Pharm II HESI Questions and Answers
| Latest Version | 2025/2026 | Correct &
Verified
A patient is prescribed gentamicin IV for a severe infection. What is the most important nursing
assessment?
A. Check for cough and shortness of breath
✔✔B. Monitor renal function and hearing for toxicity
C. Assess blood pressure
D. Measure blood glucose
A patient is taking warfarin and reports bruising. What is the priority nursing action?
A. Give vitamin K
✔✔B. Hold medication and notify the provider
C. Monitor blood pressure
D. Encourage exercise
A patient is prescribed digoxin for heart failure. Which assessment is critical before
administration?
1
,A. Blood pressure only
✔✔B. Apical pulse for 1 full minute and signs of toxicity
C. Respiratory rate
D. Oxygen saturation
A patient receives vancomycin IV. Which adverse effect should the nurse monitor closely?
A. Hypotension
✔✔B. Red man syndrome and nephrotoxicity
C. Bradycardia
D. Diarrhea
A patient is prescribed albuterol for asthma. What is the nurse’s priority assessment?
✔✔A. Respiratory effort, wheezing, and oxygen saturation
B. Blood pressure
C. Heart rate only
D. Temperature
2
,A patient is prescribed lisinopril for hypertension. Which side effect requires immediate
attention?
A. Headache
B. Dizziness
✔✔C. Angioedema
D. Mild cough
A patient is prescribed metformin for type 2 diabetes. What teaching is essential?
A. Take on empty stomach only
✔✔B. Take with meals, monitor blood glucose, and report signs of lactic acidosis
C. Skip doses if feeling well
D. Avoid all carbohydrates
A patient is prescribed furosemide. What electrolyte imbalance is most important to monitor?
A. Sodium only
✔✔B. Potassium and signs of hypokalemia
C. Calcium
D. Magnesium
3
, A patient reports persistent cough after starting lisinopril. What should the nurse do first?
✔✔A. Notify provider and monitor for other symptoms
B. Give cough syrup
C. Stop medication immediately
D. Document only
A patient is prescribed prednisone for inflammation. What teaching is critical?
A. Take with water only
B. Take only when symptoms worsen
✔✔C. Take with food, do not stop abruptly, and monitor for infection
D. Avoid all medications
A patient is prescribed levothyroxine. When should it be administered?
A. With dinner
B. Before bed
✔✔C. In the morning on an empty stomach
D. Anytime during the day
4
| Latest Version | 2025/2026 | Correct &
Verified
A patient is prescribed gentamicin IV for a severe infection. What is the most important nursing
assessment?
A. Check for cough and shortness of breath
✔✔B. Monitor renal function and hearing for toxicity
C. Assess blood pressure
D. Measure blood glucose
A patient is taking warfarin and reports bruising. What is the priority nursing action?
A. Give vitamin K
✔✔B. Hold medication and notify the provider
C. Monitor blood pressure
D. Encourage exercise
A patient is prescribed digoxin for heart failure. Which assessment is critical before
administration?
1
,A. Blood pressure only
✔✔B. Apical pulse for 1 full minute and signs of toxicity
C. Respiratory rate
D. Oxygen saturation
A patient receives vancomycin IV. Which adverse effect should the nurse monitor closely?
A. Hypotension
✔✔B. Red man syndrome and nephrotoxicity
C. Bradycardia
D. Diarrhea
A patient is prescribed albuterol for asthma. What is the nurse’s priority assessment?
✔✔A. Respiratory effort, wheezing, and oxygen saturation
B. Blood pressure
C. Heart rate only
D. Temperature
2
,A patient is prescribed lisinopril for hypertension. Which side effect requires immediate
attention?
A. Headache
B. Dizziness
✔✔C. Angioedema
D. Mild cough
A patient is prescribed metformin for type 2 diabetes. What teaching is essential?
A. Take on empty stomach only
✔✔B. Take with meals, monitor blood glucose, and report signs of lactic acidosis
C. Skip doses if feeling well
D. Avoid all carbohydrates
A patient is prescribed furosemide. What electrolyte imbalance is most important to monitor?
A. Sodium only
✔✔B. Potassium and signs of hypokalemia
C. Calcium
D. Magnesium
3
, A patient reports persistent cough after starting lisinopril. What should the nurse do first?
✔✔A. Notify provider and monitor for other symptoms
B. Give cough syrup
C. Stop medication immediately
D. Document only
A patient is prescribed prednisone for inflammation. What teaching is critical?
A. Take with water only
B. Take only when symptoms worsen
✔✔C. Take with food, do not stop abruptly, and monitor for infection
D. Avoid all medications
A patient is prescribed levothyroxine. When should it be administered?
A. With dinner
B. Before bed
✔✔C. In the morning on an empty stomach
D. Anytime during the day
4
