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
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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*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*ou
tlines*several*instructions:
•*Instruction*1:*Increase*the*insulin*glargine*dose*by*3*units*on*the*morning*of*the*firs
t*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*=*Indicate
d)
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*hyperk
alemia*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.*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.
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3)
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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*ou
tlines*several*instructions:
•*Instruction*1:*Increase*the*insulin*glargine*dose*by*3*units*on*the*morning*of*the*firs
t*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*=*Indicate
d)
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*hyperk
alemia*is*an*active*concern.
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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.
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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.
