Evolve Pharmacology HESI Practice Test 2026 |
NCLEX-Style Questions | Exam Prep
1. Describe the significance of recognizing early signs of hypoglycemia in a
patient with type 1 diabetes who has received insulin.
Early signs of hypoglycemia are not significant and can be ignored.
Only severe symptoms need to be monitored in diabetic patients.
Hypoglycemia does not require immediate attention.
Recognizing early signs of hypoglycemia is crucial for timely
intervention to prevent severe complications.
2. If a 30-year-old woman who smokes is considering starting oral
contraceptives, what should the nurse advise her regarding her options?
The nurse should advise her to consider non-hormonal
contraceptive methods due to the increased risk of complications.
The nurse should suggest that she can safely use oral contraceptives
with regular check-ups.
The nurse should recommend a higher dose of oral contraceptives for
her safety.
The nurse should inform her that smoking does not affect
contraceptive choices.
3. Which medication prescription should the practical nurse administer for a
client who is having an asthmatic episode?
Albuterol (Proventil).
Isosorbide mononitrate (Imdur).
Enalapril (Vasotec).
, Propranolol (Inderal).
4. A patient has been prescribed beclomethasone as an inhaled corticosteroid.
What essential counseling should the nurse provide to the patient regarding
the proper use of this medication?
"Rinse your mouth with water after each inhalation to prevent side
effects."
"Take beclomethasone with food to enhance its absorption."
"Skip doses if you start feeling better to reduce the risk of
dependency."
"Use beclomethasone as a rescue inhaler during asthma attacks."
5. What is the primary instruction a nurse should give to a client taking
disulfiram (Antabuse)?
Start a cigarette smoking cessation program.
Small amounts of mouthwash or cough medicine can be used.
This drug is similar to alcohol but without euphoric effects.
Avoid using any over-the-counter substances containing alcohol.
6. A patient with cystitis is receiving phenazopyridine (Pyridium) for pain and is
voiding a bright red-orange urine. What should the nurse do?
Explain to the patient that this is normal
Increase fluid intake
Collect a specimen
Report this immediately
,7. A nurse is caring for a client undergoing chemotherapy who has developed
thrombocytopenia. Which of the following actions should the nurse prioritize
to ensure the client's safety?
Instruct the client to avoid all physical activity.
Advise the client to take aspirin for pain relief.
Encourage the client to participate in contact sports.
Educate the client on using an electric razor for shaving.
8. What is the recommended duration for taking prescribed antibiotics for an
infection?
Continue the medication until all of the prescription is taken.
Stop taking the medication if side effects occur.
Take the medication only during the day.
Use the medication only until symptoms improve.
9. Describe the mechanism by which isoproterenol (Isuprel) affects heart rate in
patients with heart block.
Isoproterenol (Isuprel) stimulates beta-adrenergic receptors,
leading to an increased heart rate.
Isoproterenol (Isuprel) has no effect on heart rate.
Isoproterenol (Isuprel) blocks alpha-adrenergic receptors, decreasing
heart rate.
Isoproterenol (Isuprel) decreases cardiac output.
10. The practical nurse asks a male client who came to the clinic with an upper
respiratory infection if he has any drug allergies. The client cannot remember
if he does or if he ever received penicillin. After administering the injection
, of penicillin, the PN tells the client to stay for 30 minutes of observation.
Which finding should the PN identify that is indicative of a reaction to the
medication?
D) A vasovagal response with bradycardia.
C) Drop in temperature and blood pressure.
A) Rash, itching, and hives.
B) Fever and abdominal pain.
11. A client on disulfiram (Antabuse) reports using a mouthwash that contains
alcohol. What should the nurse advise the client regarding this product?
The nurse should recommend using the mouthwash only at night.
The mouthwash is safe in moderation while taking disulfiram.
The client should discontinue use of the mouthwash and choose an
alcohol-free alternative.
The client can continue using the mouthwash as it does not affect
disulfiram.
12. Which of the following is the reason for using multidrug therapy in the
treatment of tuberculosis (TB)?
Multidrug therapy will have a faster effect than single-drug therapy.
The use of multiple medications reduces the chance of the TB
becoming drug resistant.
Multiple drugs are required to eradicate the TB.
Using multidrug therapy enhances the effect of each drug
13. A client with asthma is prescribed beclomethasone and a rescue inhaler.
How should the nurse educate the client about the appropriate use of these
NCLEX-Style Questions | Exam Prep
1. Describe the significance of recognizing early signs of hypoglycemia in a
patient with type 1 diabetes who has received insulin.
Early signs of hypoglycemia are not significant and can be ignored.
Only severe symptoms need to be monitored in diabetic patients.
Hypoglycemia does not require immediate attention.
Recognizing early signs of hypoglycemia is crucial for timely
intervention to prevent severe complications.
2. If a 30-year-old woman who smokes is considering starting oral
contraceptives, what should the nurse advise her regarding her options?
The nurse should advise her to consider non-hormonal
contraceptive methods due to the increased risk of complications.
The nurse should suggest that she can safely use oral contraceptives
with regular check-ups.
The nurse should recommend a higher dose of oral contraceptives for
her safety.
The nurse should inform her that smoking does not affect
contraceptive choices.
3. Which medication prescription should the practical nurse administer for a
client who is having an asthmatic episode?
Albuterol (Proventil).
Isosorbide mononitrate (Imdur).
Enalapril (Vasotec).
, Propranolol (Inderal).
4. A patient has been prescribed beclomethasone as an inhaled corticosteroid.
What essential counseling should the nurse provide to the patient regarding
the proper use of this medication?
"Rinse your mouth with water after each inhalation to prevent side
effects."
"Take beclomethasone with food to enhance its absorption."
"Skip doses if you start feeling better to reduce the risk of
dependency."
"Use beclomethasone as a rescue inhaler during asthma attacks."
5. What is the primary instruction a nurse should give to a client taking
disulfiram (Antabuse)?
Start a cigarette smoking cessation program.
Small amounts of mouthwash or cough medicine can be used.
This drug is similar to alcohol but without euphoric effects.
Avoid using any over-the-counter substances containing alcohol.
6. A patient with cystitis is receiving phenazopyridine (Pyridium) for pain and is
voiding a bright red-orange urine. What should the nurse do?
Explain to the patient that this is normal
Increase fluid intake
Collect a specimen
Report this immediately
,7. A nurse is caring for a client undergoing chemotherapy who has developed
thrombocytopenia. Which of the following actions should the nurse prioritize
to ensure the client's safety?
Instruct the client to avoid all physical activity.
Advise the client to take aspirin for pain relief.
Encourage the client to participate in contact sports.
Educate the client on using an electric razor for shaving.
8. What is the recommended duration for taking prescribed antibiotics for an
infection?
Continue the medication until all of the prescription is taken.
Stop taking the medication if side effects occur.
Take the medication only during the day.
Use the medication only until symptoms improve.
9. Describe the mechanism by which isoproterenol (Isuprel) affects heart rate in
patients with heart block.
Isoproterenol (Isuprel) stimulates beta-adrenergic receptors,
leading to an increased heart rate.
Isoproterenol (Isuprel) has no effect on heart rate.
Isoproterenol (Isuprel) blocks alpha-adrenergic receptors, decreasing
heart rate.
Isoproterenol (Isuprel) decreases cardiac output.
10. The practical nurse asks a male client who came to the clinic with an upper
respiratory infection if he has any drug allergies. The client cannot remember
if he does or if he ever received penicillin. After administering the injection
, of penicillin, the PN tells the client to stay for 30 minutes of observation.
Which finding should the PN identify that is indicative of a reaction to the
medication?
D) A vasovagal response with bradycardia.
C) Drop in temperature and blood pressure.
A) Rash, itching, and hives.
B) Fever and abdominal pain.
11. A client on disulfiram (Antabuse) reports using a mouthwash that contains
alcohol. What should the nurse advise the client regarding this product?
The nurse should recommend using the mouthwash only at night.
The mouthwash is safe in moderation while taking disulfiram.
The client should discontinue use of the mouthwash and choose an
alcohol-free alternative.
The client can continue using the mouthwash as it does not affect
disulfiram.
12. Which of the following is the reason for using multidrug therapy in the
treatment of tuberculosis (TB)?
Multidrug therapy will have a faster effect than single-drug therapy.
The use of multiple medications reduces the chance of the TB
becoming drug resistant.
Multiple drugs are required to eradicate the TB.
Using multidrug therapy enhances the effect of each drug
13. A client with asthma is prescribed beclomethasone and a rescue inhaler.
How should the nurse educate the client about the appropriate use of these
