HESI PHARMACOLOGY EVOLVE ACTUAL
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ An ultrasound scan of a baby shows that the proximal tubule in the
kidney is not well developed. Which drug treatment in the mother during
her pregnancy might have caused this condition in the baby? Answer:
Angiotensin-converting enzyme inhibitors
◉ Which nursing assessment is important to recognize to determine the
causative factors in a client with a history of spontaneous abortions?
Answer: History of alcohol consumption
◉ The nurse is explaining insulin needs to a client with gestational
diabetes who is in her second trimester of pregnancy. Which information
should the nurse give to this client? Answer: Insulin needs will increase
during the second trimester
◉ A lactating woman is diagnosed with migraine headaches. What drug
should be prescribed to the client if she wishes to continue breast-
feeding? Answer: Sumatriptan
◉ A preterm infant is receiving an intravenous electrolyte solution at a
rate of 20 mL/hr by way of an umbilical arterial line. At the hourly
,intake measurement, the nurse observes that 40 mL has infused in the
past hour. What is the nurse's first intervention? Answer: Taking the vital
signs
◉ A woman reports weight gain and hot flashes. The client is also found
to have low estrogen levels. Which drug may be prescribed to alleviate
hot flashes? Answer: Estradiol
◉ A nurse is caring for a client who is being given intravenous
magnesium sulfate to treat preeclampsia. Which effect alerts the nurse to
notify the primary healthcare provider? Answer: Urine output of less
than 100 mL in 4 hours
◉ A client who is visiting the family planning clinic is prescribed an oral
contraceptive. As part of teaching, the nurse plans to inform the client of
the possibility of which adverse effect? Answer: Breakthrough bleeding
◉ A pregnant client who is Rh negative visits the prenatal clinic during
the first trimester of pregnancy. She is informed by the primary
healthcare provider that Rh sensitization is suspected and that Rho(D)
immune globulin eventually will be given. At what week of gestation
should the nurse explain that the medication will be administered?
Answer: 28 weeks
◉ A pregnant woman reports night sweats, sleep disturbances, and
weight gain. Upon diagnosis, the woman has low levels of estrogen and
, is treated with hormonal therapy. Which teratogenic effect is likely to
occur in the newborn? Answer: Congenital defects of the female
reproductive system
◉ A woman reports irregular menses, back pain, and weight gain. Upon
diagnosis, the woman has low levels of estrogen and progesterone.
Which drug may be prescribed if the woman wants to conceive?
Answer: Clomiphene
◉ The nurse reviews a female client's prescription and informs the client
that there could be a risk of multiple pregnancies. Which drug might
have been prescribed to the client? Answer: Clomiphen
◉ A nurse is caring for a client who was admitted with the diagnosis of
severe preeclampsia and is now receiving an intravenous infusion of
magnesium sulfate. What is the classification of this medication?
Answer: Central nervous system depressant
◉ A client who underwent treatment for infertility gave birth to triplets.
She often complained of breast pain during the infertility treatment.
Which drug may have been administered to the client for infertility
treatment? Answer: Clomiphene
◉ A pregnant client was exposed to a teratogen in her tenth week of
gestation. Which nursing intervention should be provided? Answer:
Assure the client that the risk of malformation is minimal
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉ An ultrasound scan of a baby shows that the proximal tubule in the
kidney is not well developed. Which drug treatment in the mother during
her pregnancy might have caused this condition in the baby? Answer:
Angiotensin-converting enzyme inhibitors
◉ Which nursing assessment is important to recognize to determine the
causative factors in a client with a history of spontaneous abortions?
Answer: History of alcohol consumption
◉ The nurse is explaining insulin needs to a client with gestational
diabetes who is in her second trimester of pregnancy. Which information
should the nurse give to this client? Answer: Insulin needs will increase
during the second trimester
◉ A lactating woman is diagnosed with migraine headaches. What drug
should be prescribed to the client if she wishes to continue breast-
feeding? Answer: Sumatriptan
◉ A preterm infant is receiving an intravenous electrolyte solution at a
rate of 20 mL/hr by way of an umbilical arterial line. At the hourly
,intake measurement, the nurse observes that 40 mL has infused in the
past hour. What is the nurse's first intervention? Answer: Taking the vital
signs
◉ A woman reports weight gain and hot flashes. The client is also found
to have low estrogen levels. Which drug may be prescribed to alleviate
hot flashes? Answer: Estradiol
◉ A nurse is caring for a client who is being given intravenous
magnesium sulfate to treat preeclampsia. Which effect alerts the nurse to
notify the primary healthcare provider? Answer: Urine output of less
than 100 mL in 4 hours
◉ A client who is visiting the family planning clinic is prescribed an oral
contraceptive. As part of teaching, the nurse plans to inform the client of
the possibility of which adverse effect? Answer: Breakthrough bleeding
◉ A pregnant client who is Rh negative visits the prenatal clinic during
the first trimester of pregnancy. She is informed by the primary
healthcare provider that Rh sensitization is suspected and that Rho(D)
immune globulin eventually will be given. At what week of gestation
should the nurse explain that the medication will be administered?
Answer: 28 weeks
◉ A pregnant woman reports night sweats, sleep disturbances, and
weight gain. Upon diagnosis, the woman has low levels of estrogen and
, is treated with hormonal therapy. Which teratogenic effect is likely to
occur in the newborn? Answer: Congenital defects of the female
reproductive system
◉ A woman reports irregular menses, back pain, and weight gain. Upon
diagnosis, the woman has low levels of estrogen and progesterone.
Which drug may be prescribed if the woman wants to conceive?
Answer: Clomiphene
◉ The nurse reviews a female client's prescription and informs the client
that there could be a risk of multiple pregnancies. Which drug might
have been prescribed to the client? Answer: Clomiphen
◉ A nurse is caring for a client who was admitted with the diagnosis of
severe preeclampsia and is now receiving an intravenous infusion of
magnesium sulfate. What is the classification of this medication?
Answer: Central nervous system depressant
◉ A client who underwent treatment for infertility gave birth to triplets.
She often complained of breast pain during the infertility treatment.
Which drug may have been administered to the client for infertility
treatment? Answer: Clomiphene
◉ A pregnant client was exposed to a teratogen in her tenth week of
gestation. Which nursing intervention should be provided? Answer:
Assure the client that the risk of malformation is minimal
