Pharm HESI Practice Exam Latest
update(QUESTIONS AND ANSWERS)
2024 2025/2026 Exam All Answers and
Illustrations Given
The nurse is caring for a client who has taken atenolol for 2 years. The
healthcare provider recently changed the medication to enalapril to manage
the client's blood pressure. Which instruction should the nurse provide the
client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair. - 🧠ANSWER ✔✔D. Rise
slowly when getting out of bed or chair.
A female client calls the clinic and talks with the nurse to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having
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1
,vaginal discomfort, itching, and a white discharge. The nurse should
discuss which action with the client?
A. Discontinue the antibiotic because original symptoms have subsided.
B. Continue taking medication until finished until the symptoms subside.
C. Consult with healthcare provider about another treatment for this effect.
D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
- 🧠ANSWER ✔✔C. Consult with healthcare provider about another
treatment for this effect.
The nurse is making early morning rounds on a group of clients when a
client begins exhibiting symptoms of an acute asthma attack. The nurse
administers a PRN prescription for a Beta 2 receptor agonist agent. Which
client response should the nurse expect?
A. Tachycardia.
B. Increased blood pressure.
C. Rapid resolution of wheezing.
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STATEMENT. ALL RIGHTS RESERVED
2
,D. Improved pulse oximetry values.
E. Reduce fever airway inflammation. - 🧠ANSWER ✔✔C, D
A client prescribed atenolol has a blood pressure of 120/68 mmHg,
displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R
interval of 0.24. Which action should the nurse take?
A. Lower the head of the bed and assess the client for orthostatic vital sign
changes.
B. Give the medication as prescribed and continue to monitor the client.
C. Prepare to administer atropine sulfate IV push.
D. Hold the prescribed dose and contact the healthcare provider. -
🧠ANSWER ✔✔B. Give the medication as prescribed and continue to
monitor the client.
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. Which action should the nurse take
first?
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STATEMENT. ALL RIGHTS RESERVED
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, A. Withhold the scheduled dose.
B. Check the client's apical pulse.
C. Notify the healthcare provider.
D. Repeat the serum potassium level. - 🧠ANSWER ✔✔A. Withhold the
scheduled dose.
Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should
the nurse administer the prescribed medications? (Arrange from first to
last.) - 🧠ANSWER ✔✔1. Albuterol (Proventil) puffs.
2. Salmeterol (Serevent Diskus).
3. Prednisone (Deltasone) orally.
4. Gentamicin (Garamycin) IM.
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?
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STATEMENT. ALL RIGHTS RESERVED
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update(QUESTIONS AND ANSWERS)
2024 2025/2026 Exam All Answers and
Illustrations Given
The nurse is caring for a client who has taken atenolol for 2 years. The
healthcare provider recently changed the medication to enalapril to manage
the client's blood pressure. Which instruction should the nurse provide the
client regarding the new medication?
A. Take the medication at bedtime.
B. Report presence of increased bruising.
C. Check pulse before taking medication.
D. Rise slowly when getting out of bed or chair. - 🧠ANSWER ✔✔D. Rise
slowly when getting out of bed or chair.
A female client calls the clinic and talks with the nurse to inquire about a
possible reaction after taking amoxicillin for 5 days. She reports having
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
1
,vaginal discomfort, itching, and a white discharge. The nurse should
discuss which action with the client?
A. Discontinue the antibiotic because original symptoms have subsided.
B. Continue taking medication until finished until the symptoms subside.
C. Consult with healthcare provider about another treatment for this effect.
D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions.
- 🧠ANSWER ✔✔C. Consult with healthcare provider about another
treatment for this effect.
The nurse is making early morning rounds on a group of clients when a
client begins exhibiting symptoms of an acute asthma attack. The nurse
administers a PRN prescription for a Beta 2 receptor agonist agent. Which
client response should the nurse expect?
A. Tachycardia.
B. Increased blood pressure.
C. Rapid resolution of wheezing.
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
2
,D. Improved pulse oximetry values.
E. Reduce fever airway inflammation. - 🧠ANSWER ✔✔C, D
A client prescribed atenolol has a blood pressure of 120/68 mmHg,
displaying a sinus bradycardia with a rate of 58 beats/minute, and a P-R
interval of 0.24. Which action should the nurse take?
A. Lower the head of the bed and assess the client for orthostatic vital sign
changes.
B. Give the medication as prescribed and continue to monitor the client.
C. Prepare to administer atropine sulfate IV push.
D. Hold the prescribed dose and contact the healthcare provider. -
🧠ANSWER ✔✔B. Give the medication as prescribed and continue to
monitor the client.
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. Which action should the nurse take
first?
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, A. Withhold the scheduled dose.
B. Check the client's apical pulse.
C. Notify the healthcare provider.
D. Repeat the serum potassium level. - 🧠ANSWER ✔✔A. Withhold the
scheduled dose.
Upon admission to the emergency center, an adult client with acute status
asthmaticus is prescribed this series of medications. In which order should
the nurse administer the prescribed medications? (Arrange from first to
last.) - 🧠ANSWER ✔✔1. Albuterol (Proventil) puffs.
2. Salmeterol (Serevent Diskus).
3. Prednisone (Deltasone) orally.
4. Gentamicin (Garamycin) IM.
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?
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
4
