HESI PHARMACOLOGY EXAM TEST BANK 2024
ACTUAL EXAM 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALE | LATEST EDITION |
ALREADY GRADED A+
Question 1
A nurse is providing teaching to a client who is starting a new
prescription for levothyroxine. Which of the following instructions
should the nurse include?
A. Take the medication with food.
B. Take the medication at bedtime.
C. Take the medication on an empty stomach.
D. Take the medication with a calcium supplement.
Answer: C. Take the medication on an empty stomach.
Rationale: Levothyroxine should be taken on an empty stomach to
ensure proper absorption. Taking it with food, especially calcium or iron
supplements, can interfere with its effectiveness.
Question 2
A client who is taking digoxin reports nausea and visual
disturbances. Which of the following actions should the nurse take
first?
A. Check the client's potassium level.
,B. Administer an antiemetic.
C. Check the client's apical pulse.
D. Administer digoxin immune Fab.
Answer: C. Check the client's apical pulse.
Rationale: Nausea and visual disturbances are signs of digoxin toxicity.
The nurse should first check the apical pulse to assess for bradycardia, a
common sign of digoxin toxicity.
Question 3
A nurse is preparing to administer an IM injection of a medication
to a client. Which of the following actions should the nurse take to
reduce the risk of injury to the client?
A. Use a 25-gauge needle.
B. Administer the medication into the deltoid muscle.
C. Use a Z-track technique.
D. Massage the injection site after administration.
Answer: C. Use a Z-track technique.
Rationale: The Z-track technique helps prevent medication from
leaking back into the subcutaneous tissue, reducing pain and irritation at
the injection site.
,Question 4
A nurse is teaching a client who has a new prescription for
nitroglycerin transdermal patches. Which of the following
instructions should the nurse include?
A. Apply the patch to the same site each day.
B. Apply the patch in the morning and remove it after 12 hours.
C. Use the patch as needed for chest pain.
D. Apply the patch to the chest only.
Answer: B. Apply the patch in the morning and remove it after 12
hours.
Rationale: Nitroglycerin patches should be applied in the morning and
removed after 12-14 hours to prevent tolerance.
Question 5
A nurse is reviewing the medical record of a client who is receiving
heparin therapy for deep vein thrombosis. Which of the following
laboratory results should the nurse report to the provider?
A. aPTT of 60 seconds.
B. Platelet count of 80,000/mm³.
C. Hemoglobin of 14 g/dL.
D. INR of 1.2.
Answer: B. Platelet count of 80,000/mm³.
, Rationale: A low platelet count (below 100,000/mm³) can indicate
heparin-induced thrombocytopenia (HIT), a potentially serious side
effect of heparin therapy.
Question 6
A nurse is teaching a client about a new prescription for lisinopril.
Which of the following side effects should the nurse instruct the
client to report to the provider immediately?
A. Dry cough.
B. Dizziness.
C. Facial swelling.
D. Rash.
Answer: C. Facial swelling.
Rationale: Facial swelling (angioedema) is a serious side effect of ACE
inhibitors like lisinopril and requires immediate medical attention.
Question 7
A client is receiving a new prescription for warfarin. Which of the
following laboratory values should the nurse monitor to determine
the effectiveness of the medication?
A. aPTT.
B. Platelet count.
C. INR.
ACTUAL EXAM 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALE | LATEST EDITION |
ALREADY GRADED A+
Question 1
A nurse is providing teaching to a client who is starting a new
prescription for levothyroxine. Which of the following instructions
should the nurse include?
A. Take the medication with food.
B. Take the medication at bedtime.
C. Take the medication on an empty stomach.
D. Take the medication with a calcium supplement.
Answer: C. Take the medication on an empty stomach.
Rationale: Levothyroxine should be taken on an empty stomach to
ensure proper absorption. Taking it with food, especially calcium or iron
supplements, can interfere with its effectiveness.
Question 2
A client who is taking digoxin reports nausea and visual
disturbances. Which of the following actions should the nurse take
first?
A. Check the client's potassium level.
,B. Administer an antiemetic.
C. Check the client's apical pulse.
D. Administer digoxin immune Fab.
Answer: C. Check the client's apical pulse.
Rationale: Nausea and visual disturbances are signs of digoxin toxicity.
The nurse should first check the apical pulse to assess for bradycardia, a
common sign of digoxin toxicity.
Question 3
A nurse is preparing to administer an IM injection of a medication
to a client. Which of the following actions should the nurse take to
reduce the risk of injury to the client?
A. Use a 25-gauge needle.
B. Administer the medication into the deltoid muscle.
C. Use a Z-track technique.
D. Massage the injection site after administration.
Answer: C. Use a Z-track technique.
Rationale: The Z-track technique helps prevent medication from
leaking back into the subcutaneous tissue, reducing pain and irritation at
the injection site.
,Question 4
A nurse is teaching a client who has a new prescription for
nitroglycerin transdermal patches. Which of the following
instructions should the nurse include?
A. Apply the patch to the same site each day.
B. Apply the patch in the morning and remove it after 12 hours.
C. Use the patch as needed for chest pain.
D. Apply the patch to the chest only.
Answer: B. Apply the patch in the morning and remove it after 12
hours.
Rationale: Nitroglycerin patches should be applied in the morning and
removed after 12-14 hours to prevent tolerance.
Question 5
A nurse is reviewing the medical record of a client who is receiving
heparin therapy for deep vein thrombosis. Which of the following
laboratory results should the nurse report to the provider?
A. aPTT of 60 seconds.
B. Platelet count of 80,000/mm³.
C. Hemoglobin of 14 g/dL.
D. INR of 1.2.
Answer: B. Platelet count of 80,000/mm³.
, Rationale: A low platelet count (below 100,000/mm³) can indicate
heparin-induced thrombocytopenia (HIT), a potentially serious side
effect of heparin therapy.
Question 6
A nurse is teaching a client about a new prescription for lisinopril.
Which of the following side effects should the nurse instruct the
client to report to the provider immediately?
A. Dry cough.
B. Dizziness.
C. Facial swelling.
D. Rash.
Answer: C. Facial swelling.
Rationale: Facial swelling (angioedema) is a serious side effect of ACE
inhibitors like lisinopril and requires immediate medical attention.
Question 7
A client is receiving a new prescription for warfarin. Which of the
following laboratory values should the nurse monitor to determine
the effectiveness of the medication?
A. aPTT.
B. Platelet count.
C. INR.
