Pharm HESI Practice Questions and
Answers Already Graded A
1. DM peripheral neuropathy prescribed pregabalin x 2 weeks; reports diminished foot pain. Nurse
notes no improvement in healing of several toe ulcers
A. Rev
...
Pharm HESI Practice Questions and
Answers Already Graded A
1. DM peripheral neuropathy prescribed pregabalin x 2 weeks; reports diminished foot pain. Nurse
notes no improvement in healing of several toe ulcers
A. Review plan for strategies used to manage foot ulcers
B. Reassure patient ulcers take several months to heal
C. Explain that dose will need to increase
D. Withhold next dose until HCP is notified Correct Answer-ANS: A
2. DM Type 2 managed with glimepiride prescribed with additional injectable exenatide. Nurse should
teach:
A. Notify HCP of anorexia
B. Eat foods high in potassium
C. Administer subQ after meals
D. Watch for jitteriness and diaphoresis Correct Answer-ANS: D
3. Epi injection using auto-injection pen; requires intervention from nurse if client:
A. Administers into fleshy outer thigh
B. Holds pen in place after injectionC. Cleanse pen for reuse
D. Insert pen through clothing Correct Answer-ANS: C
4. IV piperacillin-tazobactam; stop infusion if:
A. Hypertension
B. Pupillary constriction
C. Scratchy throat
D. Bradycardia Correct Answer-ANS: C
5. Client with influenza and having symptoms asks about oseltamivir.
A. Once symptoms occur, it is too late to receive influenza vaccine
B. Antibiotics are not helpful in viral infection
C. OTC meds are sufficient to manage influenza symptoms
D. Refer to HCP to get Rx Correct Answer-ANS: D
6. Order: Streptomycin 200 mg IM Q12 hour. 1 g in 2.5 mL available. How many mL is administered?
200 mg x 1g x 2.5 mL = 0.5 mL
1000 mg g Correct Answer-ANS: 0.5 mL7. Client is on warfarn. Best communication from nurse:
A. Monitor signs of bleeding
B. Client repeats back information Correct Answer-ANS: B
8. Azithromycin; need to report A/E:
A. Yellow sclera
B. Flatulence and nausea
C. Urinary frequency
D. Headache Correct Answer-ANS: A
9. 1 L infused in 9 hours. What is mL/hour?
1000 mL/ 9 hr Correct Answer-ANS: 111 mL/hr
10. Client receiving multiple antihypertensive medications and has serum potassium of 6.2. Patient will
likely be prescribed:
A. Aldactone
B. Lisinopril
C. HydrochlorothiazideD. Valsartan Correct Answer-ANS: C
11. Sodium polystyrene sulfate for acute kidney injury. Which lab value indicates the medication is
effective?
A. Hgb 13.5
B. Serum glucose 120
C. Serum ammonia 30
D. Serum potassium 3.8 Correct Answer-ANS: D
12. Chronic Hepatitis C on ribavin with alpha-interferon reports fatigue and dyspnea. Monitor:
A. Potassium
B. Hemoglobin
C. Glucose
D. Sodium Correct Answer-ANS: B
13. Probenecid (uricosuric):
A. Prevents formation of kidney stones
B. Decreases pain and burning during urination
C. Increases strength of urine streamD. Promotes excretion of uric acid in urine Correct Answer-ANS: D
14. Gentamycin sulfate IVPB peak and trough on fourth dose. Measure:
A. Peak 3 hours after giving 4th dose
B. Trough just after receiving 3rd dose
C. Peak right before 4th dose
D. Trough just before 4th dose Correct Answer-ANS: D
15. Insulin glargine 20 units SubQ at bedtime with additional sliding scale aspart
A. Fingerstick glucose at 0730, 1130, 1730, and at bedtime
B. Test glucose in the AM and PM
C. Test glucose three times a day before meals Correct Answer-ANS: A
16. Reduce risk of rhinitis with nasal spray calcitonin by:
A. Alternate nostril each day
B. Avoid lying down within 30 minutes after use
C. Take OTC antihistamine with each daily dose
D. Use NSAID as needed Correct Answer-ANS: A17. Client on isotretinoin wants to get pregnant
A. Discontinue medication 1 month before trying to conceive Correct Answer-ANS: A
18. Patient with medical history of routine magnesium hydrochloride and fluoxetine was recently
prescribed ciprofloxacin. What is most important?
A. Do not take magnesium hydrochloride within 2 hours of Cipro
B. Report reduced frequency and urgency
C. Take cipro with meals to decrease GI distress
D. Eat yogurt daily to reduce chances of superinfection Correct Answer-ANS: A
19. Patient on long-term NSAIDs c/o of gastric pain and bloody stool. HCP discontinues NSAID and
prescribes PPI.
A. Call clinic if diarrhea and headache occur
B. Resume diet of milk, cream, and bland foods
C. Once pain subsides, NSAIDs will be recontinued
D. Notify HCP of black stool Correct Answer-ANS: D
20. Codeine with acetaminophen highest priority
A. Tell nurse if pain is not relieved
B. Request assistance when ambulating to the bathroomC. Med will work in 30 minutes
D. Administer stool softener/laxative at same time Correct Answer-ANS: B
21. Oprelvekin given after chemo. Platelets increase from 85 to 105.
A. Withhold next dose
B. Notify HCP
C. Assess for thrombophlebitis
D. Administer next dose as scheduled Correct Answer-ANS: D
22. Bulk forming laxatives:
A. Take med one hour after meals and with other meds
B. Follow medication with additional glass of water
C. Remain upright for 30 minutes following drug administration
D. Avoid dairy products with this medication Correct Answer-ANS: B
23. Montelukast (leukotriene modifier)
A. This will stop asthma attack immediately
B. I will take tab every night to control asthma
C. I will not use my inhaler twice a day while on this medicationD. I should take this only when having an asthma attack Correct Answer-ANS: B
24. Client with respiratory infection prescribed antibiotic and antipyretic for 5 days. What is the best
indication that the antibiotic was effective?
A. Sputum specimen shows no growth
B. WBC stayed stable at 12,000
C. Peak antibiotic level is within therapeutic leve
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