Evolve Pharmacology Hesi /Hesi Pharmacology
Evolve Exam Newest 2025/2026 Complete 200
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Ten minutes after the initiation of a blood transfusion, a
client reports lumbar pain. What is the next nursing
action? - Answer-Stop the transfusion.
The healthcare provider prescribes an intravenous
medication for a client who has been admitted for a
chronic obstructive pulmonary disease exacerbation.
When preparing to initiate an intravenous line, the nurse
applies the tourniquet to select the site. When should the
nurse release the tourniquet? - Answer-When the needle
enters the vein
A nurse is teaching an older adult client about managing
chronic pain with acetaminophen. Which client statement
indicates that the teaching is effective? - Answer-"I have to
be careful about which over-the-counter cold preparations
I take when I have a cold."
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Famotidine (Pepcid) is prescribed for a client with peptic
ulcer disease. The client asks the nurse what this
medication does. Which action does the nurse mention
when replying? - Answer-Inhibits gastric acid secretion
A client who had a kidney transplant develops leukopenia
3 weeks after surgery. What does the nurse conclude is
the most probable cause of the leukopenia? - Answer-
Antirejection medications
After surgery a client develops a deep vein thrombosis
and a pulmonary embolus. Heparin via a continuous drip
is prescribed. Several hours later, vancomycin
intravenously every 12 hours is prescribed. The client has
one intravenous (IV) site: a peripheral line in the left
forearm. What action should the nurse take? - Answer-
Start another IV line for the vancomycin and continue the
heparin as prescribed.
A client is scheduled for a craniotomy to remove a brain
tumor. To prevent the development of cerebral edema after
surgery, the nurse anticipates the use of drugs from which
class? - Answer-Steroids
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A health care provider prescribes ranitidine for a client with
heartburn. During a teaching session, which information
will the nurse share with the client about how this drug
works? - Answer-Ranitidine reduces gastric acidity in the
stomach
A Total Parenteral Nutrition (TPN) solution is prescribed to
infuse one liter every 12 hours for a malnourished client.
What is most important for the nurse to monitor? - Answer-
Serum glucose levels
Which medication does the nurse anticipate will be
prescribed to relieve anxiety and apprehension in a client
with pulmonary edema? - Answer-Morphine
Hydrochlorothiazide, a thiazide diuretic, has been
prescribed for a client with hypertension. The client reports
hearing that furosemide is more effective and requests a
prescription change. How should the nurse respond? -
Answer-"HCTZ has fewer side effects."
Which action should the nurse take first when a client's
gravity flow IV rate is too slow? - Answer-Evaluate the
appearance of the catheter insertion site
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A client is scheduled for discharge following surgery. The
medical record indicates that the client has not had a
bowel movement since before surgery, which was 4 days
ago. During the hospital stay, the client received a stool
softener daily and an oral laxative the day before
discharge. Which one of the prescribed medications
should the nurse administer to ensure a bowel movement
prior to discharge? - Answer-Bisacodyl 10-mg suppository
A nurse is instructing a group of volunteer nurses on the
technique of administering the smallpox vaccine. What
injection method should the nurse teach? - Answer-
Intradermal scratch
The health care provider prescribes propylthiouracil (PTU)
for a client with the diagnosis of Graves' disease. What
should the nurse teach the client when discussing the self-
administration of this medication? - Answer-Observe for
signs of infection
A client is diagnosed with tuberculosis associated with
human immunodeficiency virus infection. What crucial
laboratory test results should the nurse review before