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Pharm HESI Practice Exam Latest update(QUESTIONS AND ANSWERS) 2024

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Pharm HESI Practice Exam Latest update(QUESTIONS AND ANSWERS) 2024 The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the clie...

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  • October 15, 2024
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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024




Pharm HESI Practice Exam Latest update(QUESTIONS
AND ANSWERS) 2024


The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider

recently changed the medication to enalapril to manage the client's blood pressure. Which

instruction should the nurse provide the client regarding the new medication?




A. Take the medication at bedtime.


B. Report presence of increased bruising.


C. Check pulse before taking medication.


D. Rise slowly when getting out of bed or chair. - Answer✔✔-D. Rise slowly when getting out of

bed or chair.


A female client calls the clinic and talks with the nurse to inquire about a possible reaction after

taking amoxicillin for 5 days. She reports having vaginal discomfort, itching, and a white

discharge. The nurse should discuss which action with the client?




A. Discontinue the antibiotic because original symptoms have subsided.


B. Continue taking medication until finished until the symptoms subside.



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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


C. Consult with healthcare provider about another treatment for this effect.


D. Use an over-the-counter (OTC) vaginal wash to flush out the secretions. - Answer✔✔-C.

Consult with healthcare provider about another treatment for this effect.


The nurse is making early morning rounds on a group of clients when a client begins exhibiting

symptoms of an acute asthma attack. The nurse administers a PRN prescription for a Beta 2

receptor agonist agent. Which client response should the nurse expect?




A. Tachycardia.


B. Increased blood pressure.


C. Rapid resolution of wheezing.


D. Improved pulse oximetry values.


E. Reduce fever airway inflammation. - Answer✔✔-C, D


A client prescribed atenolol has a blood pressure of 120/68 mmHg, displaying a sinus

bradycardia with a rate of 58 beats/minute, and a P-R interval of 0.24. Which action should the

nurse take?




A. Lower the head of the bed and assess the client for orthostatic vital sign changes.


B. Give the medication as prescribed and continue to monitor the client.



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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


C. Prepare to administer atropine sulfate IV push.


D. Hold the prescribed dose and contact the healthcare provider. - Answer✔✔-B. Give the

medication as prescribed and continue to monitor the client.


The nurse is preparing the 0900 dose of losartan (Cozaar), an angiotensin II receptor blocker

(ARB), for a client with hypertension and heart failure. The nurse reviews the client's laboratory

results and notes that the client's serum potassium level is 5.9 mEq/L. Which action should the

nurse take first?




A. Withhold the scheduled dose.


B. Check the client's apical pulse.


C. Notify the healthcare provider.


D. Repeat the serum potassium level. - Answer✔✔-A. Withhold the scheduled dose.


Upon admission to the emergency center, an adult client with acute status asthmaticus is

prescribed this series of medications. In which order should the nurse administer the prescribed

medications? (Arrange from first to last.) - Answer✔✔-1. Albuterol (Proventil) puffs.


2. Salmeterol (Serevent Diskus).


3. Prednisone (Deltasone) orally.


4. Gentamicin (Garamycin) IM.




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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER, 2024


An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent

motion sickness while on a cruise. Which information should the nurse provide to the client?




A. Apply the patch at least 4 hours prior to departure.


B. Change the patch every other day while on the cruise.


C. Place the patch on a hairless area at the base of the skull.


D. Drink no more than 2 alcoholic drinks during the cruise. - Answer✔✔-A. Apply the patch at

least 4 hours prior to departure.


A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should

the nurse include in the client's instruction?




A. Notify the clinic of any changes in the color of urine.


B. Avoid overexposure to the sun.


C. Stop the medication after the diarrhea resolves.


D. Take the medication with food. - Answer✔✔-D. Take the medication with food.


A female client with rheumatoid arthritis takes ibuprofen (Motrin) 600 mg PO 4 times a day. To

prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which

information is most important for the nurse to include in client teaching?



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