RN HESI Pharmacology Practice Test Latest
Update 2024-2025 Actual Exam 250 Questions
and 100% Verified Correct Answers Guaranteed
A+ Approved by the Professor
A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months
postpartum. A prescription is written for metronidazole (Flagyl). Which information is
most important for the nurse to obtain from the client before initiating treatment?
A. Sexual history
B. Use of oral ontraceptives
C. Method of infant feeding
D. Possibility of pregnancy - CORRECT ANSWER: C
A 48-year-old client is experiencing a severe anaphylactic reaction to an injection of
contrast media. Which pharmacologic agent is of greatest use in this situation?
A. Dopamine (Intropin)
B. Loratadine (Claritin)
C. Nitroprusside (Nipride)
D. Epinephrine (Adrenalin) - CORRECT ANSWER: D
A client at 30 weeks gestation in labor receives two 12 mg doses of betamethasone
intramuscularly 12 hours apart. The clients asks the nurse why she is receiving the
betamethasone. Which explanation should the nurse give the client?
A. The medication suppresses uterine contractions
B. the medication stimulates fetal surfactant production
C. The medication reduces maternal and fetal tachycardia
D. The medication maintains adequate maternal respiratory effort - CORRECT
ANSWER: B
,A client calls the clinic and states that she forgot to take her oral contraceptives for the
past two days. Which instruction is best for the nurse to provide this client?
A. Take 2 pills a day for 2 days and use an alternate method of contraception for 7 days
B. Quit the pills for this cycle, use an alternate method of contraception, and resume
pills on the fifth day of menstruation
C. Take one extra pill per day for the rest of this cycle, then resume taking pills as usual
next cycle
D. Take 4 pills now and use an alternate method of contraception for the rest of this
cycle - CORRECT ANSWER: A
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry
vision, and shooting pains in both legs. Which medication is considered the best course
of treatment for the nurse to administer?
A. High dose methylprednisolone intravenously
B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
D. Immunomodulatory drug therapy periodically - CORRECT ANSWER: A
A client experiencing pain from metastatic cancer is prescribed morphine. Which route
of administration should the nurse clarify with the healthcare provider prior to
administering the medication?
A. Oral
B. Buccal
C. Sublingual
D. Intravenous - CORRECT ANSWER: A
,A client experiencing ventricular dysrhythmias is admitted to the intensive care unit
status post a myocardial infarction. The nurse should anticipate the healthcare provider
to prescribe which medication?
A. Diltiazem
B. Bretylium
C. Amiodarone
D. Adenosine - CORRECT ANSWER: C
A client is administered an injection of medroxyprogesterone acetate (deop-provera).
Which physical finding should the nurse instruct the client is an expected side effect of
the medication?
A. leg or calf pain
B headaches or visual changes
C. Vaginal bleeding or spotting
D. Jaundice or angioedema - CORRECT ANSWER: C
A client is admitted for atrial fibrillation, and the healthcare provider prescribes
disopyramide (Norpace). After explaining the action of the antidysrhythmic agent, which
complaint should the nurse instruct the client to report?
A. Joint pain
B. Dizziness of muscle weakness
C. Daily weight gain fo 2 pounds
D. dry mouth - CORRECT ANSWER: C
A client is beginning therapy with montelukast (Singulair) PO 10 mg once a day in the
evening. The client asks the nurse, "When should I begin to feel better?" How should
the nurse respond?
, A. Immediately
B. Within 24 hours
C. in about 12 hours
D. 30 mins to 1 hr - CORRECT ANSWER: B
A client is being treated with imipramine, an anti-depressant for chronic cancer pain
asks the nurse, "What is the reason for the antidepressant medication?" Which
explanation should the nurse provide the client?
A. Increases pain threshold by stimulating opiate receptors in the CNS to release of
endogeneous enkephalins
B. Decreases perception of pain by blocking opiate receptors in the brain and
descending inhibitory nerves
C. Decreases transmission of pain impulses by altering serotonin and norepinephrine
activity at nerve synapses
D. Increases pain tolerance through relief of depression by increasing the amounts of
norepinephrine in the brain - CORRECT ANSWER: C
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge
teaching, the nurse should include which instruction?
A. Drink fluids between meals to relieve gastric distress
B. Monitor for an increase in blood pressure during therapy
C. Dissolve capsule contents in fruit juice for easier ingestion
D. Take at same time each day one hour before eating a meal - CORRECT ANSWER:
D
A client is diagnosed with peptic ulcer disease caused by Helicobacter pylori. Which
medications should the nurse anticipate the healthcare provider to prescribe for the
client? (select all that apply)
Update 2024-2025 Actual Exam 250 Questions
and 100% Verified Correct Answers Guaranteed
A+ Approved by the Professor
A 38-year-old gravida 2 para 2 is diagnosed with bacterial vaginosis 9-months
postpartum. A prescription is written for metronidazole (Flagyl). Which information is
most important for the nurse to obtain from the client before initiating treatment?
A. Sexual history
B. Use of oral ontraceptives
C. Method of infant feeding
D. Possibility of pregnancy - CORRECT ANSWER: C
A 48-year-old client is experiencing a severe anaphylactic reaction to an injection of
contrast media. Which pharmacologic agent is of greatest use in this situation?
A. Dopamine (Intropin)
B. Loratadine (Claritin)
C. Nitroprusside (Nipride)
D. Epinephrine (Adrenalin) - CORRECT ANSWER: D
A client at 30 weeks gestation in labor receives two 12 mg doses of betamethasone
intramuscularly 12 hours apart. The clients asks the nurse why she is receiving the
betamethasone. Which explanation should the nurse give the client?
A. The medication suppresses uterine contractions
B. the medication stimulates fetal surfactant production
C. The medication reduces maternal and fetal tachycardia
D. The medication maintains adequate maternal respiratory effort - CORRECT
ANSWER: B
,A client calls the clinic and states that she forgot to take her oral contraceptives for the
past two days. Which instruction is best for the nurse to provide this client?
A. Take 2 pills a day for 2 days and use an alternate method of contraception for 7 days
B. Quit the pills for this cycle, use an alternate method of contraception, and resume
pills on the fifth day of menstruation
C. Take one extra pill per day for the rest of this cycle, then resume taking pills as usual
next cycle
D. Take 4 pills now and use an alternate method of contraception for the rest of this
cycle - CORRECT ANSWER: A
A client diagnosed with multiple sclerosis is experiencing profound weakness, blurry
vision, and shooting pains in both legs. Which medication is considered the best course
of treatment for the nurse to administer?
A. High dose methylprednisolone intravenously
B. Baclofen three times a day
C. Broad spectrum antibiotic coverage orally
D. Immunomodulatory drug therapy periodically - CORRECT ANSWER: A
A client experiencing pain from metastatic cancer is prescribed morphine. Which route
of administration should the nurse clarify with the healthcare provider prior to
administering the medication?
A. Oral
B. Buccal
C. Sublingual
D. Intravenous - CORRECT ANSWER: A
,A client experiencing ventricular dysrhythmias is admitted to the intensive care unit
status post a myocardial infarction. The nurse should anticipate the healthcare provider
to prescribe which medication?
A. Diltiazem
B. Bretylium
C. Amiodarone
D. Adenosine - CORRECT ANSWER: C
A client is administered an injection of medroxyprogesterone acetate (deop-provera).
Which physical finding should the nurse instruct the client is an expected side effect of
the medication?
A. leg or calf pain
B headaches or visual changes
C. Vaginal bleeding or spotting
D. Jaundice or angioedema - CORRECT ANSWER: C
A client is admitted for atrial fibrillation, and the healthcare provider prescribes
disopyramide (Norpace). After explaining the action of the antidysrhythmic agent, which
complaint should the nurse instruct the client to report?
A. Joint pain
B. Dizziness of muscle weakness
C. Daily weight gain fo 2 pounds
D. dry mouth - CORRECT ANSWER: C
A client is beginning therapy with montelukast (Singulair) PO 10 mg once a day in the
evening. The client asks the nurse, "When should I begin to feel better?" How should
the nurse respond?
, A. Immediately
B. Within 24 hours
C. in about 12 hours
D. 30 mins to 1 hr - CORRECT ANSWER: B
A client is being treated with imipramine, an anti-depressant for chronic cancer pain
asks the nurse, "What is the reason for the antidepressant medication?" Which
explanation should the nurse provide the client?
A. Increases pain threshold by stimulating opiate receptors in the CNS to release of
endogeneous enkephalins
B. Decreases perception of pain by blocking opiate receptors in the brain and
descending inhibitory nerves
C. Decreases transmission of pain impulses by altering serotonin and norepinephrine
activity at nerve synapses
D. Increases pain tolerance through relief of depression by increasing the amounts of
norepinephrine in the brain - CORRECT ANSWER: C
A client is diagnosed with peptic ulcer disease and receives a prescription for
esomeprazole (Nexium) 20 mg capsule daily. When providing this client with discharge
teaching, the nurse should include which instruction?
A. Drink fluids between meals to relieve gastric distress
B. Monitor for an increase in blood pressure during therapy
C. Dissolve capsule contents in fruit juice for easier ingestion
D. Take at same time each day one hour before eating a meal - CORRECT ANSWER:
D
A client is diagnosed with peptic ulcer disease caused by Helicobacter pylori. Which
medications should the nurse anticipate the healthcare provider to prescribe for the
client? (select all that apply)
