HESI PHARMACOLOGY EXIT EXAM p p p
(NCLEX-
PN QUESTION BANK) | NEWEST ACTUAL E
p p p p p p
XAM COMPREHENSIVE QUESTIONS AND p p p p
VERIFIED ANSWERS GRADED A+ | 100% P p p p p p p
ASS | 2025 UPDATE! p p p
1.) Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client. T
p p p p p p p p p p
he nurse reviews the client's medical record and should contact the heal
p p p p p p p p p p p
th care provider (HCP) regarding which documented finding to verify the
p p p p p p p p p p
prescription? Refer to chart.
p p p p
1. Renal insufficiency p
2. Chest x-ray: normal p p
3. Blood glucose, 102 mg/dL p p p
4. Folic acid (vitamin B6) 0.5 mg, orally daily - ✔✔✔ Correct Answer
p p p p p p p p p p p
> 1. Renal insufficiency Rationale
p p p p
:
Cinoxacin should be administered with caution in clients with renal impai
p p p p p p p p p p
rment. The dosage should be reduced, and failure to do so could result in
p p p p p p p p p p p p p p
accumulation of cinoxacin to toxic levels. Therefore the nurse would verif
p p p p p p p p p p
y the prescription if the client had a documented history of renal insuffici
p p p p p p p p p p p p
ency. The laboratory and diagnostic test results are
p p p p p p p
,normal findings. Folic acid (vitamin B6) may be prescribed for a client with
p p p p p p p p p p p p
renal insufficiency to prevent anemia
p p p p p
2.) After kidney transplantation, cyclosporine (Sand immune) is pr
p p p p p p p
escribed for a client. Which laboratory result would indicate an ad
p p p p p p p p p p
verse effect from the use of this medication?
p p p p p p p
1. Decreased creatinine level p p
2. Decreased hemoglobin level p p
3. Elevated blood urea nitrogen level p p p p
4. Decreased white blood cell count - p p p p p
p ✔✔✔ Correct Answer > 3. Elevated blood urea nitrogen level
p p p p p p p p p
Rationale:
Nephrotoxicity can occur from the use of cyclosporine (Sandimmune). Ne
p p p p p p p p p
phrotoxicity is evaluated by monitoring for elevated blood urea nitrogen
p p p p p p p p p p
(BUN) and serum creatinine levels. Cyclosporine is an immunosuppressa
p p p p p p p p
nt but does not depress the bone marrow.
p p p p p p p
3.) A client with myasthenia gravis is suspected of having cholinergic c
p p p p p p p p p p
risis. Which of the following indicate that this crisis exists?
p p p p p p p p p
1. Ataxia
2. Mouth sores p
3. Hypotension
4. Hypertension - p
p ✔✔✔ Correct Answer > 4. Hypertension Rationale:
p p p p p p
,Cholinergic crisis occurs as a result of an overdose of medication. Indicati
p p p p p p p p p p p
ons of cholinergic crisis include gastrointestinal disturbances, nausea, vo
p p p p p p p p
miting, diarrhea, abdominal cramps, increased salivation and tearing, mi
p p p p p p p p
osis, hypertension, sweating, and increased bronchial secretions.
p p p p p p
4.) A client with myasthenia gravis is receiving pyridostigmine (Mestino
p p p p p p p p
n). The nurse monitors for signs and symptoms of cholinergic crisis caus
p p p p p p p p p p p
ed by overdose of the medication. The nurse checks the medication su
p p p p p p p p p p p
pply to ensure that which medication is available for administration if a
p p p p p p p p p p p p
cholinergic crisis occurs? p p
1. Vitamin K p
2. Atropine sulfate p
3. Protamine sulfate p
4. Acetylcysteine (Mucomyst) - p p
p ✔✔✔ Correct Answer > 2. Atropine sulfate
p p p p p p
Rationale:
The antidote for cholinergic crisis is atropine sulfate. Vitamin K is the anti
p p p p p p p p p p p p
dote for warfarin (Coumadin). Protamine sulfate is the antidote for hepari
p p p p p p p p p p
n, and acetylcysteine (Mucomyst) is the antidote for acetaminophen (Tyl
p p p p p p p p p
enol).
5.) A client with myasthenia gravis becomes increasingly weak. The healt
p p p p p p p p p
h care provider prepares to identify whether the client is reacting to an o
p p p p p p p p p p p p p
verdose of the medication (cholinergic crisis) or increasing severity of th
p p p p p p p p p p
e disease (myasthenic crisis). An injection of edrophonium
p p p p p p p
, (Enlon) is administered. Which of the following indicates that the client is
p p p p p p p p p p p p
in cholinergic crisis?
p p
1. No change in the condition
p p p p
2. Complaints of muscle spasms p p p
3. An improvement of the weakness
p p p p
4. A temporary worsening of the condition - ✔✔✔ Correct Answer >
p p p p p p p p p p
4. A temporary worsening of the condition Rat
p p p p p p p
ionale:
An edrophonium (Enlon) injection, a cholinergic drug, makes the client in
p p p p p p p p p p p
cholinergic crisis temporarily worse. This is known as a negative test. An i
p p p p p p p p p p p p
mprovement of weakness would occur if the client were experiencing my
p p p p p p p p p p
asthenia gravis. Options 1 and 2 would not occur in either crisis.
p p p p p p p p p p p
6.) Carbidopa-
levodopa (Sinemet) is prescribed for a client with Parkinson's disease,
p p p p p p p p p p
and the nurse monitors the client for adverse reactions to the medicati
p p p p p p p p p p p
on. Which of the following indicates that the client is experiencing an a
p p p p p p p p p p p p
dverse reaction? p
1. Pruritus
2. Tachycardia
3. Hypertension
4. Impaired voluntary movements - p p p
p ✔✔✔ Correct Answer > 4. Impaired voluntary movements
p p p p p p p
Rationale:
(NCLEX-
PN QUESTION BANK) | NEWEST ACTUAL E
p p p p p p
XAM COMPREHENSIVE QUESTIONS AND p p p p
VERIFIED ANSWERS GRADED A+ | 100% P p p p p p p
ASS | 2025 UPDATE! p p p
1.) Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client. T
p p p p p p p p p p
he nurse reviews the client's medical record and should contact the heal
p p p p p p p p p p p
th care provider (HCP) regarding which documented finding to verify the
p p p p p p p p p p
prescription? Refer to chart.
p p p p
1. Renal insufficiency p
2. Chest x-ray: normal p p
3. Blood glucose, 102 mg/dL p p p
4. Folic acid (vitamin B6) 0.5 mg, orally daily - ✔✔✔ Correct Answer
p p p p p p p p p p p
> 1. Renal insufficiency Rationale
p p p p
:
Cinoxacin should be administered with caution in clients with renal impai
p p p p p p p p p p
rment. The dosage should be reduced, and failure to do so could result in
p p p p p p p p p p p p p p
accumulation of cinoxacin to toxic levels. Therefore the nurse would verif
p p p p p p p p p p
y the prescription if the client had a documented history of renal insuffici
p p p p p p p p p p p p
ency. The laboratory and diagnostic test results are
p p p p p p p
,normal findings. Folic acid (vitamin B6) may be prescribed for a client with
p p p p p p p p p p p p
renal insufficiency to prevent anemia
p p p p p
2.) After kidney transplantation, cyclosporine (Sand immune) is pr
p p p p p p p
escribed for a client. Which laboratory result would indicate an ad
p p p p p p p p p p
verse effect from the use of this medication?
p p p p p p p
1. Decreased creatinine level p p
2. Decreased hemoglobin level p p
3. Elevated blood urea nitrogen level p p p p
4. Decreased white blood cell count - p p p p p
p ✔✔✔ Correct Answer > 3. Elevated blood urea nitrogen level
p p p p p p p p p
Rationale:
Nephrotoxicity can occur from the use of cyclosporine (Sandimmune). Ne
p p p p p p p p p
phrotoxicity is evaluated by monitoring for elevated blood urea nitrogen
p p p p p p p p p p
(BUN) and serum creatinine levels. Cyclosporine is an immunosuppressa
p p p p p p p p
nt but does not depress the bone marrow.
p p p p p p p
3.) A client with myasthenia gravis is suspected of having cholinergic c
p p p p p p p p p p
risis. Which of the following indicate that this crisis exists?
p p p p p p p p p
1. Ataxia
2. Mouth sores p
3. Hypotension
4. Hypertension - p
p ✔✔✔ Correct Answer > 4. Hypertension Rationale:
p p p p p p
,Cholinergic crisis occurs as a result of an overdose of medication. Indicati
p p p p p p p p p p p
ons of cholinergic crisis include gastrointestinal disturbances, nausea, vo
p p p p p p p p
miting, diarrhea, abdominal cramps, increased salivation and tearing, mi
p p p p p p p p
osis, hypertension, sweating, and increased bronchial secretions.
p p p p p p
4.) A client with myasthenia gravis is receiving pyridostigmine (Mestino
p p p p p p p p
n). The nurse monitors for signs and symptoms of cholinergic crisis caus
p p p p p p p p p p p
ed by overdose of the medication. The nurse checks the medication su
p p p p p p p p p p p
pply to ensure that which medication is available for administration if a
p p p p p p p p p p p p
cholinergic crisis occurs? p p
1. Vitamin K p
2. Atropine sulfate p
3. Protamine sulfate p
4. Acetylcysteine (Mucomyst) - p p
p ✔✔✔ Correct Answer > 2. Atropine sulfate
p p p p p p
Rationale:
The antidote for cholinergic crisis is atropine sulfate. Vitamin K is the anti
p p p p p p p p p p p p
dote for warfarin (Coumadin). Protamine sulfate is the antidote for hepari
p p p p p p p p p p
n, and acetylcysteine (Mucomyst) is the antidote for acetaminophen (Tyl
p p p p p p p p p
enol).
5.) A client with myasthenia gravis becomes increasingly weak. The healt
p p p p p p p p p
h care provider prepares to identify whether the client is reacting to an o
p p p p p p p p p p p p p
verdose of the medication (cholinergic crisis) or increasing severity of th
p p p p p p p p p p
e disease (myasthenic crisis). An injection of edrophonium
p p p p p p p
, (Enlon) is administered. Which of the following indicates that the client is
p p p p p p p p p p p p
in cholinergic crisis?
p p
1. No change in the condition
p p p p
2. Complaints of muscle spasms p p p
3. An improvement of the weakness
p p p p
4. A temporary worsening of the condition - ✔✔✔ Correct Answer >
p p p p p p p p p p
4. A temporary worsening of the condition Rat
p p p p p p p
ionale:
An edrophonium (Enlon) injection, a cholinergic drug, makes the client in
p p p p p p p p p p p
cholinergic crisis temporarily worse. This is known as a negative test. An i
p p p p p p p p p p p p
mprovement of weakness would occur if the client were experiencing my
p p p p p p p p p p
asthenia gravis. Options 1 and 2 would not occur in either crisis.
p p p p p p p p p p p
6.) Carbidopa-
levodopa (Sinemet) is prescribed for a client with Parkinson's disease,
p p p p p p p p p p
and the nurse monitors the client for adverse reactions to the medicati
p p p p p p p p p p p
on. Which of the following indicates that the client is experiencing an a
p p p p p p p p p p p p
dverse reaction? p
1. Pruritus
2. Tachycardia
3. Hypertension
4. Impaired voluntary movements - p p p
p ✔✔✔ Correct Answer > 4. Impaired voluntary movements
p p p p p p p
Rationale:
