RN HESI PHARMACOLOGY WITH NGN TEST
BANK WITH REAL EXAM QUESTIONS AND
CORRECT ANSWERS/ NGN HESI RN
PHARMACOLOGY EXAM 2024/2025 (NEW!)
The nurse is planning teaching for a client with diabetes mellitus who has
prescription of insulin. Which action should the nurse should the nurse plan to
indicate in the discharge teaching? - ANSWER-To teach self injection skills for
daily subcutaneous administration.
A older male client is being discharged after a myocardial infarction (MI) and
receives a new prescription for atenolol. Which instruction is most important for
the nurse to include in her clients teaching plan? - ANSWER-Standing slowly
when getting up from bed.
The nurse is caring for a client who takes methotrexate to rheumatoid arthritis and
is now prescribed adalimumab. Which instructions should the nurse provide the
client? - ANSWER-Avoid crowds and people who are sick.
A client recently diagnosed with Parkinson's Disease receives a new prescription
for carbidopa levodopa, a dopaminergic drug. To reduce the client's risk for injury,
which instruction should the nurse provide? - ANSWER-Ambulate using a four-
point cane or a walker with wheels.
A client diagnosed with myasthenia gravis receives a prescription for the
anticholinesterase medication, pyridostigmine. Which intervention should the
nurse implement when preparing to administer this medication? - ANSWER-
Administer the medication thirty minutes prior to meals.
pg. 1
,NGN: The client has a history of major depressive disorder…
Which assessment findings require follow up by the nurse? Select all that apply-
diaphoresis, myoconus, altered mental status, hypertension, tachycardia, and
elevated temperatures.
diaphoresis, myoconus, altered mental status, hypertension, tachycardia, and
elevated temperatures.
The nurse is providing discharge instructions to a client who has been prescribed
gabapentin 300 mg by mouth three times a day for post-herpetic neuralgia. Which
symptom should the nurse tell the client to report to healthcare provider? -
ANSWER-Photosensitivity
A client receives a prescription for itraconazole. Which information by the client
requires additional instructions by the nurse. - ANSWER-Take the medication with
antacids.
The nurse is preparing a client with obstructive pulmonary disease (COPD) and
chronic productive cough for discharged. Which prescribed medication should the
nurse review with the client to manage this symptom? - ANSWER-Guaifenesin
When caring for a client with diabetes insipidus who is receiving an antidiuretic
hormone intranasally, which serum lab test is most important for the nurse to
monitor? - ANSWER-Osmolarity
A client has is receiving tamsulosin, an alpha adrenergic blocking agent for
management of urinary retention due to benign hyperplasia (BPH). Which
instruction is most important for this nurse to provide? - ANSWER-Stand and sit
up slowly.
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to report? -
ANSWER-Involuntary movements.
pg. 2
,A client is receiving orlistat as part of a weight management program. Which
ongoing assessment should be included in the plan of care to determine the
effectiveness of the medication? - ANSWER-Body mass index.
A client who received a renal transplant three months ago is readmitted to the acute
unit with signs of graft rejection. While taking the client's history, the nurse
determines that the client has been self-administering St. John's Wort, an herbal
preparation, on the advice of a friend. Which information is most significant about
this finding? - ANSWER-Wort can decrease plasma concentrations of cylosporine.
When preparing to apply a schedule fentanyl transdermal patch, the nurse note that
the previously applied patch is intact on the client's upper back and the client
denies pain. Which action should the nurse take? - ANSWER-Apply the new patch
in a different location and after removing the original patch.
During a home visit, the nurse assesses a client with Alzheimer's Disease who
recently started a new prescription for rivastigmine. The caregiver reports that the
client seems to be thinking more clearly but is having trouble sleeping well at
night. Which action should the nurse take? - ANSWER-Explain to the caregivers
that insomnia is a common and temporary side effect when the medication is first
started.
Based on the client's serum digoxin level, the client is diagnosed with digoxin
toxicity. Which action should the nurse expect to implement? - ANSWER-Begin
cardioversion to stabilize heart rhythm.
The nurse is administering IV fluconazole to a client's diagnostic studies, the nurse
identifies a rising trend in the liver enzyme levels for aspartate aminotransferase
(AST, also called SGOT). Which action should the nurse implement? - ANSWER-
Hold the dose and notify the healthcare provider of the changes in the laboratory
studies.
pg. 3
, A client with muscle spasticity receive a prescription for baclofen. Which
information provided by the client requires additional instruction by the nurse? -
ANSWER-Discontinue when spasms cease.
A postoperative client has a prescription for ketorolac 30 mg IV every 6 hours.
Which intervention should the nurse implement to determine if the expected
outcome of the medication has been achieved? - ANSWER-Perform pain
assessment using numeric scale.
A client who uses transdermal contraceptive, calls to the clinic because she forgot
to apply a new patch three days ago. Which instruction should the nurse provide to
the client? - ANSWER-Apply the new patch today and use backup method for 7
days.
A female client with history of peptic ulcer disease receive a prescription of
misoprostol. Which information provided by the client indicates to the nurse a need
for further teaching? - ANSWER-Ensure a negative pregnancy test result 2 weeks
before therapy.
The nurse is caring for an older client with multiple comorbidities. Which
medication should the nurse recognize an increasing the client's risk for fractures. -
ANSWER-Lansoprazole
During a home visit, the nurse assesses a client with Alzheimer's Disease who
recently started a new prescription for rivastigmine. The caregiver reports that the
client seems to be thinking more clearly but is not sleeping well at night. Which
action should the nurse take? - ANSWER-Explain to the caregiver that insomnia is
a common and temporary side effect when the medication is first started.
pg. 4
BANK WITH REAL EXAM QUESTIONS AND
CORRECT ANSWERS/ NGN HESI RN
PHARMACOLOGY EXAM 2024/2025 (NEW!)
The nurse is planning teaching for a client with diabetes mellitus who has
prescription of insulin. Which action should the nurse should the nurse plan to
indicate in the discharge teaching? - ANSWER-To teach self injection skills for
daily subcutaneous administration.
A older male client is being discharged after a myocardial infarction (MI) and
receives a new prescription for atenolol. Which instruction is most important for
the nurse to include in her clients teaching plan? - ANSWER-Standing slowly
when getting up from bed.
The nurse is caring for a client who takes methotrexate to rheumatoid arthritis and
is now prescribed adalimumab. Which instructions should the nurse provide the
client? - ANSWER-Avoid crowds and people who are sick.
A client recently diagnosed with Parkinson's Disease receives a new prescription
for carbidopa levodopa, a dopaminergic drug. To reduce the client's risk for injury,
which instruction should the nurse provide? - ANSWER-Ambulate using a four-
point cane or a walker with wheels.
A client diagnosed with myasthenia gravis receives a prescription for the
anticholinesterase medication, pyridostigmine. Which intervention should the
nurse implement when preparing to administer this medication? - ANSWER-
Administer the medication thirty minutes prior to meals.
pg. 1
,NGN: The client has a history of major depressive disorder…
Which assessment findings require follow up by the nurse? Select all that apply-
diaphoresis, myoconus, altered mental status, hypertension, tachycardia, and
elevated temperatures.
diaphoresis, myoconus, altered mental status, hypertension, tachycardia, and
elevated temperatures.
The nurse is providing discharge instructions to a client who has been prescribed
gabapentin 300 mg by mouth three times a day for post-herpetic neuralgia. Which
symptom should the nurse tell the client to report to healthcare provider? -
ANSWER-Photosensitivity
A client receives a prescription for itraconazole. Which information by the client
requires additional instructions by the nurse. - ANSWER-Take the medication with
antacids.
The nurse is preparing a client with obstructive pulmonary disease (COPD) and
chronic productive cough for discharged. Which prescribed medication should the
nurse review with the client to manage this symptom? - ANSWER-Guaifenesin
When caring for a client with diabetes insipidus who is receiving an antidiuretic
hormone intranasally, which serum lab test is most important for the nurse to
monitor? - ANSWER-Osmolarity
A client has is receiving tamsulosin, an alpha adrenergic blocking agent for
management of urinary retention due to benign hyperplasia (BPH). Which
instruction is most important for this nurse to provide? - ANSWER-Stand and sit
up slowly.
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to report? -
ANSWER-Involuntary movements.
pg. 2
,A client is receiving orlistat as part of a weight management program. Which
ongoing assessment should be included in the plan of care to determine the
effectiveness of the medication? - ANSWER-Body mass index.
A client who received a renal transplant three months ago is readmitted to the acute
unit with signs of graft rejection. While taking the client's history, the nurse
determines that the client has been self-administering St. John's Wort, an herbal
preparation, on the advice of a friend. Which information is most significant about
this finding? - ANSWER-Wort can decrease plasma concentrations of cylosporine.
When preparing to apply a schedule fentanyl transdermal patch, the nurse note that
the previously applied patch is intact on the client's upper back and the client
denies pain. Which action should the nurse take? - ANSWER-Apply the new patch
in a different location and after removing the original patch.
During a home visit, the nurse assesses a client with Alzheimer's Disease who
recently started a new prescription for rivastigmine. The caregiver reports that the
client seems to be thinking more clearly but is having trouble sleeping well at
night. Which action should the nurse take? - ANSWER-Explain to the caregivers
that insomnia is a common and temporary side effect when the medication is first
started.
Based on the client's serum digoxin level, the client is diagnosed with digoxin
toxicity. Which action should the nurse expect to implement? - ANSWER-Begin
cardioversion to stabilize heart rhythm.
The nurse is administering IV fluconazole to a client's diagnostic studies, the nurse
identifies a rising trend in the liver enzyme levels for aspartate aminotransferase
(AST, also called SGOT). Which action should the nurse implement? - ANSWER-
Hold the dose and notify the healthcare provider of the changes in the laboratory
studies.
pg. 3
, A client with muscle spasticity receive a prescription for baclofen. Which
information provided by the client requires additional instruction by the nurse? -
ANSWER-Discontinue when spasms cease.
A postoperative client has a prescription for ketorolac 30 mg IV every 6 hours.
Which intervention should the nurse implement to determine if the expected
outcome of the medication has been achieved? - ANSWER-Perform pain
assessment using numeric scale.
A client who uses transdermal contraceptive, calls to the clinic because she forgot
to apply a new patch three days ago. Which instruction should the nurse provide to
the client? - ANSWER-Apply the new patch today and use backup method for 7
days.
A female client with history of peptic ulcer disease receive a prescription of
misoprostol. Which information provided by the client indicates to the nurse a need
for further teaching? - ANSWER-Ensure a negative pregnancy test result 2 weeks
before therapy.
The nurse is caring for an older client with multiple comorbidities. Which
medication should the nurse recognize an increasing the client's risk for fractures. -
ANSWER-Lansoprazole
During a home visit, the nurse assesses a client with Alzheimer's Disease who
recently started a new prescription for rivastigmine. The caregiver reports that the
client seems to be thinking more clearly but is not sleeping well at night. Which
action should the nurse take? - ANSWER-Explain to the caregiver that insomnia is
a common and temporary side effect when the medication is first started.
pg. 4
