HESI PHARMACOLOGY EXIT EXAM
2025/2026 WITH 232 QUESTIONS AND
CORRECT ANSWERS RATED A+
Which type of fluids need plenty of water? - ANSWER-Bulk forming laxatives
What is the indication Xenical (orlistat, Alli) - ANSWER-For PTs with BMI of 30+; LT
weight control
SE of Xenical (orlistat or alli) - ANSWER-Oily stool and flatulence
Nursing implications for a pt on Xenical (orlistat or alli) - ANSWER-Ask pt to
describe dietary intake since SE are increased if greater than 30% of fat is in diet.
What is the indication for metoclopramide/Reglan? - ANSWER-Prevention of
chemotherapy-induced emesis and diabetic gastroparesis
Side effects of metoclopramide/Reglan - ANSWER-Drowsiness, EPS such as
tremors
Notify MD if what occurs when using metoclopramide/Reglan - ANSWER-Tremors
What can decrease side effects of Renical (orlistat or alli) - ANSWER-Fiber
laxatives like Metamucil help decrease SE by binding to the fat.
Why do you need plenty of fluids when taking bulk forming laxatives - ANSWER-
Because they can produce esophageal and or intestinal obstruction
,Laxative use assessment - ANSWER-Last BM and characteristics, abdominal pain,
fever and obstruction. Assess dietary and fluid intake.
With laxative use the nurse should - ANSWER-Encourage fluids, fiber and exercise
as tolerated/indicated
Laxative use and result in - ANSWER-Lack of bowel tone which can lead to
dependency
what is ondansetron (Zofran) - ANSWER-antiemetic
What is ondansetron (Zofran)used for? - ANSWER-Prevention of N/V associated
with chemotherapy and radiation therapy.
Who should you use caution with when giving ondansetron/Zofran? - ANSWER-
PTs with liver failure
If a female pt has trichomonas (any STI) and is asymptomatic does the male need
to be tested? - ANSWER-Yes!
azithromycin/Zithromax can cause what? - ANSWER-Hepatotoxicity- elevated liver
enzymes
What is nitrofurantoin/cipro used for? - ANSWER-An antibiotic for UTI
nitrofurantoin/cipro side effect - ANSWER-Hepatotoxicity, skin reactions,
neuropathy
, nitrofurantoin/cipro nursing considerations - ANSWER-Give with milk or meals
check LFTs. Watch for numbness or tingling of extremities this can be an
irreversible peripheral neuropathy
Drugs for ulcerative colitis and crohns - ANSWER-5 aminosalicylates; mesalamie,
sulfasalazine.
How do 5 Aminosalicylates; (mesalamie, sulfasalazine) work? - ANSWER-They
decrease GI inflammation
Side effects of 5 Aminosalicylates; (Mesalamie, sulfasalazine) - ANSWER-Nausea,
rash, arthralgia, hematological disorders
Which drug can cause colitis/c.diff - ANSWER-Linezolid/zyvox
What kind of infection is c.diff - ANSWER-Suprainfection
What is azithromycin/Zithromax? - ANSWER-An antibiotic
What does azithromycin/Zithromax treat? - ANSWER-STDs such as: gonorrhea and
chlamydia
How much azithromycin/Zithromax is usually required? - ANSWER-One dose of 1g
or 2g.
2025/2026 WITH 232 QUESTIONS AND
CORRECT ANSWERS RATED A+
Which type of fluids need plenty of water? - ANSWER-Bulk forming laxatives
What is the indication Xenical (orlistat, Alli) - ANSWER-For PTs with BMI of 30+; LT
weight control
SE of Xenical (orlistat or alli) - ANSWER-Oily stool and flatulence
Nursing implications for a pt on Xenical (orlistat or alli) - ANSWER-Ask pt to
describe dietary intake since SE are increased if greater than 30% of fat is in diet.
What is the indication for metoclopramide/Reglan? - ANSWER-Prevention of
chemotherapy-induced emesis and diabetic gastroparesis
Side effects of metoclopramide/Reglan - ANSWER-Drowsiness, EPS such as
tremors
Notify MD if what occurs when using metoclopramide/Reglan - ANSWER-Tremors
What can decrease side effects of Renical (orlistat or alli) - ANSWER-Fiber
laxatives like Metamucil help decrease SE by binding to the fat.
Why do you need plenty of fluids when taking bulk forming laxatives - ANSWER-
Because they can produce esophageal and or intestinal obstruction
,Laxative use assessment - ANSWER-Last BM and characteristics, abdominal pain,
fever and obstruction. Assess dietary and fluid intake.
With laxative use the nurse should - ANSWER-Encourage fluids, fiber and exercise
as tolerated/indicated
Laxative use and result in - ANSWER-Lack of bowel tone which can lead to
dependency
what is ondansetron (Zofran) - ANSWER-antiemetic
What is ondansetron (Zofran)used for? - ANSWER-Prevention of N/V associated
with chemotherapy and radiation therapy.
Who should you use caution with when giving ondansetron/Zofran? - ANSWER-
PTs with liver failure
If a female pt has trichomonas (any STI) and is asymptomatic does the male need
to be tested? - ANSWER-Yes!
azithromycin/Zithromax can cause what? - ANSWER-Hepatotoxicity- elevated liver
enzymes
What is nitrofurantoin/cipro used for? - ANSWER-An antibiotic for UTI
nitrofurantoin/cipro side effect - ANSWER-Hepatotoxicity, skin reactions,
neuropathy
, nitrofurantoin/cipro nursing considerations - ANSWER-Give with milk or meals
check LFTs. Watch for numbness or tingling of extremities this can be an
irreversible peripheral neuropathy
Drugs for ulcerative colitis and crohns - ANSWER-5 aminosalicylates; mesalamie,
sulfasalazine.
How do 5 Aminosalicylates; (mesalamie, sulfasalazine) work? - ANSWER-They
decrease GI inflammation
Side effects of 5 Aminosalicylates; (Mesalamie, sulfasalazine) - ANSWER-Nausea,
rash, arthralgia, hematological disorders
Which drug can cause colitis/c.diff - ANSWER-Linezolid/zyvox
What kind of infection is c.diff - ANSWER-Suprainfection
What is azithromycin/Zithromax? - ANSWER-An antibiotic
What does azithromycin/Zithromax treat? - ANSWER-STDs such as: gonorrhea and
chlamydia
How much azithromycin/Zithromax is usually required? - ANSWER-One dose of 1g
or 2g.
