Pharm Hesi Exam Study Guide EXAM 2025 QUESTIONS AND
CORRECT ANSWER
A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is
13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client?
Article I. calcium chloride
Article II. calcium gluconate
Article III. calcitonin (Miacalcin)
Article IV. large dose of vitamin D - answer>>>3. calcitonin (Miacalcin)
After kidney transplantation, cyclosporine (Sand immune) is prescribed for a client. Which laboratory
result would indicate an adverse effect from the use of this medication?
1. decreased creatinine level
2. decreased hemoglobin level
3. elevated blood urea nitrogen level
4. decreased white blood cell count - answer>>>2. decreased hemoglobin level
A client with myasthenia gravis is suspected of having cholinergic crisis. Which of the following indicate
that this crisis exists?
1. ataxia
2. mouth sores
3. hypotension
4. hypertension - answer>>>4. hypertension
Phenytoin (Dilantin), 100 mg orally three times, has been prescribed for a client for seizure control. The
nurse reinforces instructions regarding the medication to the client. Which statement by the client
indicates an understanding of the instructions?
, 1. "I will use a soft toothbrush to brush my teeth."
2. "It's all right to break the capsules to make it easier for me to swallow them."
3. "If I forge to take my medication, I can wait until the next dose and eliminate that dose."
4. "If my throat becomes sore, it's a normal effect of the medication and it's nothing to be concerned
about." - answer>>>1. "I will use a soft toothbrush to brush my teeth."
A client is taking phenytoin (Dilantin) for seizure control and a sample for a serum drug level is drawn.
Which of the following indicates a therapeutic serum drug range?
1. 5-10 mcg/mL
2. 10-20 mcg/mL
3. 20-30 mcg/mL
4. 30-40 mcg/mL - answer>>>2. 10-20 mcg/mL
Ibuprofen (Advil) is prescribed for a client. The nurse tells the client to take the medication:
1. with 8 oz of milk
2. in the morning after arising
3. 60 minutes before breakfast
4. at bedtime on an empty stomach - answer>>>1. with 8 oz of milk
A client with trigeminal neuralgia is being treated with carbamazepine (Tegretol). Which laboratory
results would indicate that the client is experiencing an adverse reaction to the medication?
1. sodium level, 140 mEq/L
2. uric acid level, 5.0 mg/dL
3. white blood cell count, 3000 cells/mm3
4. blood urea nitrogen (BUN) level, 15 mg/dL3 - answer>>>3. white blood cell count, 3000 cells/mm3
CORRECT ANSWER
A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is
13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client?
Article I. calcium chloride
Article II. calcium gluconate
Article III. calcitonin (Miacalcin)
Article IV. large dose of vitamin D - answer>>>3. calcitonin (Miacalcin)
After kidney transplantation, cyclosporine (Sand immune) is prescribed for a client. Which laboratory
result would indicate an adverse effect from the use of this medication?
1. decreased creatinine level
2. decreased hemoglobin level
3. elevated blood urea nitrogen level
4. decreased white blood cell count - answer>>>2. decreased hemoglobin level
A client with myasthenia gravis is suspected of having cholinergic crisis. Which of the following indicate
that this crisis exists?
1. ataxia
2. mouth sores
3. hypotension
4. hypertension - answer>>>4. hypertension
Phenytoin (Dilantin), 100 mg orally three times, has been prescribed for a client for seizure control. The
nurse reinforces instructions regarding the medication to the client. Which statement by the client
indicates an understanding of the instructions?
, 1. "I will use a soft toothbrush to brush my teeth."
2. "It's all right to break the capsules to make it easier for me to swallow them."
3. "If I forge to take my medication, I can wait until the next dose and eliminate that dose."
4. "If my throat becomes sore, it's a normal effect of the medication and it's nothing to be concerned
about." - answer>>>1. "I will use a soft toothbrush to brush my teeth."
A client is taking phenytoin (Dilantin) for seizure control and a sample for a serum drug level is drawn.
Which of the following indicates a therapeutic serum drug range?
1. 5-10 mcg/mL
2. 10-20 mcg/mL
3. 20-30 mcg/mL
4. 30-40 mcg/mL - answer>>>2. 10-20 mcg/mL
Ibuprofen (Advil) is prescribed for a client. The nurse tells the client to take the medication:
1. with 8 oz of milk
2. in the morning after arising
3. 60 minutes before breakfast
4. at bedtime on an empty stomach - answer>>>1. with 8 oz of milk
A client with trigeminal neuralgia is being treated with carbamazepine (Tegretol). Which laboratory
results would indicate that the client is experiencing an adverse reaction to the medication?
1. sodium level, 140 mEq/L
2. uric acid level, 5.0 mg/dL
3. white blood cell count, 3000 cells/mm3
4. blood urea nitrogen (BUN) level, 15 mg/dL3 - answer>>>3. white blood cell count, 3000 cells/mm3
