PHARM 315 HESI EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
A client with a history of chronic obstructive pulmonary disease
(COPD) receives a new
prescription for an ipratropium inhaler. Which action indicates to
the nurse that additional teaching is needed?
A. Primes the inhaler with 7 pumps.
B. Attaches spacer device to the inhaler.
C. Rinses the mouth after each use.
D. Stores the medication at room temperature. ( correct
answers ) A. Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and
spironolactone is prescribed.
Which instruction should the nurse include in this client's plan of
care?
A. Cover your skin before going outside.
B. Limit intake of high-potassium foods.
C. Replace salt with a salt substitute.
D. Monitor skin for excessive bruising. ( correct answers ) B.
Limit intake of high-potassium foods.
GRADED A+
,A client with peptic ulcer disease receives a new prescription for
cimetidine. Which statement
provided by the client requires additional instruction by the
nurse?
A. Notify the healthcare provider of lethargy.
B. Monitor for any signs of sexual dysfunction.
C. Decrease cigarette use to a pack per day.
D. Take the medication an hour after antacids ( correct
answers ) A. Notify the healthcare provider of lethargy.
A client with chemotherapy-induced nausea receives a
prescription for metoclopramide. Which
adverse effect is most important for the nurse to report?
A. Diarrhea.
B. Involuntary movements.
C. Unusual irritability.
D. Nausea. ( correct answers ) B. Involuntary movements
The nurse admits a client with a diagnosis of stage 4 cancer. The
client has a prescription to
wear a subcutaneous morphine sulfate patch for pain. The client
is short of breath and difficult
to arouse. While performing a head-to-toe assessment. the nurse
discovers four patches on the
client's body. Which action should the nurse take first?
A. Monitor blood pressure.
B. Administer a narcotic reversal drug.
GRADED A+
, C. Remove the morphine patches.
D. Apply oxygen face mask. ( correct answers ) C. Remove the
morphine patches.
The nurse is providing instructions about a client's new
medications. How should the nurse
explain the purpose of probenecid, a uricosuric drug?
A. Decreases pain and burning during urination.
B. Prevents the formation of kidney stones.
C. Increases the strength of the urine stream.
D. Promotes excretion of uric acid in the urine. ( correct answers
) D. Promotes excretion of uric acid in the urine.
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. Excessive bruising.
B. Muscle tenderness.
C. Peripheral edema.
D. Nausea and vomiting. ( correct answers ) B. Muscle
tenderness.
A client receives a new prescription for levothyroxine. Which
statement made by client indicates
to the nurse the education was effective?
A. Take medication on an empty stomach.
B. Avoid the use of iron supplements
GRADED A+
CORRECT ANSWERS 2025
GRADED A+
A client with a history of chronic obstructive pulmonary disease
(COPD) receives a new
prescription for an ipratropium inhaler. Which action indicates to
the nurse that additional teaching is needed?
A. Primes the inhaler with 7 pumps.
B. Attaches spacer device to the inhaler.
C. Rinses the mouth after each use.
D. Stores the medication at room temperature. ( correct
answers ) A. Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and
spironolactone is prescribed.
Which instruction should the nurse include in this client's plan of
care?
A. Cover your skin before going outside.
B. Limit intake of high-potassium foods.
C. Replace salt with a salt substitute.
D. Monitor skin for excessive bruising. ( correct answers ) B.
Limit intake of high-potassium foods.
GRADED A+
,A client with peptic ulcer disease receives a new prescription for
cimetidine. Which statement
provided by the client requires additional instruction by the
nurse?
A. Notify the healthcare provider of lethargy.
B. Monitor for any signs of sexual dysfunction.
C. Decrease cigarette use to a pack per day.
D. Take the medication an hour after antacids ( correct
answers ) A. Notify the healthcare provider of lethargy.
A client with chemotherapy-induced nausea receives a
prescription for metoclopramide. Which
adverse effect is most important for the nurse to report?
A. Diarrhea.
B. Involuntary movements.
C. Unusual irritability.
D. Nausea. ( correct answers ) B. Involuntary movements
The nurse admits a client with a diagnosis of stage 4 cancer. The
client has a prescription to
wear a subcutaneous morphine sulfate patch for pain. The client
is short of breath and difficult
to arouse. While performing a head-to-toe assessment. the nurse
discovers four patches on the
client's body. Which action should the nurse take first?
A. Monitor blood pressure.
B. Administer a narcotic reversal drug.
GRADED A+
, C. Remove the morphine patches.
D. Apply oxygen face mask. ( correct answers ) C. Remove the
morphine patches.
The nurse is providing instructions about a client's new
medications. How should the nurse
explain the purpose of probenecid, a uricosuric drug?
A. Decreases pain and burning during urination.
B. Prevents the formation of kidney stones.
C. Increases the strength of the urine stream.
D. Promotes excretion of uric acid in the urine. ( correct answers
) D. Promotes excretion of uric acid in the urine.
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. Excessive bruising.
B. Muscle tenderness.
C. Peripheral edema.
D. Nausea and vomiting. ( correct answers ) B. Muscle
tenderness.
A client receives a new prescription for levothyroxine. Which
statement made by client indicates
to the nurse the education was effective?
A. Take medication on an empty stomach.
B. Avoid the use of iron supplements
GRADED A+
