1
Fortis College NUR100 HESI Actual
Exam Questions and Answers with
Rationales 2026/2027 | Pharmacology
Exam V1 | Pass Guarantee
Q001: A 68-year-old client with heart failure is prescribed digoxin 0.25 mg PO
daily. The nurse notes the apical heart rate is 52 bpm. Which action should the
nurse take?
Options:
A. Administer the dose as scheduled
B. Check the potassium level after giving the dose
C. Hold the dose and contact the prescriber - CORRECT
D. Give half the prescribed dose
ANSWER: C
Q002: A client receiving morphine via PCA pump reports respiratory rate of 8/min
and is difficult to arouse. Which medication should the nurse prepare?
Options:
A. Flumazenil
B. Naloxone - CORRECT
C. Naltrexone
D. Atropine
ANSWER: B
, 2
Q003: A 54-year-old client with atrial fibrillation is started on warfarin. Which
laboratory value should the nurse monitor to determine therapeutic effect?
Options:
A. aPTT
B. PT/INR - CORRECT
C. Bleeding time
D. D-dimer
ANSWER: B
Q004: A client with diabetes mellitus type 2 is prescribed metformin. Which
adverse effect should the nurse instruct the client to report immediately?
Options:
A. Mild nausea
B. Metallic taste
C. Muscle pain and fatigue - CORRECT
D. Decreased appetite
ANSWER: C
Q005: A client is prescribed IV gentamicin for sepsis. Which monitoring is
essential during therapy?
Options:
A. Peak and trough levels - CORRECT
B. Blood glucose
C. Serum sodium
D. Hemoglobin
ANSWER: A
, 3
Q006: A client with hypertension is prescribed lisinopril. Which instruction is most
important for the nurse to provide?
Options:
A. Take the medication with food
B. Monitor for a dry cough and swelling of the face or lips - CORRECT
C. Discontinue if dizziness occurs
D. Double the dose if a dose is missed
ANSWER: B
Q007: A client with asthma is prescribed albuterol via nebulizer. Which finding
indicates a therapeutic response?
Options:
A. Heart rate 110 bpm
B. Respiratory rate 24/min
C. Decreased wheezing and improved air movement - CORRECT
D. Decreased oxygen saturation
ANSWER: C
Q008: A client is receiving heparin infusion for pulmonary embolism. Which lab
value should the nurse monitor?
Options:
A. PT
B. aPTT - CORRECT
C. INR
D. Platelet count only
ANSWER: B
Fortis College NUR100 HESI Actual
Exam Questions and Answers with
Rationales 2026/2027 | Pharmacology
Exam V1 | Pass Guarantee
Q001: A 68-year-old client with heart failure is prescribed digoxin 0.25 mg PO
daily. The nurse notes the apical heart rate is 52 bpm. Which action should the
nurse take?
Options:
A. Administer the dose as scheduled
B. Check the potassium level after giving the dose
C. Hold the dose and contact the prescriber - CORRECT
D. Give half the prescribed dose
ANSWER: C
Q002: A client receiving morphine via PCA pump reports respiratory rate of 8/min
and is difficult to arouse. Which medication should the nurse prepare?
Options:
A. Flumazenil
B. Naloxone - CORRECT
C. Naltrexone
D. Atropine
ANSWER: B
, 2
Q003: A 54-year-old client with atrial fibrillation is started on warfarin. Which
laboratory value should the nurse monitor to determine therapeutic effect?
Options:
A. aPTT
B. PT/INR - CORRECT
C. Bleeding time
D. D-dimer
ANSWER: B
Q004: A client with diabetes mellitus type 2 is prescribed metformin. Which
adverse effect should the nurse instruct the client to report immediately?
Options:
A. Mild nausea
B. Metallic taste
C. Muscle pain and fatigue - CORRECT
D. Decreased appetite
ANSWER: C
Q005: A client is prescribed IV gentamicin for sepsis. Which monitoring is
essential during therapy?
Options:
A. Peak and trough levels - CORRECT
B. Blood glucose
C. Serum sodium
D. Hemoglobin
ANSWER: A
, 3
Q006: A client with hypertension is prescribed lisinopril. Which instruction is most
important for the nurse to provide?
Options:
A. Take the medication with food
B. Monitor for a dry cough and swelling of the face or lips - CORRECT
C. Discontinue if dizziness occurs
D. Double the dose if a dose is missed
ANSWER: B
Q007: A client with asthma is prescribed albuterol via nebulizer. Which finding
indicates a therapeutic response?
Options:
A. Heart rate 110 bpm
B. Respiratory rate 24/min
C. Decreased wheezing and improved air movement - CORRECT
D. Decreased oxygen saturation
ANSWER: C
Q008: A client is receiving heparin infusion for pulmonary embolism. Which lab
value should the nurse monitor?
Options:
A. PT
B. aPTT - CORRECT
C. INR
D. Platelet count only
ANSWER: B
