HESI RN PHARMACOLOGY
V3 EXAM (3 Set Exams)
(NGN style Qs & Case studies)
Actual Qs & Ans to Pass the Exam
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 ................................................................. 69
SET`3 ................................................................................................................................ 69
HESI`RN`PHARMACOLOGY`V3`EXAM
SET`1
──────────────────────────────────────────────────────
1)`CASE`STUDY`(NGN-Style`Question)
───────────────────────────────────────────────────────
─
Q1.`A`54-year-
old`client`with`hypertension`(HTN)`and`type`2`diabetes`mellitus`(T2DM)`is`preparing`
to`take`the`first`dose`of`captopril.`His`daily`medications`include`spironolactone`25`mg
/day,`metformin`500`mg`twice`a`day,`and`insulin`glargine`25`units`daily.`The`nurse`o
utlines`several`instructions:
•`Instruction`1:`Increase`the`insulin`glargine`dose`by`3`units`on`the`morning`of`the`fir
st`dose.``
•`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/appropri
ate)`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`=`Indicat
ed)
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`hyper
kalemia`is`an`active`concern.
───────────────────────────────────────────────────────
─
2)
───────────────────────────────────────────────────────
─
Q2.`A`client`with`major`depression`is`receiving`a`new`prescription`for`duloxetine.`Whi
ch`information`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`me
ntal`illness,`weight`changes,`and`concurrent`antidepressants`matter,`ensuring`normal`
or`monitored`hepatic`function`is`highest`priority.
───────────────────────────────────────────────────────
─
3)
───────────────────────────────────────────────────────
─
Q3.`Which`nursing`action`has`the`HIGHEST`priority`when`administering`a`dose`of`co
deine`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`preventin
g`falls`and`injury`by`having`the`client`call`for`help`when`getting`up.
V3 EXAM (3 Set Exams)
(NGN style Qs & Case studies)
Actual Qs & Ans to Pass the Exam
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 ................................................................. 69
SET`3 ................................................................................................................................ 69
HESI`RN`PHARMACOLOGY`V3`EXAM
SET`1
──────────────────────────────────────────────────────
1)`CASE`STUDY`(NGN-Style`Question)
───────────────────────────────────────────────────────
─
Q1.`A`54-year-
old`client`with`hypertension`(HTN)`and`type`2`diabetes`mellitus`(T2DM)`is`preparing`
to`take`the`first`dose`of`captopril.`His`daily`medications`include`spironolactone`25`mg
/day,`metformin`500`mg`twice`a`day,`and`insulin`glargine`25`units`daily.`The`nurse`o
utlines`several`instructions:
•`Instruction`1:`Increase`the`insulin`glargine`dose`by`3`units`on`the`morning`of`the`fir
st`dose.``
•`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/appropri
ate)`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`=`Indicat
ed)
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`hyper
kalemia`is`an`active`concern.
───────────────────────────────────────────────────────
─
2)
───────────────────────────────────────────────────────
─
Q2.`A`client`with`major`depression`is`receiving`a`new`prescription`for`duloxetine.`Whi
ch`information`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`me
ntal`illness,`weight`changes,`and`concurrent`antidepressants`matter,`ensuring`normal`
or`monitored`hepatic`function`is`highest`priority.
───────────────────────────────────────────────────────
─
3)
───────────────────────────────────────────────────────
─
Q3.`Which`nursing`action`has`the`HIGHEST`priority`when`administering`a`dose`of`co
deine`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`preventin
g`falls`and`injury`by`having`the`client`call`for`help`when`getting`up.
