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 syringes of low molecular
weight heparin are available in the client's medication drawer. Which action should the nurse implement?
a. Advise the pharmacy of the need to deliver a vial of heparin to the nursing unit immediately.
b. Dilute the available heparin in 250 mL of normal saline solution prior to IV administration
c. Request a prescription to change the route of administration and use the available heparin
d. Calculate and administer the equivalent dose of the available low molecular weight heparin.: a. Advise
the pharmacy of the need to deliver a vial of 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.
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?
, 2026 Pharm Hesi EXAM QUESTIONS AND ANSWERS
Study online at https://quizlet.com/_ew0j0t
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 .
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
Study online at https://quizlet.com/_ew0j0t
1. A client has a prescription for heparin 1000 units IV STAT. Several pre-filled syringes of low molecular
weight heparin are available in the client's medication drawer. Which action should the nurse implement?
a. Advise the pharmacy of the need to deliver a vial of heparin to the nursing unit immediately.
b. Dilute the available heparin in 250 mL of normal saline solution prior to IV administration
c. Request a prescription to change the route of administration and use the available heparin
d. Calculate and administer the equivalent dose of the available low molecular weight heparin.: a. Advise
the pharmacy of the need to deliver a vial of 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.
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?
, 2026 Pharm Hesi EXAM QUESTIONS AND ANSWERS
Study online at https://quizlet.com/_ew0j0t
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 .
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
