PHARMACOLOGY EVOLVE HESI/EVOLVE HESI
PHARMACOLOGY EXAM LATEST 2025-2026
UPDATE EXAM WITH CORRECT DETAILED AND
ANSWERS WITH RATIONALES|||BRAND NEW!!!
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?
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?
- Correct Answer -C) Have you had any relief from urinary pain,
burning, or urgency?
Feedback:
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.
A male client who has been receiving an antineoplastic drug has
developed 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.
pg. 1
,- Correct Answer -D) Shave with an electric razor.
Feedback:
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.
The practical nurse (PN) is caring for a client who has been taking
prednisone (Deltasone) daily for a year. Which adverse effect should
the PN document in the client's record?
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color.
- Correct Answer -B) Weight gain.
Feedback:
Long term use of prednisone causes fluid retention and redistribution
of fat deposition. Weight gain (B) and moon face reflect adverse
effects of long-term prednisone use and should be documented. (A, C,
and D) do not occur with treatment using prednisone.
A female client with recurring headaches tells the practical nurse (PN)
that she has been taking at least 4 grams of acetaminophen a day.
Which laboratory studies should the PN review for this client?
A) Creatinine clearance.
B) Hepatic enzymes.
C) Coagulation values.
D) Arterial blood gases.
- Correct Answer -B) Hepatic enzymes.
pg. 2
,Feedback:
Liver toxicity can occur when doses of acetaminophen exceed 4
grams a day, resulting in an elevation in hepatic enzyme values (B).
(A, C, and D) do not reveal findings related to acetaminophen
toxicity.
A client receives a prescription for an oral opioid analgesic for post-
operative pain. Which adverse effect should the practical nurse (PN)
monitor for with the client?
A) Constipation.
B) Photosensitivity.
C) Decreased heart rate.
D) Frequent urination.
- Correct Answer -A) Constipation.
Feedback:
Opioid analgesics slow peristalsis, which leads to constipation (A), a
common side effect of opiates. (B, C, and D) are not associated with
opioid analgesics.
Which action should the practical nurse implement when
administering a buccal medication?
A) Encourage the client to swallow.
B) Administer water with medication.
C) Ensure the medication is positioned under the tongue.
D) Place the medication between the upper molar teeth and cheek.
- Correct Answer -D) Place the medication between the upper molar
teeth and cheek.
Feedback:
Buccal medications are placed between the upper molar teeth and the
cheek (D) for absorption by the capillaries of the oral mucosa. The
pg. 3
, client should be cautioned against swallowing, not (A). Buccal
medications are not administered with water (B). (C) describes
sublingual administration.
What assessment is most important for the practical nurse (PN) to
obtain prior to initiating medication therapy with phenelzine (Nardil)
for a client with depression?
A) Activity level.
B) Mood and affect.
C) Understanding of diet modification.
D) The client's support system.
- Correct Answer -C) Understanding of diet modification.
Feedback:
To prevent a potentially lethal hypertensive crisis, a tyramine-free diet
should be maintained during antidepressant therapy with Nardil, a
monoamine oxidase inhibitor (MAOI). It is most important to
determine if the client understands diet modification (C) before Nardil
is initiated to prevent consumption of foods that interact with Nardil.
Although a client's activity level (A) and mood and affect (B) should
be monitored during antidepressant therapy, it is most important that
the client understand diet modifications. The client's support system
(D) and network of family and friends is important, but the client
should understand the responsibility of dietary compliance with the
medication regimen.
The practical nurse (PN) is unable to arouse a client who is receiving
meperidine (Demerol) for postoperative pain. The client is stuporous,
has constricted pupils, and a respiratory rate of 8 breaths/minute.
Which PRN prescription should the PN give the client?
A) Naloxone (Narcan).
B) Promethazine (Phenergan).
C) Metoclopramide (Reglan).
pg. 4
PHARMACOLOGY EXAM LATEST 2025-2026
UPDATE EXAM WITH CORRECT DETAILED AND
ANSWERS WITH RATIONALES|||BRAND NEW!!!
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?
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?
- Correct Answer -C) Have you had any relief from urinary pain,
burning, or urgency?
Feedback:
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.
A male client who has been receiving an antineoplastic drug has
developed 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.
pg. 1
,- Correct Answer -D) Shave with an electric razor.
Feedback:
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.
The practical nurse (PN) is caring for a client who has been taking
prednisone (Deltasone) daily for a year. Which adverse effect should
the PN document in the client's record?
A) Photosensitvity.
B) Weight gain.
C) Loss of hair.
D) Pale skin color.
- Correct Answer -B) Weight gain.
Feedback:
Long term use of prednisone causes fluid retention and redistribution
of fat deposition. Weight gain (B) and moon face reflect adverse
effects of long-term prednisone use and should be documented. (A, C,
and D) do not occur with treatment using prednisone.
A female client with recurring headaches tells the practical nurse (PN)
that she has been taking at least 4 grams of acetaminophen a day.
Which laboratory studies should the PN review for this client?
A) Creatinine clearance.
B) Hepatic enzymes.
C) Coagulation values.
D) Arterial blood gases.
- Correct Answer -B) Hepatic enzymes.
pg. 2
,Feedback:
Liver toxicity can occur when doses of acetaminophen exceed 4
grams a day, resulting in an elevation in hepatic enzyme values (B).
(A, C, and D) do not reveal findings related to acetaminophen
toxicity.
A client receives a prescription for an oral opioid analgesic for post-
operative pain. Which adverse effect should the practical nurse (PN)
monitor for with the client?
A) Constipation.
B) Photosensitivity.
C) Decreased heart rate.
D) Frequent urination.
- Correct Answer -A) Constipation.
Feedback:
Opioid analgesics slow peristalsis, which leads to constipation (A), a
common side effect of opiates. (B, C, and D) are not associated with
opioid analgesics.
Which action should the practical nurse implement when
administering a buccal medication?
A) Encourage the client to swallow.
B) Administer water with medication.
C) Ensure the medication is positioned under the tongue.
D) Place the medication between the upper molar teeth and cheek.
- Correct Answer -D) Place the medication between the upper molar
teeth and cheek.
Feedback:
Buccal medications are placed between the upper molar teeth and the
cheek (D) for absorption by the capillaries of the oral mucosa. The
pg. 3
, client should be cautioned against swallowing, not (A). Buccal
medications are not administered with water (B). (C) describes
sublingual administration.
What assessment is most important for the practical nurse (PN) to
obtain prior to initiating medication therapy with phenelzine (Nardil)
for a client with depression?
A) Activity level.
B) Mood and affect.
C) Understanding of diet modification.
D) The client's support system.
- Correct Answer -C) Understanding of diet modification.
Feedback:
To prevent a potentially lethal hypertensive crisis, a tyramine-free diet
should be maintained during antidepressant therapy with Nardil, a
monoamine oxidase inhibitor (MAOI). It is most important to
determine if the client understands diet modification (C) before Nardil
is initiated to prevent consumption of foods that interact with Nardil.
Although a client's activity level (A) and mood and affect (B) should
be monitored during antidepressant therapy, it is most important that
the client understand diet modifications. The client's support system
(D) and network of family and friends is important, but the client
should understand the responsibility of dietary compliance with the
medication regimen.
The practical nurse (PN) is unable to arouse a client who is receiving
meperidine (Demerol) for postoperative pain. The client is stuporous,
has constricted pupils, and a respiratory rate of 8 breaths/minute.
Which PRN prescription should the PN give the client?
A) Naloxone (Narcan).
B) Promethazine (Phenergan).
C) Metoclopramide (Reglan).
pg. 4
