NGN HESI RN Pharmacology Proctored Exit Exam
Actual Exam | 55 Questions Correct Verified
Answers Screenshots – Pass Guaranteed - A+
Graded
Foundations of Pharmacology & Medication Safety
Q1: A nurse is preparing to administer a scheduled dose of furosemide (Lasix) 40 mg IV
to a client with heart failure. Which of the "Six Rights of Medication Administration"
requires the nurse to compare the client's wristband identification number with the
number on the electronic medication administration record (eMAR)?
A. Right Route
B. Right Documentation
C. Right Client
D. Right Time
Correct Answer: C
Rationale: The best answer is C because identifying the client by checking two
identifiers (like the wristband and the eMAR) ensures you are giving the medication to
the right person, which is a critical safety step.
Q2: A client is receiving a continuous infusion of heparin. The nurse knows that this is a
high-alert medication. Which laboratory value is most critical for the nurse to monitor to
ensure the client is within the therapeutic range?
A. Prothrombin Time (PT)
B. International Normalized Ratio (INR)
C. Activated Partial Thromboplastin Time (aPTT)
D. Platelet Count
Correct Answer: C
Rationale: This choice is correct because aPTT is the standard lab test used to monitor
the effectiveness of unfractionated heparin therapy to prevent bleeding or clotting
complications.
Q3: The physician orders phenytoin (Dilantin) for a patient with a history of seizures.
The nurse notes that "Dilantin" and "Diazepam" (Valium) are look-alike/sound-alike
(LASA) drugs. What is the most appropriate action to prevent a medication error?
A. Administer the drug and document the LASA risk in the nurse's notes
,B. Verify the order with the physician and use "Tall Man" lettering (e.g., DILANTIN) on
the label
C. Ask the pharmacy to send a different antiepileptic drug
D. Hold the medication until a family member can verify the order
Correct Answer: B
Rationale: This query works because using Tall Man lettering helps distinguish the
names visually, and verifying the order adds a layer of safety without delaying
necessary treatment.
Q4: A patient asks the nurse why a pill they took for pain last year isn't working as well
this year. The nurse explains that pharmacokinetics can change. Which process
describes the movement of a drug from the bloodstream into the tissues and cells?
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
Correct Answer: B
Rationale: The best answer is B because distribution is the phase where the drug
leaves the blood circulation and enters the target tissues or interstitial fluid to exert its
effect.
Q5: A nurse is administering a medication that acts as an agonist. How should the
nurse explain this mechanism to the patient?
A. "This drug blocks the receptor to stop a chemical reaction."
B. "This drug binds to the receptor and stimulates it to produce a response."
C. "This drug slows down the metabolism of other chemicals."
D. "This drug lowers the threshold for pain in the nervous system."
Correct Answer: B
Rationale: This choice is correct because an agonist is a drug that binds to a receptor
site and activates it, mimicking the body's natural endogenous chemicals.
Q6: The provider prescribes Amoxicillin 500 mg orally every 8 hours. The medication is
available as 250 mg capsules. How many capsules should the nurse administer per
dose?
A. 1 capsule
B. 2 capsules
C. 1.5 capsules
D. 3 capsules
Correct Answer: B
Rationale: The best answer is B because the desired dose (500 mg) divided by the
available dose (250 mg) equals 2 capsules needed to achieve the prescribed amount.
, Q7: A nurse is preparing to administer 1,000 mL of Normal Saline over 8 hours. The
drop factor is 15 gtt/mL. At what rate should the nurse set the IV infusion pump (mL/hr)?
A. 100 mL/hr
B. 125 mL/hr
C. 150 mL/hr
D. 31 mL/hr
Correct Answer: B
Rationale: This query works because you divide the total volume (1,000 mL) by the time
(8 hours) to get the hourly rate, which calculates to 125 mL/hr.
Q8: Ten minutes after receiving an intravenous dose of penicillin, a client develops
wheezing, diffuse pruritus, and hypotension. The nurse should immediately prepare to
administer which medication?
A. Naloxone (Narcan)
B. Diphenhydramine (Benadryl)
C. Epinephrine (Adrenalin)
D. Methylprednisolone (Solu-Medrol)
Correct Answer: C
Rationale: The best answer is C because the client is showing signs of anaphylaxis, a
life-threatening allergic reaction, and epinephrine is the first-line treatment to reverse
bronchoconstriction and hypotension.
Q9: A provider prescribes a medication to be given via the subcutaneous route. Which
anatomical site is appropriate for the nurse to administer this medication?
A. The ventrogluteal muscle
B. The abdomen, away from the navel
C. The inner aspect of the forearm
D. The deltoid muscle
Correct Answer: B
Rationale: This choice is correct because the abdomen (especially the lower abdominal
area) has a good layer of subcutaneous fat and is a standard site for subcutaneous
injections like insulin or heparin.
Q10: A nurse discovers a medication error where a patient received 10 units of Regular
Insulin instead of the prescribed 5 units. What is the priority action after assessing the
patient?
A. Complete an incident report
B. Notify the provider
C. Monitor the patient for hypoglycemia
D. Tell the charge nurse to cover the shift
Correct Answer: C
Actual Exam | 55 Questions Correct Verified
Answers Screenshots – Pass Guaranteed - A+
Graded
Foundations of Pharmacology & Medication Safety
Q1: A nurse is preparing to administer a scheduled dose of furosemide (Lasix) 40 mg IV
to a client with heart failure. Which of the "Six Rights of Medication Administration"
requires the nurse to compare the client's wristband identification number with the
number on the electronic medication administration record (eMAR)?
A. Right Route
B. Right Documentation
C. Right Client
D. Right Time
Correct Answer: C
Rationale: The best answer is C because identifying the client by checking two
identifiers (like the wristband and the eMAR) ensures you are giving the medication to
the right person, which is a critical safety step.
Q2: A client is receiving a continuous infusion of heparin. The nurse knows that this is a
high-alert medication. Which laboratory value is most critical for the nurse to monitor to
ensure the client is within the therapeutic range?
A. Prothrombin Time (PT)
B. International Normalized Ratio (INR)
C. Activated Partial Thromboplastin Time (aPTT)
D. Platelet Count
Correct Answer: C
Rationale: This choice is correct because aPTT is the standard lab test used to monitor
the effectiveness of unfractionated heparin therapy to prevent bleeding or clotting
complications.
Q3: The physician orders phenytoin (Dilantin) for a patient with a history of seizures.
The nurse notes that "Dilantin" and "Diazepam" (Valium) are look-alike/sound-alike
(LASA) drugs. What is the most appropriate action to prevent a medication error?
A. Administer the drug and document the LASA risk in the nurse's notes
,B. Verify the order with the physician and use "Tall Man" lettering (e.g., DILANTIN) on
the label
C. Ask the pharmacy to send a different antiepileptic drug
D. Hold the medication until a family member can verify the order
Correct Answer: B
Rationale: This query works because using Tall Man lettering helps distinguish the
names visually, and verifying the order adds a layer of safety without delaying
necessary treatment.
Q4: A patient asks the nurse why a pill they took for pain last year isn't working as well
this year. The nurse explains that pharmacokinetics can change. Which process
describes the movement of a drug from the bloodstream into the tissues and cells?
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
Correct Answer: B
Rationale: The best answer is B because distribution is the phase where the drug
leaves the blood circulation and enters the target tissues or interstitial fluid to exert its
effect.
Q5: A nurse is administering a medication that acts as an agonist. How should the
nurse explain this mechanism to the patient?
A. "This drug blocks the receptor to stop a chemical reaction."
B. "This drug binds to the receptor and stimulates it to produce a response."
C. "This drug slows down the metabolism of other chemicals."
D. "This drug lowers the threshold for pain in the nervous system."
Correct Answer: B
Rationale: This choice is correct because an agonist is a drug that binds to a receptor
site and activates it, mimicking the body's natural endogenous chemicals.
Q6: The provider prescribes Amoxicillin 500 mg orally every 8 hours. The medication is
available as 250 mg capsules. How many capsules should the nurse administer per
dose?
A. 1 capsule
B. 2 capsules
C. 1.5 capsules
D. 3 capsules
Correct Answer: B
Rationale: The best answer is B because the desired dose (500 mg) divided by the
available dose (250 mg) equals 2 capsules needed to achieve the prescribed amount.
, Q7: A nurse is preparing to administer 1,000 mL of Normal Saline over 8 hours. The
drop factor is 15 gtt/mL. At what rate should the nurse set the IV infusion pump (mL/hr)?
A. 100 mL/hr
B. 125 mL/hr
C. 150 mL/hr
D. 31 mL/hr
Correct Answer: B
Rationale: This query works because you divide the total volume (1,000 mL) by the time
(8 hours) to get the hourly rate, which calculates to 125 mL/hr.
Q8: Ten minutes after receiving an intravenous dose of penicillin, a client develops
wheezing, diffuse pruritus, and hypotension. The nurse should immediately prepare to
administer which medication?
A. Naloxone (Narcan)
B. Diphenhydramine (Benadryl)
C. Epinephrine (Adrenalin)
D. Methylprednisolone (Solu-Medrol)
Correct Answer: C
Rationale: The best answer is C because the client is showing signs of anaphylaxis, a
life-threatening allergic reaction, and epinephrine is the first-line treatment to reverse
bronchoconstriction and hypotension.
Q9: A provider prescribes a medication to be given via the subcutaneous route. Which
anatomical site is appropriate for the nurse to administer this medication?
A. The ventrogluteal muscle
B. The abdomen, away from the navel
C. The inner aspect of the forearm
D. The deltoid muscle
Correct Answer: B
Rationale: This choice is correct because the abdomen (especially the lower abdominal
area) has a good layer of subcutaneous fat and is a standard site for subcutaneous
injections like insulin or heparin.
Q10: A nurse discovers a medication error where a patient received 10 units of Regular
Insulin instead of the prescribed 5 units. What is the priority action after assessing the
patient?
A. Complete an incident report
B. Notify the provider
C. Monitor the patient for hypoglycemia
D. Tell the charge nurse to cover the shift
Correct Answer: C
