PHARM HESI PRACTICE EXAM
WITH CORRECT ANSWERS 2025
GRADED A+
After abdominal surgery, a male client is prescribed low molecular weight
heparin (LMWH). During administration of the medication, the client asks the
nurse why he is receiving this medication. Which is the best response for the
nurse to provide? ( correct answers ) This medication is a blood thinner
given to prevent blood clot formation.
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and
ketorolac (Toradol) 30 mg IV q6h. Which action should the nurse implement?
( correct answers ) Administer both medications according to the
prescription.
Which nursing intervention is most important when caring for a client
receiving the antimetabolite cytosine arabinoside (Arc-C) for chemotherapy?
( correct answers ) Inspect the client's oral mucosa for ulcerations.
A client is admitted to the coronary care unit with a medical diagnosis of
acute myocardial infarction. Which medication prescription decreases both
preload and afterload? ( correct answers ) Nitroglycerin.
A client with heart failure (HF) is being discharged with a new prescription for
the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The
nurse's discharge instruction should include reporting which problem to the
healthcare provider? ( correct answers ) dizziness
The healthcare provider prescribes naproxen (Naproxen) twice daily for a
client with osteoarthritis of the hands. The client tells the nurse that the drug
GRADED A+
, does not seem to be effective after three weeks. Which is the best response
for the nurse to provide? ( correct answers ) Another type of nonsteroidal
antiinflammatory drug may be indicated.
A client is admitted to the hospital for diagnostic testing for possible
myasthenia gravis. The nurse prepares for intravenous administration of
edrophonium chloride (Tensilon). What is the expected outcome for this
client following administration of this pharmacologic agent? ( correct
answers ) Decreased muscle weakness.
Which antidiarrheal agent should be used with caution in clients taking high
dosages of aspirin for arthritis? ( correct answers ) Bismuth subsalicylate
(Pepto Bismol).
An adult client is given a prescription for a scopolamine patch (Transderm
Scop) to prevent motion sickness while on a cruise. Which information should
the nurse provide to the client? ( correct answers ) Apply the patch at
least 4 hours prior to departure.
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II
receptor blocker (ARB), for a client with hypertension and heart failure. The
nurse reviews the client's laboratory results and notes that the client's serum
potassium level is 5.9 mEq/L. What action should the nurse take first?
( correct answers ) Withhold the scheduled dose.
A client is taking hydromorphone (Dilaudid) PO q4h at home. Following
surgery, Dilaudid IV q4h PRN and butorphanol tartrate (Stadol) IV q4h PRN
are prescribed for pain. The client received a dose of the Dilaudid IV four
hours ago, and is again requesting pain medication. What intervention
should the nurse implement? ( correct answers ) Administer only the
Dilaudid q4h PRN for pain.
The nurse is transcribing a new prescription for spironolactone (Aldactone)
for a client who receives an angiotensin-converting enzyme (ACE) inhibitor.
Which action should the nurse implement? ( correct answers ) Verify both
prescriptions with the healthcare provider.
GRADED A+
WITH CORRECT ANSWERS 2025
GRADED A+
After abdominal surgery, a male client is prescribed low molecular weight
heparin (LMWH). During administration of the medication, the client asks the
nurse why he is receiving this medication. Which is the best response for the
nurse to provide? ( correct answers ) This medication is a blood thinner
given to prevent blood clot formation.
An adult client has prescriptions for morphine sulfate 2.5 mg IV q6h and
ketorolac (Toradol) 30 mg IV q6h. Which action should the nurse implement?
( correct answers ) Administer both medications according to the
prescription.
Which nursing intervention is most important when caring for a client
receiving the antimetabolite cytosine arabinoside (Arc-C) for chemotherapy?
( correct answers ) Inspect the client's oral mucosa for ulcerations.
A client is admitted to the coronary care unit with a medical diagnosis of
acute myocardial infarction. Which medication prescription decreases both
preload and afterload? ( correct answers ) Nitroglycerin.
A client with heart failure (HF) is being discharged with a new prescription for
the angiotensin-converting enzyme (ACE) inhibitor captopril (Capoten). The
nurse's discharge instruction should include reporting which problem to the
healthcare provider? ( correct answers ) dizziness
The healthcare provider prescribes naproxen (Naproxen) twice daily for a
client with osteoarthritis of the hands. The client tells the nurse that the drug
GRADED A+
, does not seem to be effective after three weeks. Which is the best response
for the nurse to provide? ( correct answers ) Another type of nonsteroidal
antiinflammatory drug may be indicated.
A client is admitted to the hospital for diagnostic testing for possible
myasthenia gravis. The nurse prepares for intravenous administration of
edrophonium chloride (Tensilon). What is the expected outcome for this
client following administration of this pharmacologic agent? ( correct
answers ) Decreased muscle weakness.
Which antidiarrheal agent should be used with caution in clients taking high
dosages of aspirin for arthritis? ( correct answers ) Bismuth subsalicylate
(Pepto Bismol).
An adult client is given a prescription for a scopolamine patch (Transderm
Scop) to prevent motion sickness while on a cruise. Which information should
the nurse provide to the client? ( correct answers ) Apply the patch at
least 4 hours prior to departure.
The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II
receptor blocker (ARB), for a client with hypertension and heart failure. The
nurse reviews the client's laboratory results and notes that the client's serum
potassium level is 5.9 mEq/L. What action should the nurse take first?
( correct answers ) Withhold the scheduled dose.
A client is taking hydromorphone (Dilaudid) PO q4h at home. Following
surgery, Dilaudid IV q4h PRN and butorphanol tartrate (Stadol) IV q4h PRN
are prescribed for pain. The client received a dose of the Dilaudid IV four
hours ago, and is again requesting pain medication. What intervention
should the nurse implement? ( correct answers ) Administer only the
Dilaudid q4h PRN for pain.
The nurse is transcribing a new prescription for spironolactone (Aldactone)
for a client who receives an angiotensin-converting enzyme (ACE) inhibitor.
Which action should the nurse implement? ( correct answers ) Verify both
prescriptions with the healthcare provider.
GRADED A+
