Pharm HESI Practice Exam Latest update(QUESTIONS AND ANSWERS) 20
1. The nurse is caring for a client who has taken atenolol D. Rise slowly when get-
for 2 years. The healthcare provider recently changed ting out of bed or chair.
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.
2. A female client calls the clinic and talks with the nurse C. Consult with health-
to inquire about a possible reaction after taking amox- care provider about an-
icillin for 5 days. She reports having vaginal discom- other treatment for this ef-
fort, itching, and a white discharge. The nurse should fect.
discuss which action with the client?
A. Discontinue the antibiotic because original symp-
toms 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.
3. The nurse is making early morning rounds on a group C, D
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?
, Pharm HESI Practice Exam Latest update(QUESTIONS AND ANSWERS) 20
A. Tachycardia.
B. Increased blood pressure.
C. Rapid resolution of wheezing.
D. Improved pulse oximetry values.
E. Reduce fever airway inflammation.
4. A client prescribed atenolol has a blood pressure of B. Give the medication as
120/68 mmHg, displaying a sinus bradycardia with a prescribed and continue
rate of 58 beats/minute, and a P-R interval of 0.24. to monitor the client.
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.
5. The nurse is preparing the 0900 dose of losartan A. Withhold the scheduled
(Cozaar), an angiotensin II receptor blocker (ARB), for dose.
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?
A. Withhold the scheduled dose.
B. Check the client's apical pulse.
C. Notify the healthcare provider.
D. Repeat the serum potassium level.
6. Upon admission to the emergency center, an adult 1. Albuterol (Proventil)
client with acute status asthmaticus is prescribed this putts.
, Pharm HESI Practice Exam Latest update(QUESTIONS AND ANSWERS) 20
series of medications. In which order should the nurse 2. Salmeterol (Serevent
administer the prescribed medications? (Arrange from Diskus).
first to last.) 3. Prednisone (Deltasone)
orally.
4. Gentamicin
(Garamycin) IM.
7. An adult client is given a prescription for a scopolamine A. Apply the patch at least 4
patch (Transderm Scop) to prevent motion sickness hours prior to departure.
while on a cruise. Which information should the nurse
provide to the client?
A. Apply the patch at least 4 hours prior to departure.
B. Change the patch every other day while on the
cruise.
C. Place the patch on a hairless area at the base of the
skull.
D. Drink no more than 2 alcoholic drinks during the
cruise.
8. A client with giardiasis is taking metronidazole (Flagyl) D. Take the medication
2 grams PO. Which information should the nurse in- with food.
clude 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.
9. A female client with rheumatoid arthritis takes ibupro- A. Use contraception dur-
fen (Motrin) 600 mg PO 4 times a day. To prevent gas- ing intercourse.
trointestinal bleeding, misoprostol (Cytotec) 100 mcg
PO is prescribed. Which information is most important
1. The nurse is caring for a client who has taken atenolol D. Rise slowly when get-
for 2 years. The healthcare provider recently changed ting out of bed or chair.
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.
2. A female client calls the clinic and talks with the nurse C. Consult with health-
to inquire about a possible reaction after taking amox- care provider about an-
icillin for 5 days. She reports having vaginal discom- other treatment for this ef-
fort, itching, and a white discharge. The nurse should fect.
discuss which action with the client?
A. Discontinue the antibiotic because original symp-
toms 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.
3. The nurse is making early morning rounds on a group C, D
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?
, Pharm HESI Practice Exam Latest update(QUESTIONS AND ANSWERS) 20
A. Tachycardia.
B. Increased blood pressure.
C. Rapid resolution of wheezing.
D. Improved pulse oximetry values.
E. Reduce fever airway inflammation.
4. A client prescribed atenolol has a blood pressure of B. Give the medication as
120/68 mmHg, displaying a sinus bradycardia with a prescribed and continue
rate of 58 beats/minute, and a P-R interval of 0.24. to monitor the client.
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.
5. The nurse is preparing the 0900 dose of losartan A. Withhold the scheduled
(Cozaar), an angiotensin II receptor blocker (ARB), for dose.
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?
A. Withhold the scheduled dose.
B. Check the client's apical pulse.
C. Notify the healthcare provider.
D. Repeat the serum potassium level.
6. Upon admission to the emergency center, an adult 1. Albuterol (Proventil)
client with acute status asthmaticus is prescribed this putts.
, Pharm HESI Practice Exam Latest update(QUESTIONS AND ANSWERS) 20
series of medications. In which order should the nurse 2. Salmeterol (Serevent
administer the prescribed medications? (Arrange from Diskus).
first to last.) 3. Prednisone (Deltasone)
orally.
4. Gentamicin
(Garamycin) IM.
7. An adult client is given a prescription for a scopolamine A. Apply the patch at least 4
patch (Transderm Scop) to prevent motion sickness hours prior to departure.
while on a cruise. Which information should the nurse
provide to the client?
A. Apply the patch at least 4 hours prior to departure.
B. Change the patch every other day while on the
cruise.
C. Place the patch on a hairless area at the base of the
skull.
D. Drink no more than 2 alcoholic drinks during the
cruise.
8. A client with giardiasis is taking metronidazole (Flagyl) D. Take the medication
2 grams PO. Which information should the nurse in- with food.
clude 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.
9. A female client with rheumatoid arthritis takes ibupro- A. Use contraception dur-
fen (Motrin) 600 mg PO 4 times a day. To prevent gas- ing intercourse.
trointestinal bleeding, misoprostol (Cytotec) 100 mcg
PO is prescribed. Which information is most important
