pharm HESI Exam Questions With
Complete Solutions
A 38-year-old gravida 2 para 2 is diagnosed with bacterial
vaginosis 9-months postpartum. A prescription is written for
metronidazole. Which information is most important for the
nurse to obtain from the client before initiating treatment?
Correct Answers Method of infant feeding
A 48-year-old client is experiencing a severe anaphylactic
reaction to an injection of contrast media. what pharmacologic
agent is of greatest use in this situation? Correct Answers
Epinephrine
A client asks the nurse to explain the meaning of a narrow
therapeutic index of a medication. What information should the
nurse use to answer the question? Correct Answers A small
margin exists between safe and toxic plasma levels
A client at 30-weeks gestation is in preterm labor. The health
care provider prescribes two 12 mg doses of betamethasone
intramuscularly every 12 hours. The client asks the nurse why
she is receiving betamethasone. What information should the
nurse use to explain the action of the medication? Correct
Answers Stimulates fetal surfactant production (betamethasone
speeds up lung development in preterm infants)
A client calls the clinic and states that she forgot to take her oral
contraceptives for the past 2 days. Which instruction is best for
the nurse to provide to this client? Correct Answers Take 2
, pills a day for 2 days and use an alternate method of
contraception for 7 days
A client diagnosed with hypothyroidism is prescribed
levothyroxine. Which assessment data supports the client is
taking too much medication? Select all that apply. Correct
Answers The client has fine tremors of the hand
The client's radial pulse rate is 110 bpm
The client reports having diarrhea
The client reports being too hot
(the client will most likely lose weight, not gain)
A client is admitted for atrial fibrillation, and the health care
provider prescribes disopyramide. After explaining the action of
this antidysrhythmic agent, which complaint should the nurse
instruct the client to report? Correct Answers Daily weight gain
of 2 pounds
A client is beginning therapy with montelukast PO 10 mg once a
day in the evening. The client asks the nurse, "When should I
begin to feel better?" How should the nurse respond? Correct
Answers Within 24 hours
A client is receiving fentanyl via an epidural infusion. Which
side effect should the nurse anticipate in the first 24 hours of
epidural analgesia? Correct Answers Urinary retention
A client is taking cyclosporine for renal allograft rejection
prevention. After 9 months of drug therapy, the nurse reviews
laboratory data and notes that the blood urea nitrogen level is 36
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