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RN EXIT HESI- PHARM Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A patient prescribed metformin should be instructed to avoid which substance?
- Orange juice
- Whole grain bread
- Yogurt
✔✔C. Alcohol
Which finding requires immediate intervention in a patient taking clopidogrel?
- Headache
- Muscle pain
- Dry mouth
✔✔C. Black tarry stools
Which medication is given to prevent seizures in preeclampsia?
- Diazepam
✔✔B. Magnesium sulfate 1 / 4
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- Lorazepam
- Phenytoin
What is the primary action of lactulose in a patient with cirrhosis?
- Stimulates appetite
- Increases bile secretion
- Improves coagulation
✔✔B. Reduces ammonia levels
Which instruction is essential for a patient taking levothyroxine?
- Take with milk at bedtime
- Take with orange juice in the evening
- Take only when symptomatic
✔✔C. Take in the morning before breakfast
A nurse is reviewing medications for a patient taking warfarin. Which over-the-counter supplement should be avoided?✔✔A. Ginkgo biloba 2 / 4
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- Vitamin C
- Fish oil
- Calcium carbonate
Which medication is used to reverse malignant hyperthermia during surgery?✔✔A. Dantrolene
- Epinephrine
- Naloxone
- Atropine
What is the therapeutic effect of epoetin alfa in a patient with chronic kidney disease?
- Decreases potassium levels
- Reduces blood pressure
- Improves calcium absorption
✔✔B. Increases red blood cell production
Which adverse effect is associated with haloperidol use?
- Hypertension 3 / 4
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✔✔B. Extrapyramidal symptoms
- Increased urination
- Hypoglycemia
The nurse should question the administration of propranolol in which patient?
- One with hypertension
- One with tachycardia
- One with angina
✔✔B. One with asthma
Which lab value should be monitored with vancomycin therapy?
- Hemoglobin
- Blood glucose
- Sodium
✔✔C. Creatinine
A patient on spironolactone should be monitored for which electrolyte change?
- Hypokalemia
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