Evolve Pharmacology hesi practice 2025 Latest
Update Newest Version Already Graded A+
A 35-week gestation primigravida who takes lithium (Eskalith) tells the practical nurse
(PN) that she would like to breastfeed her infant. What information should the PN provide
to the client?
✓ The drug is excreted in breast milk so use formula to feed the infant
A male client who is hypertensive is starting a new prescription for clonidine (Catapress)
0.4 mg PO daily. In reviewing common side effects, what information should the practical
nurse (PN) provide the client?
✓ Report problems with sexual function.
The practical nurse (PN) is reviewing the discharge plan for a client with mania who is
receiving lithium carbonate (Eskalith). To achieve a stable serum level, which information
should the PN reinforce with the client?
✓ How to recognize symptoms of toxicity.
Which prescription should the practical nurse (PN) administer for a client who is
experiencing an anaphylactic reaction to an antibiotic?
✓ Epinephrine (Adrenalin).
A client with tuberculosis (TB) asks the practical nurse (PN) the value of prescribed
multidrug therapy is prescribed. What explanation should the PN provide?
✓ Reduces development of TB resistant drugs.
Which International Normalized Ratio (INR) value indicates that warfarin (Coumadin)
therapy is at a therapeutic range?
✓ 2.1 to 3.0
A client who returns from surgery for bowel resection complains of severe pain around
the incision. Which assessment is most important for the practical nurse (PN) to obtain
prior to the administration of morphine sulfate?
, ✓ Rate of respirations.
A client's tissue culture results indicate the wound is infected with methicillin-
resistant Staphylococcus aureus (MRSA). What action should the practical nurse (PN)
implement first?
✓ Implement contact isolation precautions
Which action should the practical nurse implement when administering a buccal
medication?
✓ Place the medication between the upper molar teeth and cheek.
A client receives a prescription for c lotrimazole 1% (Gyne-Lotrimin ) vaginal cream for
Candidiasis. Which information should the practical nurse provide the client?
✓ Instill cream using the intravaginal applicator each night for 7 days.
Which prescription should the practical nurse administer for a client who is experiencing
an acute episode of bronchial asthma?
✓ Albuterol (Proventil).
The practical nurse (PN) is reinforcing information to a client about the use of an
antiemetic to help manage nausea and vomiting during a course of chemotherapy. Which
information is most important for the PN to provide?
✓ Take at least 30 minutes before a chemotherapeutic agent is received.
A male client who has been receiving an antineoplastic drug has developed
thrombocytopenia. What instructions should the practical nurse (PN) reinforce?
✓ Shave with an electric razor.
A client with Parkinson's disease has been taking antiparkinsonian medications for 3
months. Which client finding should the practical nurse (PN) identify as a therapeutic
response?
✓ Improved ability to perform activities
, A client receives a prescription for an oral opioid analgesic for post-operative pain. Which
adverse effect should the practical nurse (PN) monitor for in the client?
✓ Constipation.
A client with gastroesophageal reflux disease (GERD) is having symptoms of reflux despite
taking omeprazole (Prilosec) 20 mg daily. What action should the practical nurse (PN)
implement?
✓ Notify the healthcare provider about the symptoms.
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?
✓ weight gain
Top of Form
A client with type 1 diabetes mellitus received an early AM dose of regular insulin per
sliding scale. At 1000, the practical nurse (PN) should report which signs indicative of
hypoglycemia?
✓ irritability and confusion
A client receives a prescription for nystatin (Mycostatin) oral suspension for the treatment
of oral thrush. Which information should the practical nurse (PN) provide?
✓ swish then swallow
The practical nurse asks a male client who came to the clinic with an upper respiratory
infection if he has any drug allergies. The client cannot remember if he does or if he ever
received penicillin. After administering the injection of penicillin, the PN tells the client to
stay for 30 minutes of observation. Which finding should the PN identify that is indicative
of a reaction to the medication?
✓ rash, itching, hives
Which information should the practical nurse (PN) reinforce with a client who is self-
administering insulin injections?
Update Newest Version Already Graded A+
A 35-week gestation primigravida who takes lithium (Eskalith) tells the practical nurse
(PN) that she would like to breastfeed her infant. What information should the PN provide
to the client?
✓ The drug is excreted in breast milk so use formula to feed the infant
A male client who is hypertensive is starting a new prescription for clonidine (Catapress)
0.4 mg PO daily. In reviewing common side effects, what information should the practical
nurse (PN) provide the client?
✓ Report problems with sexual function.
The practical nurse (PN) is reviewing the discharge plan for a client with mania who is
receiving lithium carbonate (Eskalith). To achieve a stable serum level, which information
should the PN reinforce with the client?
✓ How to recognize symptoms of toxicity.
Which prescription should the practical nurse (PN) administer for a client who is
experiencing an anaphylactic reaction to an antibiotic?
✓ Epinephrine (Adrenalin).
A client with tuberculosis (TB) asks the practical nurse (PN) the value of prescribed
multidrug therapy is prescribed. What explanation should the PN provide?
✓ Reduces development of TB resistant drugs.
Which International Normalized Ratio (INR) value indicates that warfarin (Coumadin)
therapy is at a therapeutic range?
✓ 2.1 to 3.0
A client who returns from surgery for bowel resection complains of severe pain around
the incision. Which assessment is most important for the practical nurse (PN) to obtain
prior to the administration of morphine sulfate?
, ✓ Rate of respirations.
A client's tissue culture results indicate the wound is infected with methicillin-
resistant Staphylococcus aureus (MRSA). What action should the practical nurse (PN)
implement first?
✓ Implement contact isolation precautions
Which action should the practical nurse implement when administering a buccal
medication?
✓ Place the medication between the upper molar teeth and cheek.
A client receives a prescription for c lotrimazole 1% (Gyne-Lotrimin ) vaginal cream for
Candidiasis. Which information should the practical nurse provide the client?
✓ Instill cream using the intravaginal applicator each night for 7 days.
Which prescription should the practical nurse administer for a client who is experiencing
an acute episode of bronchial asthma?
✓ Albuterol (Proventil).
The practical nurse (PN) is reinforcing information to a client about the use of an
antiemetic to help manage nausea and vomiting during a course of chemotherapy. Which
information is most important for the PN to provide?
✓ Take at least 30 minutes before a chemotherapeutic agent is received.
A male client who has been receiving an antineoplastic drug has developed
thrombocytopenia. What instructions should the practical nurse (PN) reinforce?
✓ Shave with an electric razor.
A client with Parkinson's disease has been taking antiparkinsonian medications for 3
months. Which client finding should the practical nurse (PN) identify as a therapeutic
response?
✓ Improved ability to perform activities
, A client receives a prescription for an oral opioid analgesic for post-operative pain. Which
adverse effect should the practical nurse (PN) monitor for in the client?
✓ Constipation.
A client with gastroesophageal reflux disease (GERD) is having symptoms of reflux despite
taking omeprazole (Prilosec) 20 mg daily. What action should the practical nurse (PN)
implement?
✓ Notify the healthcare provider about the symptoms.
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?
✓ weight gain
Top of Form
A client with type 1 diabetes mellitus received an early AM dose of regular insulin per
sliding scale. At 1000, the practical nurse (PN) should report which signs indicative of
hypoglycemia?
✓ irritability and confusion
A client receives a prescription for nystatin (Mycostatin) oral suspension for the treatment
of oral thrush. Which information should the practical nurse (PN) provide?
✓ swish then swallow
The practical nurse asks a male client who came to the clinic with an upper respiratory
infection if he has any drug allergies. The client cannot remember if he does or if he ever
received penicillin. After administering the injection of penicillin, the PN tells the client to
stay for 30 minutes of observation. Which finding should the PN identify that is indicative
of a reaction to the medication?
✓ rash, itching, hives
Which information should the practical nurse (PN) reinforce with a client who is self-
administering insulin injections?
