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EVOLVE HESI PHARMACOLOGY VERSION 1,2,3 AND
4 NEWEST EXAM 2025/2026 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED AND GRADED A+|BRAND
NEW!!!)
During therapy with isoniazid, it is most important for the
nurse to monitor which laboratory value closely?
A. Liver enzyme levels
B. Blood urea nitrogen (BUN) level
C. Serum electrolyte levels
D. Complete blood count (CBC) - ANSWER-A. Liver
enzyme levels
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Clients who have experienced allergic reactions to
atropine sulfate and belladonna alkaloids may also be
allergic to ipratropium, so the prescription for Atrovent
should be questioned. Allergies to options A, B, and C
would not cause the nurse to question a prescription for
ipratropium.
The apical heart rate of an infant receiving digoxin for
congestive heart failure is 80 beats/min. Which
intervention should the nurse implement first?
A. Administer the next dose of digoxin as scheduled.
B. Obtain a serum digoxin level.
C. Administer a PRN dose of atropine sulfate.
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D. Assess for S3 and S4 heart sounds. - ANSWER-B.
Obtain a serum digoxin level.
Sinus bradycardia (rate <90 to 110 beats/min in an infant)
is an indication of digoxin toxicity, so assessment of the
client's digoxin level is the highest priority. Further doses
of digoxin should be withheld until the serum level is
obtained. Option C is not indicated unless the client
exhibits symptoms of diminished cardiac output. Option D
provides information about cardiac function but is of less
priority than option B.
The nurse performs a client assessment prior to the
administration of a prescribed dose of dipyridamole and
aspirin PO. The nurse notes that the client's carotid bruit is
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louder than previously assessed. Which action should the
nurse implement?
A. Administer the prescribed dose as scheduled.
B. Hold the dose until the health care provider is
contacted.
C. Advise the client to take nothing by mouth until further
assessment is completed.
D. Elevate the head of the bed and apply oxygen by nasal
cannula - ANSWER-A. Administer the prescribed dose as
scheduled.
A carotid bruit reflects the degree of blood vessel
turbulence, which is typically the result of atherosclerosis.
EVOLVE HESI PHARMACOLOGY VERSION 1,2,3 AND
4 NEWEST EXAM 2025/2026 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED AND GRADED A+|BRAND
NEW!!!)
During therapy with isoniazid, it is most important for the
nurse to monitor which laboratory value closely?
A. Liver enzyme levels
B. Blood urea nitrogen (BUN) level
C. Serum electrolyte levels
D. Complete blood count (CBC) - ANSWER-A. Liver
enzyme levels
,2|Page
Clients who have experienced allergic reactions to
atropine sulfate and belladonna alkaloids may also be
allergic to ipratropium, so the prescription for Atrovent
should be questioned. Allergies to options A, B, and C
would not cause the nurse to question a prescription for
ipratropium.
The apical heart rate of an infant receiving digoxin for
congestive heart failure is 80 beats/min. Which
intervention should the nurse implement first?
A. Administer the next dose of digoxin as scheduled.
B. Obtain a serum digoxin level.
C. Administer a PRN dose of atropine sulfate.
,3|Page
D. Assess for S3 and S4 heart sounds. - ANSWER-B.
Obtain a serum digoxin level.
Sinus bradycardia (rate <90 to 110 beats/min in an infant)
is an indication of digoxin toxicity, so assessment of the
client's digoxin level is the highest priority. Further doses
of digoxin should be withheld until the serum level is
obtained. Option C is not indicated unless the client
exhibits symptoms of diminished cardiac output. Option D
provides information about cardiac function but is of less
priority than option B.
The nurse performs a client assessment prior to the
administration of a prescribed dose of dipyridamole and
aspirin PO. The nurse notes that the client's carotid bruit is
, 4|Page
louder than previously assessed. Which action should the
nurse implement?
A. Administer the prescribed dose as scheduled.
B. Hold the dose until the health care provider is
contacted.
C. Advise the client to take nothing by mouth until further
assessment is completed.
D. Elevate the head of the bed and apply oxygen by nasal
cannula - ANSWER-A. Administer the prescribed dose as
scheduled.
A carotid bruit reflects the degree of blood vessel
turbulence, which is typically the result of atherosclerosis.
