PHARMACOLOGY AND EKG TEST HCA
HIRES FOR NURSES CERTIFICATION
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ A nurse is caring for a client who has heart failure and a prescription for
digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How
many tablets should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.).
Answer: 0.5 tablet(s
◍ A nurse is assessing a client who has fluid overload. Which of the following
findings should the nurse expect? (Select all that apply.)
A. Increased heart rate
B. Increased blood pressure
C. Increased respiratory rate
D. Increase hematocrit
E. Increased temperature.
Answer: A, B, C
◍ A nurse is reviewing the EKG strip of a client who has prolonged vomiting.
Which of the following abnormalities on the client's EKG should the nurse
interpret as a sign of hypokalemia?
A. Abnormally prominent U wave
B. Elevated ST segment
C. Wide QRS
D. Inverted P wave.
Answer: A
◍ A client who has a history of myocardial infarction (MI) is prescribed
, aspirin 325 mg. The nurse recognizes that the aspirin is given due to which
of the following actions of the medication?
A. analgesic
B. anti-inflammatory
C. antiplatelet aggregate
D. antipyretic.
Answer: C
◍ While performing an admission assessment for a client, the nurse notes that
the client has varicose veins with ulcerations and lower extremity edema
with a report of a feeling of heaviness. Which of the following nursing
diagnoses should the nurse identify as being the priority in the client's care?
A. Impaired tissue perfusion
B. Alteration in body image
C. Alteration in activity tolerance
D. Impaired skin integrity.
Answer: A
◍ A nurse is teaching the partner of a client who had an acute myocardial
infarction (MI) about the reason blood was drawn from the client. Which of
the following statements should the nurse make regarding cardiac enzymes
studies?
A. "These tests help determine the degree of damage to the heart tissues."
B. "Cardiac enzymes will identify the location of the M
I. "
C. "These tests will enable the provider to determine the heart structure and
mobility of the heart valves."
D. "Cardiac enzymes assist in diagnosing the presence of pulmonary
congestion.".
Answer: A
◍ sinus dysrhythmia.
Answer: same as sinus rhythm but with a pattered irregularity faster than
slower then faster than slower
, ◍ Sinus arrest.
Answer: pause in sinus rhythm
◍ Wandering atrial pacemaker.
Answer: shift between SA node and AV node3 different looking P waves
Rate: 60-100Regularity: slightly irregular P waves: at least 3 different
onesQRS: normalPR: vary when P wave is present QT: normal
◍ A nurse is teaching about risk factors of developing a stroke with a group of
older adult clients. Which of the following nonmodifiable risk factors should
the nurse include in the teaching?
A. History of smoking
B. Obesity
C. History of hypertension
D. Race.
Answer: D
◍ Premature atrial complexes.
Answer: early beats Rate: depends on underlyingRegularity: irregular
because of the early beat P waves: different than underlyingQRS:
normalPR: vary on early beatQT: normal
◍ Atrial tachycardia.
Answer: rapid dysrhythmia from atria so fast it overrides SA node Rate:
150-250 Regularity: normalP waves: depending on underlying QRS:
normalPR: depends QT: normal
◍ A nurse is caring for a client who is postoperative and is at risk for
developing venous thromboembolism (VTE). The nurse should instruct the
client to avoid which of the following unsafe actions?
A. Elevating her feet
B. Massaging her legs
C. Flexing her ankles
D. Ambulating soon after surgery.
Answer: B
HIRES FOR NURSES CERTIFICATION
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ A nurse is caring for a client who has heart failure and a prescription for
digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How
many tablets should the nurse administer per dose? (Round the answer to the
nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.).
Answer: 0.5 tablet(s
◍ A nurse is assessing a client who has fluid overload. Which of the following
findings should the nurse expect? (Select all that apply.)
A. Increased heart rate
B. Increased blood pressure
C. Increased respiratory rate
D. Increase hematocrit
E. Increased temperature.
Answer: A, B, C
◍ A nurse is reviewing the EKG strip of a client who has prolonged vomiting.
Which of the following abnormalities on the client's EKG should the nurse
interpret as a sign of hypokalemia?
A. Abnormally prominent U wave
B. Elevated ST segment
C. Wide QRS
D. Inverted P wave.
Answer: A
◍ A client who has a history of myocardial infarction (MI) is prescribed
, aspirin 325 mg. The nurse recognizes that the aspirin is given due to which
of the following actions of the medication?
A. analgesic
B. anti-inflammatory
C. antiplatelet aggregate
D. antipyretic.
Answer: C
◍ While performing an admission assessment for a client, the nurse notes that
the client has varicose veins with ulcerations and lower extremity edema
with a report of a feeling of heaviness. Which of the following nursing
diagnoses should the nurse identify as being the priority in the client's care?
A. Impaired tissue perfusion
B. Alteration in body image
C. Alteration in activity tolerance
D. Impaired skin integrity.
Answer: A
◍ A nurse is teaching the partner of a client who had an acute myocardial
infarction (MI) about the reason blood was drawn from the client. Which of
the following statements should the nurse make regarding cardiac enzymes
studies?
A. "These tests help determine the degree of damage to the heart tissues."
B. "Cardiac enzymes will identify the location of the M
I. "
C. "These tests will enable the provider to determine the heart structure and
mobility of the heart valves."
D. "Cardiac enzymes assist in diagnosing the presence of pulmonary
congestion.".
Answer: A
◍ sinus dysrhythmia.
Answer: same as sinus rhythm but with a pattered irregularity faster than
slower then faster than slower
, ◍ Sinus arrest.
Answer: pause in sinus rhythm
◍ Wandering atrial pacemaker.
Answer: shift between SA node and AV node3 different looking P waves
Rate: 60-100Regularity: slightly irregular P waves: at least 3 different
onesQRS: normalPR: vary when P wave is present QT: normal
◍ A nurse is teaching about risk factors of developing a stroke with a group of
older adult clients. Which of the following nonmodifiable risk factors should
the nurse include in the teaching?
A. History of smoking
B. Obesity
C. History of hypertension
D. Race.
Answer: D
◍ Premature atrial complexes.
Answer: early beats Rate: depends on underlyingRegularity: irregular
because of the early beat P waves: different than underlyingQRS:
normalPR: vary on early beatQT: normal
◍ Atrial tachycardia.
Answer: rapid dysrhythmia from atria so fast it overrides SA node Rate:
150-250 Regularity: normalP waves: depending on underlying QRS:
normalPR: depends QT: normal
◍ A nurse is caring for a client who is postoperative and is at risk for
developing venous thromboembolism (VTE). The nurse should instruct the
client to avoid which of the following unsafe actions?
A. Elevating her feet
B. Massaging her legs
C. Flexing her ankles
D. Ambulating soon after surgery.
Answer: B
