Mood and affect.
C) Understanding of diet modification.
D) The client's support system. - CORRECT ANSWER-C) Understanding of diet
modification.
Feedback:
To prevent a potentially lethal hypertensive crisis, a tyramine-free diet should
be maintained during antidepressant therapy with Nardil, a monoamine
oxidase inhibitor (MAOI). It is most important to determine if the client
understands diet modification (C) before Nardil is initiated to prevent
consumption of foods that interact with Nardil. Although a client's activity level
(A) and mood and affect (B) should be monitored during antidepressant
therapy, it is most important that the client understand diet modifications. The
client's support system (D) and network of family and friends is important, but
the client should understand the responsibility of dietary compliance with the
medication regimen.
The practical nurse (PN) is unable to arouse a client who is receiving
meperidine (Demerol) for postoperative pain. The client is stuporous, has
constricted pupils, and a respiratory rate of 8 breaths/minute. Which PRN
prescription should the PN give the client?
A) Naloxone (Narcan).
B) Promethazine (Phenergan).
C) Metoclopramide (Reglan).
D) Bethanechol (Urecholine). - CORRECT ANSWER-A) Naloxone (Narcan).
2025 WITH ACTUAL QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+ 100%
GUARANTEED PASS!
A client who has been taking phenazopyridine (Pyridium) for symptoms of
urethritis and cystitis comes to the clinic because her urine is reddish-orange.
Which question should the practical nurse ask to determine if the medication
has been effective?
A) How much water have you been drinking each day?
B) Does the urine color stain your toilet bowl or undergarments?
C) Have you had any relief from urinary pain, burning, or urgency?
D) Did your urine appear cloudy or have a foul odor on voiding? - CORRECT
ANSWER-C) Have you had any relief from urinary pain, burning, or urgency?
Feedback:
Phenazopyridine, an over-the-counter urinary analgesic, acts on the mucosa of
the urinary tract to relieve urinary pain, burning, itching, or urgency (C)
associated with urethritis and cystitis. Although determining if the client is
forcing fluids (A), experiencing staining from Pyridium's side effect (B), or
having signs of a urinary infection (D) are worthwhile assessments, the
therapeutic response of Pyridium is related to urinary discomforts only.
A male client who has been receiving an antineoplastic drug has developed
thrombocytopenia. What instructions should the practical nurse (PN)
reinforce?
,A) Use suppository form of drugs.
B) Avoid large public gatherings.
C) Rise slowly when standing up.
D) Shave with an electric razor. - CORRECT ANSWER-D) Shave with an electric
razor.
Feedback:
Thrombocytopenia is a common side effect of bone marrow depression caused
by several antineoplastic agents. The client is experiencing a low platelet count
and should use an electric razor (D) to reduce his risk of bleeding. (A, B, and C)
are not indicated for a client who needs to implement thrombocytopenia
precautions.
The practical nurse (PN) is caring for a client who has been taking prednisone
(Deltasone) daily for a year. Which adverse effect should the PN document in
the client's record?
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color. - CORRECT ANSWER-B) Weight gain.
Feedback:
Long term use of prednisone causes fluid retention and redistribution of fat
deposition. Weight gain (B) and moon face reflect adverse effects of long-term
prednisone use and should be documented. (A, C, and D) do not occur with
treatment using prednisone.
A female client with recurring headaches tells the practical nurse (PN) that she
has been taking at least 4 grams of acetaminophen a day. Which laboratory
studies should the PN review for this client?
A) Creatinine clearance.
B) Hepatic enzymes.
,C) Coagulation values.
D) Arterial blood gases. - CORRECT ANSWER-B) Hepatic enzymes.
Feedback:
Liver toxicity can occur when doses of acetaminophen exceed 4 grams a day,
resulting in an elevation in hepatic enzyme values (B). (A, C, and D) do not
reveal findings related to acetaminophen toxicity.
A client receives a prescription for an oral opioid analgesic for post-operative
pain. Which adverse effect should the practical nurse (PN) monitor for with the
client?
A) Constipation.
B) Photosensitivity.
C) Decreased heart rate.
D) Frequent urination. - CORRECT ANSWER-A) Constipation.
Feedback:
Opioid analgesics slow peristalsis, which leads to constipation (A), a common
side effect of opiates. (B, C, and D) are not associated with opioid analgesics.
Which action should the practical nurse implement when administering a
buccal medication?
A) Encourage the client to swallow.
B) Administer water with medication.
C) Ensure the medication is positioned under the tongue.
D) Place the medication between the upper molar teeth and cheek. -
CORRECT ANSWER-D) Place the medication between the upper molar teeth
and cheek.
Feedback:
Buccal medications are placed between the upper molar teeth and the cheek
(D) for absorption by the capillaries of the oral mucosa. The client should be
, cautioned against swallowing, not (A). Buccal medications are not administered
with water (B). (C) describes sublingual administration.
What assessment is most important for the practical nurse (PN) to obtain prior
to initiating medication therapy with phenelzine (Nardil) for a client with
depression?
A) Activity level.
B) Mood and affect.
C) Understanding of diet modification.
D) The client's support system. - CORRECT ANSWER-C) Understanding of diet
modification.
Feedback:
To prevent a potentially lethal hypertensive crisis, a tyramine-free diet should
be maintained during antidepressant therapy with Nardil, a monoamine
oxidase inhibitor (MAOI). It is most important to determine if the client
understands diet modification (C) before Nardil is initiated to prevent
consumption of foods that interact with Nardil. Although a client's activity level
(A) and mood and affect (B) should be monitored during antidepressant
therapy, it is most important that the client understand diet modifications. The
client's support system (D) and network of family and friends is important, but
the client should understand the responsibility of dietary compliance with the
medication regimen.
The practical nurse (PN) is unable to arouse a client who is receiving
meperidine (Demerol) for postoperative pain. The client is stuporous, has
constricted pupils, and a respiratory rate of 8 breaths/minute. Which PRN
prescription should the PN give the client?
A) Naloxone (Narcan).
B) Promethazine (Phenergan).
C) Metoclopramide (Reglan).
D) Bethanechol (Urecholine). - CORRECT ANSWER-A) Naloxone (Narcan).
