2025/2026 Pharm Hesi EXAM QUESTIONS AND ANSWERS
Study online at https://quizlet.com/_ew0j0t
1. A client has a prescription for heparin 1000 units IV STAT. Several pre-filled
a.
heparin to the nursing unit immediately.
2. The nurse is assessing the eyes of a client who just received mydriatic
eye drops. which physiological function of the eye will not respond during
the therapeutic period after administration of the eye drops? a. Eye
convergence
b. Accommodation
c. Refraction
d. Pupillary constriction: d. Pupillary constriction
3. A client with benign prostatic hyperplasia receives a new prescription for
tamsulosin. Which intervention should the nurse perform to monitor for an
adverse reaction?
A. Perform a Bladder scan
B. Assess urine output
C. Obtain daily weights
D. Monitor blood pressure: D. Monitor blood pressure
4. A client with nasal congestion receives a prescription for phenylephrine
10 mg PO every 4 hours which client condition should the nurse report the
healthcare provider before administering the medication?
A. Hypertension
B. Diarrhea
C. Bronchitis
D. Edema: A. Hypertension
5. After receiving the third dose of a new oral anticoagulant prescription, an
older client develops bleeding and tender gums and has many new bruises.
, 2025/2026 Pharm Hesi EXAM QUESTIONS AND ANSWERS
Study online at https://quizlet.com/_ew0j0t
Which action should the nurse implement? SELECT ALL THAT APPLY.
a. Obtain a soft a bristle toothbrush for client
b. Report finding to healthcare provider
c. Provide a PRN nonsteroidal antiinflammatory (NSAID) for gum discomfort
d. Review most recent coagulation lab values
e. Complete a medication variance report: a. Obtain a soft a bristle toothbrush
for client
b. Report finding to healthcare provider
d. Review most recent coagulation lab values
6. A client with peptic ulcer disease received a new prescription for
cimetidine. Which statement provided by the client requires additional
instructions by the nurse?
A. Take the medication an hour after antacids
B. Monitor for any signs of sexual dysfunction
C. Decrease cigarettes use to a pack per day
D. Notify the healthcare provider of lethargy: C. Decrease cigarettes use to a
pack per day
7. A male client receives a scopolamine transdermal patch 2 hours before
surgery. Four hours after surgery, the client tells the nurse that he is
experiencing pains and asks why the patch is not working. Which action
should the nurse take?
A. Offer to apply a new transdermal path to the relieve the pain
B. Explain that the medication is not given to prevent pain
C. Advise the client that the effects of the medication have worn off
D. Check for correct placement of the patch behind the client's ear: B. Explain
that the medication is not given to prevent pain
8. A male client with a fungal infection of the toenail reports to the nurse that
he has been applying an over-the-counter triple antibiotic ointment to the
infection daily for two weeks without any improvement. Which action should
the nurse take?
a. Instruct the client to obtain a prescription for oral terbinafine
b. Reassure the client that treatment of fungus-infected toenails often takes
several months.
c. Suggest that the client use the ointment twice a day to be more effective .
, 2025/2026 Pharm Hesi EXAM QUESTIONS AND ANSWERS
Study online at https://quizlet.com/_ew0j0t
d. Advise the client to obtain a prescription-strength formulations of the
ointment: a. Instruct the client to obtain a prescription for oral terbinafine
9. A female client with a history of peptic ulcer disease recieved a prescription
for misoprostol. Which information provided by the client indicates to the
nurse a need for further teaching?
A. Ensure a negative pregnancy test result 2 weeks before therapy
B. Use condom and backup method of birth control to prevent pregnancy
C. Call the healthcare provider immediately if there's a chance of conception
D. Begin therapy 1 week before the next normal menstrual cycle.: A. Ensure a
negative pregnancy test result 2 weeks before therapy
10. The nurse administers the initial dose of cefoxitin to a client whose
medical records indicates an allergy to penicillin. Which finding is most
important for the nurse to report to the healthcare provider? a. Pruritus and
macular rash
b. Vomiting and diarrhea
c. Diminished renal output
d. Vaginal discharge: a. Pruritus and macular rash
11. A client receives a prescription for allopurinol. Which information
provided by the client requires additional instructions? A. I will consume 2
liters of water daily
B. If I miss a dose, I'll double the next dose
C. I should avoid taking it on an empty stomach
D. I'll reduce caffeine and acidic intake: B. If I miss a dose, I'll double the next
dose 12. The nurses reviewing the client's laboratory values. Which
laboratory value indicates to the nurse that a prescription for atorvastatin
is having the desired effect for a client at risk for coronary artery disease?
A. Prothrombin time (PT)
B. High-density lipoprotein (HDL)
C. Creatine Phosphokinase (CK)
D. Low-density lipoprotein (LDL): D. Low-density lipoprotein (LDL)
13. A client is receiving metronidazole for Clostridium difficile
pseudomembranous colitis. Which information should the nurse include in
the clients medication teaching?
Study online at https://quizlet.com/_ew0j0t
1. A client has a prescription for heparin 1000 units IV STAT. Several pre-filled
a.
heparin to the nursing unit immediately.
2. The nurse is assessing the eyes of a client who just received mydriatic
eye drops. which physiological function of the eye will not respond during
the therapeutic period after administration of the eye drops? a. Eye
convergence
b. Accommodation
c. Refraction
d. Pupillary constriction: d. Pupillary constriction
3. A client with benign prostatic hyperplasia receives a new prescription for
tamsulosin. Which intervention should the nurse perform to monitor for an
adverse reaction?
A. Perform a Bladder scan
B. Assess urine output
C. Obtain daily weights
D. Monitor blood pressure: D. Monitor blood pressure
4. A client with nasal congestion receives a prescription for phenylephrine
10 mg PO every 4 hours which client condition should the nurse report the
healthcare provider before administering the medication?
A. Hypertension
B. Diarrhea
C. Bronchitis
D. Edema: A. Hypertension
5. After receiving the third dose of a new oral anticoagulant prescription, an
older client develops bleeding and tender gums and has many new bruises.
, 2025/2026 Pharm Hesi EXAM QUESTIONS AND ANSWERS
Study online at https://quizlet.com/_ew0j0t
Which action should the nurse implement? SELECT ALL THAT APPLY.
a. Obtain a soft a bristle toothbrush for client
b. Report finding to healthcare provider
c. Provide a PRN nonsteroidal antiinflammatory (NSAID) for gum discomfort
d. Review most recent coagulation lab values
e. Complete a medication variance report: a. Obtain a soft a bristle toothbrush
for client
b. Report finding to healthcare provider
d. Review most recent coagulation lab values
6. A client with peptic ulcer disease received a new prescription for
cimetidine. Which statement provided by the client requires additional
instructions by the nurse?
A. Take the medication an hour after antacids
B. Monitor for any signs of sexual dysfunction
C. Decrease cigarettes use to a pack per day
D. Notify the healthcare provider of lethargy: C. Decrease cigarettes use to a
pack per day
7. A male client receives a scopolamine transdermal patch 2 hours before
surgery. Four hours after surgery, the client tells the nurse that he is
experiencing pains and asks why the patch is not working. Which action
should the nurse take?
A. Offer to apply a new transdermal path to the relieve the pain
B. Explain that the medication is not given to prevent pain
C. Advise the client that the effects of the medication have worn off
D. Check for correct placement of the patch behind the client's ear: B. Explain
that the medication is not given to prevent pain
8. A male client with a fungal infection of the toenail reports to the nurse that
he has been applying an over-the-counter triple antibiotic ointment to the
infection daily for two weeks without any improvement. Which action should
the nurse take?
a. Instruct the client to obtain a prescription for oral terbinafine
b. Reassure the client that treatment of fungus-infected toenails often takes
several months.
c. Suggest that the client use the ointment twice a day to be more effective .
, 2025/2026 Pharm Hesi EXAM QUESTIONS AND ANSWERS
Study online at https://quizlet.com/_ew0j0t
d. Advise the client to obtain a prescription-strength formulations of the
ointment: a. Instruct the client to obtain a prescription for oral terbinafine
9. A female client with a history of peptic ulcer disease recieved a prescription
for misoprostol. Which information provided by the client indicates to the
nurse a need for further teaching?
A. Ensure a negative pregnancy test result 2 weeks before therapy
B. Use condom and backup method of birth control to prevent pregnancy
C. Call the healthcare provider immediately if there's a chance of conception
D. Begin therapy 1 week before the next normal menstrual cycle.: A. Ensure a
negative pregnancy test result 2 weeks before therapy
10. The nurse administers the initial dose of cefoxitin to a client whose
medical records indicates an allergy to penicillin. Which finding is most
important for the nurse to report to the healthcare provider? a. Pruritus and
macular rash
b. Vomiting and diarrhea
c. Diminished renal output
d. Vaginal discharge: a. Pruritus and macular rash
11. A client receives a prescription for allopurinol. Which information
provided by the client requires additional instructions? A. I will consume 2
liters of water daily
B. If I miss a dose, I'll double the next dose
C. I should avoid taking it on an empty stomach
D. I'll reduce caffeine and acidic intake: B. If I miss a dose, I'll double the next
dose 12. The nurses reviewing the client's laboratory values. Which
laboratory value indicates to the nurse that a prescription for atorvastatin
is having the desired effect for a client at risk for coronary artery disease?
A. Prothrombin time (PT)
B. High-density lipoprotein (HDL)
C. Creatine Phosphokinase (CK)
D. Low-density lipoprotein (LDL): D. Low-density lipoprotein (LDL)
13. A client is receiving metronidazole for Clostridium difficile
pseudomembranous colitis. Which information should the nurse include in
the clients medication teaching?
