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Pharm II HESI Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient is prescribed gentamicin IV for a severe infection. What is the most important nursing assessment?
- Check for cough and shortness of breath
- Assess blood pressure
- Measure blood glucose
✔✔B. Monitor renal function and hearing for toxicity
A patient is taking warfarin and reports bruising. What is the priority nursing action?
- Give vitamin K
- Monitor blood pressure
- Encourage exercise
✔✔B. Hold medication and notify the provider
A patient is prescribed digoxin for heart failure. Which assessment is critical before administration? 1 / 4
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- Blood pressure only
- Respiratory rate
- Oxygen saturation
✔✔B. Apical pulse for 1 full minute and signs of toxicity
A patient receives vancomycin IV. Which adverse effect should the nurse monitor closely?
- Hypotension
- Bradycardia
- Diarrhea
✔✔B. Red man syndrome and nephrotoxicity
A patient is prescribed albuterol for asthma. What is the nurse’s priority assessment?✔✔A. Respiratory effort, wheezing, and oxygen saturation
- Blood pressure
- Heart rate only
- Temperature
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A patient is prescribed lisinopril for hypertension. Which side effect requires immediate attention?
- Headache
- Dizziness
- Mild cough
✔✔C. Angioedema
A patient is prescribed metformin for type 2 diabetes. What teaching is essential?
- Take on empty stomach only
- Skip doses if feeling well
- Avoid all carbohydrates
✔✔B. Take with meals, monitor blood glucose, and report signs of lactic acidosis
A patient is prescribed furosemide. What electrolyte imbalance is most important to monitor?
- Sodium only
- Calcium
- Magnesium 3 / 4
✔✔B. Potassium and signs of hypokalemia
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A patient reports persistent cough after starting lisinopril. What should the nurse do first?✔✔A. Notify provider and monitor for other symptoms
- Give cough syrup
- Stop medication immediately
- Document only
A patient is prescribed prednisone for inflammation. What teaching is critical?
- Take with water only
- Take only when symptoms worsen
- Avoid all medications
✔✔C. Take with food, do not stop abruptly, and monitor for infection
A patient is prescribed levothyroxine. When should it be administered?
- With dinner
- Before bed
- Anytime during the day
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✔✔C. In the morning on an empty stomach