HESI Pharmacology Exit Exam V2 2025/2026 (ACTUAL
EXAM) -LATEST VERSION-268 QUESTIONS AND ANSWERS
WITH STUDY GUIDE -DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
Nursing implications for a pt on xenical (orlistat or alli) - CORRECT
ANSWER Ask pt to describe dietary intake since SE are increased
if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or alli) - CORRECT
ANSWER Fiber laxatives like Metamucil help decrease SE by
binding to the fat.
Which type of fluids need plenty of water? - CORRECT ANSWER
Bulk forming laxatives
Why do you need plenty of fluids when taking bulk forming laxatives -
CORRECT ANSWER Because they can produce esophageal and
or intestinal obstruction
Laxative use assessment - CORRECT ANSWER Last BM and
characteristics, abdominal pain, fever and obstruction. Assess dietary
and fluid intake.
With laxative use the nurse should - CORRECT ANSWER
Encourage fluids, fiber and exercise as tolerated/indicated
Laxative use and result in - CORRECT ANSWER Lack of bowel
tone which can lead to dependency
what is ondansetron (zofran) - CORRECT ANSWER antiemetic
,What is ondansetron (zofran)used for? - CORRECT ANSWER
Prevention of N/V associated with chemotherapy and radiation
therapy.
Who should you use caution with when giving ondansetron/zofran? -
CORRECT ANSWER PTs with liver failure
Drugs for ulcerative colitis and crohns - CORRECT ANSWER 5
aminosalicylates; mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? -
CORRECT ANSWER They decrease GI inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) -
CORRECT ANSWER Nausea, rash, arthralgia, hematological
disorders
Which drug can cause colitis/c.diff - CORRECT ANSWER
Linezolid/zyvox
What kind of infection is c.diff - CORRECT ANSWER
Suprainfection
What is azithromycin/zithromax? - CORRECT ANSWER An
antibiotic
What does azithromycin/zithromax treat? - CORRECT ANSWER
STDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - CORRECT
ANSWER One dose of 1g or 2g.
If a female pt has trichomonas (any STI) and is asymptomatic does
the male need to be tested? - CORRECT ANSWER Yes!
, azithromycin/zithromax can cause what? - CORRECT ANSWER
Hepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? - CORRECT ANSWER An
antibiotic for UTI
nitrofurantoin/cipro side effect - CORRECT ANSWER
Hepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations - CORRECT ANSWER
Give with milk or meals check LFTs. Watch for numbness or tingling
of extremities this can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? - CORRECT ANSWER
Metronidazole/flagyl
When is metronidazole/flagyl to be taken? - CORRECT ANSWER
With food and around the clock
What should be avoided when taking metronidazole/flagyl and why? -
CORRECT ANSWER Alcohol; can cause a disulfiram-like reaction
aminoglycosides examples - CORRECT ANSWER
gentamicin(garamycin), neomycin, tobramycin(nebcin)
how are aminoglycosides ,(-mycin, -micin), administered? -
CORRECT ANSWER given IV for several days
what is an adverse effect of aminoglycosides (-mycin, -micin) -
CORRECT ANSWER decreased hearing/ototoxicity and
nephrotoxicity
what labs need to be evaluated when given aminoglycosides (-mycin,
-micin)? - CORRECT ANSWER BUN and creatinine
DOC for MRSA - CORRECT ANSWER vancomycin
EXAM) -LATEST VERSION-268 QUESTIONS AND ANSWERS
WITH STUDY GUIDE -DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
Nursing implications for a pt on xenical (orlistat or alli) - CORRECT
ANSWER Ask pt to describe dietary intake since SE are increased
if greater than 30% of fat is in diet.
What can decrease side effects of xenical (orlistat or alli) - CORRECT
ANSWER Fiber laxatives like Metamucil help decrease SE by
binding to the fat.
Which type of fluids need plenty of water? - CORRECT ANSWER
Bulk forming laxatives
Why do you need plenty of fluids when taking bulk forming laxatives -
CORRECT ANSWER Because they can produce esophageal and
or intestinal obstruction
Laxative use assessment - CORRECT ANSWER Last BM and
characteristics, abdominal pain, fever and obstruction. Assess dietary
and fluid intake.
With laxative use the nurse should - CORRECT ANSWER
Encourage fluids, fiber and exercise as tolerated/indicated
Laxative use and result in - CORRECT ANSWER Lack of bowel
tone which can lead to dependency
what is ondansetron (zofran) - CORRECT ANSWER antiemetic
,What is ondansetron (zofran)used for? - CORRECT ANSWER
Prevention of N/V associated with chemotherapy and radiation
therapy.
Who should you use caution with when giving ondansetron/zofran? -
CORRECT ANSWER PTs with liver failure
Drugs for ulcerative colitis and crohns - CORRECT ANSWER 5
aminosalicylates; mesalamie, sulfasalazine.
How do 5 aminosalicylates; (mesalamie, sulfasalazine) work? -
CORRECT ANSWER They decrease GI inflammation
Side effects of 5 aminosalicylates; (mesalamie, sulfasalazine) -
CORRECT ANSWER Nausea, rash, arthralgia, hematological
disorders
Which drug can cause colitis/c.diff - CORRECT ANSWER
Linezolid/zyvox
What kind of infection is c.diff - CORRECT ANSWER
Suprainfection
What is azithromycin/zithromax? - CORRECT ANSWER An
antibiotic
What does azithromycin/zithromax treat? - CORRECT ANSWER
STDs such as: gonorrhea and chlamydia
How much azithromycin/zithromax is usually required? - CORRECT
ANSWER One dose of 1g or 2g.
If a female pt has trichomonas (any STI) and is asymptomatic does
the male need to be tested? - CORRECT ANSWER Yes!
, azithromycin/zithromax can cause what? - CORRECT ANSWER
Hepatotoxicity- elevated liver enzymes
What is nitrofurantoin/cipro used for? - CORRECT ANSWER An
antibiotic for UTI
nitrofurantoin/cipro side effect - CORRECT ANSWER
Hepatotoxicity, skin reactions, neuropathy
nitrofurantoin/cipro nursing considerations - CORRECT ANSWER
Give with milk or meals check LFTs. Watch for numbness or tingling
of extremities this can be an irreversible peripheral neuropathy
Drug of choice for treating c.diff? - CORRECT ANSWER
Metronidazole/flagyl
When is metronidazole/flagyl to be taken? - CORRECT ANSWER
With food and around the clock
What should be avoided when taking metronidazole/flagyl and why? -
CORRECT ANSWER Alcohol; can cause a disulfiram-like reaction
aminoglycosides examples - CORRECT ANSWER
gentamicin(garamycin), neomycin, tobramycin(nebcin)
how are aminoglycosides ,(-mycin, -micin), administered? -
CORRECT ANSWER given IV for several days
what is an adverse effect of aminoglycosides (-mycin, -micin) -
CORRECT ANSWER decreased hearing/ototoxicity and
nephrotoxicity
what labs need to be evaluated when given aminoglycosides (-mycin,
-micin)? - CORRECT ANSWER BUN and creatinine
DOC for MRSA - CORRECT ANSWER vancomycin
