HESI PHARM 315 ACTUAL EXAM QUESTIONS AND ANSWERS
|FALL 2026/2027 UPDATE | 100% CORRECT LATEST
Question 1
Which intervention is most important for the nurse to implement for a client who is receiving insulin lispro?
A: Keep an oral liquid or glucose source available.
B: Provide meals at the same time this insulin is given.
C: Assess for hypoglycemia between meals.
D: Check blood glucose levels every six hours.
Correct Answer
B: Provide meals at the same time this insulin is given.
Page 1 of 70
,Question 2
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client
requires additional instruction by the nurse?
A: Take the medication an hour after antacids.
B: Notify the healthcare provider of lethargy.
C: Decrease cigarette use to a pack per day.
D: Monitor for any signs of sexual dysfunction.
Correct Answer
C: Decrease cigarette use to a pack per day.
Page 2 of 70
,Question 3
NGN - Patient Data
History and Physical
The client is a 42-year-old female who had a right above-the-knee amputation for osteomyelitis. The client has a drain in
place and a surgical dressing that will need to be changed by the surgeon on post-op day 1.
Nurses Notes
1400: Started continuous morphine in the left antecubital vein peripheral intravenous line. No redness, edema, or bleeding
noted at the site. Vital signs are heart rate 77 bpm, blood pressure 118/74 mmHg, respiratory rate 16 breaths/min.
The charge nurse places a fall precautions sign on the client's door. What side effects of morphine could contribute to this
client's fall risk? Select all that apply.
A. Seizures
B. Nausea
C. Orthostatic hypotension
D. Sedation
E. Euphoria
F. Itching
G. Urinary retention
Correct Answer
Page 3 of 70
, B. Nausea
C. Orthostatic hypotension
D. Sedation
Question 4
Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level
was 84 mcg/L (35.6 mmol/L). Which action should the nurse take?
A: Notify the healthcare provider of the carbamazepine level.
B: Administer the carbamazepine as prescribed.
C: Assess the client for side effects of carbamazepine.
D: Withhold this dose of the carbamazepine.
Correct Answer
A: Notify the healthcare provider of the carbamazepine level.
Page 4 of 70
|FALL 2026/2027 UPDATE | 100% CORRECT LATEST
Question 1
Which intervention is most important for the nurse to implement for a client who is receiving insulin lispro?
A: Keep an oral liquid or glucose source available.
B: Provide meals at the same time this insulin is given.
C: Assess for hypoglycemia between meals.
D: Check blood glucose levels every six hours.
Correct Answer
B: Provide meals at the same time this insulin is given.
Page 1 of 70
,Question 2
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement provided by the client
requires additional instruction by the nurse?
A: Take the medication an hour after antacids.
B: Notify the healthcare provider of lethargy.
C: Decrease cigarette use to a pack per day.
D: Monitor for any signs of sexual dysfunction.
Correct Answer
C: Decrease cigarette use to a pack per day.
Page 2 of 70
,Question 3
NGN - Patient Data
History and Physical
The client is a 42-year-old female who had a right above-the-knee amputation for osteomyelitis. The client has a drain in
place and a surgical dressing that will need to be changed by the surgeon on post-op day 1.
Nurses Notes
1400: Started continuous morphine in the left antecubital vein peripheral intravenous line. No redness, edema, or bleeding
noted at the site. Vital signs are heart rate 77 bpm, blood pressure 118/74 mmHg, respiratory rate 16 breaths/min.
The charge nurse places a fall precautions sign on the client's door. What side effects of morphine could contribute to this
client's fall risk? Select all that apply.
A. Seizures
B. Nausea
C. Orthostatic hypotension
D. Sedation
E. Euphoria
F. Itching
G. Urinary retention
Correct Answer
Page 3 of 70
, B. Nausea
C. Orthostatic hypotension
D. Sedation
Question 4
Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level
was 84 mcg/L (35.6 mmol/L). Which action should the nurse take?
A: Notify the healthcare provider of the carbamazepine level.
B: Administer the carbamazepine as prescribed.
C: Assess the client for side effects of carbamazepine.
D: Withhold this dose of the carbamazepine.
Correct Answer
A: Notify the healthcare provider of the carbamazepine level.
Page 4 of 70
