PHARM HESI V2 EXAM
(LATEST UPDATE)
QUESTIONS AND
ANSWERS (100%
CORRECT) COMPLETE
SOLUTION EXAM AND
EXPLANATION | PASSED |
GRADE A+.
Question 1
A nurse is preparing to administer digoxin to a patient with heart failure. Which
assessment should be completed first?
A. Measure blood glucose
B. Assess apical pulse for one full minute
C. Assess respiratory rate
D. Check bowel sounds
Answer: B
,Rationale
Digoxin slows AV conduction and heart rate. The nurse should assess the apical pulse
for one full minute before administration. Hold the medication and notify the
provider if the pulse is below 60 bpm in adults.
Question 2
A patient taking warfarin should be instructed to report which finding immediately?
A. Bruising
B. Nosebleed lasting 20 minutes
C. Increased appetite
D. Mild headache
Answer: B
Rationale
Warfarin increases bleeding risk. A prolonged nosebleed indicates possible excessive
anticoagulation and requires immediate evaluation.
Question 3
Which laboratory value is most important before administering heparin?
A. Hemoglobin
,B. Platelet count
C. Potassium
D. Sodium
Answer: B
Rationale
Heparin may cause heparin-induced thrombocytopenia (HIT). Platelet counts must
be monitored before and during therapy.
Question 4
A patient receiving furosemide is at greatest risk for developing:
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
Answer: B
Rationale
Loop diuretics increase potassium excretion, making hypokalemia a common
adverse effect.
, Question 5
Which instruction is most important for a patient taking nitroglycerin tablets?
A. Store in the refrigerator.
B. Swallow immediately.
C. Sit down before taking.
D. Take after meals.
Answer: C
Rationale
Nitroglycerin causes vasodilation and may lead to hypotension and dizziness. Sitting
reduces the risk of falls.
Question 6
A nurse administers insulin lispro. When should the patient eat?
A. Within 15 minutes
B. One hour later
C. Two hours later
D. Before bedtime
Answer: A
(LATEST UPDATE)
QUESTIONS AND
ANSWERS (100%
CORRECT) COMPLETE
SOLUTION EXAM AND
EXPLANATION | PASSED |
GRADE A+.
Question 1
A nurse is preparing to administer digoxin to a patient with heart failure. Which
assessment should be completed first?
A. Measure blood glucose
B. Assess apical pulse for one full minute
C. Assess respiratory rate
D. Check bowel sounds
Answer: B
,Rationale
Digoxin slows AV conduction and heart rate. The nurse should assess the apical pulse
for one full minute before administration. Hold the medication and notify the
provider if the pulse is below 60 bpm in adults.
Question 2
A patient taking warfarin should be instructed to report which finding immediately?
A. Bruising
B. Nosebleed lasting 20 minutes
C. Increased appetite
D. Mild headache
Answer: B
Rationale
Warfarin increases bleeding risk. A prolonged nosebleed indicates possible excessive
anticoagulation and requires immediate evaluation.
Question 3
Which laboratory value is most important before administering heparin?
A. Hemoglobin
,B. Platelet count
C. Potassium
D. Sodium
Answer: B
Rationale
Heparin may cause heparin-induced thrombocytopenia (HIT). Platelet counts must
be monitored before and during therapy.
Question 4
A patient receiving furosemide is at greatest risk for developing:
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
Answer: B
Rationale
Loop diuretics increase potassium excretion, making hypokalemia a common
adverse effect.
, Question 5
Which instruction is most important for a patient taking nitroglycerin tablets?
A. Store in the refrigerator.
B. Swallow immediately.
C. Sit down before taking.
D. Take after meals.
Answer: C
Rationale
Nitroglycerin causes vasodilation and may lead to hypotension and dizziness. Sitting
reduces the risk of falls.
Question 6
A nurse administers insulin lispro. When should the patient eat?
A. Within 15 minutes
B. One hour later
C. Two hours later
D. Before bedtime
Answer: A
