PHARMACOLOGY AND EKG TEST HCA
HIRES FOR NURSES ACTUAL EXAM
PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Aspart (NovoLog).
Answer: Rapid-Acting insulin.Onset: 15 minPeak: 1-3 hrsDuration: 3-5 hrs
◍ Acetaminophen class.
Answer: Non-opioid analgesic
◍ Acetaminophen use.
Answer: Mild pain, fever
◍ Glulisine (Apidra).
Answer: Rapid-Acting insulinOnset: 20 minPeak: 30-90 minDuration: 3-4
hrs
◍ Human Lispro (Humalog).
Answer: Rapid-Acting insulinOnset: 15 minPeak: 30-90 minDuration: 5
hours
◍ Acetaminophen MOA.
Answer: Inhibits prostaglandin synthesis in the CNS, reducing pain
perception and fever
◍ Acetaminophen adverse effects.
Answer: Liver toxicity (overdose)
◍ Regular (Humulin R).
Answer: Short-Acting insulinOnset: 30 minPeak: 2-4 hrsDuration: 5-7 hrs
◍ NPH (Humulin N)(Novolin N).
, Answer: Intermediate-Acting insulinOnset: 1.5 hrsPeak: 4-12 hrsDuration:
16-24+ hrs
◍ Acetaminophen contraindications.
Answer: Liver disease, alcohol use
◍ Acetaminophen antidote.
Answer: Acetylcysteine
◍ Humulin 70/30.
Answer: Intermediate-Acting insulinOnset: 30 minPeak: 2-12 hrsDuration:
24 hrs
◍ Humulin 50/50.
Answer: Intermediate-Acting insulinOnset: 30 minPeak: 3-5 hrsDuration: 24
hrs
◍ Detemir (Levemir).
Answer: Long-Acting insulinOnset: 1 hrPeak: 6-8 hrsDuration: 5.7-24 hrs
◍ Glargine (Lantus).
Answer: Long-Acting insulinOnset: 2-4 hrsPeak: NONEDuration: 24 hrs
◍ Acetaminophen food.
Answer: Avoid alcohol
◍ Acetaminophen nursing.
Answer: Monitor liver function, max 4g/day
◍ Central Line removal Precautions.
Answer: check to see if the patient has a low platelet count or prolonged
coagulation times.Obtain baseline vital signs. Onset of complications will
alter vital signs.Check the site for redness, tenderness and drainage. Use
sterile technique to clean a circular area 2 inches in diameter around the
insertion site beginning at the insertion site and moving outward. Position
the patient supine, then lower the head of the bed if not contraindicated,
10-15 degrees.This decreases the risk for air being drawn into the insertion
site once the CVC is removed
, ◍ Acetaminophen teaching.
Answer: Avoid duplicate Tylenol products
◍ Morphine class.
Answer: Opioid analgesic
◍ Central Line removal Precautions.
Answer: Instruct the patient to hold his breath or bear down during CVC
removal (about 10 seconds). If the patient is mechanically ventilated,
withdraw the CVC during the expiratory cycle. These maneuvers reduce the
risk for air embolism.Withdraw a CVC slowly in one continuous motion.
Stop if resistance is met--the catheter may be knotted or lodged in the
vessel. Secure the CVC, cover the site, and report to physician.Use a quicker
withdrawal motion to remove the distal lumen of multi-lumen catheters to
decrease the risk of air embolism through the proximal and medial
lumens.Apply pressure to the site for at least 2-3 minutes to promote
hemostasis.Immediately apply an occlusive dressing such as petroleum
gauze and a dry sterile gauze to prevent air or microorganism entry through
the insertion site. Antibacterial ointments may not be adequate to seal
insertion site.Activate emergency procedures if an embolic complication
occurs.AFTER THE PROCEDUREObserve the condition of and measure
the CVC. Catheters can break off during removal.Check the dressing
frequently for the first 15 minutes and then every 15 minutes for the first
hour after CVC removal to detect bleeding.Continue to observe for
complications.
◍ Morphine use.
Answer: Severe pain, MI
◍ 14. TPN > 10% solution nursing care.
Answer: Strict aseptic technique is MANDATORY in allaspects of TPN
administration. Remove from fridge at least 2hours prior to
administration.Solutions, tubing and filters are changed every 24hours.
Filters should be used as follows:a. TPN solution without lipids - 0.22
micron filter.b. TPN solution with lipids (3-in-1) - 1.2
HIRES FOR NURSES ACTUAL EXAM
PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ Aspart (NovoLog).
Answer: Rapid-Acting insulin.Onset: 15 minPeak: 1-3 hrsDuration: 3-5 hrs
◍ Acetaminophen class.
Answer: Non-opioid analgesic
◍ Acetaminophen use.
Answer: Mild pain, fever
◍ Glulisine (Apidra).
Answer: Rapid-Acting insulinOnset: 20 minPeak: 30-90 minDuration: 3-4
hrs
◍ Human Lispro (Humalog).
Answer: Rapid-Acting insulinOnset: 15 minPeak: 30-90 minDuration: 5
hours
◍ Acetaminophen MOA.
Answer: Inhibits prostaglandin synthesis in the CNS, reducing pain
perception and fever
◍ Acetaminophen adverse effects.
Answer: Liver toxicity (overdose)
◍ Regular (Humulin R).
Answer: Short-Acting insulinOnset: 30 minPeak: 2-4 hrsDuration: 5-7 hrs
◍ NPH (Humulin N)(Novolin N).
, Answer: Intermediate-Acting insulinOnset: 1.5 hrsPeak: 4-12 hrsDuration:
16-24+ hrs
◍ Acetaminophen contraindications.
Answer: Liver disease, alcohol use
◍ Acetaminophen antidote.
Answer: Acetylcysteine
◍ Humulin 70/30.
Answer: Intermediate-Acting insulinOnset: 30 minPeak: 2-12 hrsDuration:
24 hrs
◍ Humulin 50/50.
Answer: Intermediate-Acting insulinOnset: 30 minPeak: 3-5 hrsDuration: 24
hrs
◍ Detemir (Levemir).
Answer: Long-Acting insulinOnset: 1 hrPeak: 6-8 hrsDuration: 5.7-24 hrs
◍ Glargine (Lantus).
Answer: Long-Acting insulinOnset: 2-4 hrsPeak: NONEDuration: 24 hrs
◍ Acetaminophen food.
Answer: Avoid alcohol
◍ Acetaminophen nursing.
Answer: Monitor liver function, max 4g/day
◍ Central Line removal Precautions.
Answer: check to see if the patient has a low platelet count or prolonged
coagulation times.Obtain baseline vital signs. Onset of complications will
alter vital signs.Check the site for redness, tenderness and drainage. Use
sterile technique to clean a circular area 2 inches in diameter around the
insertion site beginning at the insertion site and moving outward. Position
the patient supine, then lower the head of the bed if not contraindicated,
10-15 degrees.This decreases the risk for air being drawn into the insertion
site once the CVC is removed
, ◍ Acetaminophen teaching.
Answer: Avoid duplicate Tylenol products
◍ Morphine class.
Answer: Opioid analgesic
◍ Central Line removal Precautions.
Answer: Instruct the patient to hold his breath or bear down during CVC
removal (about 10 seconds). If the patient is mechanically ventilated,
withdraw the CVC during the expiratory cycle. These maneuvers reduce the
risk for air embolism.Withdraw a CVC slowly in one continuous motion.
Stop if resistance is met--the catheter may be knotted or lodged in the
vessel. Secure the CVC, cover the site, and report to physician.Use a quicker
withdrawal motion to remove the distal lumen of multi-lumen catheters to
decrease the risk of air embolism through the proximal and medial
lumens.Apply pressure to the site for at least 2-3 minutes to promote
hemostasis.Immediately apply an occlusive dressing such as petroleum
gauze and a dry sterile gauze to prevent air or microorganism entry through
the insertion site. Antibacterial ointments may not be adequate to seal
insertion site.Activate emergency procedures if an embolic complication
occurs.AFTER THE PROCEDUREObserve the condition of and measure
the CVC. Catheters can break off during removal.Check the dressing
frequently for the first 15 minutes and then every 15 minutes for the first
hour after CVC removal to detect bleeding.Continue to observe for
complications.
◍ Morphine use.
Answer: Severe pain, MI
◍ 14. TPN > 10% solution nursing care.
Answer: Strict aseptic technique is MANDATORY in allaspects of TPN
administration. Remove from fridge at least 2hours prior to
administration.Solutions, tubing and filters are changed every 24hours.
Filters should be used as follows:a. TPN solution without lipids - 0.22
micron filter.b. TPN solution with lipids (3-in-1) - 1.2
