HESI PHARM DOSAGE CALCULATIONS
PRACTICE EXAM, HESI
PHARMACOLOGY REVIEW EXAM,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
The healthcare provider prescribes a continuous infusion of 5%
dextrose in 0.45% sodium chloride at 85 ml/hour. The IV
administration set delivers 10 gtt/ml. The nurse should regulate
the drop rate to deliver how many gtts/minute? (Enter numeric
value only. If rounding is required, round to the nearest whole
number.) - CORRECT ANSWERS- 14
Volume/Time (minutes) x drop factor (gtt/ml) = 85 ml/ 60 minutes
x 10 gtt/ml = 14.16 = 14 gtt/minute
1) A nurse is caring for a client with hyperparathyroidism and
notes that the client's serum calcium level is 13 mg/dL. Which
medication should the nurse prepare to administer as prescribed
to the client? - CORRECT ANSWERS- 3. calcitonin (Miacalcin)
2.) Oral iron supplements are prescribed for a 6-year-old child
with iron deficiency anemia. The nurse instructs the mother to
administer the iron with which best food item?
1. Milk
,2. Water
3. Apple juice
4. Orange juice - CORRECT ANSWERS- 4. Orange juice
3.) Salicylic acid is prescribed for a client with a diagnosis of
psoriasis. The nurse monitors the client, knowing that which of
the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations - CORRECT ANSWERS- 1. Tinnitus
4.) The camp nurse asks the children preparing to swim in the
lake if they have applied sunscreen. The nurse reminds the
children that chemical sunscreens are most effective when
applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun - CORRECT
ANSWERS- 4. At least 30 minutes before exposure to the sun
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with
a burn injury. When applying the medication, the client complains
,of local discomfort and burning. Which of the following is the most
appropriate nursing action?
1. Notifying the registered nurse
2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site -
CORRECT ANSWERS- 3. Informing the client that this is normal
6.) The burn client is receiving treatments of topical mafenide
acetate (Sulfamylon) to the site of injury. The nurse monitors the
client, knowing that which of the following indicates that a
systemic effect has occurred?
1.Hyperventilation 2.Elevated blood pressure 3.Local pain at the
burn site
4.Local rash at the burn site - CORRECT ANSWERS-
1.Hyperventilation
7.) Isotretinoin is prescribed for a client with severe acne. Before
the administration of this medication, the nurse anticipates that
which laboratory test will be prescribed?
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count - CORRECT ANSWERS- 2. Triglyceride
level
, 8.) A client with severe acne is seen in the clinic and the health
care provider (HCP) prescribes isotretinoin. The nurse reviews the
client's medication record and would contact the (HCP) if the
client is taking which medication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin) - CORRECT ANSWERS- 1. Vitamin A
9.) The nurse is applying a topical corticosteroid to a client with
eczema. The nurse would monitor for the potential for increased
systemic absorption of the medication if the medication were
being applied to which of the following body areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands - CORRECT ANSWERS- 2. Axilla
10.) The clinic nurse is performing an admission assessment on a
client. The nurse notes that the client is taking azelaic acid
(Azelex). Because of the medication prescription, the nurse would
suspect that the client is being treated for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex - CORRECT ANSWERS- 1. Acne
PRACTICE EXAM, HESI
PHARMACOLOGY REVIEW EXAM,
2025/2026 WITH CORRECT/ACCURATE
ANSWERS
The healthcare provider prescribes a continuous infusion of 5%
dextrose in 0.45% sodium chloride at 85 ml/hour. The IV
administration set delivers 10 gtt/ml. The nurse should regulate
the drop rate to deliver how many gtts/minute? (Enter numeric
value only. If rounding is required, round to the nearest whole
number.) - CORRECT ANSWERS- 14
Volume/Time (minutes) x drop factor (gtt/ml) = 85 ml/ 60 minutes
x 10 gtt/ml = 14.16 = 14 gtt/minute
1) A nurse is caring for a client with hyperparathyroidism and
notes that the client's serum calcium level is 13 mg/dL. Which
medication should the nurse prepare to administer as prescribed
to the client? - CORRECT ANSWERS- 3. calcitonin (Miacalcin)
2.) Oral iron supplements are prescribed for a 6-year-old child
with iron deficiency anemia. The nurse instructs the mother to
administer the iron with which best food item?
1. Milk
,2. Water
3. Apple juice
4. Orange juice - CORRECT ANSWERS- 4. Orange juice
3.) Salicylic acid is prescribed for a client with a diagnosis of
psoriasis. The nurse monitors the client, knowing that which of
the following would indicate the presence of systemic toxicity
from this medication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased respirations - CORRECT ANSWERS- 1. Tinnitus
4.) The camp nurse asks the children preparing to swim in the
lake if they have applied sunscreen. The nurse reminds the
children that chemical sunscreens are most effective when
applied:
1. Immediately before swimming
2. 15 minutes before exposure to the sun
3. Immediately before exposure to the sun
4. At least 30 minutes before exposure to the sun - CORRECT
ANSWERS- 4. At least 30 minutes before exposure to the sun
5.) Mafenide acetate (Sulfamylon) is prescribed for the client with
a burn injury. When applying the medication, the client complains
,of local discomfort and burning. Which of the following is the most
appropriate nursing action?
1. Notifying the registered nurse
2. Discontinuing the medication
3. Informing the client that this is normal
4. Applying a thinner film than prescribed to the burn site -
CORRECT ANSWERS- 3. Informing the client that this is normal
6.) The burn client is receiving treatments of topical mafenide
acetate (Sulfamylon) to the site of injury. The nurse monitors the
client, knowing that which of the following indicates that a
systemic effect has occurred?
1.Hyperventilation 2.Elevated blood pressure 3.Local pain at the
burn site
4.Local rash at the burn site - CORRECT ANSWERS-
1.Hyperventilation
7.) Isotretinoin is prescribed for a client with severe acne. Before
the administration of this medication, the nurse anticipates that
which laboratory test will be prescribed?
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count - CORRECT ANSWERS- 2. Triglyceride
level
, 8.) A client with severe acne is seen in the clinic and the health
care provider (HCP) prescribes isotretinoin. The nurse reviews the
client's medication record and would contact the (HCP) if the
client is taking which medication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin) - CORRECT ANSWERS- 1. Vitamin A
9.) The nurse is applying a topical corticosteroid to a client with
eczema. The nurse would monitor for the potential for increased
systemic absorption of the medication if the medication were
being applied to which of the following body areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands - CORRECT ANSWERS- 2. Axilla
10.) The clinic nurse is performing an admission assessment on a
client. The nurse notes that the client is taking azelaic acid
(Azelex). Because of the medication prescription, the nurse would
suspect that the client is being treated for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex - CORRECT ANSWERS- 1. Acne
