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

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



This0hesi0test0contains:0
 passing0score0Guarantee
 Each0Exam0has0550Ques0and0Ans
 Format0Set0of0Multiple-choice
 questions0with0incorporating0Next0Generation0NCLE
X0(NGN)0and0Case0studies0questions
 Expert-Verified0Explanations0&0Solutions

,Contents
HESI0RN0PHARMACOLOGY0V30EXAM.................................................................. 2
SET01 .................................................................................................................................. 2
HESI0RN0PHARMACOLOGY0V30EXAM................................................................ 37
SET02 ................................................................................................................................ 37
HESI0RN0PHARMACOLOGY0V30EXAM................................................................ 69
SET03 ................................................................................................................................ 69




HESI0RN0PHARMACOLOGY0V30EXAM

SET01
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1)0CASE0STUDY0(NGN-Style0Question)
───────────────────────────────────────────────────────
─
Q1.0A054-year-
old0client0with0hypertension0(HTN)0and0type020diabetes0mellitus0(T2DM)0is0prepari
ng0to0take0the0first0dose0of0captopril.0His0daily0medications0include0spironolactone02
50mg/day,0metformin05000mg0twice0a0day,0and0insulin0glargine0250units0daily.0The0
nurse0outlines0several0instructions:


•0Instruction01:0Increase0the0insulin0glargine0dose0by030units0on0the0morning0of0the0
first0dose.00
•0Instruction02:0Limit0fluids0for0several0days0before0the0first0dose.00
•0Instruction03:0Lie0down0if0blood0pressure0drops0quickly0after0the0first0dose.00
•0Instruction04:0Monitor0blood0pressure0for0several0hours0after0the0first0dose.00
•0Instruction05:0Hold0spironolactone0for030days0prior0to0the0first0dose.

,Question:0For0each0nursing0instruction0below,0indicate0if0it0is0Indicated0(safe/appro
priate)0or0Contraindicated0(unsafe/inappropriate)0for0a0client0starting0captopril.


A.010and020are0Indicated;03,04,050are0Contraindicated00
B.01,02,050are0Contraindicated;03,040are0Indicated00
C.01,040are0Indicated;02,03,050are0Contraindicated00
D.03,050are0Indicated;01,02,040are0Contraindicated00


Answer:0B0(Instructions0#1,0#2,0#50=0Contraindicated;0Instructions0#3,0#40=0Indic
ated)


Expert-Verified0Explanation:
•0Instruction010(increasing0insulin0without0proven0need)0is0contraindicated.00
•0Instruction020(limiting0fluids0pre–first-
dose0ACE0inhibitor)0is0contraindicated:0risk0of0dehydration0and0severe0hypotension.0
0

•0Instruction030(lie0down0if0BP0drops)0is0indicated0for0safety0after0first-
dose0hypotension.00
•0Instruction040(monitor0BP0for0several0hours)0is0indicated0to0assess0first-
dose0hypotension.00
•0Instruction050(hold0spironolactone0for030days)0is0not0routinely0required0unless0hyp
erkalemia0is0an0active0concern.


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─
2)
───────────────────────────────────────────────────────
─
Q2.0A0client0with0major0depression0is0receiving0a0new0prescription0for0duloxetine.0
Which0information0is0MOST0important0for0the0nurse0to0obtain?

, A.0Family0history0of0mental0illness00
B.0Weight0change0in0the0last0month00
C.0Liver0function0laboratory0results00
D.0Recent0use0of0other0antidepressants00


Answer:0C.0Liver0function0laboratory0results


Expert-Verified0Explanation:
Duloxetine0(an0SNRI)0can0be0hepatotoxic—
checking0liver0enzymes0(ALT,0AST)0is0crucial0before0therapy.0Although0a0history0of0
mental0illness,0weight0changes,0and0concurrent0antidepressants0matter,0ensuring0nor
mal0or0monitored0hepatic0function0is0highest0priority.


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─
3)
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─
Q3.0Which0nursing0action0has0the0HIGHEST0priority0when0administering0a0dose0of0
codeine0with0acetaminophen0to0a0client?


A.0Advise0the0client0that0the0medication0should0start0working0in0about0300minutes00
B.0Instruct0the0client0to0request0assistance0when0ambulating0to0the0bathroom00
C.0Tell0the0client0to0notify0the0nurse0if0the0pain0is0not0relieved00
D.0Administer0a0stool0softener0or0laxative0at0the0same0time00


Answer:0B.0Instruct0the0client0to0request0assistance0when0ambulating


Expert-Verified0Explanation:
Codeine0can0cause0sedation0and0orthostatic0hypotension.0The0top0priority0is0preventi
ng0falls0and0injury0by0having0the0client0call0for0help0when0getting0up.