Pharm Hesi Study Guide questions and answers
2025\2026 A+ Grade
Which action should the PN take after administering zolpidem (Ambien) to an older client at bedtime?
offer a bedtime snack
administer oral care
assess for sundowning
decrease external stimuli
- correct answer decrease external stimuli
Four hours after administering promethazine to a male client, the PN measures his temperature. When
the client questions the PN about the purpose for taking his temperature, how should the PN respond?
encourage the pt to share his concerns about
the plan of care
describe how the medication works to lower
body temperature.
explain the need to assess for side effects of
the medicine.
offer assurance that vital signs are routinely
taken every 4 hours.
- correct answer explain the need to assess for side effects of this medicine
After administering the 0730 ac dose of sliding scale regular insulin to a client with DM, what action by
the PN has the highest priority?
instruct the uap to take the client a breakfast tray.
,measure the clients vital signs and oxygen
saturation.
notify the charge nurse of the dose of insulin
administered.
observe the client for pallor, diaphoresis, or
fatigue
- correct answer instruct the uap to take the client a breakfast tray
Morphine sulfate via intravenous patient-controlled analgesia (PCA) pump is prescribed for a client with
severe chronic back pain. Thirty minutes after initiating the pea pump, the PN notes that the client
becomes lethargic. What action should the PN take?
determine the clients pain scale rating
measure the clients vital signs
check the iv insertion site for swelling
reinforce pca pump teaching
- correct answer measure the clients vital signs
The PN applies a preparation with keratolytic properties to both legs of a pt with psoriasis. What
findings indicate that the desired effect has been achieved.
affected areas are free of localized redness and
swelling.
scaley areas of the skin appear softer with less
peeling.
full range of motion without pain of lower
extremity joints.
no prudent drainage present from lesions on
the legs.
- correct answer scaley areas of the skin appear softer with less peeling
, The PN is administering lonidine (catapres) to a client with hypertension. What instruction should the PN
give the client?
"Do not abruptly stop the medication"
"Avoid milk products when taking this medication"
"Take your pulse before pressure taking the medication"
"Check your blood pressure monthly"
- correct answer "Do not abruptly stop the medication"
A 15 year old with asthma is to begin long-term therapy with both inhaled and oral corticosteroids. The
RN and PN collaborate on the plan of care. Which nursing diagnosis should receive the highest priority
when setting goals and planning interventions?
altered nutrition: more than body requirements
related to steroid use.
risk for infection: related to immunosuppression
secondary to steroid use.
body image disturbance (acne) related to
steroid use
altered family processes related to
exacerbations of asthma.
- correct answer risk for infection: related to immunosuppression secondary to steroid use
The PN is administering initial dose of furosemide (lasix) 40 mg daily to a client with hypertension. The
PN should monitor this client for which condition?
hypophosphatemia
hypercalemia
hyperchloremia
hypokalemia
- correct answer hypokalemia
2025\2026 A+ Grade
Which action should the PN take after administering zolpidem (Ambien) to an older client at bedtime?
offer a bedtime snack
administer oral care
assess for sundowning
decrease external stimuli
- correct answer decrease external stimuli
Four hours after administering promethazine to a male client, the PN measures his temperature. When
the client questions the PN about the purpose for taking his temperature, how should the PN respond?
encourage the pt to share his concerns about
the plan of care
describe how the medication works to lower
body temperature.
explain the need to assess for side effects of
the medicine.
offer assurance that vital signs are routinely
taken every 4 hours.
- correct answer explain the need to assess for side effects of this medicine
After administering the 0730 ac dose of sliding scale regular insulin to a client with DM, what action by
the PN has the highest priority?
instruct the uap to take the client a breakfast tray.
,measure the clients vital signs and oxygen
saturation.
notify the charge nurse of the dose of insulin
administered.
observe the client for pallor, diaphoresis, or
fatigue
- correct answer instruct the uap to take the client a breakfast tray
Morphine sulfate via intravenous patient-controlled analgesia (PCA) pump is prescribed for a client with
severe chronic back pain. Thirty minutes after initiating the pea pump, the PN notes that the client
becomes lethargic. What action should the PN take?
determine the clients pain scale rating
measure the clients vital signs
check the iv insertion site for swelling
reinforce pca pump teaching
- correct answer measure the clients vital signs
The PN applies a preparation with keratolytic properties to both legs of a pt with psoriasis. What
findings indicate that the desired effect has been achieved.
affected areas are free of localized redness and
swelling.
scaley areas of the skin appear softer with less
peeling.
full range of motion without pain of lower
extremity joints.
no prudent drainage present from lesions on
the legs.
- correct answer scaley areas of the skin appear softer with less peeling
, The PN is administering lonidine (catapres) to a client with hypertension. What instruction should the PN
give the client?
"Do not abruptly stop the medication"
"Avoid milk products when taking this medication"
"Take your pulse before pressure taking the medication"
"Check your blood pressure monthly"
- correct answer "Do not abruptly stop the medication"
A 15 year old with asthma is to begin long-term therapy with both inhaled and oral corticosteroids. The
RN and PN collaborate on the plan of care. Which nursing diagnosis should receive the highest priority
when setting goals and planning interventions?
altered nutrition: more than body requirements
related to steroid use.
risk for infection: related to immunosuppression
secondary to steroid use.
body image disturbance (acne) related to
steroid use
altered family processes related to
exacerbations of asthma.
- correct answer risk for infection: related to immunosuppression secondary to steroid use
The PN is administering initial dose of furosemide (lasix) 40 mg daily to a client with hypertension. The
PN should monitor this client for which condition?
hypophosphatemia
hypercalemia
hyperchloremia
hypokalemia
- correct answer hypokalemia
