HESI,RN,PHARMACOLOGY, V3,EXAM,(3,Set,Exams) (NGN,style,Qs,&,Case,studies), Actual,Qs,&,Ans,to,Pass,the,Exam

HESI RN PHARMACOLOGY
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V3 EXAM (3 Set Exams)
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(NGN style Qs & Case studies)
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Actual Qs & Ans to Pass the Exam
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This,hesi,test,contains:,
 passing,score,Guarantee
 Each,Exam,has,55,Ques,and,Ans
 Format,Set,of,Multiple-choice
 questions,with,incorporating,Next,Generation,NCLEX,(
NGN),and,Case,studies,questions
 Expert-Verified,Explanations,&,Solutions

,Contents
HESI,RN,PHARMACOLOGY,V3,EXAM ..................................................................... 2
SET,1 ................................................................................................................................... 2
HESI,RN,PHARMACOLOGY,V3,EXAM ................................................................... 37
SET,2................................................................................................................................. 37
HESI,RN,PHARMACOLOGY,V3,EXAM ................................................................... 68
SET,3................................................................................................................................. 68




HESI,RN,PHARMACOLOGY,V3,EXAM

SET,1
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1),CASE,STUDY,(NGN-Style,Question)
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Q1.,A,54-year-
old,client,with,hypertension,(HTN),and,type,2,diabetes,mellitus,(T2DM),is,preparing,to,ta
ke,the,first,dose,of,captopril.,His,daily,medications,include,spironolactone,25,mg/day,,me
tformin,500,mg,twice,a,day,,and,insulin,glargine,25,units,daily.,The,nurse,outlines,several,
instructions:


•,Instruction,1:,Increase,the,insulin,glargine,dose,by,3,units,on,the,morning,of,the,first,dos
e.,,
•,Instruction,2:,Limit,fluids,for,several,days,before,the,first,dose.,,
•,Instruction,3:,Lie,down,if,blood,pressure,drops,quickly,after,the,first,dose.,,
•,Instruction,4:,Monitor,blood,pressure,for,several,hours,after,the,first,dose.,,
•,Instruction,5:,Hold,spironolactone,for,3,days,prior,to,the,first,dose.

,Question:,For,each,nursing,instruction,below,,indicate,if,it,is,Indicated,(safe/appropriate)
,or,Contraindicated,(unsafe/inappropriate),for,a,client,starting,captopril.




A.,1,and,2,are,Indicated;,3,,4,,5,are,Contraindicated,,
B.,1,,2,,5,are,Contraindicated;,3,,4,are,Indicated,,
C.,1,,4,are,Indicated;,2,,3,,5,are,Contraindicated,,
D.,3,,5,are,Indicated;,1,,2,,4,are,Contraindicated,,


Answer:,B,(Instructions,#1,,#2,,#5,=,Contraindicated;,Instructions,#3,,#4,=,Indicated)


Expert-Verified,Explanation:
•,Instruction,1,(increasing,insulin,without,proven,need),is,contraindicated.,,
•,Instruction,2,(limiting,fluids,pre–first-
dose,ACE,inhibitor),is,contraindicated:,risk,of,dehydration,and,severe,hypotension.,,
•,Instruction,3,(lie,down,if,BP,drops),is,indicated,for,safety,after,first-dose,hypotension.,,
•,Instruction,4,(monitor,BP,for,several,hours),is,indicated,to,assess,first-
dose,hypotension.,,
•,Instruction,5,(hold,spironolactone,for,3,days),is,not,routinely,required,unless,hyperkale
mia,is,an,active,concern.


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2)
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Q2.,A,client,with,major,depression,is,receiving,a,new,prescription,for,duloxetine.,Which,i
nformation,is,MOST,important,for,the,nurse,to,obtain?


A.,Family,history,of,mental,illness,,
B.,Weight,change,in,the,last,month,,
C.,Liver,function,laboratory,results,,

, D.,Recent,use,of,other,antidepressants,,


Answer:,C.,Liver,function,laboratory,results


Expert-Verified,Explanation:
Duloxetine,(an,SNRI),can,be,hepatotoxic—
checking,liver,enzymes,(ALT,,AST),is,crucial,before,therapy.,Although,a,history,of,mental,
illness,,weight,changes,,and,concurrent,antidepressants,matter,,ensuring,normal,or,moni
tored,hepatic,function,is,highest,priority.


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3)
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Q3.,Which,nursing,action,has,the,HIGHEST,priority,when,administering,a,dose,of,codein
e,with,acetaminophen,to,a,client?


A.,Advise,the,client,that,the,medication,should,start,working,in,about,30,minutes,,
B.,Instruct,the,client,to,request,assistance,when,ambulating,to,the,bathroom,,
C.,Tell,the,client,to,notify,the,nurse,if,the,pain,is,not,relieved,,
D.,Administer,a,stool,softener,or,laxative,at,the,same,time,,


Answer:,B.,Instruct,the,client,to,request,assistance,when,ambulating


Expert-Verified,Explanation:
Codeine,can,cause,sedation,and,orthostatic,hypotension.,The,top,priority,is,preventing,fal
ls,and,injury,by,having,the,client,call,for,help,when,getting,up.


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4),CASE,STUDY,(NGN-Style),-,“Select,All,That,Apply”