HESI PHARM 315: EXAM 2025/2026,
WITH CORRECT/ACCURATE
ANSWERS
The nurse assess a client with intermittent claudification who is
receiving pentoxifylline. Which assessment should the nurse
perform to determine the effectiveness of the medication?
Monitor numeric pain scale
The healthcare provider prescribes Ceftazidime 1,500 mg IV every
12 hours. The available vial is labeled, "Ceftazidime 1 gram", and
the instruction for reconstitution state, "For IV use add 10mL
sterile water for injection. Concentration after reconstitution =
100 mg/mL. How many mL should the nurse administer?
15 mL
xmL = mL x 1,500 mg = 1,500 = 15 mL
100 mg 1 1
The nurse retrieves hydromorphone (Dilaudid) 4 mg/mL from the
Pyxis Medstation, an automated dispensing system, for a client
who is receiving Dilaudid 3 mg IM q6 hours PRN severe pain. How
many mL should the nurse administer to the client. (Enter the
numerical value only. If rounding is required round to the nearest
tenth)
0.8 mL
xmL = mL x 3 mg = 3 = 0.75 = 0.8
,4 mg 1 4
A client taking atorvastatin develops an increased serum creatine
phosphokinase (CK) level. The nurse should assess the client for
the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
A. Muscle tenderness.
An increase in which serum laboratory value indicates to the
nurse that a prescription for atorvastatin is having the desired
effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
The client is in the provider’s office for a physical. He states that
he has been monitoring his blood pressure, but it is continuing to
go up.
The physician has given the client a prescription for captopril.
Choose the most likely options for the information missing from
the statement(s) by selecting from the lists of options provided.
Captopril is a ____________ that works by _________________.
A. non-steroidal anti-inflammatory drug
,B. angiotensin II receptor blocker
C. angiotensin-converting enzyme inhibitor
D. aldosterone antagonist
C. angiotensin - converting enzyme inhibitor
Captopril (Capoten)
Adverse Effects:
- Persistent nonproductive cough
- Rash
- Hypotension
- Hyperkalemia (higher than normal amounts of potassium in the
blood associated with kidney failure or use of diuretic drugs)
- Hyponatremia (excessive amounts of sodium in the blood,
possibly DM)
Contraindications -DO NOT GIVE:
- 2nd and 3rd trimester of pregnancy (causes injury to the fetus
BLACK BOX)
- Hypersensitivity - other ACE inhibitors (cross sensitivity)
Lisinopril (Prinivil, Zestril)
Adverse Effects:
- Cough
- Headache
- Dizziness
- Orthostatic hypotension
- Rash
, - Hyperkalemia
- Effects include taste disturbances
- Chest pain
- Nausea
- Vomiting
- Diarrhea
- Angioedema
Contraindications:
- Patients with hyperkalemia and in those who have previously
experienced angioedema caused by ACE inhibitor therapy.
- Should not be used during pregnancy.
What action should the nurse take prior to administering digoxin
(Lanoxin) PO?
a. Obtain a left radial pulse for 30 seconds
b. listen to the heart at the left 5th intercostal space
c. check the client for signs of orthostatic hypotension
d. verify that the urine output exceeds 30 ml/ hour
b. listen to the heart at the left 5th intercostal space
The nurse is instructing a client with allergic rhinitis about the
correct technique for using an intranasal inhaler. What instruction
is most important for the nurse to provide to this client?
A. use the inhaler when first awakening in the morning
B. avoid shaking the inhaler immediately before using
C. hold one nostril closed while spraying the other nostril
WITH CORRECT/ACCURATE
ANSWERS
The nurse assess a client with intermittent claudification who is
receiving pentoxifylline. Which assessment should the nurse
perform to determine the effectiveness of the medication?
Monitor numeric pain scale
The healthcare provider prescribes Ceftazidime 1,500 mg IV every
12 hours. The available vial is labeled, "Ceftazidime 1 gram", and
the instruction for reconstitution state, "For IV use add 10mL
sterile water for injection. Concentration after reconstitution =
100 mg/mL. How many mL should the nurse administer?
15 mL
xmL = mL x 1,500 mg = 1,500 = 15 mL
100 mg 1 1
The nurse retrieves hydromorphone (Dilaudid) 4 mg/mL from the
Pyxis Medstation, an automated dispensing system, for a client
who is receiving Dilaudid 3 mg IM q6 hours PRN severe pain. How
many mL should the nurse administer to the client. (Enter the
numerical value only. If rounding is required round to the nearest
tenth)
0.8 mL
xmL = mL x 3 mg = 3 = 0.75 = 0.8
,4 mg 1 4
A client taking atorvastatin develops an increased serum creatine
phosphokinase (CK) level. The nurse should assess the client for
the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
A. Muscle tenderness.
An increase in which serum laboratory value indicates to the
nurse that a prescription for atorvastatin is having the desired
effect for a client at risk for coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
The client is in the provider’s office for a physical. He states that
he has been monitoring his blood pressure, but it is continuing to
go up.
The physician has given the client a prescription for captopril.
Choose the most likely options for the information missing from
the statement(s) by selecting from the lists of options provided.
Captopril is a ____________ that works by _________________.
A. non-steroidal anti-inflammatory drug
,B. angiotensin II receptor blocker
C. angiotensin-converting enzyme inhibitor
D. aldosterone antagonist
C. angiotensin - converting enzyme inhibitor
Captopril (Capoten)
Adverse Effects:
- Persistent nonproductive cough
- Rash
- Hypotension
- Hyperkalemia (higher than normal amounts of potassium in the
blood associated with kidney failure or use of diuretic drugs)
- Hyponatremia (excessive amounts of sodium in the blood,
possibly DM)
Contraindications -DO NOT GIVE:
- 2nd and 3rd trimester of pregnancy (causes injury to the fetus
BLACK BOX)
- Hypersensitivity - other ACE inhibitors (cross sensitivity)
Lisinopril (Prinivil, Zestril)
Adverse Effects:
- Cough
- Headache
- Dizziness
- Orthostatic hypotension
- Rash
, - Hyperkalemia
- Effects include taste disturbances
- Chest pain
- Nausea
- Vomiting
- Diarrhea
- Angioedema
Contraindications:
- Patients with hyperkalemia and in those who have previously
experienced angioedema caused by ACE inhibitor therapy.
- Should not be used during pregnancy.
What action should the nurse take prior to administering digoxin
(Lanoxin) PO?
a. Obtain a left radial pulse for 30 seconds
b. listen to the heart at the left 5th intercostal space
c. check the client for signs of orthostatic hypotension
d. verify that the urine output exceeds 30 ml/ hour
b. listen to the heart at the left 5th intercostal space
The nurse is instructing a client with allergic rhinitis about the
correct technique for using an intranasal inhaler. What instruction
is most important for the nurse to provide to this client?
A. use the inhaler when first awakening in the morning
B. avoid shaking the inhaler immediately before using
C. hold one nostril closed while spraying the other nostril
