NGN HESI RN PHARMACOLOGY PROCTORED EXIT EXAM REAL EXAM
55 QUESTIONS WITH CORRECT VERIFIED ANSWERS |ALREADY
GRADED A+
1. Multiple Choice
Question: A nurse is administering amoxicillin to a child for a bacterial
infection. Which adverse effect should the nurse prioritize when
monitoring the patient?
A) Rash and itching
B) Mild nausea
C) Constipation
D) Fatigue
Answer: A) Rash and itching
Rationale: A rash and itching can indicate an allergic reaction to
amoxicillin, which could progress to anaphylaxis if untreated. This is a
priority adverse effect to monitor.
2. Multiple Response
Question: A nurse is teaching the parents of a child about administering
acetaminophen (Tylenol) at home. Which instructions should the nurse
include? (Select all that apply.)
A) Do not exceed the recommended daily dose.
B) Use a household spoon for dosing.
C) Shake the liquid suspension well before use.
D) Monitor for signs of liver toxicity.
E) Administer the medication on an empty stomach.
Answers: A, C, D
,Rationale:
• A: Exceeding the daily dose can cause liver damage.
• C: Shaking ensures accurate dosing of the suspension.
• D: Liver toxicity (e.g., jaundice, dark urine) is a concern with
overdose.
B is incorrect as household spoons are inaccurate.
E is incorrect because acetaminophen can be given with or
without food.
3. Scenario-Based
Question: A 5-year-old child with asthma is prescribed albuterol via a
metered-dose inhaler (MDI). The child begins to experience tachycardia.
What is the most appropriate nursing action?
A) Hold the next dose and notify the healthcare provider.
B) Administer a higher dose to improve breathing.
C) Reassure the parent that this is a normal side effect.
D) Switch the child to a nebulized form of albuterol.
Answer: A) Hold the next dose and notify the healthcare provider.
Rationale: Tachycardia is a common side effect of albuterol, but it can
be dangerous in some cases. The nurse should withhold the medication
and contact the provider for further guidance.
4. True/False
Question: Ibuprofen (Motrin) is safe for use in children under 6 months
old.
Answer: False
, Rationale: Ibuprofen is not recommended for infants under 6 months
due to an increased risk of kidney injury and gastrointestinal bleeding.
5. Priority Setting
Question: A nurse is preparing to administer digoxin to a child with
heart failure. The child’s heart rate is 85 bpm. What should the nurse do
first?
A) Administer the medication as ordered.
B) Notify the healthcare provider immediately.
C) Reassess the child’s heart rate in 30 minutes.
D) Hold the medication and check the prescription parameters.
Answer: D) Hold the medication and check the prescription
parameters.
Rationale: Digoxin can cause bradycardia. In pediatric patients, the
medication is often withheld if the heart rate is below 90-110 bpm
(depending on age and protocol). Verification is critical.
6. Fill-in-the-Blank
Question: The safe dose of acetaminophen for a pediatric patient is 10-
15 mg/kg/dose every 4-6 hours. A child weighs 15 kg. What is the
maximum dose per administration?
Answer: 225 mg
Rationale: 15 kg × 15 mg/kg = 225 mg. This is the maximum dose per
administration for this child.
7. Case Study
55 QUESTIONS WITH CORRECT VERIFIED ANSWERS |ALREADY
GRADED A+
1. Multiple Choice
Question: A nurse is administering amoxicillin to a child for a bacterial
infection. Which adverse effect should the nurse prioritize when
monitoring the patient?
A) Rash and itching
B) Mild nausea
C) Constipation
D) Fatigue
Answer: A) Rash and itching
Rationale: A rash and itching can indicate an allergic reaction to
amoxicillin, which could progress to anaphylaxis if untreated. This is a
priority adverse effect to monitor.
2. Multiple Response
Question: A nurse is teaching the parents of a child about administering
acetaminophen (Tylenol) at home. Which instructions should the nurse
include? (Select all that apply.)
A) Do not exceed the recommended daily dose.
B) Use a household spoon for dosing.
C) Shake the liquid suspension well before use.
D) Monitor for signs of liver toxicity.
E) Administer the medication on an empty stomach.
Answers: A, C, D
,Rationale:
• A: Exceeding the daily dose can cause liver damage.
• C: Shaking ensures accurate dosing of the suspension.
• D: Liver toxicity (e.g., jaundice, dark urine) is a concern with
overdose.
B is incorrect as household spoons are inaccurate.
E is incorrect because acetaminophen can be given with or
without food.
3. Scenario-Based
Question: A 5-year-old child with asthma is prescribed albuterol via a
metered-dose inhaler (MDI). The child begins to experience tachycardia.
What is the most appropriate nursing action?
A) Hold the next dose and notify the healthcare provider.
B) Administer a higher dose to improve breathing.
C) Reassure the parent that this is a normal side effect.
D) Switch the child to a nebulized form of albuterol.
Answer: A) Hold the next dose and notify the healthcare provider.
Rationale: Tachycardia is a common side effect of albuterol, but it can
be dangerous in some cases. The nurse should withhold the medication
and contact the provider for further guidance.
4. True/False
Question: Ibuprofen (Motrin) is safe for use in children under 6 months
old.
Answer: False
, Rationale: Ibuprofen is not recommended for infants under 6 months
due to an increased risk of kidney injury and gastrointestinal bleeding.
5. Priority Setting
Question: A nurse is preparing to administer digoxin to a child with
heart failure. The child’s heart rate is 85 bpm. What should the nurse do
first?
A) Administer the medication as ordered.
B) Notify the healthcare provider immediately.
C) Reassess the child’s heart rate in 30 minutes.
D) Hold the medication and check the prescription parameters.
Answer: D) Hold the medication and check the prescription
parameters.
Rationale: Digoxin can cause bradycardia. In pediatric patients, the
medication is often withheld if the heart rate is below 90-110 bpm
(depending on age and protocol). Verification is critical.
6. Fill-in-the-Blank
Question: The safe dose of acetaminophen for a pediatric patient is 10-
15 mg/kg/dose every 4-6 hours. A child weighs 15 kg. What is the
maximum dose per administration?
Answer: 225 mg
Rationale: 15 kg × 15 mg/kg = 225 mg. This is the maximum dose per
administration for this child.
7. Case Study
