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HESI RN PHARMACOLOGY NGN VERSION 2 LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
The nurse has given instructions to a client who has just been
prescribed cholestyramine. Which statement by the client
indicates a need for further instruction?
1. "I will continue taking vitamin supplements"
2. "this medication will help to lower my cholesterol"
3. "this medication should only be taken with water"
4. "a high fiber diet is important while taking this medication" -
ANSWER-3. "this medication should only be taken with water"
A client with atrial fibrillation is receiving a continuous heparin
infusion at 1000 units/hr. The nurse determines that the client is
receiving the therapeutic effect based on which results?
1. Prothrombin time of 12.5 seconds
2. Activated partial thromboplastin time of 60 seconds
3. Activated partial thromboplastin time of 28 seconds
4. Activated partial thromboplastin time longer than 120 seconds -
ANSWER-2. Activated partial thromboplastin time of 60 seconds
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The nurse provides discharge instructions to a client who is taking
warfarin sodium (Coumadin). Which statement, by the client,
reflects the need for further teaching?
1. "I will avoid alcohol consumption"
2. "I will take my pills every day at the same time"
3. "I have already called my family to pick up a Medic-Alert
bracelet"
4. " I will take coated Aspirin for my headache because it will coat
my stomach" - ANSWER-4. " I will take coated Aspirin for my
headache because it will coat my stomach"
A client who is receiving digoxin (Lanoxin) daily has a serum
potassium level of 3mEq/L and is complaining of anorexia. The
health care provider prescribes determination of the serum
digoxin level to rule out digoxin toxicity. The nurse checks the
results and should recognize which level is outside the
therapeutic range?
1. 0.5ng/mL (0.63nmol/L)
2. 0.8ng/mL (1.02nmol/L)
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3. 0.9ng/mL (1.14nmol/L)
4. 2.2ng/mL ( 2.8nmol/L) - ANSWER-4. 2.2ng/mL
A client is being treated with procainamide for a cardiac
dysrhythmia. Following intravenous administration of the
medication, the client complains of dizziness. What intervention
should the nurse take FIRST?
1. Obtain a 12-lead EKG immediately rhythm strip
2. Check patients fingerstick blood glucose level
3. Auscultate the client's apical pulse and obtain a BP
4. measure QRS interval duration on the rhythm strip - ANSWER-
3.Auscultate the clients apical pulse and obtain a bp
The nurse in monitoring a client who is taking propranolol. Which
assessment data indicates a potential adverse complication
associated with this medication?
1. The development of complaints of insomnia
2. The development of audible expiratory wheezes
3. A baseline BP of 150/80mmHg followed by a BP of
138/72mmHg after two doses of the medication
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4. A baseline resting HR of 88bpm followed by a resting HR of
72bmp after two doses of the medication - ANSWER-2. The
development of audible expiratory wheezes
A client with Valvular heart Disease who has a clot in the right
atrium is receiving a heparin sodium infusion at 1000 units/hr and
warfarin 7.5mg at 5pm daily. The morning laboratory results are
as follows: activated partial thromboplastin time (aPTT) = 32
seconds; internationalized normalized ratio (INR) = 1.3. The nurse
should plan to take which action based on the client's laboratory
results?
1. Collaborate with the health care provider (HCP) to discontinue
the heparin infusion and administer the warfarin sodium as
prescribed.
2. Collaborate with the HCP to obtain a prescription to increase
the heparin infusion and administer the warfarin sodium as
prescribed.
3. Collaborate with the HCP to withhold the warfarin sodium since
the client is receiving a heparin infusion and the aPTT is within
the therapeutic range.
4. Collaborate with the HCP to continue the heparin infusion at
the same rate and to discuss use of da - ANSWER-2. Collaborate
HESI RN PHARMACOLOGY NGN VERSION 2 LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
The nurse has given instructions to a client who has just been
prescribed cholestyramine. Which statement by the client
indicates a need for further instruction?
1. "I will continue taking vitamin supplements"
2. "this medication will help to lower my cholesterol"
3. "this medication should only be taken with water"
4. "a high fiber diet is important while taking this medication" -
ANSWER-3. "this medication should only be taken with water"
A client with atrial fibrillation is receiving a continuous heparin
infusion at 1000 units/hr. The nurse determines that the client is
receiving the therapeutic effect based on which results?
1. Prothrombin time of 12.5 seconds
2. Activated partial thromboplastin time of 60 seconds
3. Activated partial thromboplastin time of 28 seconds
4. Activated partial thromboplastin time longer than 120 seconds -
ANSWER-2. Activated partial thromboplastin time of 60 seconds
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The nurse provides discharge instructions to a client who is taking
warfarin sodium (Coumadin). Which statement, by the client,
reflects the need for further teaching?
1. "I will avoid alcohol consumption"
2. "I will take my pills every day at the same time"
3. "I have already called my family to pick up a Medic-Alert
bracelet"
4. " I will take coated Aspirin for my headache because it will coat
my stomach" - ANSWER-4. " I will take coated Aspirin for my
headache because it will coat my stomach"
A client who is receiving digoxin (Lanoxin) daily has a serum
potassium level of 3mEq/L and is complaining of anorexia. The
health care provider prescribes determination of the serum
digoxin level to rule out digoxin toxicity. The nurse checks the
results and should recognize which level is outside the
therapeutic range?
1. 0.5ng/mL (0.63nmol/L)
2. 0.8ng/mL (1.02nmol/L)
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3. 0.9ng/mL (1.14nmol/L)
4. 2.2ng/mL ( 2.8nmol/L) - ANSWER-4. 2.2ng/mL
A client is being treated with procainamide for a cardiac
dysrhythmia. Following intravenous administration of the
medication, the client complains of dizziness. What intervention
should the nurse take FIRST?
1. Obtain a 12-lead EKG immediately rhythm strip
2. Check patients fingerstick blood glucose level
3. Auscultate the client's apical pulse and obtain a BP
4. measure QRS interval duration on the rhythm strip - ANSWER-
3.Auscultate the clients apical pulse and obtain a bp
The nurse in monitoring a client who is taking propranolol. Which
assessment data indicates a potential adverse complication
associated with this medication?
1. The development of complaints of insomnia
2. The development of audible expiratory wheezes
3. A baseline BP of 150/80mmHg followed by a BP of
138/72mmHg after two doses of the medication
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4. A baseline resting HR of 88bpm followed by a resting HR of
72bmp after two doses of the medication - ANSWER-2. The
development of audible expiratory wheezes
A client with Valvular heart Disease who has a clot in the right
atrium is receiving a heparin sodium infusion at 1000 units/hr and
warfarin 7.5mg at 5pm daily. The morning laboratory results are
as follows: activated partial thromboplastin time (aPTT) = 32
seconds; internationalized normalized ratio (INR) = 1.3. The nurse
should plan to take which action based on the client's laboratory
results?
1. Collaborate with the health care provider (HCP) to discontinue
the heparin infusion and administer the warfarin sodium as
prescribed.
2. Collaborate with the HCP to obtain a prescription to increase
the heparin infusion and administer the warfarin sodium as
prescribed.
3. Collaborate with the HCP to withhold the warfarin sodium since
the client is receiving a heparin infusion and the aPTT is within
the therapeutic range.
4. Collaborate with the HCP to continue the heparin infusion at
the same rate and to discuss use of da - ANSWER-2. Collaborate
