HESI PHARMACOLOGY V1 EXAM WITH CORRECT ANSWERS RATED A+ SURE PASS !!!

2025-2026 HESI PHARMACOLOGY V1
EXAM WITH CORRECT ANSWERS
RATED A+ SURE PASS !!!
Arnurserisrcaringrforrarclientrwithrhyperparathyroidismrandrnotesrthatrtherclient'srserumrcalciumrlev
elrisr13rmg/dL.rWhichrmedicationrshouldrthernurserpreparertoradministerrasrprescribedrtortherclien
t?1.rCalciumrchloride

2.rCalciumrgluconate

3.rCalcitoninr(Miacalcin)

4.rLargerdosesrofrvitaminrDr-rCORRECTrANSWERSr3.rCalcitoninr(Miacalcin)



Rationale:r

Thernormalrserumrcalciumrlevelrisr8.6rtor10.0rmg/dL.rThisrclientrisrexperiencingrhypercalcemia.rCal
ciumrgluconaterandrcalciumrchloriderarermedicationsrusedrforrthertreatmentrofrtetany,rwhichroccu
rsrasrarresultrofracuterhypocalcemia.rInrhypercalcemia,rlargerdosesrofrvitaminrDrneedrtorberavoided.r
Calcitonin,rarthyroidrhormone,rdecreasesrtherplasmarcalciumrlevelrbyrinhibitingrbonerresorptionran
drloweringrtherserumrcalciumrconcentration.



Oralrironrsupplementsrarerprescribedrforrar6-year-
oldrchildrwithrironrdeficiencyranemia.rThernurserinstructsrthermotherrtoradministerrtherironrwithrw
hichrbestrfoodritem?

1.rMilk

2.rWater

3.rApplerjuice

4.rOrangerjuicer-rCORRECTrANSWERSr4.rOrangerjuice



Rationale:r

VitaminrCrincreasesrtherabsorptionrofrironrbyrtherbody.rThermotherrshouldrberinstructedrtoradminis
terrthermedicationrwithrarcitrusrfruitrorrarjuicerthatrisrhighrinrvitaminrC.rMilkrmayraffectrabsorptionro

,frtheriron.rWaterrwillrnotrassistrinrabsorption.rOrangerjuicercontainsrargreaterramountrofrvitaminrCrt
hanrapplerjuice.



Salicylicracidrisrprescribedrforrarclientrwithrardiagnosisrofrpsoriasis.rThernursermonitorsrtherclient,rkn
owingrthatrwhichrofrtherfollowingrwouldrindicatertherpresencerofrsystemicrtoxicityrfromrthisrmedic
ation?

1.rTinnitus

2.rDiarrhear

3.rConstipationr

4.rDecreasedrRespirationsr-rCORRECTrANSWERSr1.rTinnitus



Rationale:r

Salicylicracidrisrabsorbedrreadilyrthroughrtherskin,randrsystemicrtoxicityr(salicylism)rcanrresult.rSym
ptomsrincludertinnitus,rdizziness,rhyperpnea,randrpsychologicalrdisturbances.rConstipationrandrdia
rrheararernotrassociatedrwithrsalicylism.



Thercamprnurserasksrtherchildrenrpreparingrtorswimrinrtherlakerifrtheyrhaverappliedrsunscreen.rTher
nurserremindsrtherchildrenrthatrchemicalrsunscreensrarermostreffectiverwhenrapplied:

1.rImmediatelyrbeforerswimming

2.r15rminutesrbeforerexposurertorthersun

3.rImmediatelyrbeforerexposurertorthersun

4.rAtrleastr30rminutesrbeforerexposurertorthersunr-
rCORRECTrANSWERSr4.rAtrleastr30rminutesrbeforerexposurertorthersun




Rationale:r

Sunscreensrarermostreffectiverwhenrappliedratrleastr30rminutesrbeforerexposurertorthersunrsorthatr
theyrcanrpenetratertherskin.rAllrsunscreensrshouldrberreappliedrafterrswimmingrorrsweating

,Mafenideracetater(Sulfamylon)risrprescribedrforrtherclientrwithrarburnrinjury.rWhenrapplyingrtherm
edication,rtherclientrcomplainsrofrlocalrdiscomfortrandrburning.rWhichrofrtherfollowingrisrthermostr
appropriaternursingraction?

1.rNotifyingrtherregisteredrnurse

2.rDiscontinuingrthermedication

3.rInformingrtherclientrthatrthisrisrnormal

4.rApplyingrarthinnerrfilmrthanrprescribedrtortherburnrsiter-
rCORRECTrANSWERSr3.rInformingrtherclientrthatrthisrisrnormal




Rationale:r

Mafenideracetaterisrbacteriostaticrforrgram-negativerandrgram-
positiverorganismsrandrisrusedrtortreatrburnsrtorreducerbacteriarpresentrinravascularrtissues.rThercli
entrshouldrberinformedrthatrthermedicationrwillrcauserlocalrdiscomfortrandrburningrandrthatrthisrisr
arnormalrreaction;rthereforeroptionsr1,r2,randr4rarerincorrect



Therburnrclientrisrreceivingrtreatmentsrofrtopicalrmafenideracetater(Sulfamylon)rtorthersiterofrinjury
.rThernursermonitorsrtherclient,rknowingrthatrwhichrofrtherfollowingrindicatesrthatrarsystemicreffectr
hasroccurred?1.Hyperventilation

2.Elevatedrbloodrpressurer

3.Localrpainratrtherburnrsiter

4.Localrrashratrtherburnrsiter-rCORRECTrANSWERSr1.Hyperventilation



Rationale:r

Mafenideracetaterisrarcarbonicranhydraserinhibitorrandrcanrsuppressrrenalrexcretionrofracid,rthereb
yrcausingracidosis.rClientsrreceivingrthisrtreatmentrshouldrbermonitoredrforrsignsrofranracid-
baserimbalancer(hyperventilation).rIfrthisroccurs,rthermedicationrshouldrberdiscontinuedrforr1rtor2r
days.rOptionsr3randr4rdescriberlocalrratherrthanrsyeffects.rAnrelevatedrbloodrpressurermayrberexpe
ctedrfromrtherpainrthatroccursrwithrarburnrinjury.

, Isotretinoinrisrprescribedrforrarclientrwithrsevereracne.rBeforertheradministrationrofrthisrmedication
,rthernurseranticipatesrthatrwhichrlaboratoryrtestrwillrberprescribed?

1.rPlateletrcount

2.rTriglyceriderlevel

3.rCompleterbloodrcountr

4.rWhiterbloodrcellrcountr-rCORRECTrANSWERSr2.rTriglyceriderlevel



Rationale:r

Isotretinoinrcanrelevatertriglyceriderlevels.rBloodrtriglyceriderlevelsrshouldrbermeasuredrbeforertre
atmentrandrperiodicallyrthereafterruntilrthereffectronrthertriglyceridesrhasrbeenrevaluated.rOptions
r1,r3,randr4rdornotrneedrtorbermonitoredrspecificallyrduringrthisrtreatment.




Arclientrwithrsevereracnerisrseenrinrtherclinicrandrtherhealthrcarerproviderr(HCP)rprescribesrisotretin
oin.rThernurserreviewsrtherclient'srmedicationrrecordrandrwouldrcontactrther(HCP)rifrtherclientrisrtak
ingrwhichrmedication?

1.rVitaminrA

2.rDigoxinr(Lanoxin)r

3.rFurosemider(Lasix)r

4.rPhenytoinr(Dilantin)r-rCORRECTrANSWERSr1.rVitaminrA



Rationale:r

IsotretinoinrisrarmetaboliterofrvitaminrArandrcanrproducergeneralizedrintensificationrofrisotretinoinr
toxicity.rBecauserofrtherpotentialrforrincreasedrtoxicity,rvitaminrArsupplementsrshouldrberdiscontin
uedrbeforerisotretinoinrtherapy.rOptionsr2,r3,randr4rarernotrcontraindicatedrwithrtheruserofrisotreti
noin



Thernurserisrapplyingrartopicalrcorticosteroidrtorarclientrwithreczema.rThernurserwouldrmonitorrforrt
herpotentialrforrincreasedrsystemicrabsorptionrofrthermedicationrifrthermedicationrwererbeingrappl
iedrtorwhichrofrtherfollowingrbodyrareas?