8/28/25, 10:19 PM HESI RN Pharmacology
2025-2026 NGN HESI RN PHARMACOLOGY REAL EXAMS (4
VERSIONS) WITH ALL 400 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES (100% CORRECT ANSWERS) RN HESI
PHARMACOLOGY WITH NGN LATEST 4 VERSIONS 2025/2026
ALREADY GRADED A+(NEWEST!!)
1. A male client with stomach d. Increase the infusion rate of Lactated Ringer's solution.
cancer returns to the unit
following a total
gastrectomy. He has a
nasogastric tube to suction
and is receiving Lactated
Ringer's solution at 75
mL/hour IV. One hour after
admission to the unit, the
nurse notes 300 mL of
blood in the suction
canister, the client's heart
rate is 155 beats/minute,
and his blood
pressure is 78/48 mmHg. In
addition to
reporting the finding to the
surgeon. Which action
should the nurse
implement first?
/ 1/68
,8/28/25, 10:19 PM HESI RN Pharmacology
2. an adult male who fell a. Add sterile water to the suction control chamber.
20 feet from the roof of
this home has multiple
injuries,
including a right
pneumothorax. Chest
tubes were inserted in
the emergency
department prior to his
transfer to the
intensive care unit (ICU). the
nurse notes that the suction
control chamber is
bubbling at the
- 10 cm H2O mark, with
fluctuation in the water seal,
and over the past hour 75 ml
of bright red blood is
measured in the
collection chamber. Which
intervention should the
nurse implement?
/ 2/68
,8/28/25, 10:19 PM HESI RN Pharmacology
3. A client who received c. Begin supplemental oxygen.
hemodialysis yesterday is
experiencing a blood
pressure of 200/100 mmHg,
heart rate 110
beats/minute, and respiratory
rate 36
breaths/minute. The client is
manifesting shortness of
breath, bilateral 2+ pedal
edema, and an oxygen
saturation on room air of
89%. Which action should
the nurse take first?
4. A client with Addison's Headache and
crisis is admitted for tremors Irregular
treatment with adrenal heart rate
cortical pallor and diaphoresis
supplementation. Based on
the client's
admitting diagnosis, which
findings require immediate
action by the nurse? (Select
all that apply)
5. An older client is admitted d. Skin tenting occurs when the client's forearm is pinched.
with fluid volume deficit and
dehydration. Which
assessment finding is the
best indicator of hydration
that the nurse should report
to the healthcare
provider?
6. After an inservice about a. File a detailed incident report with the specific hiring facility.
electronic health record
(EHR) security and
safeguarding client
information, the nurse
observes a colleague
going home with
/ 3/68
, 8/28/25, 10:19 PM HESI RN Pharmacology
printed copies of client
information in a uniform
pocket. Which action should
the nurse take?
7. The nurse is c. Clients who incurred disease complications promptly received
evaluating a tertiary rehabilitation.
prevention program for
clients with
cardiovascular disease
implemented in a
rural health clinic. Which
outcome indicate the
program is effective?
8. The nurse is caring for a d. Assess the delivery mechanism of the oxygen tank, tubing, and
client with cannula.
chronic obstructive
pulmonary disease (COPD)
who uses oxygen at 2
L/minute per nasal cannula
continuously. The nurse
observes that the client is
having increased shortness
of breath with respirations at
23 breaths/minute. Which
action should the
nurse implement first?
9. Which statement by a client When I get out of bed quickly, I feel a little dizzy."
who is 24
hours post-subtotal
thyroidectomy requires an
immediate investigation by
the nurse?
/ 4/68
2025-2026 NGN HESI RN PHARMACOLOGY REAL EXAMS (4
VERSIONS) WITH ALL 400 QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES (100% CORRECT ANSWERS) RN HESI
PHARMACOLOGY WITH NGN LATEST 4 VERSIONS 2025/2026
ALREADY GRADED A+(NEWEST!!)
1. A male client with stomach d. Increase the infusion rate of Lactated Ringer's solution.
cancer returns to the unit
following a total
gastrectomy. He has a
nasogastric tube to suction
and is receiving Lactated
Ringer's solution at 75
mL/hour IV. One hour after
admission to the unit, the
nurse notes 300 mL of
blood in the suction
canister, the client's heart
rate is 155 beats/minute,
and his blood
pressure is 78/48 mmHg. In
addition to
reporting the finding to the
surgeon. Which action
should the nurse
implement first?
/ 1/68
,8/28/25, 10:19 PM HESI RN Pharmacology
2. an adult male who fell a. Add sterile water to the suction control chamber.
20 feet from the roof of
this home has multiple
injuries,
including a right
pneumothorax. Chest
tubes were inserted in
the emergency
department prior to his
transfer to the
intensive care unit (ICU). the
nurse notes that the suction
control chamber is
bubbling at the
- 10 cm H2O mark, with
fluctuation in the water seal,
and over the past hour 75 ml
of bright red blood is
measured in the
collection chamber. Which
intervention should the
nurse implement?
/ 2/68
,8/28/25, 10:19 PM HESI RN Pharmacology
3. A client who received c. Begin supplemental oxygen.
hemodialysis yesterday is
experiencing a blood
pressure of 200/100 mmHg,
heart rate 110
beats/minute, and respiratory
rate 36
breaths/minute. The client is
manifesting shortness of
breath, bilateral 2+ pedal
edema, and an oxygen
saturation on room air of
89%. Which action should
the nurse take first?
4. A client with Addison's Headache and
crisis is admitted for tremors Irregular
treatment with adrenal heart rate
cortical pallor and diaphoresis
supplementation. Based on
the client's
admitting diagnosis, which
findings require immediate
action by the nurse? (Select
all that apply)
5. An older client is admitted d. Skin tenting occurs when the client's forearm is pinched.
with fluid volume deficit and
dehydration. Which
assessment finding is the
best indicator of hydration
that the nurse should report
to the healthcare
provider?
6. After an inservice about a. File a detailed incident report with the specific hiring facility.
electronic health record
(EHR) security and
safeguarding client
information, the nurse
observes a colleague
going home with
/ 3/68
, 8/28/25, 10:19 PM HESI RN Pharmacology
printed copies of client
information in a uniform
pocket. Which action should
the nurse take?
7. The nurse is c. Clients who incurred disease complications promptly received
evaluating a tertiary rehabilitation.
prevention program for
clients with
cardiovascular disease
implemented in a
rural health clinic. Which
outcome indicate the
program is effective?
8. The nurse is caring for a d. Assess the delivery mechanism of the oxygen tank, tubing, and
client with cannula.
chronic obstructive
pulmonary disease (COPD)
who uses oxygen at 2
L/minute per nasal cannula
continuously. The nurse
observes that the client is
having increased shortness
of breath with respirations at
23 breaths/minute. Which
action should the
nurse implement first?
9. Which statement by a client When I get out of bed quickly, I feel a little dizzy."
who is 24
hours post-subtotal
thyroidectomy requires an
immediate investigation by
the nurse?
/ 4/68
