RN EXIT HESI- PHARM 2025/2026 WITH
OVER 100 QUESTIONS AND CORRECT
ANSWERS RATED A+
An increase in which serum laboratory value indicates to the nurse that a
prescription for atorvastatin is having the desired effect for a client at risk for
coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90
mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in
the past week. Her forced expiratory volume has been 60-65% even with multiple
doses of albuterol for several days in a row. She came to the hospital feeling dizzy,
lightheaded, and complaining of “heart palpitations”. Upon assessment, no
wheezes were found. Her oxygen saturation is 99%.
Review H and P, and nurse’s note. Identify from the choices below which
condition the client is most likely experiencing, two actions the nurse should
take to address that condition, and two parameters the nurse should monitor to
assess the client’s progress.
Potential Condition:
,Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
client taking atorvastatin develops an increased serum creatine phosphokinase
(CK) level. The nurse should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
The nurse provide discharge instructions to a client who has been
prescribed gabapentin 300 mg by mouth three times a day for post herpetic
neuralgia. Which symptoms should the nurse tell the client to report to the
healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
B. Gastric irritation
A client with chronic lower back pain has been taking non steroidal anti-
inflammatory (NSAID) drug ibuprofen by mouth twice a day for several months.
Which assessment is most important for the nurse to complete?
A. Assess back pain using numeric scale
,B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
C. Determine presence of abdominal pain
The nurse administers naloxone to a client with opioid-induced respiratory
depression. One hour later, nursing assessment reveals that the client has a
respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to
be aroused. Which action should the nurse implement?
A: Determine Glasgow Coma Scale score.
B: Initiate cardiopulmonary resuscitation (CPR).
C: Prepare to assist with chest tube insertion.
D: Administer a second dose of naloxone.
D: Administer a second dose of naloxone.
Before administering a newly prescribed dose of terbinafine HCL to a client with
a fungal toenail infection, which assessment finding is most important for the
nurse to address?
A: Employed as a construction worker.
B: Reported history of alcoholism.
C: White blood cell count of 8,500/mm3 (8.5 x 10^9/L).
D: Toenails appear thick and yellow.
B: Reported history of alcoholism.
A client is diagnosed with myasthenia gravis receives a prescription for
the anticholinesterase medication pyridostigmine. Which intervention should the
nurse implement when preparing to administer this medication?
Administer the medication thirty minutes prior to meals.
, A client with benign prostatic hyperplasia receives a new prescription
of tamsulosin. Which intervention should the nurse perform to monitor for an
adverse reaction?
A: Perform a bladder scan.
B: Assess urine output.
C: Measure blood pressure.
D: Monitor daily weights.
C: Measure blood pressure.
A client with Parkinson's disease who is taking carbidopa/levodopa reports the
urine appears to be darker in color. Which action should the nurse take?
A: Measure the client's urinary output.
B: Explain the color change is normal.
C: Obtain a specimen for a urine culture.
D: Encourage an increase in oral intake.
B: Explain the color change is normal.
Before administering a newly prescribed dose of terbinafine HCL to a client with
a fungal toenail infection, which assessment finding is most important for the
nurse to address?
A: Employed as a construction worker.
B: Reported history of alcoholism.
C: White blood cell count of 8,500/mm3 (8.5 x 10^9/L).
D: Toenails appear thick and yellow
B: Reported history of alcoholism.
Prior to administering the evening dose of carbamazepine, the nurse notes that
the client's morning carbamazepine level was 84 mcg/L (35.6 mmol/L). Which
action should the nurse take?
OVER 100 QUESTIONS AND CORRECT
ANSWERS RATED A+
An increase in which serum laboratory value indicates to the nurse that a
prescription for atorvastatin is having the desired effect for a client at risk for
coronary artery disease?
A. LDL (Low-density lipoprotein)
B. Triglycerides (Type of fat)
C. HDL (High-density lipoprotein)
D. VLDL (Very low-density lipoprotein)
C. HDL (High-density lipoprotein)
NGN - Patient Data
History and Physical:
The client is a 36-year-old female with moderate persistent asthma. She takes
fluticasone/salmeterol 250 mcg/50 mcg 1 inhalation twice daily and albuterol 90
mcg/inhalation 2 inhalations every 4-6 hours as needed.
Nurses notes:
The client states that she has had more severe asthma symptoms than usual in
the past week. Her forced expiratory volume has been 60-65% even with multiple
doses of albuterol for several days in a row. She came to the hospital feeling dizzy,
lightheaded, and complaining of “heart palpitations”. Upon assessment, no
wheezes were found. Her oxygen saturation is 99%.
Review H and P, and nurse’s note. Identify from the choices below which
condition the client is most likely experiencing, two actions the nurse should
take to address that condition, and two parameters the nurse should monitor to
assess the client’s progress.
Potential Condition:
,Methemoglobinemia
Actions to Take:
1. Draw blood for a complete blood count
2. Administer methylene blue
Parameters to Monitor:
1. Methemoglobin level
2. Heart rate and rhythm
client taking atorvastatin develops an increased serum creatine phosphokinase
(CK) level. The nurse should assess the client for the onset of which problem?
A. Muscle tenderness.
B. Nausea and vomiting.
C. Excessive bruising.
D. Peripheral edema.
The nurse provide discharge instructions to a client who has been
prescribed gabapentin 300 mg by mouth three times a day for post herpetic
neuralgia. Which symptoms should the nurse tell the client to report to the
healthcare provider?
A. Sexual dysfunction
B. Gastric irritation
C. Rapid weight gain
D. Photosensitivity
B. Gastric irritation
A client with chronic lower back pain has been taking non steroidal anti-
inflammatory (NSAID) drug ibuprofen by mouth twice a day for several months.
Which assessment is most important for the nurse to complete?
A. Assess back pain using numeric scale
,B. Palpate volume of pedal pulses
C. Determine presence of abdominal pain
D. Evaluate ongoing sleep patterns
C. Determine presence of abdominal pain
The nurse administers naloxone to a client with opioid-induced respiratory
depression. One hour later, nursing assessment reveals that the client has a
respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to
be aroused. Which action should the nurse implement?
A: Determine Glasgow Coma Scale score.
B: Initiate cardiopulmonary resuscitation (CPR).
C: Prepare to assist with chest tube insertion.
D: Administer a second dose of naloxone.
D: Administer a second dose of naloxone.
Before administering a newly prescribed dose of terbinafine HCL to a client with
a fungal toenail infection, which assessment finding is most important for the
nurse to address?
A: Employed as a construction worker.
B: Reported history of alcoholism.
C: White blood cell count of 8,500/mm3 (8.5 x 10^9/L).
D: Toenails appear thick and yellow.
B: Reported history of alcoholism.
A client is diagnosed with myasthenia gravis receives a prescription for
the anticholinesterase medication pyridostigmine. Which intervention should the
nurse implement when preparing to administer this medication?
Administer the medication thirty minutes prior to meals.
, A client with benign prostatic hyperplasia receives a new prescription
of tamsulosin. Which intervention should the nurse perform to monitor for an
adverse reaction?
A: Perform a bladder scan.
B: Assess urine output.
C: Measure blood pressure.
D: Monitor daily weights.
C: Measure blood pressure.
A client with Parkinson's disease who is taking carbidopa/levodopa reports the
urine appears to be darker in color. Which action should the nurse take?
A: Measure the client's urinary output.
B: Explain the color change is normal.
C: Obtain a specimen for a urine culture.
D: Encourage an increase in oral intake.
B: Explain the color change is normal.
Before administering a newly prescribed dose of terbinafine HCL to a client with
a fungal toenail infection, which assessment finding is most important for the
nurse to address?
A: Employed as a construction worker.
B: Reported history of alcoholism.
C: White blood cell count of 8,500/mm3 (8.5 x 10^9/L).
D: Toenails appear thick and yellow
B: Reported history of alcoholism.
Prior to administering the evening dose of carbamazepine, the nurse notes that
the client's morning carbamazepine level was 84 mcg/L (35.6 mmol/L). Which
action should the nurse take?
