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EVOLVE HESI PHARMACOLOGY VERSION 1,2,3 AND 4 EXAM
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A client is experiencing an adverse effect of the gastrointestinal
stimulant metoclopramide HCl. Which assessment finding would
require immediate intervention by the nurse?
A. Reports dizziness when first getting up.
B. Describes an unpleasant metallic taste in the mouth.
C. Demonstrates Parkinson-like symptoms, such as cogwheel
rigidity.
D. Refuses to drive after 6 pm because of an inability to see well
at night. - ANSWER-C. Demonstrates Parkinson-like symptoms,
such as cogwheel rigidity.
Metoclopramide HCl blocks dopamine receptors in the brain,
which can cause the extrapyramidal symptoms associated with
Parkinson disease. Reglan has been associated with
hypertension, not option A. Option B is often associated with
metronidazole, not metoclopramide HCl. Option D, and other
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vision problems, have not been associated with metoclopramide
HCl.
For which clients should the nurse withhold the initial dose of a
cyclooxygenase 2 (COX-2) inhibitor until notifying the health care
provider? (Select all that apply.)
A. A middle-aged adult with a history of tinnitus while taking
aspirin
B. A middle-aged adult with a history of polycystic ovarian disease
C. An older adult with a history of a skin rash while taking
glyburide (DiaBeta)
D. An adolescent with a history of an anaphylactic reaction to
penicillin
E. An older adult with a history of gastrointestinal upset while
taking naproxen sodium (Naprosyn)
F. An adolescent at 34 weeks of gestation experiencing 1+ pitting
edema - ANSWER-C, D, F
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COX-2 inhibitors are contraindicated for those who are allergic to
sulfa drugs (C), aspirin, and nonsteroidal antiinflammatory drugs
(NSAIDs). Drug safety for adolescents (D and F) is not yet
established, and COX-2 inhibitors, as well as NSAIDs, are
contraindicated during the third trimester of pregnancy (F)
because they can cause a premature closure of the patent ductus
arteriosus. Tinnitus, an adverse reaction of aspirin (A), and
ovarian disease (B) are not contraindications for the use of COX-2
inhibitors. Gastrointestinal upset is a common adverse reaction of
NSAIDs (E) but is not a contraindication for the use of a COX-2
inhibitor.
A client who is hypertensive receives a prescription for
hydrochlorothiazide. When teaching about the side effects of this
drug, which symptoms are most important for the nurse to instruct
the client to report?
A. Fatigue and muscle weakness
B. Anxiety and heart palpitations
C. Abdominal cramping and diarrhea
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D. Confusion and personality changes - ANSWER-A. Fatigue and
muscle weakness
Thiazide diuretics, such as HCTZ, cause potassium wasting in the
urine, so the client should be instructed to report fatigue and
muscle weakness, which are characteristic of hypokalemia.
Although options B, C, and D should be reported, they are not
indicative of hypokalemia, which is a side effect of hiazides that
can cause cardiac dysrhythmias.
A 55-year-old client was diagnosed with schizophrenia 5 years
earlier. Numerous hospitalizations have occurred since the
diagnosis because of noncompliance with the prescribed
medication regimen. Which drug might work best for this
particular client?
A. Chlorpromazine HCl
B. Lithium carbonate
C. Fluphenazine decanoate
D. Diazepam - ANSWER-C. Fluphenazine decanoate
EVOLVE HESI PHARMACOLOGY VERSION 1,2,3 AND 4 EXAM
NEWEST 2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A client is experiencing an adverse effect of the gastrointestinal
stimulant metoclopramide HCl. Which assessment finding would
require immediate intervention by the nurse?
A. Reports dizziness when first getting up.
B. Describes an unpleasant metallic taste in the mouth.
C. Demonstrates Parkinson-like symptoms, such as cogwheel
rigidity.
D. Refuses to drive after 6 pm because of an inability to see well
at night. - ANSWER-C. Demonstrates Parkinson-like symptoms,
such as cogwheel rigidity.
Metoclopramide HCl blocks dopamine receptors in the brain,
which can cause the extrapyramidal symptoms associated with
Parkinson disease. Reglan has been associated with
hypertension, not option A. Option B is often associated with
metronidazole, not metoclopramide HCl. Option D, and other
,2|Page
vision problems, have not been associated with metoclopramide
HCl.
For which clients should the nurse withhold the initial dose of a
cyclooxygenase 2 (COX-2) inhibitor until notifying the health care
provider? (Select all that apply.)
A. A middle-aged adult with a history of tinnitus while taking
aspirin
B. A middle-aged adult with a history of polycystic ovarian disease
C. An older adult with a history of a skin rash while taking
glyburide (DiaBeta)
D. An adolescent with a history of an anaphylactic reaction to
penicillin
E. An older adult with a history of gastrointestinal upset while
taking naproxen sodium (Naprosyn)
F. An adolescent at 34 weeks of gestation experiencing 1+ pitting
edema - ANSWER-C, D, F
,3|Page
COX-2 inhibitors are contraindicated for those who are allergic to
sulfa drugs (C), aspirin, and nonsteroidal antiinflammatory drugs
(NSAIDs). Drug safety for adolescents (D and F) is not yet
established, and COX-2 inhibitors, as well as NSAIDs, are
contraindicated during the third trimester of pregnancy (F)
because they can cause a premature closure of the patent ductus
arteriosus. Tinnitus, an adverse reaction of aspirin (A), and
ovarian disease (B) are not contraindications for the use of COX-2
inhibitors. Gastrointestinal upset is a common adverse reaction of
NSAIDs (E) but is not a contraindication for the use of a COX-2
inhibitor.
A client who is hypertensive receives a prescription for
hydrochlorothiazide. When teaching about the side effects of this
drug, which symptoms are most important for the nurse to instruct
the client to report?
A. Fatigue and muscle weakness
B. Anxiety and heart palpitations
C. Abdominal cramping and diarrhea
, 4|Page
D. Confusion and personality changes - ANSWER-A. Fatigue and
muscle weakness
Thiazide diuretics, such as HCTZ, cause potassium wasting in the
urine, so the client should be instructed to report fatigue and
muscle weakness, which are characteristic of hypokalemia.
Although options B, C, and D should be reported, they are not
indicative of hypokalemia, which is a side effect of hiazides that
can cause cardiac dysrhythmias.
A 55-year-old client was diagnosed with schizophrenia 5 years
earlier. Numerous hospitalizations have occurred since the
diagnosis because of noncompliance with the prescribed
medication regimen. Which drug might work best for this
particular client?
A. Chlorpromazine HCl
B. Lithium carbonate
C. Fluphenazine decanoate
D. Diazepam - ANSWER-C. Fluphenazine decanoate
