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EVOLVE HESI PHARMACOLOGY VERSION 1,2,3 AND
4 NEWEST EXAM 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+|LATEST VERSION!!
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? - 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
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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. - 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
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adverse effect should the PN document in the client's
record?
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color. - 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. - Answer-B) Hepatic enzymes.
Feedback:
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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. - 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.
EVOLVE HESI PHARMACOLOGY VERSION 1,2,3 AND
4 NEWEST EXAM 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+|LATEST VERSION!!
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? - 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
,2|Page
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. - 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
,3|Page
adverse effect should the PN document in the client's
record?
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color. - 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. - Answer-B) Hepatic enzymes.
Feedback:
, 4|Page
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. - 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.
