Evolve Pharmacology hesi practice
EXAM LATEST EXAM 2025 |
QUESTIONS AND CORRECT ANSWERS
| VERIFIED ANSWERS | ALREADY GRADED A+
1. Which prescription should the practical nurse (PN) administer for a client
who is experiencing an anaphylactic reaction to an antibiotic?
A) Ephedra (ma-huang).
B) Epinephrine (Adrenalin).
C) Phenylephrin (Neo-Synephrine).
D) Fexofenadine with pseudoephedrine (Allegra D).
Ans: B) Epinephrine (Adrenalin). Feedback:
Rationale Epinephrine (Adrenalin), a potent sympathomimetic, is the drug of
choice for the treatment of anaphylaxis (B). (A, C, and D) are not used for an acute
immunololgical dysfunction that causes cardiovascular effects.
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, 2. An older adult client receives a prescription for hydrochlorothiazide (Hy-
droDIURIL), a thiazide diuretic for the treatment of heart failure. Which side
effect(s) should the practical nurse reinforce with the client? (Select all that
apply.)
A) Constipation.
B) Fatigue.
C) Edema.
D) Nausea.
E) Dehydration.
F) Blurred vision.
Ans: B) Fatigue.
E) Dehydration.
Feedback:
Rationale Hydrochlorothiazide (HydroDIURIL), a thiazide diuretic, reduces
blood pressure by reducing blood volume and reducing arterial resistance.
Adverse effects of thiazides include hypokalemia, fatigue (B), dehydration (E),
hyperglycemia, and hyperuricemia. Although (A, C, D and F) may be associated
with aging or other pathology, they are not side effects commonly associated
with HydroDIURIL.
3. A client who has been taking phenazopyridine (Pyridium) for symptoms of
urethritis and cystitis comes to the clinic because her urine is reddish-orange.
Which question should the practical nurse ask to determine if the medication
has been effective?
A) How much water have you been drinking each day?
B) Does the urine color stain your toilet bowl or undergarments?
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, C) Have you had any relief from urinary pain, burning, or urgency?
D) Did your urine appear cloudy or have a foul odor on voiding?
Ans : C) Have you had any relief from urinary pain, burning, or urgency?
Feedback:
Rationale Phenazopyridine, an over-the-counter urinary analgesic, acts on the
mucosa of the urinary tract to relieve urinary pain, burning, itching, or urgency (C)
associated with urethritis and cystitis. Although determining if the client is forcing
fluids (A), experiencing staining from Pyridium's side effect (B), or having signs of
a urinary infection (D) are worthwhile assessments, the therapeutic response of
Pyridium is related to urinary discomforts only.
4. A male client who has been receiving an antineoplastic drug has devel-
oped thrombocytopenia. What instructions should the practical nurse (PN)
reinforce?
A) Use suppository form of drugs.
B) Avoid large public gatherings.
C) Rise slowly when standing up.
D) Shave with an electric razor.
Ans: D) Shave with an electric razor. Feedback:
Rationale Thrombocytopenia is a common side effect of bone marrow depression
caused by several antineoplastic agents. The client is experiencing a low platelet
count and should use an electric razor (D) to reduce his risk of bleeding. (A, B, and
C) are not indicated for a client who needs to implement thrombocytopenia
precautions.
5. The practical nurse (PN) is caring for a client who has been taking pred-
nisone (Deltasone) daily for a year. Which adverse effect should the PN docu-
ment in the client's record?
mailto:https://www.stuvia.com/user/Wisdoms
, A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color.
Ans: B) Weight gain. Feedback:
Rationale Long term use of prednisone causes fluid retention and redistribution o
fat deposi- tion. Weight gain (B) and moon face reflect adverse effects of long-term
prednisone
mailto:https://www.stuvia.com/user/Wisdoms
EXAM LATEST EXAM 2025 |
QUESTIONS AND CORRECT ANSWERS
| VERIFIED ANSWERS | ALREADY GRADED A+
1. Which prescription should the practical nurse (PN) administer for a client
who is experiencing an anaphylactic reaction to an antibiotic?
A) Ephedra (ma-huang).
B) Epinephrine (Adrenalin).
C) Phenylephrin (Neo-Synephrine).
D) Fexofenadine with pseudoephedrine (Allegra D).
Ans: B) Epinephrine (Adrenalin). Feedback:
Rationale Epinephrine (Adrenalin), a potent sympathomimetic, is the drug of
choice for the treatment of anaphylaxis (B). (A, C, and D) are not used for an acute
immunololgical dysfunction that causes cardiovascular effects.
mailto:https://www.stuvia.com/user/Wisdoms
, 2. An older adult client receives a prescription for hydrochlorothiazide (Hy-
droDIURIL), a thiazide diuretic for the treatment of heart failure. Which side
effect(s) should the practical nurse reinforce with the client? (Select all that
apply.)
A) Constipation.
B) Fatigue.
C) Edema.
D) Nausea.
E) Dehydration.
F) Blurred vision.
Ans: B) Fatigue.
E) Dehydration.
Feedback:
Rationale Hydrochlorothiazide (HydroDIURIL), a thiazide diuretic, reduces
blood pressure by reducing blood volume and reducing arterial resistance.
Adverse effects of thiazides include hypokalemia, fatigue (B), dehydration (E),
hyperglycemia, and hyperuricemia. Although (A, C, D and F) may be associated
with aging or other pathology, they are not side effects commonly associated
with HydroDIURIL.
3. A client who has been taking phenazopyridine (Pyridium) for symptoms of
urethritis and cystitis comes to the clinic because her urine is reddish-orange.
Which question should the practical nurse ask to determine if the medication
has been effective?
A) How much water have you been drinking each day?
B) Does the urine color stain your toilet bowl or undergarments?
mailto:https://www.stuvia.com/user/Wisdoms
, C) Have you had any relief from urinary pain, burning, or urgency?
D) Did your urine appear cloudy or have a foul odor on voiding?
Ans : C) Have you had any relief from urinary pain, burning, or urgency?
Feedback:
Rationale Phenazopyridine, an over-the-counter urinary analgesic, acts on the
mucosa of the urinary tract to relieve urinary pain, burning, itching, or urgency (C)
associated with urethritis and cystitis. Although determining if the client is forcing
fluids (A), experiencing staining from Pyridium's side effect (B), or having signs of
a urinary infection (D) are worthwhile assessments, the therapeutic response of
Pyridium is related to urinary discomforts only.
4. A male client who has been receiving an antineoplastic drug has devel-
oped thrombocytopenia. What instructions should the practical nurse (PN)
reinforce?
A) Use suppository form of drugs.
B) Avoid large public gatherings.
C) Rise slowly when standing up.
D) Shave with an electric razor.
Ans: D) Shave with an electric razor. Feedback:
Rationale Thrombocytopenia is a common side effect of bone marrow depression
caused by several antineoplastic agents. The client is experiencing a low platelet
count and should use an electric razor (D) to reduce his risk of bleeding. (A, B, and
C) are not indicated for a client who needs to implement thrombocytopenia
precautions.
5. The practical nurse (PN) is caring for a client who has been taking pred-
nisone (Deltasone) daily for a year. Which adverse effect should the PN docu-
ment in the client's record?
mailto:https://www.stuvia.com/user/Wisdoms
, A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color.
Ans: B) Weight gain. Feedback:
Rationale Long term use of prednisone causes fluid retention and redistribution o
fat deposi- tion. Weight gain (B) and moon face reflect adverse effects of long-term
prednisone
mailto:https://www.stuvia.com/user/Wisdoms
