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. Question:
A nurse is teaching a client with hypertension about a new prescription
for lisinopril (an ACE inhibitor). Which of the following statements by
the client indicates an understanding of the teaching?
A. "I should expect my blood pressure to rise during the first week of
taking this medication."
B. "I need to stop taking the medication if I develop a dry cough."
C. "I should increase my potassium intake while on this medication."
D. "I will take the medication on an empty stomach for the best
absorption."
Answer: B. "I need to stop taking the medication if I develop a dry
cough."
Rationale: A common side effect of ACE inhibitors like lisinopril is a
persistent dry cough. The client should notify the healthcare provider if
this occurs, as it may require discontinuation of the medication. ACE
inhibitors do not typically cause a rise in blood pressure; instead, they
lower it. Potassium levels should be monitored because ACE inhibitors
can cause hyperkalemia, not the need for increased potassium intake.
Lisinopril can be taken with or without food.
2. Question:
,A nurse is caring for a client who has just received a prescription for
warfarin. Which of the following should the nurse include in the
teaching plan?
A. "Increase your intake of foods rich in vitamin K."
B. "You may experience a small bruise or slight bleeding from your
gums."
C. "You can take an over-the-counter aspirin for headaches."
D. "You should limit your intake of green leafy vegetables."
Answer: D. "You should limit your intake of green leafy vegetables."
Rationale: Warfarin is an anticoagulant that works by inhibiting vitamin
K-dependent clotting factors. Consuming large amounts of foods rich in
vitamin K (such as green leafy vegetables) can interfere with the
medication's effectiveness. Clients should avoid over-the-counter
aspirin, which can increase the risk of bleeding. Small bruises and slight
gum bleeding are expected side effects, but clients should be instructed
to report excessive or unexplained bleeding.
3. Question:
A nurse is assessing a client who is taking digoxin for heart failure. The
nurse should be most concerned if the client's heart rate is:
A. 72 bpm
B. 98 bpm
C. 52 bpm
D. 88 bpm
Answer: C. 52 bpm
, Rationale: Digoxin slows the heart rate by increasing vagal tone and
decreasing conduction through the AV node. A heart rate of less than
60 bpm is a common sign of digoxin toxicity, and the nurse should notify
the provider if the heart rate is 52 bpm. The other rates are within
normal limits for adults.
4. Question:
A client is prescribed prednisone for chronic inflammation. Which of
the following instructions should the nurse include in the teaching plan?
A. "You should take the medication on an empty stomach."
B. "You can stop the medication once you feel better."
C. "Avoid taking over-the-counter ibuprofen while on this medication."
D. "Prednisone may cause you to lose weight."
Answer: C. "Avoid taking over-the-counter ibuprofen while on this
medication."
Rationale: Prednisone is a corticosteroid, and taking it with
nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can
increase the risk of gastrointestinal bleeding or ulcers. Prednisone
should be taken with food to reduce gastrointestinal irritation. The
medication should not be stopped abruptly, as tapering is necessary to
prevent adrenal insufficiency. Weight gain is a common side effect of
prednisone.
5. Question:
ALL QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) RN HESI PHARMACOLOGY WITH NGN LATEST 4
VERSIONS 2024/2025
1. Question:
A nurse is teaching a client with hypertension about a new prescription
for lisinopril (an ACE inhibitor). Which of the following statements by
the client indicates an understanding of the teaching?
A. "I should expect my blood pressure to rise during the first week of
taking this medication."
B. "I need to stop taking the medication if I develop a dry cough."
C. "I should increase my potassium intake while on this medication."
D. "I will take the medication on an empty stomach for the best
absorption."
Answer: B. "I need to stop taking the medication if I develop a dry
cough."
Rationale: A common side effect of ACE inhibitors like lisinopril is a
persistent dry cough. The client should notify the healthcare provider if
this occurs, as it may require discontinuation of the medication. ACE
inhibitors do not typically cause a rise in blood pressure; instead, they
lower it. Potassium levels should be monitored because ACE inhibitors
can cause hyperkalemia, not the need for increased potassium intake.
Lisinopril can be taken with or without food.
2. Question:
,A nurse is caring for a client who has just received a prescription for
warfarin. Which of the following should the nurse include in the
teaching plan?
A. "Increase your intake of foods rich in vitamin K."
B. "You may experience a small bruise or slight bleeding from your
gums."
C. "You can take an over-the-counter aspirin for headaches."
D. "You should limit your intake of green leafy vegetables."
Answer: D. "You should limit your intake of green leafy vegetables."
Rationale: Warfarin is an anticoagulant that works by inhibiting vitamin
K-dependent clotting factors. Consuming large amounts of foods rich in
vitamin K (such as green leafy vegetables) can interfere with the
medication's effectiveness. Clients should avoid over-the-counter
aspirin, which can increase the risk of bleeding. Small bruises and slight
gum bleeding are expected side effects, but clients should be instructed
to report excessive or unexplained bleeding.
3. Question:
A nurse is assessing a client who is taking digoxin for heart failure. The
nurse should be most concerned if the client's heart rate is:
A. 72 bpm
B. 98 bpm
C. 52 bpm
D. 88 bpm
Answer: C. 52 bpm
, Rationale: Digoxin slows the heart rate by increasing vagal tone and
decreasing conduction through the AV node. A heart rate of less than
60 bpm is a common sign of digoxin toxicity, and the nurse should notify
the provider if the heart rate is 52 bpm. The other rates are within
normal limits for adults.
4. Question:
A client is prescribed prednisone for chronic inflammation. Which of
the following instructions should the nurse include in the teaching plan?
A. "You should take the medication on an empty stomach."
B. "You can stop the medication once you feel better."
C. "Avoid taking over-the-counter ibuprofen while on this medication."
D. "Prednisone may cause you to lose weight."
Answer: C. "Avoid taking over-the-counter ibuprofen while on this
medication."
Rationale: Prednisone is a corticosteroid, and taking it with
nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can
increase the risk of gastrointestinal bleeding or ulcers. Prednisone
should be taken with food to reduce gastrointestinal irritation. The
medication should not be stopped abruptly, as tapering is necessary to
prevent adrenal insufficiency. Weight gain is a common side effect of
prednisone.
5. Question:
