HESI RN PHARMACOLOGY PROCTORED 2024
EXAM / NGN RN HESI PHARMACOLOGY
PROCTORED 2024 EXIT EXAM VERSION 1 ALL
70 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
A client experiencing dysrhythmias is given quinidine, 300 mg PO every 6 hours. The nurse plans to
observe this client for which common side effect associated with the use of this medication? - CORRECT
ANSWER>>Diarrhea
A client has started long-term corticosteroid therapy tells the nurse that the daily dose will be taken at
bedtime with a snack of crackers and milk. Which is the best response by the nurse? - CORRECT
ANSWER>>Advise the client to take the medication in the morning, rather than at bedtime.
The nurse is administering the early morning dose of insulin aspart, 5 units subcutaneously, to a client
with diabetes mellitus type 1. The client's fingerstick serum glucose level is 140 mg/dL. Considering the
onset of insulin aspart, when should the nurse ensure that the client's breakfast be given? - CORRECT
ANSWER>>5 minutes after subcutaneous administration
he nurse is providing discharge instructions to a client who has received a prescription for an antibiotic
that is hepatotoxic. Which information should the nurse include in the instructions? - CORRECT
ANSWER>>Avoid ingesting any alcohol or acetaminophen.
Which assessment datum indicates to the nurse that a dose of granisetron administered IV prior to
chemotherapy has had the desired effect? - CORRECT ANSWER>>Client denies nausea
A psychiatric client is discharged from the hospital with a prescription for haloperidol. Which instruction
should the nurse include in the discharge teaching plan for this client? - CORRECT ANSWER>>Use
sunglasses and sunscreen when outdoors.
,A client with chronic gouty arthritis is talking allopurinol, 100 mg PO daily. Which laboratory serum level
should the nurse report to the health care provider to determine the therapeutic outcome? - CORRECT
ANSWER>>Uric acid level
Dopamine, 5 mcg/kg/min, is prescribed for a client who weighs 105 kg. The nurse mixes 400 mg of
dopamine in 250 mL D5W for IV administration via an infusion pump. What is the hourly rate that the
nurse should set on the pump? - CORRECT ANSWER>>20 mL/hr
he nurse performs a client assessment prior to the administration of a prescribed dose of dipyridamole
and aspirin PO. The nurse notes that the client's carotid bruit is louder than previously assessed. What is
the best nursing action related to this finding? - CORRECT ANSWER>>Administer the prescribed dose as
scheduled.
A client taking linezolid at home for an infected foot ulcer calls the home care nurse to report the onset
of watery diarrhea. What is the best nursing action for this client? - CORRECT ANSWER>>Instruct the
client to obtain a stool specimen to be taken to the laboratory for analysis.
client is prescribed a cholinesterase inhibitor, and a family member asks the nurse how this medication
works. Which pharmacophysiologic explanation should the nurse use to describe this class of drug? -
CORRECT ANSWER>>Improves nerve impulse transmission
Which class of antineoplastic chemotherapy agents resembles the essential elements required for DNA
and RNA synthesis and inhibits enzymes necessary for cellular function and replication? - CORRECT
ANSWER>>Antimetabolites
Which statement indicates that client teaching regarding the administration of the chemotherapeutic
agent daunorubicin HCl has been effective? - CORRECT ANSWER>>I expect my urine to be red for the
next few days."
Which instruction should the nurse include in the teaching plan for a client who is receiving phenytoin
for seizure control? - CORRECT ANSWER>>Brush and floss teeth daily.
, During the initial nursing assessment history, the client reports taking tetracycline hydrochloride for
urethritis. Which concurrent medication will the nurse report to the health care provider? - CORRECT
ANSWER>>.
Sucralfate
The nurse is providing care to a client on heparin. Which laboratory test indicates to the nurse that the
medication is effective? - CORRECT ANSWER>>D.
Partial thromboplastin time (PTT)
A chemotherapeutic regimen with doxorubicin HCl is being planned for a client recently diagnosed with
cancer. What diagnostic test results should the nurse review prior to initiating this treatment? -
CORRECT ANSWER>>Electrocardiogram (ECG)
A client who has chronic back pain is on long-term pain medication management and asks the nurse why
his pain relief therapy is not as effective as it was 2 months ago. How should the nurse respond? -
CORRECT ANSWER>>Tolerance to medication requires increased drug levels to achieve the same effect."
A mother brings her 18-month-old child to the community health center because the child has had "bad
diarrhea" for the last 3 days. She states, "I bought some of this liquid at the pharmacy and gave my child
a half-ounce." The nurse sees that the bottle contains loperamide. What is the next nursing action? -
CORRECT ANSWER>>Ask the mother when the child last voided.
The nurse is preparing to administer a secondary infusion of a dobutamine solution to a client. The nurse
notes that the solution is brown in color. Which action should the nurse take first? - CORRECT
ANSWER>>Administer the drug if the solution's reconstitution time is <24 hours.
The nurse is preparing to administer the disease-modifying antirheumatic drug (DMARD) methotrexate
to a client diagnosed with rheumatoid arthritis. Which action is most important prior to administering
this medication? - CORRECT ANSWER>>Have another nurse check the prescription.
EXAM / NGN RN HESI PHARMACOLOGY
PROCTORED 2024 EXIT EXAM VERSION 1 ALL
70 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS
A client experiencing dysrhythmias is given quinidine, 300 mg PO every 6 hours. The nurse plans to
observe this client for which common side effect associated with the use of this medication? - CORRECT
ANSWER>>Diarrhea
A client has started long-term corticosteroid therapy tells the nurse that the daily dose will be taken at
bedtime with a snack of crackers and milk. Which is the best response by the nurse? - CORRECT
ANSWER>>Advise the client to take the medication in the morning, rather than at bedtime.
The nurse is administering the early morning dose of insulin aspart, 5 units subcutaneously, to a client
with diabetes mellitus type 1. The client's fingerstick serum glucose level is 140 mg/dL. Considering the
onset of insulin aspart, when should the nurse ensure that the client's breakfast be given? - CORRECT
ANSWER>>5 minutes after subcutaneous administration
he nurse is providing discharge instructions to a client who has received a prescription for an antibiotic
that is hepatotoxic. Which information should the nurse include in the instructions? - CORRECT
ANSWER>>Avoid ingesting any alcohol or acetaminophen.
Which assessment datum indicates to the nurse that a dose of granisetron administered IV prior to
chemotherapy has had the desired effect? - CORRECT ANSWER>>Client denies nausea
A psychiatric client is discharged from the hospital with a prescription for haloperidol. Which instruction
should the nurse include in the discharge teaching plan for this client? - CORRECT ANSWER>>Use
sunglasses and sunscreen when outdoors.
,A client with chronic gouty arthritis is talking allopurinol, 100 mg PO daily. Which laboratory serum level
should the nurse report to the health care provider to determine the therapeutic outcome? - CORRECT
ANSWER>>Uric acid level
Dopamine, 5 mcg/kg/min, is prescribed for a client who weighs 105 kg. The nurse mixes 400 mg of
dopamine in 250 mL D5W for IV administration via an infusion pump. What is the hourly rate that the
nurse should set on the pump? - CORRECT ANSWER>>20 mL/hr
he nurse performs a client assessment prior to the administration of a prescribed dose of dipyridamole
and aspirin PO. The nurse notes that the client's carotid bruit is louder than previously assessed. What is
the best nursing action related to this finding? - CORRECT ANSWER>>Administer the prescribed dose as
scheduled.
A client taking linezolid at home for an infected foot ulcer calls the home care nurse to report the onset
of watery diarrhea. What is the best nursing action for this client? - CORRECT ANSWER>>Instruct the
client to obtain a stool specimen to be taken to the laboratory for analysis.
client is prescribed a cholinesterase inhibitor, and a family member asks the nurse how this medication
works. Which pharmacophysiologic explanation should the nurse use to describe this class of drug? -
CORRECT ANSWER>>Improves nerve impulse transmission
Which class of antineoplastic chemotherapy agents resembles the essential elements required for DNA
and RNA synthesis and inhibits enzymes necessary for cellular function and replication? - CORRECT
ANSWER>>Antimetabolites
Which statement indicates that client teaching regarding the administration of the chemotherapeutic
agent daunorubicin HCl has been effective? - CORRECT ANSWER>>I expect my urine to be red for the
next few days."
Which instruction should the nurse include in the teaching plan for a client who is receiving phenytoin
for seizure control? - CORRECT ANSWER>>Brush and floss teeth daily.
, During the initial nursing assessment history, the client reports taking tetracycline hydrochloride for
urethritis. Which concurrent medication will the nurse report to the health care provider? - CORRECT
ANSWER>>.
Sucralfate
The nurse is providing care to a client on heparin. Which laboratory test indicates to the nurse that the
medication is effective? - CORRECT ANSWER>>D.
Partial thromboplastin time (PTT)
A chemotherapeutic regimen with doxorubicin HCl is being planned for a client recently diagnosed with
cancer. What diagnostic test results should the nurse review prior to initiating this treatment? -
CORRECT ANSWER>>Electrocardiogram (ECG)
A client who has chronic back pain is on long-term pain medication management and asks the nurse why
his pain relief therapy is not as effective as it was 2 months ago. How should the nurse respond? -
CORRECT ANSWER>>Tolerance to medication requires increased drug levels to achieve the same effect."
A mother brings her 18-month-old child to the community health center because the child has had "bad
diarrhea" for the last 3 days. She states, "I bought some of this liquid at the pharmacy and gave my child
a half-ounce." The nurse sees that the bottle contains loperamide. What is the next nursing action? -
CORRECT ANSWER>>Ask the mother when the child last voided.
The nurse is preparing to administer a secondary infusion of a dobutamine solution to a client. The nurse
notes that the solution is brown in color. Which action should the nurse take first? - CORRECT
ANSWER>>Administer the drug if the solution's reconstitution time is <24 hours.
The nurse is preparing to administer the disease-modifying antirheumatic drug (DMARD) methotrexate
to a client diagnosed with rheumatoid arthritis. Which action is most important prior to administering
this medication? - CORRECT ANSWER>>Have another nurse check the prescription.
