PHARM HESI PRACTICE TEST EXAM 2025/2026 LATEST UPDATE
WITH ALL STUDY QUESTIONS WITH DETAILED ANSWERS
GUARANTEED PASS | RATED A+
A client's dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When
the client reports the onset of a headache prior to the next scheduled dose, which action should
the nurse implement?
A. Hold the next scheduled dose of Imdur 60 mg and administer a PRN dose of acetaminophen
(Tylenol).
B. Administer the 40 mg of Imdur and then contact the healthcare provider.
C. Administer the 60 mg dose of Imdur and a PRN dose of acetaminophen (Tylenol).
D. Do not administer the next dose of Imdur or any acetaminophen until notifying the healthcare
provider. - Answer>>> C. Administer the 60 mg dose of Imdur and a PRN dose of
acetaminophen (Tylenol).
The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with
osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective
after three weeks. Which is the best response for the nurse to provide?
A. The frequency of the dosing is necessary to increase the effectiveness.
B. Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C. Another type of nonsteroidal antiinflammatory drug may be indicated.
D. Systemic corticosteroids are the next drugs of choice for pain relief. - Answer>>> C. Another
type of nonsteroidal antiinflammatory drug may be indicated.
After abdominal surgery, a client is prescribed low molecular weight heparin (LMWH). During
administration of the medication, the client asks the nurse the reason for the medication. Which
is the best response for the nurse to provide the client?
,A. This medication is given to prevent blood clot formation.
B. This medication enhances antibiotics to prevent infection.
C. This medication dissolves clots that develop in the legs.
D. This medication enhances the healing of wounds. - Answer>>> A. This medication is given to
prevent blood clot formation.
An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and ketorolac
(Toradol) 30 mg IV every 6 hours. Which action should the nurse implement?
A. Administer both medications according to the prescription.
B. Hold the ketorolac to prevent an antagonistic effect.
C. Hold the morphine to prevent an additive drug interaction.
D. Contact the healthcare provider to clarify the prescription. - Answer>>> A. Administer both
medications according to the prescription.
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should
the nurse include in the client's instruction?
A. Notify the clinic of any changes in the color of urine.
B. Avoid overexposure to the sun.
C. Stop the medication after the diarrhea resolves.
D. Take the medication with food. - Answer>>> D. Take the medication with food.
A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has
completed discharge teaching regarding medication administration. Which morning schedule
would indicate to the nurse that the client teaching has been effective?
, A. Take medication, go for a 30 minute morning walk, then eat breakfast.
B. Take medication, rest in bed for 30 minutes, eat breakfast, go for morning walk.
C. Take medication with breakfast, then take a 30 minute morning walk.
D. Go for a 30 minute morning walk, eat breakfast, then take medication. - Answer>>> A. Take
medication, go for a 30 minute morning walk, then eat breakfast.
A postoperative client receiving a continuous IV infusion of meperidine 35 mg/hr for the past
four days has become increasingly restless and irritable, and begins to hallucinate. Which action
should the nurse take first?
A. Administer a PRN dose of the PO lithium.
B. Administer naloxone IV push.
C. Decrease the IV infusion rate of the meperidine.
D. Increase the IV infusion rate of the meperidine. - Answer>>> C. Decrease the IV infusion rate
of the meperidine.
A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a day. To
prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which
information is most important for the nurse to include in client teaching?
A. Use contraception during intercourse.
B. Ensure the Cytotec is taken on an empty stomach.
C. Encourage oral fluid intake to prevent constipation.
D. Take Cytotec 30 minutes prior to Motrin. - Answer>>> A. Use contraception during
intercourse.
WITH ALL STUDY QUESTIONS WITH DETAILED ANSWERS
GUARANTEED PASS | RATED A+
A client's dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When
the client reports the onset of a headache prior to the next scheduled dose, which action should
the nurse implement?
A. Hold the next scheduled dose of Imdur 60 mg and administer a PRN dose of acetaminophen
(Tylenol).
B. Administer the 40 mg of Imdur and then contact the healthcare provider.
C. Administer the 60 mg dose of Imdur and a PRN dose of acetaminophen (Tylenol).
D. Do not administer the next dose of Imdur or any acetaminophen until notifying the healthcare
provider. - Answer>>> C. Administer the 60 mg dose of Imdur and a PRN dose of
acetaminophen (Tylenol).
The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with
osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective
after three weeks. Which is the best response for the nurse to provide?
A. The frequency of the dosing is necessary to increase the effectiveness.
B. Therapeutic blood levels of this drug are reached in 4 to 6 weeks.
C. Another type of nonsteroidal antiinflammatory drug may be indicated.
D. Systemic corticosteroids are the next drugs of choice for pain relief. - Answer>>> C. Another
type of nonsteroidal antiinflammatory drug may be indicated.
After abdominal surgery, a client is prescribed low molecular weight heparin (LMWH). During
administration of the medication, the client asks the nurse the reason for the medication. Which
is the best response for the nurse to provide the client?
,A. This medication is given to prevent blood clot formation.
B. This medication enhances antibiotics to prevent infection.
C. This medication dissolves clots that develop in the legs.
D. This medication enhances the healing of wounds. - Answer>>> A. This medication is given to
prevent blood clot formation.
An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and ketorolac
(Toradol) 30 mg IV every 6 hours. Which action should the nurse implement?
A. Administer both medications according to the prescription.
B. Hold the ketorolac to prevent an antagonistic effect.
C. Hold the morphine to prevent an additive drug interaction.
D. Contact the healthcare provider to clarify the prescription. - Answer>>> A. Administer both
medications according to the prescription.
A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should
the nurse include in the client's instruction?
A. Notify the clinic of any changes in the color of urine.
B. Avoid overexposure to the sun.
C. Stop the medication after the diarrhea resolves.
D. Take the medication with food. - Answer>>> D. Take the medication with food.
A client is being treated for osteoporosis with alendronate (Fosamax), and the nurse has
completed discharge teaching regarding medication administration. Which morning schedule
would indicate to the nurse that the client teaching has been effective?
, A. Take medication, go for a 30 minute morning walk, then eat breakfast.
B. Take medication, rest in bed for 30 minutes, eat breakfast, go for morning walk.
C. Take medication with breakfast, then take a 30 minute morning walk.
D. Go for a 30 minute morning walk, eat breakfast, then take medication. - Answer>>> A. Take
medication, go for a 30 minute morning walk, then eat breakfast.
A postoperative client receiving a continuous IV infusion of meperidine 35 mg/hr for the past
four days has become increasingly restless and irritable, and begins to hallucinate. Which action
should the nurse take first?
A. Administer a PRN dose of the PO lithium.
B. Administer naloxone IV push.
C. Decrease the IV infusion rate of the meperidine.
D. Increase the IV infusion rate of the meperidine. - Answer>>> C. Decrease the IV infusion rate
of the meperidine.
A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a day. To
prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which
information is most important for the nurse to include in client teaching?
A. Use contraception during intercourse.
B. Ensure the Cytotec is taken on an empty stomach.
C. Encourage oral fluid intake to prevent constipation.
D. Take Cytotec 30 minutes prior to Motrin. - Answer>>> A. Use contraception during
intercourse.
