HESI Pharmacology Nightingale College Fall 2025

1. A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for PE. Which information in the client's history requires follow up by the nurse? Takes metformin hydrochloride for type 2 DM. 2. A client diagnosed with MS who self-administers beta 1 a interferon, reports feeling increasingly depressed. Which action should the nurse implement? Notify the healthcare provider of the findings immediately. 3. Before administering the initial dose of sumatriptan succinate to a client with a migraine headache. It is most important to determine if the client's history includes which problem? CAD 4. A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours which is to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5%in water (D5W) 200mL. How many mL/hr should the nurse program the infusion pump to deliver? 200 5. Before administering a laxative to a bedfast client it is most important for the nurse to perform which assessment? Determine the frequency and consistency of bowel movements. 6. Hormone replacement therapy with levothyroxine sodium is prescribed for a client with hypothyroidism. The nurse should instruct the client to report which symptom because it indicates that the client is taking too much of the hormonal agent levothyroxine sodium? Restlessness 7. A male client reports to the nurse that he is experiencing gastrointestinal distress from a high dose of a corticosteroid and is planning to stop taking the medication. In response to the client's statement which nursing action is most important for the nurse to implement? Advise the client that medication should be gradually stopped rather than abruptly. 8. A client is receiving pilocarpine hydrochloride ophthalmic drops for glaucoma. The client calls the clinic nurse and reports difficulty seeing at night. Which explanation should the nurse provide? The eye drops slow pupil response to accommodate for darkness 9. A client is receiving rifampin an antitubercular medication. Which statement by this client should prompt the nurse to notify the healthcare provider of a potential problem? Reports that the sclera are yellow. 10. Which action should the nurse implement to assess the effectiveness of the Calcium channel blocker amlodipine? Measure the client's BP. 11. A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Hearing has decreased. 12. An older adult client with restless legs syndrome begins taking melatonin at bedtime. When evaluating the effectiveness of the herb which assessment should the nurse complete? Determine sleep patterns. 13. The nurse prepares to administer a scheduled dose of labetalol by mouth to a client with HTN. The client's V/Signs are temp 99% (37.2*C) heart rate 48 beats/ minute RR 16 breaths/min and BP 150/90 mm/Hg. Which action should the nurse take? Withhold the scheduled dose and notify the healthcare provider. 14. The nurse is planning discharge teaching for a client with DM who has a new prescription for insulin glargine. Which action should the nurse plan to include in the discharge teaching? Teach the client self-injection skills for daily subcutaneous administration. 15. The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and is now prescribed adalimumab. Which instructions should the nurse provide the client? Have a chest x ray prior to your first dose. 16. The nurse provide discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth three times a day for post herpetic neuralgia. Which symptoms should the nurse tell the client to report to the healthcare provider? Gastric irritation 17. To evaluate the effectiveness of a client's prescription for rosuvastatin which action should the nurse implement? Obtain the client's HR, and BP.