HESI PHARMACOLOGY EXAM 2025/2026 TEST BANK AND A NEW
UPDATED STUDY GUIDE ALL COMPLETE ACTUAL EXAM
ACCURATE QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES AND NCLEX PN STYLE (100% CORRECT VERIFIED
ANSWERS) NEWEST UPDATED VERSION |GUARANTEED PASS A+
(BRAND NEW!) FULL REVISED
1.) The nurse is applying a topical corticosteroid to a client with eczema.
The nurse would monitor for the potential for increased systemic
absorption of the medication if the medication were being applied to
which of the following body areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands
Answer- 2. Axilla
Rationale:
Topical corticosteroids can be absorbed into the systemic circulation.
Absorption is higher from regions where the skin is especially
permeable (scalp, axilla, face, eyelids, neck, perineum, genitalia), and
lower from regions in which permeability is poor (back, palms, soles).
2.) The clinic nurse is performing an admission assessment on a client.
The nurse notes that the client is taking atelic acid (Azalea). Because of
the medication prescription, the nurse would suspect that the client is
being treated for:
1. Acne
,2. Eczema
3. Hair loss
4. Herpes simplex
Answer- 1. Acne
Rationale:
Azealia acid is a topical medication used to treat mild to moderate acne.
The acid appears to work by suppressing the growth of
Propionibacterium acnes and decreasing the proliferation of
keratinocytes. Options 2, 3, and 4 are incorrect.
3.) The health care provider has prescribed silver sulfadiazine (Silva
Dene) for the client with a partial-thickness burn, which has cultured
positive for gram-negative bacteria. The nurse is reinforcing information
to the client about the medication. Which statement made by the client
indicates a lack of understanding about the treatments?
1. "The medication is an antibacterial."
2. "The medication will help heal the burn."
3. "The medication will permanently stain my skin."
4. "The medication should be applied directly to the wound."
Answer- 3. "The medication will permanently stain my skin."
Rationale:
Silver sulfadiazine (Silva Dene) is an antibacterial that has a broad
spectrum of activity against gram-negative bacteria, gram-positive
bacteria, and yeast. It is applied directly to the wound to assist in
healing. It does not stain the skin.
,4.) A nurse is caring for a client who is receiving an intravenous (IV)
infusion of an antineoplastic medication. During the infusion, the client
complains of pain at the insertion site. During an inspection of the site,
the nurse notes redness and swelling and that the rate of infusion of the
medication has slowed. The nurse should take which appropriate action?
1. Notify the registered nurse.
2. Administer pain medication to reduce the discomfort.
3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion.
Answer- 1. Notify the registered nurse.
Rationale:
When antineoplastic medications (Chemotherapeutic Agents) are
administered via IV, great care must be taken to prevent the medication
from escaping into the tissues surrounding the injection site, because
pain, tissue damage, and necrosis can result. The nurse monitors for
signs of extravasation, such as redness or swelling at the insertion site
and a decreased infusion rate. If extravasation occurs, the registered
nurse needs to be notified; he or she will then contact the health care
provider.
5.) The client with squamous cell carcinoma of the larynx is receiving
bleomycin intravenously. The nurse caring for the client anticipates that
which diagnostic study will be prescribed?
1. Echocardiography
, 2. Electrocardiography
3. Cervical radiography
4. Pulmonary function studies
Answer- 4. Pulmonary function studies
Rationale:
Bleomycin is an antineoplastic medication (Chemotherapeutic Agents)
that can cause interstitial pneumonitis, which can progress to pulmonary
fibrosis. Pulmonary function studies along with hematological, hepatic,
and renal function tests need to be monitored. The nurse needs to
monitor lung sounds for dyspnea and crackles, which indicate
pulmonary toxicity. The medication needs to be discontinued
immediately if pulmonary toxicity occurs. Options 1, 2, and 3 are
unrelated to the specific use of this medication.
6.) The client with acute myelocytic leukemia is being treated with
busulfan (Millerand). Which laboratory value would the nurse
specifically monitor during treatment with this medication?
1. Clotting time
2. Uric acid level
3. Potassium level
4. Blood glucose level
Answer- 2. Uric acid level
Rationale:
Busulfan (Millerand) can cause an increase in the uric acid level.
Hyperuricemia can produce uric acid nephropathy, renal stones, and
UPDATED STUDY GUIDE ALL COMPLETE ACTUAL EXAM
ACCURATE QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES AND NCLEX PN STYLE (100% CORRECT VERIFIED
ANSWERS) NEWEST UPDATED VERSION |GUARANTEED PASS A+
(BRAND NEW!) FULL REVISED
1.) The nurse is applying a topical corticosteroid to a client with eczema.
The nurse would monitor for the potential for increased systemic
absorption of the medication if the medication were being applied to
which of the following body areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands
Answer- 2. Axilla
Rationale:
Topical corticosteroids can be absorbed into the systemic circulation.
Absorption is higher from regions where the skin is especially
permeable (scalp, axilla, face, eyelids, neck, perineum, genitalia), and
lower from regions in which permeability is poor (back, palms, soles).
2.) The clinic nurse is performing an admission assessment on a client.
The nurse notes that the client is taking atelic acid (Azalea). Because of
the medication prescription, the nurse would suspect that the client is
being treated for:
1. Acne
,2. Eczema
3. Hair loss
4. Herpes simplex
Answer- 1. Acne
Rationale:
Azealia acid is a topical medication used to treat mild to moderate acne.
The acid appears to work by suppressing the growth of
Propionibacterium acnes and decreasing the proliferation of
keratinocytes. Options 2, 3, and 4 are incorrect.
3.) The health care provider has prescribed silver sulfadiazine (Silva
Dene) for the client with a partial-thickness burn, which has cultured
positive for gram-negative bacteria. The nurse is reinforcing information
to the client about the medication. Which statement made by the client
indicates a lack of understanding about the treatments?
1. "The medication is an antibacterial."
2. "The medication will help heal the burn."
3. "The medication will permanently stain my skin."
4. "The medication should be applied directly to the wound."
Answer- 3. "The medication will permanently stain my skin."
Rationale:
Silver sulfadiazine (Silva Dene) is an antibacterial that has a broad
spectrum of activity against gram-negative bacteria, gram-positive
bacteria, and yeast. It is applied directly to the wound to assist in
healing. It does not stain the skin.
,4.) A nurse is caring for a client who is receiving an intravenous (IV)
infusion of an antineoplastic medication. During the infusion, the client
complains of pain at the insertion site. During an inspection of the site,
the nurse notes redness and swelling and that the rate of infusion of the
medication has slowed. The nurse should take which appropriate action?
1. Notify the registered nurse.
2. Administer pain medication to reduce the discomfort.
3. Apply ice and maintain the infusion rate, as prescribed.
4. Elevate the extremity of the IV site, and slow the infusion.
Answer- 1. Notify the registered nurse.
Rationale:
When antineoplastic medications (Chemotherapeutic Agents) are
administered via IV, great care must be taken to prevent the medication
from escaping into the tissues surrounding the injection site, because
pain, tissue damage, and necrosis can result. The nurse monitors for
signs of extravasation, such as redness or swelling at the insertion site
and a decreased infusion rate. If extravasation occurs, the registered
nurse needs to be notified; he or she will then contact the health care
provider.
5.) The client with squamous cell carcinoma of the larynx is receiving
bleomycin intravenously. The nurse caring for the client anticipates that
which diagnostic study will be prescribed?
1. Echocardiography
, 2. Electrocardiography
3. Cervical radiography
4. Pulmonary function studies
Answer- 4. Pulmonary function studies
Rationale:
Bleomycin is an antineoplastic medication (Chemotherapeutic Agents)
that can cause interstitial pneumonitis, which can progress to pulmonary
fibrosis. Pulmonary function studies along with hematological, hepatic,
and renal function tests need to be monitored. The nurse needs to
monitor lung sounds for dyspnea and crackles, which indicate
pulmonary toxicity. The medication needs to be discontinued
immediately if pulmonary toxicity occurs. Options 1, 2, and 3 are
unrelated to the specific use of this medication.
6.) The client with acute myelocytic leukemia is being treated with
busulfan (Millerand). Which laboratory value would the nurse
specifically monitor during treatment with this medication?
1. Clotting time
2. Uric acid level
3. Potassium level
4. Blood glucose level
Answer- 2. Uric acid level
Rationale:
Busulfan (Millerand) can cause an increase in the uric acid level.
Hyperuricemia can produce uric acid nephropathy, renal stones, and
