Pharmacology Evolve HESI Latest Update 2026 |
Exam Prep | High-Yield Review Guide
1. Discuss the significance of monitoring for myelosuppression in patients
receiving carbamazepine therapy.
Myelosuppression is a common side effect of all medications.
Monitoring for myelosuppression is crucial because it can lead to
decreased blood cell production, increasing the risk of infections
and bleeding.
Monitoring is only necessary for liver function tests.
Myelosuppression is not a concern with carbamazepine therapy.
2. What class of chemotherapy agents is known to inhibit enzymes necessary
for cellular function and replication?
Antitumor antibiotics
Plant
Alkylating agents
Antimetabolites
3. A client receives a diagnosis of Peptic Ulcer Disease. The doctor orders
famotidine (Pepcid). Which of the following is the best rationale for the use of
this drug?
Increase pH of stomach contents
Inhibit action of histamine at H2 receptor sites
Relieve feelings of abdominal fullness
Stimulate motility of the upper GI tract
,4. Describe the significance of recognizing tardive dyskinesia in patients
receiving long-term phenothiazine treatment.
Recognizing tardive dyskinesia is crucial because it is a permanent
condition that can significantly impact a patient's quality of life and
requires careful monitoring and management.
Tardive dyskinesia is a reversible condition that can be easily treated
with medication adjustments.
Tardive dyskinesia is a common side effect that does not require any
special attention.
It is important to recognize tardive dyskinesia because it indicates an
effective treatment response.
5. What is the recommended action for a patient who has difficulty swallowing
venlafaxine capsules?
Contact the health care provider for another form of medication.
Sprinkle the capsule contents on food.
Take the medication with a large glass of water.
Chew the medication thoroughly before swallowing.
6. Describe the role of neostigmine bromide in the context of pancuronium
bromide administration.
Neostigmine bromide enhances the effects of pancuronium bromide.
Neostigmine bromide is used to induce paralysis before surgery.
Neostigmine bromide is a sedative used during mechanical ventilation.
Neostigmine bromide is an acetylcholinesterase inhibitor that
reverses the neuromuscular blockade caused by pancuronium
bromide.
,7. What is the primary purpose of griseofulvin in treating tinea corporis?
To treat fungal infections
To reduce inflammation
To treat bacterial infections
To manage pain
8. A client with dysphagia has been diagnosed with duodenal ulcers and is
being discharged from the hospital with a prescription for the proton pump
inhibitor lansaprozole (Prevacid) 15mg PO daily. The medication comes in
capsule form. What instruction should the nurse include in the discharge
teaching plan for this client?
Chew the medication thoroughly to enhance absorption.
Capsule contents can be sprinkled on pudding or applesauce.
Take the drug at the same time as famotidine (Pepcid).
This drug must be ingested 30 minutes after a meal.
9. Why is it important for nurses to avoid applying surface anesthetic agents to
abraded skin?
Applying anesthetic to abraded skin can increase systemic
absorption and risk of toxicity.
Applying anesthetic to abraded skin reduces pain sensation.
Applying anesthetic to abraded skin is a common practice in nursing.
Applying anesthetic to abraded skin enhances its effectiveness.
, 10. If a client with myasthenia gravis reports increased fatigue and difficulty
swallowing despite taking their cholinesterase inhibitor, what should the
nurse assess before making recommendations?
The client's exercise routine and physical activity levels.
The client's dietary habits and fluid intake.
The client's mental health status and stress levels.
The client's current medication regimen and adherence to the
prescribed dosage.
11. The registered nurse is educating the client with myasthenia gravis about
preventing myasthenic and cholinergic crisis. The nurse tells the client that
the best way to prevent these is by:
Performing daily exercise
Taking breaks in between activities to conserve energy
Avoid missing doses of medication to maintain therapeutic blood
levels
Eating a well-balanced diet
12. What is the term used to describe a severe allergic reaction that can occur
after taking penicillin?
Idiosyncratic reaction
Severe acute anaphylactic response
Cumulative drug response
Side reaction
13. A nurse is preparing to administer an antihypertensive medication to a client
whose blood pressure is recorded at 90/60 mmHg. What should the nurse
Exam Prep | High-Yield Review Guide
1. Discuss the significance of monitoring for myelosuppression in patients
receiving carbamazepine therapy.
Myelosuppression is a common side effect of all medications.
Monitoring for myelosuppression is crucial because it can lead to
decreased blood cell production, increasing the risk of infections
and bleeding.
Monitoring is only necessary for liver function tests.
Myelosuppression is not a concern with carbamazepine therapy.
2. What class of chemotherapy agents is known to inhibit enzymes necessary
for cellular function and replication?
Antitumor antibiotics
Plant
Alkylating agents
Antimetabolites
3. A client receives a diagnosis of Peptic Ulcer Disease. The doctor orders
famotidine (Pepcid). Which of the following is the best rationale for the use of
this drug?
Increase pH of stomach contents
Inhibit action of histamine at H2 receptor sites
Relieve feelings of abdominal fullness
Stimulate motility of the upper GI tract
,4. Describe the significance of recognizing tardive dyskinesia in patients
receiving long-term phenothiazine treatment.
Recognizing tardive dyskinesia is crucial because it is a permanent
condition that can significantly impact a patient's quality of life and
requires careful monitoring and management.
Tardive dyskinesia is a reversible condition that can be easily treated
with medication adjustments.
Tardive dyskinesia is a common side effect that does not require any
special attention.
It is important to recognize tardive dyskinesia because it indicates an
effective treatment response.
5. What is the recommended action for a patient who has difficulty swallowing
venlafaxine capsules?
Contact the health care provider for another form of medication.
Sprinkle the capsule contents on food.
Take the medication with a large glass of water.
Chew the medication thoroughly before swallowing.
6. Describe the role of neostigmine bromide in the context of pancuronium
bromide administration.
Neostigmine bromide enhances the effects of pancuronium bromide.
Neostigmine bromide is used to induce paralysis before surgery.
Neostigmine bromide is a sedative used during mechanical ventilation.
Neostigmine bromide is an acetylcholinesterase inhibitor that
reverses the neuromuscular blockade caused by pancuronium
bromide.
,7. What is the primary purpose of griseofulvin in treating tinea corporis?
To treat fungal infections
To reduce inflammation
To treat bacterial infections
To manage pain
8. A client with dysphagia has been diagnosed with duodenal ulcers and is
being discharged from the hospital with a prescription for the proton pump
inhibitor lansaprozole (Prevacid) 15mg PO daily. The medication comes in
capsule form. What instruction should the nurse include in the discharge
teaching plan for this client?
Chew the medication thoroughly to enhance absorption.
Capsule contents can be sprinkled on pudding or applesauce.
Take the drug at the same time as famotidine (Pepcid).
This drug must be ingested 30 minutes after a meal.
9. Why is it important for nurses to avoid applying surface anesthetic agents to
abraded skin?
Applying anesthetic to abraded skin can increase systemic
absorption and risk of toxicity.
Applying anesthetic to abraded skin reduces pain sensation.
Applying anesthetic to abraded skin is a common practice in nursing.
Applying anesthetic to abraded skin enhances its effectiveness.
, 10. If a client with myasthenia gravis reports increased fatigue and difficulty
swallowing despite taking their cholinesterase inhibitor, what should the
nurse assess before making recommendations?
The client's exercise routine and physical activity levels.
The client's dietary habits and fluid intake.
The client's mental health status and stress levels.
The client's current medication regimen and adherence to the
prescribed dosage.
11. The registered nurse is educating the client with myasthenia gravis about
preventing myasthenic and cholinergic crisis. The nurse tells the client that
the best way to prevent these is by:
Performing daily exercise
Taking breaks in between activities to conserve energy
Avoid missing doses of medication to maintain therapeutic blood
levels
Eating a well-balanced diet
12. What is the term used to describe a severe allergic reaction that can occur
after taking penicillin?
Idiosyncratic reaction
Severe acute anaphylactic response
Cumulative drug response
Side reaction
13. A nurse is preparing to administer an antihypertensive medication to a client
whose blood pressure is recorded at 90/60 mmHg. What should the nurse
