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 ................................................................... 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 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 outlines several instructions:
• Instruction 1: Increase the insulin glargine dose by 3 units on the morning of the first
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/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
hyperkalemia 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
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 mental 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.
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4)`CASE`STUDY`(NGN-Style)`-`“Select`All`That`Apply”
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 ................................................................... 68
SET 3 ................................................................................................................................ 68
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 outlines several instructions:
• Instruction 1: Increase the insulin glargine dose by 3 units on the morning of the first
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/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
hyperkalemia is an active concern.
───────────────────────────────────────────────────────
─
2)
───────────────────────────────────────────────────────
─
Q2. A client with major depression is receiving a new prescription for duloxetine. Which
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 mental 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.
───────────────────────────────────────────────────────
─
4)`CASE`STUDY`(NGN-Style)`-`“Select`All`That`Apply”
