Pharm HESI Practice Exam Questions

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Pharm HESI Practice Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A patient is starting lisinopril. Which symptom requires immediate reporting?

• Mild headache

✔✔B. Swelling of lips or tongue

• Occasional cough
• Fatigue

A nurse is administering morphine IV. Which action is the priority?

• Ask patient about pain rating
• Document dose

✔✔C. Monitor respiratory rate and oxygen saturation

• Encourage patient to ambulate

A patient is prescribed metformin. Which instruction is essential?✔✔A. Take medication with meals to reduce gastrointestinal upset

• Avoid all dairy products 1 / 4

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• Take at bedtime only
• Double the dose if you skip one

A patient reports new onset of a dry cough while on an antihypertensive. Which drug is likely responsible?

• Losartan

✔✔B. Lisinopril

• Hydrochlorothiazide
• Amlodipine

A nurse is teaching a patient about warfarin. Which statement indicates understanding?

• I can take aspirin for headaches whenever needed

✔✔B. I will have regular blood tests to monitor my INR

• I will stop the medication if I feel fine
• I should double my dose if I miss one

A patient with peptic ulcer disease is prescribed omeprazole. When is the best time to take it?

• With lunch 2 / 4

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• At bedtime

✔✔C. 30–60 minutes before breakfast

• With dinner

A patient is prescribed albuterol inhaler for asthma. What is the correct administration instruction?

• Take one puff every 5 minutes indefinitely
• Shake and swallow

✔✔C. Shake inhaler, exhale, inhale deeply while pressing canister, hold breath 10 seconds

• Only use when asleep

A patient receives digoxin. Which finding is most concerning?

• Blood pressure 120/80 mmHg

✔✔B. Heart rate 48 bpm

• Respiratory rate 16/min
• Temperature 37°C

A patient is prescribed prednisone for asthma. Which is an important teaching point? 3 / 4

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• Take only when symptoms worsen

✔✔B. Do not stop abruptly; taper dose as instructed

• Avoid using inhalers while on prednisone
• Double the dose if stressed

A patient is prescribed hydrochlorothiazide. Which adverse effect requires immediate reporting?

• Mild fatigue
• Dry mouth

✔✔C. Muscle cramps and weakness

• Occasional thirst

A patient is prescribed insulin glargine. When should it be administered?

• With breakfast
• With lunch

✔✔C. At the same time every day, usually bedtime

• Only when blood sugar is high
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