2025 NGN HESI RN PHARMACOLOGY REAL EXAMS (4 VERSIONS) WITH
ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) RN HESI PHARMACOLOGY WITH NGN LATEST 4
VERSIONS 2024/2025
1. A nurse is preparing to administer a medication to a client. The
client is taking a medication that has a narrow therapeutic range.
Which of the following actions should the nurse take?
A) Administer the medication as prescribed and monitor the client for
any side effects.
B) Administer the medication and adjust the dosage according to the
client's response.
C) Administer the medication and monitor the client’s serum drug levels
regularly.
D) Administer the medication only if the client is not experiencing any
symptoms.
Answer: C) Administer the medication and monitor the client’s serum
drug levels regularly.
Rationale: Medications with narrow therapeutic ranges require careful
monitoring to prevent toxicity or subtherapeutic levels. Regular serum
drug level checks ensure the drug stays within the therapeutic range.
2. A client is receiving warfarin. Which of the following laboratory
values should the nurse monitor?
A) Hemoglobin and hematocrit
B) Platelet count
,C) International normalized ratio (INR) and prothrombin time (PT)
D) White blood cell count
Answer: C) International normalized ratio (INR) and prothrombin time
(PT)
Rationale: Warfarin is an anticoagulant, and its effectiveness is
monitored through PT and INR values. These tests help assess the
blood’s clotting ability and ensure the client is within the therapeutic
range.
3. A nurse is educating a client about the prescribed medication,
digoxin. Which of the following should the nurse include in the
teaching?
A) "Take this medication with a high-fat meal."
B) "Report any nausea or vision changes immediately."
C) "You should take your dose every other day."
D) "You can stop taking the medication if you feel well."
Answer: B) "Report any nausea or vision changes immediately."
Rationale: Digoxin toxicity can cause symptoms such as nausea,
vomiting, and visual disturbances (e.g., seeing halos). The nurse should
educate the client to report these symptoms immediately.
4. A nurse is caring for a client who is receiving morphine for pain
management. Which of the following assessments is most important
to monitor?
A) Blood pressure
, B) Respiratory rate
C) Blood glucose levels
D) Urine output
Answer: B) Respiratory rate
Rationale: Morphine is an opioid, and one of its most serious side
effects is respiratory depression. The nurse should monitor the client's
respiratory rate closely to prevent respiratory compromise.
5. A nurse is administering lorazepam to a client. Which of the
following adverse effects should the nurse monitor for?
A) Tachycardia
B) Seizures
C) Respiratory depression
D) Constipation
Answer: C) Respiratory depression
Rationale: Lorazepam is a benzodiazepine, and a major adverse effect is
respiratory depression, especially when taken in large doses or in
combination with other central nervous system depressants.
6. A client is receiving an ACE inhibitor for hypertension. Which of the
following should the nurse monitor regularly?
A) Blood glucose levels
B) Potassium levels
C) Liver function tests
ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) RN HESI PHARMACOLOGY WITH NGN LATEST 4
VERSIONS 2024/2025
1. A nurse is preparing to administer a medication to a client. The
client is taking a medication that has a narrow therapeutic range.
Which of the following actions should the nurse take?
A) Administer the medication as prescribed and monitor the client for
any side effects.
B) Administer the medication and adjust the dosage according to the
client's response.
C) Administer the medication and monitor the client’s serum drug levels
regularly.
D) Administer the medication only if the client is not experiencing any
symptoms.
Answer: C) Administer the medication and monitor the client’s serum
drug levels regularly.
Rationale: Medications with narrow therapeutic ranges require careful
monitoring to prevent toxicity or subtherapeutic levels. Regular serum
drug level checks ensure the drug stays within the therapeutic range.
2. A client is receiving warfarin. Which of the following laboratory
values should the nurse monitor?
A) Hemoglobin and hematocrit
B) Platelet count
,C) International normalized ratio (INR) and prothrombin time (PT)
D) White blood cell count
Answer: C) International normalized ratio (INR) and prothrombin time
(PT)
Rationale: Warfarin is an anticoagulant, and its effectiveness is
monitored through PT and INR values. These tests help assess the
blood’s clotting ability and ensure the client is within the therapeutic
range.
3. A nurse is educating a client about the prescribed medication,
digoxin. Which of the following should the nurse include in the
teaching?
A) "Take this medication with a high-fat meal."
B) "Report any nausea or vision changes immediately."
C) "You should take your dose every other day."
D) "You can stop taking the medication if you feel well."
Answer: B) "Report any nausea or vision changes immediately."
Rationale: Digoxin toxicity can cause symptoms such as nausea,
vomiting, and visual disturbances (e.g., seeing halos). The nurse should
educate the client to report these symptoms immediately.
4. A nurse is caring for a client who is receiving morphine for pain
management. Which of the following assessments is most important
to monitor?
A) Blood pressure
, B) Respiratory rate
C) Blood glucose levels
D) Urine output
Answer: B) Respiratory rate
Rationale: Morphine is an opioid, and one of its most serious side
effects is respiratory depression. The nurse should monitor the client's
respiratory rate closely to prevent respiratory compromise.
5. A nurse is administering lorazepam to a client. Which of the
following adverse effects should the nurse monitor for?
A) Tachycardia
B) Seizures
C) Respiratory depression
D) Constipation
Answer: C) Respiratory depression
Rationale: Lorazepam is a benzodiazepine, and a major adverse effect is
respiratory depression, especially when taken in large doses or in
combination with other central nervous system depressants.
6. A client is receiving an ACE inhibitor for hypertension. Which of the
following should the nurse monitor regularly?
A) Blood glucose levels
B) Potassium levels
C) Liver function tests
